ATI Med Surg Proctored-NUR101 LPN 2020//2022.

ATI Med Surg Proctored-NUR101 LPN 2020//2022. A client who is taking nitrofurantoin (Macrodantin) for a UTI voices a concern to the clinic nurse about voiding brown colored urine. Which of the following is an appropriate response by the nurse? A) drinking more fluid will prevent your urine from becoming brown B) the provider will change your medication because your infection is not resolving with the nitrofurantoin C) an increase of RBC destruction in your blood can result in brown colored urine D) brown colored urine is a harmless side effect of the medication. 13. Stem: a nurse in a provider's office is re-enforcing teaching for a client who is to collect a 24 hour specimen.Which of the following should the nurse include in the instructions? A) at the beginning of the collection time, void and discard the urine B) at the beginning of the collection time, void and save the urine C) at the end of the collection time, void and discard the urine D) at the end of the collection time, void and save the urine in a separate container 4 / 22 14. A client has not voided for 8 hours following the removal of an indwelling bladder catheter. Which of the following should be the nurse's priority ac- tion? A) increase fluids B) perform bladder scan C) place indwelling catheter D) provide assistance to the bathroom perform bladder scan 15. A nurse is caring for a client who is one day post operative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following are appropriate nursing actions. add the amount of bladder irrigation to the total output -use sterile technique when preparing the irrigation solution -ensure the drainage tubing is patent and without obstruction -contact the surgeon if the client reports the continual need to void -notify the surgeon if the urine is bright red in appearance or has large clots: -use sterile technique when preparing the irrigation solution -ensure the drainage tubing is patent and without obstruction -notify the surgeon if the urine is bright red in appearance or has large clots 16. A nurse is caring for an older adult client who was admitted to the hospital with confusion and weakness. Based on the client's laboratory findings which of the following actions should the nurse take? Select all that apply. Hematocrit 53%, BUN at 25 mg / dl, urine specific gravity at 1.032 -restrict fluid intake - monitor I & O 5 / 22 - weigh client daily -instruct the client to sit on the side of the bed for a few mins before standing - check orientation to person, place and time regularly: -monitor I & O - weigh client daily -instruct the client to sit on the side of the bed for a few mins before standing - check orientation to person, place and time regularly 17. A 0900 the nurse begins the care of a patient who has just been trans- ferred from the post anesthesia care unit. The patient has a new liter of D50.9 % NS infusing at 125 mlper hour. The client has an indwelling urinary catheter with continuous bladder irrigation of NS infusing at 75 ml per hour, to keep the catheter free of clots. At 1500 the nurse empties 1575 ml from the urinary catheter. Consider the patient's I & O starting at 0900 and ending at 1500 and calculate the number of positive or negative mL.: 375 ml 18. A nurse is obtaining a urine specimen for culture and sensitivity via a straight catheterization. Which of the following should the nurse incorpo- rate. A) collect urine from the catheter port B) use a sterile specimen container C) ensure only sterile water is used to inflate the balloon D)instruct the client to clean from front to back with an antiseptic solution: - use a sterile specimen container 6 / 22 19. A nurse is assisting with the implementation of a bowel training program for a client. For the program to be effective the client should be taken to the bathroom at the following times? A) when the client has a urge to defecate B) every 2 hours while the patient is awake C) immediately before meals D) after client feels abdominal cramping : when the client has a urge to defecate