Exam iii Questions & Accurate Answers
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A nurse in the ICU is caring for a client who has heart failure and is receiving a
dobutamine drip. The nurse should identify that which of the following findings
indicates that the medication is effective?
A. Increased heart rate
B. Increased urine output
C. Decreased blood pressure
D. Decreased blood glucose level
B. Increased urine output
Rationale: Dobutamine is administered to clients who have heart failure to improve
their hemodynamic status. The nurse should identify an increase in client's urine
output as an indication that the medication is effective.A nurse is planning care for a
client who has urolithiasis. Which of the following actions should the nurse take?
A. Apply cold compress to the client's flank area.
B. Restrict protein intake to 2 servings per day.
C. Discourage ambulation.
D. Encourage intake of at least 3 L of fluids per day.
D. Encourage intake of at least 3 L of fluids per day.
Rationale: The nurse should encourage the client to consume at least 3,000 mL of
fluids per day to dilute the urine, increase hydrostatic pressure behind the stone, and
move the calculi down the urinary tract.
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the
following medications should the nurse plan to administer?
, A. Danazol
B. Finasteride
C. Fluoxymesterone
D. Methyltestosterone
B. Finasteride
Rationale: Finasteride, a 5-alpha-reductase inhibitor, is used in the treatment of BPH
to prevent the conversion of testosterone and to decrease prostate size.
A nurse is caring for a client who is postoperative following a transurethral resection of
the prostate. Which of the following complications is the priority for the nurse to
monitor for?
A. Hemorrhage
B. Infection
C. Urinary retention
D. Pain
A. Hemorrhage
Rationale: Using the airway breathing circulation (ABC) approach to client care the
nurse determines that the priority complication to monitor for is the client
hemorrhaging; therefore, the nurse should monitor the client’s urinary output for
blood clots and bright red blood tinged urine following surgery.
A nurse is instructing a female client on obtaining a midstream urine specimen.
Which of the following statements by the client indicates an understanding of the
teaching?
A. "I will wipe from the back to front with the cleansing cloth."
B. "I should not collect a urine sample when I am menstruating."