Nokea
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.
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The nurse is caring for a client who has just returned from an intravenous urography procedure. Which intervention should the nurse take to prevent post-procedure acute kidney injury?
- A. Assess the venipuncture site for redness
- B. Have the client obtain their daily weight for three days after the procedure
- C. Instruct the client to remain motionless
- D. Encourage the client to increase their fluid intake
Correct Answer: D
Rationale: Increased fluid intake helps flush contrast media, reducing the risk of AKI post-urography.
The infection control nurse assesses clients at risk for a urinary tract infection (UTI). Which client is at the greatest risk of developing a UTI? A client with
- A. a chronic indwelling urinary catheter receiving intravenous diuretics.
- B. diabetes mellitus who is receiving intravenous antibiotics for a wound infection.
- C. obesity being treated for urge incontinence.
- D. a history of frequent bladder infections.
Correct Answer: A
Rationale: Chronic indwelling catheters significantly increase UTI risk due to prolonged bacterial exposure.
The nurse is caring for a client in the medical-surgical unit. The nurse is reviewing the client's laboratory data and should take which action.
- A. Review the client's current medications
- B. Plan to initiate daily fluid restrictions
- C. Clarify the prescribed chest radiograph (x-ray)
- D. Insert an indwelling urinary catheter to monitor urinary output
Correct Answer: A
Rationale: Reviewing medications identifies potential causes of lab abnormalities, guiding appropriate interventions.
The nurse is caring for a client with polycystic kidney disease (PKD). Which of the following would indicate the client is achieving treatment goals?
- A. Blood Pressure 128/63 mmHg
- B. Creatinine 2.3 mg/dL [0.6-1.2 mg/dL (53-106 mmol/L)]
- C. Proteinuria 2+
- D. Sodium 132 mEq/L [136-145 mEq/L (mmol/L)]
Correct Answer: A
Rationale: Controlled blood pressure (128/63 mmHg) indicates effective PKD management, as hypertension is a common complication.
Which of the following signs and symptoms may lead the nurse to suspect hypovolemia? Select all that apply.
- A. Decreased skin turgor
- B. Increased urine output
- C. Dry mucous membranes
- D. Weight gain
- E. Low blood pressure
Correct Answer: A,C,E
Rationale: Hypovolemia causes decreased skin turgor, dry mucous membranes, and low blood pressure due to reduced fluid volume.