x x x x x x
UPDATE ) QUESTIONS WITH
x x x x x x
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x x x x x x
A x x
x
A xnurse xis xassessing xa xclient xwho xis x4 xhr xpostoperative xfollowing xa xtransurethral
xresection xof xthe xprostate xand xhas xan xindwelling xurinary xcatheter xin xplace. xWhich
xof xthe xfollowing xfindings xshould xthe xnurse xexpect? xA. xBlood-tinged xurine xin xthe
xdrainage xbag x
B. Catheter xtubing xcoiled xat xthe xclient's xside x
C. Client xreport xof xsevere xbladder xspams x
D. Urinary xoutput xof x20 xmL/hr x- xA. xBlood-tinged xurine xin xthe xdrainage xbag x
x
A xnurse xis xcaring xfor xa xclient xwho xis xin xthe xoliguric-anuric xstage xof xacute xkidney
xinjury. x
x
The xclient xreports xdiarrhea, xa xdull xheadache, xpalpitations, xand xmuscle xtingling
xand
x
weakness. xWhich xof xthe xfollowing xactions xshould xthe xnurse xtake
xfirst?
x
A. xAdminister xan xanalgesic xto xthe x
xclient
B. xCheck xthe xclient's xelectrolyte
xvalues
x
C. xMeasure xthe xclient's
xweight
x
D. xRestrict xthe xclient's xprotein xintake x- xB. xCheck xthe xclient's xelectrolyte
xvalues
x
A xnurse xis xcaring xfor xa xclient xwho xis xreceiving xperitoneal xdialysis. xThe xnurse xnotes
xthat xthe xclient's xdialysate xoutput xis xless xthan xthe xinput xand xthat xhis xabdomen xis
xdistended. x
Which xof xthe xfollowing xactions xshould xthe xnurse xtake? x
A. Insert xan xindwelling xurinary xcatheter x
B. Administer xpain xmedication xto xthe xclient x
C. Change xthe xclient's xposition x
D. Place xthe xdrainage xbag xabove xthe xclient's xabdomen x- xC. xChange xthe xclient's
xposition x
x
A xnurse xis xteaching xa xnewly xlicensed xnurse xabout xcaring xfor xa xclient xwho xhas xa
xnew xleft xarteriovenous xfistula. xWhich xof xthe xfollowing xstatements xshould xthe xnurse
xmake? x
A. "Check xthe xfistula xsite xdaily xfor xa xvibration." x
, B. "Instruct xthe xclient xto xrestrict xmovement xof xhis xleft xarm." x
C. "Avoid xtaking xa xblood xpressure xon xthe xclient's xleft xarm." x
D. "Instruct xthe xclient xto xsleep xon xhis xleft xside." x- xC. x"Avoid xtaking xa xblood xpressure
xon xthe xclient's xleft xarm." x
x
A xnurse xis xteaching xa xclient xwho xhas xacute xpyelonephritis. xWhich xof xthe
xfollowing xinstructions xshould xthe xnurse xinclude xin xthe xteaching? xA. x"You
xshould xcomplete xthe xentire xcycle xof xantibiotic xtherapy." x
B. "You xshould xmaintain xcomplete xbed xrest xuntil xmanifestations xdecrease." x
C. "You xshould xdrink x1,000 xmL xof xfluid xper xday." x
D. "You xshould xavoid xusing xNSAIDs xfor xpain." x- xA. x"You xshould xcomplete xthe xentire
xcycle xof xantibiotic xtherapy." x
x
A xnurse xis xcaring xfor xa xclient xwho xhas xchronic xglomerulonephritis xwith xoliguria. xFor
xwhich x
x
of xthe xfollowing xelectrolyte ximbalances xshould xthe xnurse
xmonitor?
x
A.
xHypercalcemia
x
B.
xHyperkalemia
x
C.
xHypomagnesemia
D. xHypophosphatemia x- xB.
xHyperkalemia
x
A xnurse xis xreviewing xthe xlaboratory xreport xof xa xclient xwho xhas xchronic xkidney
xdisease x(CKD). xThe xnurse xfinds xthe xfollowing xlaboratory xtest xresults: xpotassium x6.8
xmEq/L, xcalcium x7.4 xmg/dL, xhemoglobin x10.2 xg/dL, xand xphosphate x4.8 xmg/dL. xWhich
xfinding xis xthe xpriority xfor xthe xnurse xto xreport xto xthe xprovider? x
A. Hypocalcemia x
B. Hyperkalemia x
C. Anemia x
D. Hypoalbuminemia x- xB. xHyperkalemia x
x
A xnurse xis xproviding xteaching xto xa xclient xwho xhas xa xhistory xof xurinary xtract xinfections
x(UTIs). xWhich xof xthe xfollowing xclient xstatements xindicates xthe xneed xfor xadditional
xteaching? x
A. "I xwill xempty xmy xbladder xevery x4 xhours." x
B. "I xwill xdrink x2 xL xof xfluids xper xday." x
C. "I xwill xuse xa xvaginal xdouche xdaily." x
D. "I xwill xwear xcotton xunderwear." x- xC. x"I xwill xuse xa xvaginal xdouche xdaily." x
x
A xnurse xis xteaching xa xfemale xclient xwho xhas xpyelonephritis xabout xthe xdisorder.
xWhich xof xthe xfollowing xpieces xof xinformation xshould xthe xnurse xinclude xto xhelp xthe
xclient xprevent xa xrecurrence? x