Nokea
Which urinary change provides the best evidence that the phenazopyridine (Pyridium) is achieving its intended therapeutic effect?
- A. Urinary frequency is decreased.
- B. Urinary urgency is decreased.
- C. Urinary burning is decreased.
- D. Urine output is increased.
Correct Answer: C
Rationale: Phenazopyridine is prescribed to relieve urinary burning, so a decrease in this symptom indicates the medication is effective.
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Which assessment supports the nurse's assumption that the client's sleep disturbance was most likely due to anxiety?
- A. The client was pacing the room before bedtime.
- B. The client's vital signs were stable during the night.
- C. The client requested a sleeping pill earlier.
- D. The client reported feeling rested in the morning.
Correct Answer: A
Rationale: Pacing before bedtime is a behavioral sign of anxiety, supporting the assumption that anxiety caused the sleep disturbance.
Before peritoneal dialysis begins, the nurse correctly informs the client that the procedure involves the movement of urea and creatinine through the peritoneum by means the patient?
- A. Osmosis
- B. Diffusion
- C. Filtration
- D. Gravity
Correct Answer: B
Rationale: Diffusion is the primary mechanism by which urea and creatinine move across the peritoneal membrane during dialysis.
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.
The client diagnosed with cancer of the bladder is undergoing intravesical chemotherapy. Which instruction should the nurse provide the client about the pretherapy routine?
- A. Instruct the client to remain NPO after midnight before the procedure.
- B. Explain the use of chemotherapy in bladder cancer.
- C. Teach the client to administer Neupogen, a biologic response modifier.
- D. Have the client take Tylenol, an analgesic, before coming to the clinic.
Correct Answer: B
Rationale: Explaining intravesical chemotherapy (instilled into the bladder) ensures the client understands the procedure and its purpose. NPO is unnecessary, Neupogen is unrelated, and Tylenol is not routinely required.
Which signs/symptoms indicate to the nurse the client is in the recovery period of ARF? Select all that apply.
- A. Increased alertness and no seizure activity.
- B. Increase in hemoglobin and hematocrit.
- C. Denial of nausea and vomiting.
- D. Decreased urine-specific gravity.
- E. Increased serum creatinine level.
Correct Answer: A,C,D
Rationale: In the recovery phase, renal function improves, leading to increased alertness (reduced uremia), resolution of nausea/vomiting, and decreased urine-specific gravity as kidneys concentrate urine. Increased hemoglobin/hematocrit is not typical, and elevated creatinine indicates worsening, not recovery.