Nokea
Which symptom indicative of renal failure would the nurse expect to note when assessing this client?
- A. Anemia
- B. Hypotension
- C. Weight loss
- D. Fever
Correct Answer: A
Rationale: Anemia is a common symptom of renal failure due to decreased erythropoietin production by the kidneys.
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The nurse is caring for a pregnant client diagnosed with acute pyelonephritis. Which scientific rationale supports the client being hospitalized for this condition?
- A. The client must be treated aggressively to prevent maternal/fetal complications.
- B. The nurse can force the client to drink fluids and avoid nausea and vomiting.
- C. The client will be dehydrated and there won’t be sufficient blood flow to the baby.
- D. Pregnant clients historically are afraid to take the antibiotics as ordered.
Correct Answer: A
Rationale: Acute pyelonephritis in pregnancy risks maternal sepsis and fetal complications (e.g., preterm labor). Hospitalization ensures aggressive IV antibiotic treatment and monitoring. Dehydration and antibiotic fears are secondary concerns.
When the nurse interviews the client, which symptoms will the client most likely report if a bladder infection has been acquired? Select all that apply.
- A. Sharp flank pain
- B. Uretrail discharge
- C. Strong-smelling urine
- D. Burning on urination
- E. Urgency
- F. Frequency
Correct Answer: C,D,E,F
Rationale: Symptoms of a bladder infection typically include strong-smelling urine, burning on urination, urgency, and frequency, as these reflect irritation and inflammation of the bladder.
The client with a TURP who has a continuous irrigation catheter complains of the need to urinate. Which intervention should the nurse implement first?
- A. Call the surgeon to inform the HCP of the client’s complaint.
- B. Administer the client a narcotic medication for pain.
- C. Explain to the client this sensation happens frequently.
- D. Assess the continuous irrigation catheter for patency.
Correct Answer: D
Rationale: The urge to urinate may indicate a blocked catheter due to clots. Assessing patency ensures proper function and addresses the cause. Explaining the sensation, notifying the surgeon, or giving narcotics are secondary.
When the nurse is advising the client about the potential complications associated with peritoneal dialysis, which complication is most important to include?
- A. Pulmonary edema
- B. Abdominal peritonitis
- C. Abdominal hernia
- D. Ruptured aorta
Correct Answer: B
Rationale: Abdominal peritonitis is a significant and common complication of peritoneal dialysis due to the risk of infection.
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.