Which type of diet will the patient be encouraged to eat during the active phase of acute renal failure?
- A. A diet high in sodium
- B. A diet high in potassium
- C. A diet high in carbohydrates
- D. A diet high in fluid sources
Correct Answer: C
Rationale: The patient with acute renal failure would need a high carbohydrate diet. Potassium and sodium are restricted as well as excess fluids.
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A male patient, age 71, is recovering from a trans-urethral prostatic resection (TURP). The health care provider requests removal of the indwelling catheter 2 days after the TURP procedure. Which occurrence might the patient experience after the catheter is removed?
- A. Burning on urination
- B. Passing of blood clots in the urine
- C. Dribbling of urine
- D. Coffee-colored urine
Correct Answer: C
Rationale: The patient is informed that initially he may experience frequency and voiding small amounts with some dribbling. There should be no hematuria or clots after 2 days.
Which aspect of self care will the nurse encourage, barring any other contraindication, when teaching a patient how to decrease the chance of further problems with urolithiasis?
- A. Increase his fluid intake.
- B. Increase intake of dairy products.
- C. Restrict his protein intake.
- D. Take one baby aspirin daily.
Correct Answer: A
Rationale: Fluid intake should be encouraged to at least 2000 mL of fluid in 24 hours, unless contraindicated.
A patient is receiving chlorothiazide a thiazide diuretic for hypertension. Which nursing action is important for prevention of complications?
- A. Measure output.
- B. Increase fluid intake.
- C. Assess for hypokalemia.
- D. Assess for hypernatremia.
Correct Answer: C
Rationale: The thiazide diuretic, chlorothiazide, affects electrolytes to cause hypokalemia (extreme potassium depletion in blood).
The prostatectomy technique, which involves an incision through the abdomen and the bladder, is a ___ prostatectomy.
- A. suprapubic
Correct Answer: suprapubic
Rationale: A suprapubic prostatectomy involves an incision through the abdomen and the bladder with removal of the gland with the finger.
Which sign is indicative of fluid overload in the patient with chronic glomerulonephritis?
- A. Increase in blood pressure
- B. Increase in daily weight
- C. Clear lung sounds
- D. Edema
- E. Labored respirations
Correct Answer: A,B,D,E
Rationale: Signs and symptoms of fluid overload: increased blood pressure, respirations, cardiac sounds, and lung fields. Increase in daily morning weights.
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