PN 140 Test 4 Practice Questions and Answers 2024/2025
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Course
PN 140
Institution
PN 140
A client who has been diagnosed with calculi reports that the pain is intermittent and less
colicky. Which of the following nursing actions is most important at this time?
A. Report hematuria to the physician
B. Strain the urine carefully
C. Administer meperidine (Demerol) every 3 hours
D. Ap...
During episodes of renal colic, the pain is excruciating. It is necessary to administer opioid
analgesics to control the pain. Application of heat, encouraging high fluid intake, and
limitation of activity are important interventions, but they will not relieve the renal colic pain.
A client with a history of renal calculi formation is being discharged after surgery to remove
the calculus. What instructions should the nurse include in the client's discharge teaching plan?
1. Increase daily fluid intake to at least 2 to 3 L.
2. Strain urine at home regularly.
3. Eliminate dairy products from the diet.
4. Follow measures to alkalinize the urine.
1.
A high daily fluid intake is essential for all clients who are at risk for calculi formation because
it prevents urinary stasis and concentration, which can cause crystallization. Depending on the
composition of the stone, the client also may be instructed to institute specific dietary measures
aimed at preventing stone formation. Clients may need to limit purine, calcium, or oxalate.
Urine may need to be either alkaline or acid. There is no need to strain urine regularly.
During hemodialysis, the patient develops light-headedness and nausea. What should the
nurse do first?
a. Administer hypertonic saline.
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