The nurse is caring for a client with urge incontinence. Which of the following actions would be appropriate for the nurse to take?
- A. Administer prophylactic antibiotics.
- B. Teach the client intermittent self-catheterization.
- C. Have the client void on a timed schedule.
- D. Provide caffeinated beverages with meals.
Correct Answer: C
Rationale: Timed voiding helps manage urge incontinence by preventing bladder overfilling, reducing involuntary contractions.
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The nurse preceptor is orienting a newly hired nurse caring for a client with advanced polycystic kidney disease (PKD). Which of the following actions by the newly hired nurse would require follow-up by the nurse preceptor?
- A. Requesting a prescription for ketorolac to help relieve the client's pain.
- B. Instructing the client on how to use guided imagery as a comfort strategy.
- C. Applying dry heat to the client's abdomen or flank for pain relief.
- D. Provides the client with foods high in fiber and low in salt.
Correct Answer: A
Rationale: Ketorolac, an NSAID, can worsen renal function in PKD and requires follow-up.
The nurse has taught a client about a scheduled intravenous (IV) urography (pyelogram). Which of the following statements by the client would indicate a correct understanding of the teaching?
- A. I should expect a temporary urinary catheter inserted during the procedure.
- B. I will take a laxative the night before to clear my bowels.
- C. I must fill my bladder with water immediately before the procedure.
- D. I may experience blood in my urine for a few days after this procedure.
Correct Answer: B
Rationale: A laxative is often required before IV urography to clear the bowels for better imaging.
The nurse is providing education to a group of nursing students regarding the causes of hypercalcemia. Which of the following information should be included? Select all that apply.
- A. hypoparathyroidism.
- B. thiazide diuretics.
- C. malignancy.
- D. end-stage kidney disease.
- E. Crohn's disease.
Correct Answer: B,C,D
Rationale: Thiazide diuretics, malignancy, and end-stage kidney disease cause hypercalcemia by increasing calcium retention or release.
The nurse is caring for an assigned client. Which prescription requires clarification with the primary healthcare provider (PHCP) based on the laboratory data?
- A. furosemide
- B. vancomycin
- C. ibuprofen
- D. citalopram
- E. enalapril
Correct Answer: C
Rationale: Ibuprofen can worsen renal function in kidney injury, requiring clarification.
The nurse is precepting a new graduate who will be caring for a client with bacterial cystitis. Which of the following statements by the new graduate requires follow-up?
- A. The client should be counseled to increase their fluid intake.'
- B. A 24-hour urine sample will be needed to confirm the diagnosis.'
- C. Risk factors include frequent intercourse and douching.'
- D. Cranberry concentrate may be used to prevent future infections.'
Correct Answer: B
Rationale: A 24-hour urine sample is not typically required for bacterial cystitis diagnosis, which relies on urinalysis or culture.
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