Nokea
The nurse is reviewing the assessment data for a client with acute glomerulonephritis (AGN). Which of the following would be an expected finding?
- A. Ketonuria
- B. Hematuria
- C. Polyuria
- D. Glycosuria
Correct Answer: B
Rationale: Hematuria is a hallmark of acute glomerulonephritis due to glomerular inflammation.
You may also like to solve these questions
The nurse is reviewing the assignment for the shift and will be caring for the following clients. Which client is at risk for hypokalemia? A client with
- A. hyperemesis gravidarum.
- B. end-stage renal failure.
- C. diabetic ketoacidosis.
- D. third-degree burns.
Correct Answer: A
Rationale: Hyperemesis gravidarum causes potassium loss through vomiting, increasing hypokalemia risk.
The nurse is reviewing the laboratory results of a client with renal failure. Which laboratory data requires immediate follow-up?
- A. Blood urea nitrogen 50 mg/dL [10-20 mg/dL]
- B. Serum potassium 6 mEq/L (mmol/L) [3.5-5.0 mEq/L]
- C. Arterial blood pH 7.30 [7.35-7.45]
- D. Hemoglobin 10.3 g/dL (1.03 g/L) [F: 12-16 g/dL (7.4 -9.9 mmol/L) M: 14-18 g/dL (8,7-11.2 mmol/L)]
Correct Answer: B
Rationale: Hyperkalemia (6 mEq/L) requires immediate follow-up due to the risk of cardiac dysrhythmias.
A newly hired nurse is caring for a client who is receiving prescribed total parenteral nutrition (TPN) therapy. The nurse preceptor should intervene if the newly hired nurse?
- A. wears a surgical mask while changing the client's central vascular access dressing.
- B. obtains the client's capillary blood glucose every four to six hours.
- C. spikes and primes a new bag of TPN without an inline filter.
- D. continues the infusion via an infusion pump while the client is receiving a computed tomography scan.
Correct Answer: C
Rationale: TPN requires an inline filter to prevent infusion of particulate matter or air emboli. Not using a filter (C) is unsafe and requires intervention. Wearing a mask (A), checking glucose (B), and continuing infusion during a CT scan (D) are appropriate or not inherently unsafe.
The following scenario applies to the next 1 items
The nurse in the medical-surgical unit is caring for a client following a transurethral resection of the prostate (TURP).
Item 1 of 1
Nurses’ Notes
1241: The client arrived at the medical-surgical unit six hours post-operative from a TURP. The client was alert and oriented to person, place, time, and situation. The client has a three-way indwelling urinary catheter and is continuously irrigated with isotonic saline. Urine output is ketchup-like with medium to large clots. The client reports the need to urinate and reported pressure in the pelvic region, described as spasms.
Intake and Output
Intake – Continuous bladder irrigation: 550 mL
Output – Indwelling catheter: 975 mL
Vital Signs
1257:
Blood Pressure 100/60 mm Hg
Temperature 98° F (36.7° C)
Heart rate 110/min
Respiratory rate 19 breaths per minute
Oxygen saturation 95% on room air
The client is demonstrating signs and symptoms of.
- A. urinary catheter obstruction
- B. hyponatremia
- C. shock
- D. urinary tract infection
Correct Answer: A
Rationale: Ketchup-like urine with clots and pelvic pressure post-TURP indicate catheter obstruction.
Which nursing intervention would be a priority for a patient receiving 3% saline maintenance fluids?
- A. Monitor serum HCO3-
- B. Monitor urine sodium
- C. Assess blood pressure
- D. Collect 24-hour urine output
Correct Answer: C
Rationale: 3% saline, a hypertonic solution, can cause fluid shifts, making blood pressure monitoring a priority.