Nokea
After the cystoscopy, which urinary symptom can the nurse expect the client to report?
- A. A sense of urgency
- B. No urinary output
- C. A strong urinary odor
- D. A large volume of urine output
Correct Answer: A
Rationale: A sense of urgency is common after cystoscopy due to urethral irritation from the procedure.
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When the client complains about the bland taste of the food, the nurse appropriately recommends substituting salt with which condiment?
- A. Catsup
- B. Mustard
- C. Soy sauce
- D. Lemon juice
Correct Answer: D
Rationale: Lemon juice is a low-sodium flavor enhancer, suitable for a sodium-restricted diet, unlike catsup, mustard, or soy sauce.
The nurse is discussing kidney transplants with clients at a dialysis center. Which population is less likely to participate in organ donation?
- A. Caucasian.
- B. African American.
- C. Asian.
- D. Hispanic.
Correct Answer: B
Rationale: African Americans are statistically less likely to participate in organ donation due to cultural beliefs, mistrust in healthcare systems, and lower registration rates. Other groups have higher participation rates, though disparities exist across all populations.
Which urinary change provides the best evidence that the phenazopyridine (Pyridium) is achieving its intended therapeutic effect?
- A. Urinary frequency is decreased.
- B. Urinary urgency is decreased.
- C. Urinary burning is decreased.
- D. Urine output is increased.
Correct Answer: C
Rationale: Phenazopyridine is prescribed to relieve urinary burning, so a decrease in this symptom indicates the medication is effective.
The nurse writes the client problem of 'fluid volume excess' (FVE). Which intervention should be included in the plan of care?
- A. Change the IV fluid from 0.9% NS to D5W.
- B. Restrict the sodium in the client’s diet.
- C. Monitor blood glucose levels.
- D. Prepare the client for hemodialysis.
Correct Answer: B
Rationale: Restricting sodium reduces fluid retention in FVE, as sodium promotes water reabsorption. D5W provides free water, worsening FVE; glucose monitoring is unrelated; and hemodialysis is reserved for severe cases.
The client is diagnosed with a uric acid stone. Which foods should the client eliminate from the diet to help prevent reoccurrence?
- A. Beer and colas.
- B. Asparagus and cabbage.
- C. Venison and sardines.
- D. Cheese and eggs.
Correct Answer: C
Rationale: Uric acid stones are linked to high purine intake. Venison and sardines are high-purine foods, increasing uric acid production. Beer/colas affect hydration, asparagus/cabbage are low-purine, and cheese/eggs are less relevant.