NR325 Exam 1 NR 325 (Latest 2023 /
2024) : Adult Health II - Chamberlain
A hospitalized diabetic patient received Humalog 6 units insulin at 7:00 AM. At what
time would the nurse best monitor for s/s of hypoglycemia
a.) 7 am
b.) 9 am
c.) 12 pm
d.) 1pm
b.) 9 am ** rapid acting has a peak of 30min-3 hours
A client who had a lithotripsy for a renal calculus is to be discharged from the
hospital. Which information should the nurse include in the home care
instructions?
a. Increase your intake of dairy products for 5 days
b. Drink at least 3 L of fluid daily for 4 weeks.
c. Take no medications after this treatment.
d. Report blood in the urine immediately.
b. Increasing fluid intake aids in the passage of fragments of the calculus that remain
after the lithotripsy. Calcium is the major component of the most common type of
calculus; the intake of dairy products, which are high in calcium, should be limited.
The client will take antibiotics after the treatment and should complete the entire
regimen. Hematuria (blood in the urine) after lithotripsy is an expected response and
does not need to be reported.
A client in a nursing home is diagnosed with urethritis. What should the nurse
plan to do before initiating antibiotic therapy prescribed by the primary
healthcare provider?
a. Start a 24-hour urine collection.
b. Prepare for urinary catheterization.
c. Teach the client how to perform perineal care.
d. Obtain a urine specimen for culture and sensitivity.
d. The causative organism should be isolated before starting antibiotic therapy; a
culture and sensitivity should be obtained before starting the antibiotic. A 24-hour
urine test will not determine the infective organism causing the problem.
Catheterization is not a routine intervention for urethritis. Although client teaching is
important, it is not the priority at this time.
, A client with acute kidney injury moves into the diuretic phase after 1 week of
therapy. For which clinical indicators during this phase should the nurse
assess the client? Select all that apply.
a. Skin rash
b. Dehydration
c. Hypovolemia
d. Hyperkalemia
e. Metabolic acidosis
B & C- In the diuretic phase, fluid retained during the oliguric phase is excreted and
may reach 3 to 5 L daily; dehydration and hypovolemia may occur unless fluids are
replaced. Skin rash is not associated with the diuretic phase. Hyperkalemia develops
in the oliguric phase when glomerular filtration is inadequate. Metabolic acidosis
occurs in the oliguric, not diuretic, phase.
Which intervention do you plan to include with a patient who has renal calculi?
a. Maintain bed rest
b. Increase dietary purines
c. Restrict fluids
d. Strain all urine
D- All urine should be strained through gauze or a urine strainer to catch stones that
are passed. The stones are then analyzed for composition. Strain all urine.
Document any stones expelled and sent to the laboratory for analysis. Retrieval of
calculi allows identification of the type of stone and influences choice of therapy.
Ambulation will help pass stones. Fluids should be encouraged not restricted.
Purines can cause the formation of stones, the nurse should encourage fruit juices to
acidify urine.
Which of the following symptoms do you expect to see in a patient diagnosed with
acute pyelonephritis?
a. Jaundice and flank pain
b. Costovertebral angle tenderness and chills
c. Burning sensation on urination
d. Polyuria and nocturia
B- Costovertebral angle tenderness and chills
Costovertebral angle tenderness, flank pain, and chills are symptoms of acute
pyelonephritis. Acute pyelonephritis is a bacterial infection causing inflammation of
the kidneys. Pyelonephritis occurs as a complication of an ascending urinary tract
infection which spreads from the bladder to the kidneys. Symptoms usually include
fever, flank pain, nausea, vomiting, burning with urination, increased frequency, and
urgency.
A nurse is caring for a client with end-stage renal disease who has a mature
arteriovenous (AV) fistula. Which nursing care should be included in the
client’s plan of care? Select all that apply.
a. Auscultate for a bruit.
2024) : Adult Health II - Chamberlain
A hospitalized diabetic patient received Humalog 6 units insulin at 7:00 AM. At what
time would the nurse best monitor for s/s of hypoglycemia
a.) 7 am
b.) 9 am
c.) 12 pm
d.) 1pm
b.) 9 am ** rapid acting has a peak of 30min-3 hours
A client who had a lithotripsy for a renal calculus is to be discharged from the
hospital. Which information should the nurse include in the home care
instructions?
a. Increase your intake of dairy products for 5 days
b. Drink at least 3 L of fluid daily for 4 weeks.
c. Take no medications after this treatment.
d. Report blood in the urine immediately.
b. Increasing fluid intake aids in the passage of fragments of the calculus that remain
after the lithotripsy. Calcium is the major component of the most common type of
calculus; the intake of dairy products, which are high in calcium, should be limited.
The client will take antibiotics after the treatment and should complete the entire
regimen. Hematuria (blood in the urine) after lithotripsy is an expected response and
does not need to be reported.
A client in a nursing home is diagnosed with urethritis. What should the nurse
plan to do before initiating antibiotic therapy prescribed by the primary
healthcare provider?
a. Start a 24-hour urine collection.
b. Prepare for urinary catheterization.
c. Teach the client how to perform perineal care.
d. Obtain a urine specimen for culture and sensitivity.
d. The causative organism should be isolated before starting antibiotic therapy; a
culture and sensitivity should be obtained before starting the antibiotic. A 24-hour
urine test will not determine the infective organism causing the problem.
Catheterization is not a routine intervention for urethritis. Although client teaching is
important, it is not the priority at this time.
, A client with acute kidney injury moves into the diuretic phase after 1 week of
therapy. For which clinical indicators during this phase should the nurse
assess the client? Select all that apply.
a. Skin rash
b. Dehydration
c. Hypovolemia
d. Hyperkalemia
e. Metabolic acidosis
B & C- In the diuretic phase, fluid retained during the oliguric phase is excreted and
may reach 3 to 5 L daily; dehydration and hypovolemia may occur unless fluids are
replaced. Skin rash is not associated with the diuretic phase. Hyperkalemia develops
in the oliguric phase when glomerular filtration is inadequate. Metabolic acidosis
occurs in the oliguric, not diuretic, phase.
Which intervention do you plan to include with a patient who has renal calculi?
a. Maintain bed rest
b. Increase dietary purines
c. Restrict fluids
d. Strain all urine
D- All urine should be strained through gauze or a urine strainer to catch stones that
are passed. The stones are then analyzed for composition. Strain all urine.
Document any stones expelled and sent to the laboratory for analysis. Retrieval of
calculi allows identification of the type of stone and influences choice of therapy.
Ambulation will help pass stones. Fluids should be encouraged not restricted.
Purines can cause the formation of stones, the nurse should encourage fruit juices to
acidify urine.
Which of the following symptoms do you expect to see in a patient diagnosed with
acute pyelonephritis?
a. Jaundice and flank pain
b. Costovertebral angle tenderness and chills
c. Burning sensation on urination
d. Polyuria and nocturia
B- Costovertebral angle tenderness and chills
Costovertebral angle tenderness, flank pain, and chills are symptoms of acute
pyelonephritis. Acute pyelonephritis is a bacterial infection causing inflammation of
the kidneys. Pyelonephritis occurs as a complication of an ascending urinary tract
infection which spreads from the bladder to the kidneys. Symptoms usually include
fever, flank pain, nausea, vomiting, burning with urination, increased frequency, and
urgency.
A nurse is caring for a client with end-stage renal disease who has a mature
arteriovenous (AV) fistula. Which nursing care should be included in the
client’s plan of care? Select all that apply.
a. Auscultate for a bruit.
