Nokea
The nurse is assessing a client with suspected renal calculi. Which of the following findings would support a diagnosis of renal calculi? Select all that apply.
- A. hematuria
- B. nausea and vomiting
- C. hypotension
- D. dysuria
- E. increased urinary frequency
Correct Answer: A,B,D,E
Rationale: Renal calculi cause hematuria, nausea, vomiting, dysuria, and increased urinary frequency due to irritation and obstruction.
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The nurse cares for a client with a serum sodium level of 152 mEq/L (mmol/L) [135-145 mEq/L, mmol/L]. Which of the following assessment findings would be expected? Select all that apply.
- A. Lethargy
- B. Dry mucous membranes
- C. Tachypnea
- D. Cyanosis
- E. Excessive thirst
Correct Answer: A,B,E
Rationale: Hypernatremia causes lethargy, dry mucous membranes, and excessive thirst due to cellular dehydration.
The nurse is teaching a client about consuming cranberry juice to prevent recurrent simple cystitis. The nurse understands that the treatment goal of consuming cranberry is to
- A. increase the urine specific gravity.
- B. increase the urine leukocyte count.
- C. acidify the urine.
- D. increase the protein in the urine.
Correct Answer: C
Rationale: Cranberry juice acidifies urine, creating an unfavorable environment for bacterial growth, helping prevent cystitis.
The nurse is providing discharge instructions to a client prescribed phenazopyridine. Which of the following instructions should the nurse include?
- A. The amount of urine you void will increase
- B. Your urine will turn orange in color
- C. You may notice that your urine is malodorous
- D. Concentrated urine is an expected finding
Correct Answer: B
Rationale: Phenazopyridine causes orange-colored urine, a common side effect to inform clients about.
The nurse is planning care for a client with a low serum albumin level. Which of the following interventions should the nurse include in the client's plan of care?
- A. Obtain a capillary blood glucose
- B. Implement seizure precautions
- C. Implement strict bed rest
- D. Collaborate with a registered dietician
Correct Answer: D
Rationale: Low albumin requires dietary intervention, best managed with a dietician.
A client with benign prostatic hyperplasia (BPH) is post-operative following transurethral resection of the prostate (TURP) and is now receiving continuous bladder irrigation. Upon assessment, the nurse notes that the output from the urinary catheter has stopped. Which nursing intervention is most appropriate?
- A. Reinsert a new catheter
- B. Increase the infusion rate of the irrigation
- C. Attempt to dislodge a clot
- D. Contact the health care provider (HCP)
Correct Answer: C
Rationale: Attempting to dislodge a clot is appropriate to restore flow, as catheter obstruction is common post-TURP.