Nokea
Which nursing instruction is most appropriate for prevention and treatment in the client's urine?
- A. Eat more acidic citrus fruits.
- B. Avoid carbonated soft drinks.
- C. Drink 3 quarts (3 L) of water daily.
- D. Take the medication with food.
Correct Answer: C
Rationale: Drinking 3 quarts of water daily promotes urine production, helping to flush bacteria from the urinary tract and prevent infection.
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The client diagnosed with CKD is receiving peritoneal dialysis. Which assessment data warrant immediate intervention by the nurse?
- A. Inability to auscultate a bruit over the fistula.
- B. The client’s abdomen is soft, is nontender, and has bowel sounds.
- C. The dialysate being removed from the client’s abdomen is clear.
- D. The dialysate instilled was 1,500 mL and removed was 1,500 mL.
Correct Answer: A
Rationale: Peritoneal dialysis does not involve a fistula, so inability to auscultate a bruit suggests a documentation error or confusion with hemodialysis, requiring immediate clarification. Soft abdomen, clear dialysate, and equal instill/removal volumes are normal findings.
Which nursing assessment is essential to add to the client's care plan?
- A. Monitor body temperature.
- B. Measure intake and output.
- C. Assess for urine retention.
- D. Check the urine for glucose.
Correct Answer: B
Rationale: Measuring intake and output is critical in renal failure to monitor fluid balance and kidney function.
When a client asks the clinic nurse why women have more bladder infections than men, which answer is most accurate?
- A. The male urethra is straighter, which facilitates elimination of pathogens.
- B. The male urethra is lined with a layer of mucous membrane, which traps microorganisms.
- C. The female urethra is shorter, and pathogens enter the bladder more easily.
- D. The female urethra has a larger diameter and is more easily contaminated.
Correct Answer: C
Rationale: The shorter female urethra allows pathogens easier access to the bladder, increasing the risk of bladder infections.
It is most appropriate for the nurse to advise the client that taking this medication will have which effect on the urine?
- A. The urine will look cloudy.
- B. The urine will appear orange.
- C. The urine will become scant.
- D. The urine will have a strong odor.
Correct Answer: B
Rationale: Phenazopyridine (Pyridium) commonly causes the urine to turn orange, which is a harmless side effect that the client should be informed about.
To avoid erroneous test results caused by the manipulation of the prostate, the nurse should be included in diagnostic test before the client's rectal examination?
- A. Kidneys, ureters, bladder X-ray
- B. Needle biopsy of the prostate gland
- C. Prostate specific antigen (PSA) test
- D. Transrectal ultrasound examination
Correct Answer: C
Rationale: The PSA test should be done before rectal examination, as manipulation can elevate PSA levels, leading to false results.