Nokea
What is the primary reason for administering a laxative before the procedure?
- A. To the bowel aids in examining the lower GI tract.
- B. Emptying the bowel prevents accidental stool incontinence during the X-ray.
- C. Emptying the bowel reduces the potential for constipation or impaction.
- D. Emptying the bowel improves the ability to visualize the urinary structures.
Correct Answer: D
Rationale: Emptying the bowel before intravenous pyelography (IVP) enhances visualization of the urinary structures by reducing interference from fecal matter.
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In evaluating multiple clients with UTIs, the clinic nurse should identify which client to be at least risk for developing a UTI?
- A. A client with urethral mucosa damage
- B. A client with an altered mental condition
- C. A client with an altered metabolic state
- D. An immunocompromised client
Correct Answer: C
Rationale: An altered metabolic state, without specific risk factors like diabetes, poses the least risk for UTIs compared to mucosal damage, mental status changes, or immunosuppression.
The client has been vomiting and has had numerous episodes of diarrhea. Which laboratory test should the nurse monitor?
- A. Serum calcium.
- B. Serum phosphorus.
- C. Serum potassium.
- D. Serum sodium.
Correct Answer: C
Rationale: Vomiting and diarrhea cause significant potassium loss, leading to hypokalemia, which can cause arrhythmias. Calcium, phosphorus, and sodium are less critically affected in this scenario.
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.
Which intervention should the nurse include when preparing a teaching plan for the client with chronic prostatitis?
- A. Sit in a warm sitz bath for 10 to 20 minutes several times daily.
- B. Sit in the chair with the feet elevated for two (2) hours daily.
- C. Drink at least 3,000 mL of oral fluids, especially tea and coffee, daily.
- D. Stop broad-spectrum antibiotics as soon as the symptoms subside.
Correct Answer: A
Rationale: Warm sitz baths reduce inflammation and pain in chronic prostatitis. Elevating feet is unrelated, tea/coffee are bladder irritants, and stopping antibiotics early risks recurrence.
The nurse is developing a nursing care plan for the client diagnosed with CKD. Which nursing problem is priority for the client?
- A. Low self-esteem.
- B. Knowledge deficit.
- C. Activity intolerance.
- D. Excess fluid volume.
Correct Answer: D
Rationale: Excess fluid volume is the priority in CKD due to impaired kidney excretion, leading to edema, hypertension, and heart failure risk. Fluid overload is a life-threatening issue, whereas self-esteem, knowledge, and activity intolerance are secondary.