Nokea
When the client with an ileal conduit expresses concern about odor, which recommendation by the nurse is most effective?
- A. Place an aspirin tablet in the pouch.
- B. Use a deodorizing pouch spray.
- C. Change the pouch daily.
- D. Avoid acidic foods.
Correct Answer: B
Rationale: Using a deodorizing pouch spray effectively controls odor, addressing the client's concern.
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On the basis of the nurse's knowledge of patient rights, which Federal law has the PCT violated?
- A. Good samarian Act
- B. Uncontractic Oath
- C. Health Insurance Portability and Accountability Act (HIPAA)
- D. Emergency Medical Treatment and Liability Act (EMTALA)
Correct Answer: C
Rationale: The PCT violated HIPAA by discussing the client's condition loudly in a public area, compromising patient confidentiality.
The client is diagnosed with an acute episode of ureteral calculi. Which client problem is priority when caring for this client?
- A. Fluid volume loss.
- B. Knowledge deficit.
- C. Impaired urinary elimination.
- D. Alteration in comfort.
Correct Answer: D
Rationale: Severe pain (alteration in comfort) is the priority in acute ureteral calculi, as it affects the client’s immediate well-being and requires prompt management. Fluid loss, urinary elimination, and knowledge are secondary.
The nurse and a licensed practical nurse (LPN) are caring for a group of clients. Which intervention should be assigned to the LPN?
- A. Assessment of the client who has had a Kock pouch procedure.
- B. Monitoring of the postop client with a WBC of 22,000/mm3.
- C. Administration of the prescribed antineoplastic medications.
- D. Care for the client going for an MRI of the kidneys.
Correct Answer: D
Rationale: Caring for a client going for an MRI involves routine tasks (e.g., transport, preparation) within an LPN’s scope. Assessment, monitoring high WBC, and administering chemotherapy require RN judgment.
The nurse is providing discharge teaching to the client diagnosed with polycystic kidney disease. Which statement made by the client indicates the teaching has been effective?
- A. I need to avoid any activity causing a risk for injury to my kidney.'
- B. I should avoid taking medications for high blood pressure.'
- C. When I urinate there may be blood streaks in my urine.'
- D. I may have occasional burning when I urinate with this disease.'
Correct Answer: A
Rationale: Polycystic kidney disease causes enlarged, cystic kidneys prone to rupture. Avoiding trauma (e.g., contact sports) is critical. BP meds are necessary, hematuria is not expected, and burning suggests UTI.
Which nursing intervention promotes the spontaneous passage of ureteral stones?
- A. Encouraging ambulation as tolerated
- B. Restricting fluid intake
- C. Administering diuretics
- D. Keeping the client on bed rest
Correct Answer: A
Rationale: Encouraging ambulation promotes gravity-assisted stone movement through the ureter, facilitating spontaneous passage.