NURS 355 EXAM 3 QUESTIONS &
ANSWERS SOLVED 100% CORRECT!!
, Answer: Decreased urine output
Rationale: Because lithotripsy breaks the stone into small sand, which could
cause obstruction, it is important to report a drop in urine output. Left flank pain,
bruising, and hematuria are common after lithotripsy.
Answer: "I should apply sunscreen before going outdoors."
Rationale: Sulfasalazine may cause photosensitivity in some patients. It is not
used to treat infections. Sulfasalazine does not reduce immune function. Unlike
corticosteroids, tapering of sulfasalazine is not needed.
Answer: Corn tortilla with scrambled eggs
Rationale: Avoidance of gluten-containing foods is the only treatment for celiac
disease. Corn does not contain gluten, but oatmeal and wheat do.
Answer: Brushing the teeth and tongue
Rationale: UAP education and scope of practice include patient hygiene
such as oral care. The other actions require education and scope of
practice appropriate to the RN.
Don't know?
2 of 310
Term
,Which assessment finding should the nurse expect when a patient
with acute kidney injury (AKI) has an arterial blood pH of 7.30?
a. Persistent skin tenting
b. Rapid, deep respirations
c. Hot, flushed face and neck
d. Bounding peripheral pulses
Give this one a try later!
Answer: Phosphate level
Rationale: Calcium carbonate is prescribed to bind phosphorus and prevent
mineral and bone disease in patients with CKD. The other data will not be helpful
in evaluating the effectiveness of calcium carbonate.
Answer: Rapid, deep respirations
Rationale: Patients with metabolic acidosis caused by AKI may have
Kussmaul respirations to eliminate carbon dioxide. Bounding pulses and
vasodilation are not associated with metabolic acidosis. Because the
patient is likely to have fluid retention, poor skin turgor would not be a
finding in AKI.
Answer: Monitoring and recording blood pressure
Rationale: Hypertension is the major manifestation of nephrosclerosis.
Measurements of intake and output and daily weights are not necessary unless
the patient develops renal insufficiency. Anticoagulants are not used to treat
nephrosclerosis.
, Answer: Place the patient in a private room on contact isolation
Rationale: Because C. difficile is highly contagious, the patient should be placed
in a private room, and contact precautions should be used. There is no need to
restrict dairy products for this type of diarrhea. Metronidazole (Flagyl) is
frequently used to treat C. difficile infections. Improper food handling and
storage do not cause C. difficile.
Don't know?
3 of 310
Term
How should the nurse explain esomeprazole (Nexium) to a patient
with recurring heartburn?
a. "It reduces gastroesophageal reflux by increasing the rate of
gastric emptying."
b. "It neutralizes stomach acid and provides relief of symptoms in a
few minutes."
c. "It coats and protects the lining of the stomach and esophagus
from gastric acid."
d. "It treats gastroesophageal reflux disease by decreasing stomach
acid production."
Give this one a try later!
Answer: "You are likely to notice changes in how you feel after a few weeks of
diet and exercise."
Rationale: Motivation is a key factor in successful weight loss and a short-term
outcome provides a higher motivation. Future health problems are unlikely to
ANSWERS SOLVED 100% CORRECT!!
, Answer: Decreased urine output
Rationale: Because lithotripsy breaks the stone into small sand, which could
cause obstruction, it is important to report a drop in urine output. Left flank pain,
bruising, and hematuria are common after lithotripsy.
Answer: "I should apply sunscreen before going outdoors."
Rationale: Sulfasalazine may cause photosensitivity in some patients. It is not
used to treat infections. Sulfasalazine does not reduce immune function. Unlike
corticosteroids, tapering of sulfasalazine is not needed.
Answer: Corn tortilla with scrambled eggs
Rationale: Avoidance of gluten-containing foods is the only treatment for celiac
disease. Corn does not contain gluten, but oatmeal and wheat do.
Answer: Brushing the teeth and tongue
Rationale: UAP education and scope of practice include patient hygiene
such as oral care. The other actions require education and scope of
practice appropriate to the RN.
Don't know?
2 of 310
Term
,Which assessment finding should the nurse expect when a patient
with acute kidney injury (AKI) has an arterial blood pH of 7.30?
a. Persistent skin tenting
b. Rapid, deep respirations
c. Hot, flushed face and neck
d. Bounding peripheral pulses
Give this one a try later!
Answer: Phosphate level
Rationale: Calcium carbonate is prescribed to bind phosphorus and prevent
mineral and bone disease in patients with CKD. The other data will not be helpful
in evaluating the effectiveness of calcium carbonate.
Answer: Rapid, deep respirations
Rationale: Patients with metabolic acidosis caused by AKI may have
Kussmaul respirations to eliminate carbon dioxide. Bounding pulses and
vasodilation are not associated with metabolic acidosis. Because the
patient is likely to have fluid retention, poor skin turgor would not be a
finding in AKI.
Answer: Monitoring and recording blood pressure
Rationale: Hypertension is the major manifestation of nephrosclerosis.
Measurements of intake and output and daily weights are not necessary unless
the patient develops renal insufficiency. Anticoagulants are not used to treat
nephrosclerosis.
, Answer: Place the patient in a private room on contact isolation
Rationale: Because C. difficile is highly contagious, the patient should be placed
in a private room, and contact precautions should be used. There is no need to
restrict dairy products for this type of diarrhea. Metronidazole (Flagyl) is
frequently used to treat C. difficile infections. Improper food handling and
storage do not cause C. difficile.
Don't know?
3 of 310
Term
How should the nurse explain esomeprazole (Nexium) to a patient
with recurring heartburn?
a. "It reduces gastroesophageal reflux by increasing the rate of
gastric emptying."
b. "It neutralizes stomach acid and provides relief of symptoms in a
few minutes."
c. "It coats and protects the lining of the stomach and esophagus
from gastric acid."
d. "It treats gastroesophageal reflux disease by decreasing stomach
acid production."
Give this one a try later!
Answer: "You are likely to notice changes in how you feel after a few weeks of
diet and exercise."
Rationale: Motivation is a key factor in successful weight loss and a short-term
outcome provides a higher motivation. Future health problems are unlikely to
