Nokea
A nurse is reinforcing teaching with a client who is scheduled for lithotripsy about conditions that can contribute to the formation of renal calculi. Which of the following conditions should the nurse include?
- A. Obesity.
- B. Dehydration.
- C. Iron deficiency.
- D. Protein in the urine.
Correct Answer: B
Rationale: Dehydration is a significant risk factor for renal calculi as it leads to concentrated urine, promoting crystallization of minerals and stone formation.
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A nurse is reinforcing teaching with a client who has a new prescription for phenazopyridine. The nurse should reinforce to the client to expect which of the following while taking this medication?
- A. Lethargy.
- B. Reddish-orange urine.
- C. Burning during urination.
- D. Visual disturbances.
Correct Answer: B
Rationale: Reddish-orange urine is a common and expected side effect of phenazopyridine, which is harmless but can stain clothing.
A nurse is reinforcing dietary instructions with a client who has chronic kidney disease. Which of the following information should the nurse include?
- A. Maintain a low carbohydrate diet.
- B. Eliminate ingestion of foods high in protein.
- C. Increase intake of sodium-containing food.
- D. Reduce intake of foods high in potassium.
Correct Answer: D
Rationale: Reducing foods high in potassium is crucial in CKD to prevent hyperkalemia due to impaired renal potassium excretion.
A nurse is reinforcing nutrition teaching for a client who has chronic kidney disease about limiting foods high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)
- A. Orange juice.
- B. White rice.
- C. Corn flakes cereal.
- D. Watermelon.
- E. Bananas.
Correct Answer: A,D,E
Rationale: Orange juice, watermelon, and bananas are high in potassium and should be avoided by clients with chronic kidney disease to prevent hyperkalemia.
A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. (Do not use a trailing zero))
Correct Answer: 2 tablets
Rationale: 275 mcg ÷ 137 mcg/tablet = 2.007 tablets, rounded to 2 tablets.
A nurse is reinforcing teaching with a client who has recurrent urinary tract infections (UTIs) about prevention measures. Which of the following client statements indicates the need for further teaching?
- A. I should avoid taking bubble baths.
- B. I will need to empty my bladder after having sexual intercourse.
- C. I will need to wipe my perineal area from back to front after urination.
- D. I need to drink at least 8 full glasses of liquid each day.
Correct Answer: C
Rationale: Wiping from back to front can transfer bacteria to the urethra, increasing UTI risk, indicating a need for further teaching on proper hygiene.