Nokea
A patient with cystitis is receiving phenazopyridine for pain and is voiding a bright red-orange urine. Which action will the nurse take?
- A. Report this immediately.
- B. Explain to the patient that this is normal.
- C. Increase fluid intake.
- D. Collect a specimen.
Correct Answer: B
Rationale: Phenazopyridine will turn the urine reddish-orange.
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Which hormone from the posterior pituitary gland influences the amount of water that is eliminated with the urine?
- A. Pitocin
- B. Renin hormone
- C. Antidiuretic hormone (ADH)
- D. ACTH
Correct Answer: C
Rationale: ADH causes the cells of the distal convoluted tubules to increase their rate of water reabsorption.
When the patient receiving home health services is started on dialysis, the home health nurse refers the patient to a community support group that assists with the adjustments necessary to living with dialysis. Which group offers this service?
- A. National Kidney Foundation
- B. American Association of Kidney Patients
- C. American Red Cross
- D. Veterans Administration
Correct Answer: B
Rationale: The American Association of Kidney Patients offer support to the patient and family as they adapt to living with dialysis.
The nurse assessing a patient who is taking furosemide finds an irregular pulse. This is likely a sign of which disorder?
- A. hypomagnesemia.
- B. hypernatremia.
- C. hypokalemia.
- D. hypercalcemia.
Correct Answer: C
Rationale: The loop diuretic prototype, furosemide affects electrolytes and causes hypokalemia; the deficiency of the electrolyte can cause arrhythmias and muscle weakness.
The nurse is reviewing the urinalysis report on an assigned patient. The nurse recognizes which finding to be normal?
- A. Turbidity clear
- B. pH 6.0
- C. Glucose negative
- D. Red blood cells, 15 to 20
- E. White blood cells
Correct Answer: A,C
Rationale: The normal findings are: turbidity clear, and glucose negative. The other findings are abnormal.
The nurse notes the amount and color of the urine the patient with urolithiasis has voided. While using Standard Precautions, which action will be the nurse's next action?
- A. Discard the urine.
- B. Add the urine to a 24-hour collector.
- C. Send the urine to the laboratory.
- D. Strain the urine.
Correct Answer: D
Rationale: All urine should be strained. Because stones may be any size, even the smallest speck must be saved for assessment by the laboratory.