2026 Questions and Correct Detailed Answers Already
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A nurse is assessing a client who is postoperative following a transurethral
resection of the prostate (TURP). After the nurse discontinues the client's urinary
catheter, which of the following findings should the nurse report to the provider?
A.
Pink-tinged urine
B.
Report of burning upon urination
C.
Stress incontinence
D.
Decreased urine output - CORRECT ANSWER-Correct Answer: D.
Decreased urine output
A nurse is caring for a client who is in the oliguric-anuric stage of acute kidney
injury. The client reports diarrhea, a dull headache, palpitations, and muscle
tingling and weakness. Which of the following actions should the nurse take first?
,A.
Administer an analgesic to the client
B.
Check the client's electrolyte values
C.
Measure the client's weight
D.
Restrict the client's protein intake - CORRECT ANSWER-Correct Answer: B.
Check the client's electrolyte values
The nurse should apply the urgent versus nonurgent priority-setting framework
when caring for the client. Using this framework, the nurse should consider
urgent needs to be the priority because they pose a greater threat to the client.
The nurse might also need to use Maslow's hierarchy of needs, the ABC priority-
setting framework, and/or nursing knowledge to identify which finding is the
most urgent. The nurse should check the client's most recent potassium value
because these findings are manifestations of hyperkalemia, which can lead to
cardiac dysrhythmias.
Incorrect Answers:A. Administering an analgesic for a dull headache is important
to manage the client's pain; however, there is another action that the nurse
should take first.
,C. Measuring the client's weight is important to monitor the client's fluid balance;
however, there is another action the nurse should take first.
D. Restricting the client's protein intake is important to manage the client's acute
kidney injury; however, there is another action the nurse should take first.
A nurse is assessing a client who has urolithiasis and reports pain in his thigh. This
finding indicates the stone is in which of the following structures?
A.
Ureter
B.
Bladder
C.
Renal pelvis
D.
Renal tubules - CORRECT ANSWER-Correct Answer: A.
Ureter
When stones are in the ureters, pain radiates to the genitalia and to the thighs.
, Incorrect Answers:B. Stones in the bladder produce manifestations of irritation
that resemble a urinary tract infection. They can also cause pain in the vulva and
scrotal areas.
C. The renal pelvis is part of the kidney. Stones in the kidneys cause pain in the
costovertebral region.
D. The renal tubules are within the nephron, which is part of the kidney. Stones in
the kidneys cause flank pain
A nurse is reviewing the laboratory report of a client who has chronic kidney
disease (CKD). The nurse finds the following laboratory test results: potassium 6.8
mEq/L, calcium 7.4 mg/dL, hemoglobin 10.2 g/dL, and phosphate 4.8 mg/dL.
Which finding is the priority for the nurse to report to the provider?
A.
Hypocalcemia
B.
Hyperkalemia
C.
Anemia
D.
Hypoalbuminemia - CORRECT ANSWER-Correct Answer: B.
Hyperkalemia