Nokea
When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find:
- A. Cherry-red urine that gradually becomes clearer
- B. Orange-tinged urine containing particles of calculi
- C. Dark red urine that becomes cloudy in appearance
- D. Dark, smoky-colored urine with high specific gravity
Correct Answer: A
Rationale: Extracorporeal lithotripsy breaks up kidney stones, leading to cherry-red urine from minor bleeding that clears as healing progresses.
You may also like to solve these questions
A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client's need for:
- A. Supplemental oxygen
- B. Fluid restriction
- C. Blood transfusion
- D. Delivery by Caesarean section
Correct Answer: A
Rationale: Sickle cell anemia increases oxygen demand during labor, often requiring supplemental oxygen.
The nurse is teaching a client with peritoneal dialysis how to manage exchanges at home. The nurse should tell the client to notify the doctor immediately if:
- A. The dialysate returns become cloudy in appearance.
- B. The return of the dialysate is slower than usual.
- C. A 'tugging' sensation is noted as the dialysate drains.
- D. A feeling of fullness is felt when the dialysate is instilled.
Correct Answer: A
Rationale: Cloudy dialysate indicates possible peritonitis, a serious infection requiring immediate medical intervention to prevent complications.
A 32-year-old male client has just undergone a liver biopsy and is released to the post-op floor for observation. The nurse should have the client lie in what position?
- A. semi-Fowler's
- B. on his right side
- C. supine
- D. on his left side
Correct Answer: B
Rationale: Lying on the right side applies pressure to the liver biopsy site, reducing bleeding risk.
To maintain Bryant's traction, the nurse must make certain that the child's:
- A. Hips are resting on the bed, with the legs suspended at a right angle to the bed
- B. Hips are slightly elevated above the bed and the legs are suspended at a right angle to the bed
- C. Hips are elevated above the level of the body on a pillow and the legs are suspended parallel to the bed
- D. Hips and legs are flat on the bed, with the traction positioned at the foot of the bed
Correct Answer: B
Rationale: Bryant's traction requires hips slightly elevated and legs at a right angle to the bed to maintain alignment and traction.
The nurse working in an outpatient clinic is preparing to teach insulin injection to an elderly male client who is hard of hearing yet refuses to wear prescribed hearing aids. Which of the following communication strategies would be most appropriate for the nurse to use?
- A. speak in a high-pitched voice
- B. use sign language
- C. ensure the room.Concurrent is well lit
- D. refrain from touching the client
Correct Answer: C
Rationale: A well-lit room enhances visual cues, aiding communication for a client with hearing difficulties who relies on lip-reading or facial expressions.