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NR 325 Exam 1 Questions and Correct Answers | Latest Update

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NR 325 Exam 1 Questions and Correct
Answers | Latest Update
To assess whether there is any improvement in a patient's dysuria, which question will the

nurse ask?




a."Do you have to urinate at night?"




b."Do you have blood in your urine?"




c."Do you have to urinate frequently?"




d."Do you have pain when you urinate?"


 D. Dysuria is painful urination.




When a patient's urine dipstick test indicates a small amount of protein, the nurse's next action

should be to:




a. send a urine specimen to the laboratory to test for ketones.




b. obtain a clean-catch urine for culture and sensitivity testing.



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c. inquire about which medications the patient is currently taking.




d. ask the patient about any family history of chronic renal failure.


 ANS: C

Normally the urinalysis will show zero to trace amounts of protein, but some medications may

give false-positive readings.




A hospitalized patient with possible renal insufficiency after coronary artery bypass surgery is

scheduled for a creatinine clearance test. Which equipment will the nurse need to obtain?




a. Urinary catheter


b. Cleaning towelettes


c. Large container for urine


d. Sterile urine specimen cup


 ANS: C

Because creatinine clearance testing involves a 24-hour urine specimen, the nurse should obtain

a large container for the urine collection.




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A 32-year-old patient who is employed as a hairdresser and has a 15 pack-year history of

cigarette smoking is scheduled for an annual physical examination. The nurse will plan to teach

the patient about the increased risk for




a. renal failure.


b. kidney stones.


c. pyelonephritis.


d. bladder cancer.


 ANS: D

Exposure to the chemicals involved with working as a hairdresser and in smoking both increase

the risk of bladder cancer, and the nurse should assess whether the patient understands this

risk.




Which medication taken at home by a 47-year-old patient with decreased renal function will

be of most concern to the nurse?




a. ibuprofen (Motrin)


b. warfarin (Coumadin)


c. folic acid (vitamin B9)


d. penicillin (Bicillin LA)


 ANS: A


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The nonsteroidal antiinflammatory medications (NSAIDs) are nephrotoxic and should be

avoided in patients with impaired renal function.




A 79-year-old man has been admitted with benign prostatic hyperplasia. What is most

appropriate to include in the nursing plan of care?




a. Limit fluid intake to no more than 1000 mL/day.




b. Leave a light on in the bathroom during the night.




c. Ask the patient to use a urinal so that urine can be measured.




d. Pad the patient's bed to accommodate overflow incontinence.


 ANS: B

The patient's age and diagnosis indicate a likelihood of nocturia, so leaving the light on in the

bathroom is appropriate. Fluids should be encouraged because dehydration is more common

in older patients.




The nurse completing a physical assessment for a newly admitted male patient is unable to

feel either kidney on palpation. Which action should the nurse take next?




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