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NR 325 Exam 1 WITH COMPLETE SOLUTIONS GRADED A+
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11/4/24, 4:44 AM NR 325 Exam 1 Flashcards | QuizletNR 325 Exam 1 WITH COMPLETE SOLUTIONS GRADED
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Terms in this set (118)
To assess whether there is any D. Dysuria is painful urination.
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?"
When a patient's urine dipstick test ANS: C
indicates a small amount of protein, the Normally the urinalysis will show zero to trace amounts of protein, but some
nurse's next action should be to: medications may give false-positive readings.
a. send a urine specimen to the laboratory
to test for ketones.
b. obtain a clean-catch urine for culture
and sensitivity testing.
c. inquire about which medications the
patient is currently taking.
d. ask the patient about any family history
of chronic renal failure.
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A hospitalized patient with possible renal ANS: C
insufficiency after coronary artery bypass Because creatinine clearance testing involves a 24-hour urine specimen, the nurse
surgery is scheduled for a creatinine should obtain a large container for the urine collection.
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
A 32-year-old patient who is employed as ANS: D
a hairdresser and has a 15 pack-year history Exposure to the chemicals involved with working as a hairdresser and in smoking
of cigarette smoking is scheduled for an both increase the risk of bladder cancer, and the nurse should assess whether the
annual physical examination. The nurse will patient understands this risk.
plan to teach the patient about the
increased risk for
a. renal failure.
b. kidney stones.
c. pyelonephritis.
d. bladder cancer.
Which medication taken at home by a 47- ANS: A
year-old patient with decreased renal The nonsteroidal antiinflammatory medications (NSAIDs) are nephrotoxic and should
function will be of most concern to the be avoided in patients with impaired renal function.
nurse?
a. ibuprofen (Motrin)
b. warfarin (Coumadin)
c. folic acid (vitamin B9)
d. penicillin (Bicillin LA)
A 79-year-old man has been admitted with ANS: B
benign prostatic hyperplasia. What is most The patient's age and diagnosis indicate a likelihood of nocturia, so leaving the light
appropriate to include in the nursing plan on in the bathroom is appropriate. Fluids should be encouraged because
of care? dehydration is more common in older patients.
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.
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The nurse completing a physical ANS: B
assessment for a newly admitted male The kidneys are protected by the abdominal organs, ribs, and muscles of the back,
patient is unable to feel either kidney on and may not be palpable under normal circumstances, so no action except to
palpation. Which action should the nurse document the assessment information is needed.
take next?
a. Obtain a urine specimen to check for
hematuria.
b. Document the information on the
assessment form.
c. Ask the patient about any history of
recent sore throat.
d. Ask the health care provider about
scheduling a renal ultrasound.
How will the nurse assess for flank ANS: B
tenderness in a 30-year-old female patient Checking for flank pain is best performed by percussion of the CVA and asking
with suspected pyelonephritis? about pain.
a. Palpate along both sides of the lumbar
vertebral column.
b. Strike a flat hand covering the
costovertebral angle (CVA).
c. Push fingers upward into the two lowest
intercostal spaces.
d. Percuss between the iliac crest and ribs
along the midaxillary line.
What glomerular filtration rate (GFR) would ANS: A
the nurse estimate for a 30-year-old The creatinine clearance approximates the GFR.
patient with a creatinine clearance result of
60 mL/min?
a. 60 mL/min
b. 90 mL/min
c. 120 mL/min
d. 180 mL/min
The nurse assessing the urinary system of a ANS: B
45-year-old female would use auscultation The presence of a bruit may indicate problems such as renal artery tortuosity or
to abdominal aortic aneurysm.
a. determine kidney position.
b. identify renal artery bruits.
c. check for ureteral peristalsis.
d. assess for bladder distention.
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A patient gives the nurse health information ANS: B
before a scheduled intravenous pyelogram Iodine-based contrast dye is used during IVP and for many computed tomography
(IVP). Which item has the most immediate (CT) scans. The nurse will need to notify the health care provider before the
implications for the patient's care? procedures so that the patient can receive medications such as antihistamines or
corticosteroids before the procedures are started.
a. The patient has not had food or drink for
8 hours.
b. The patient lists allergies to shellfish and
penicillin.
c. The patient complains of costovertebral
angle (CVA) tenderness.
d. The patient used a bisacodyl (Dulcolax)
tablet the previous night.
A patient passing bloody urine is ANS: C
scheduled for a cystoscopy with In a cystoscope and cystogram procedure, a cystoscope is inserted into the bladder
cystogram. Which description of the for direct visualization, and then contrast solution is injected through the scope so
procedure by the nurse is accurate? that x-rays can be taken.
a. "Your doctor will place a catheter into an
artery in your groin and inject a dye that
will visualize the blood supply to the
kidneys."
b. "Your doctor will insert a lighted tube
into the bladder, and little catheters will be
inserted through the tube into your kidney."
c. "Your doctor will insert a lighted tube
into the bladder through your urethra,
inspect the bladder, and instill a dye that
will outline your bladder on x-ray."
d. "Your doctor will inject a radioactive
solution into a vein in your arm and the
distribution of the isotope in your kidneys
and bladder will be checked."
The nurse caring for a patient after ANS: B
cystoscopy plans that the patient Pink-tinged urine and urinary frequency are expected after cystoscopy.
a. learns to request narcotics for pain.
b. understands to expect blood-tinged
urine.
c. restricts activity to bed rest for a 4 to 6
hours.
d. remains NPO for 8 hours to prevent
vomiting.
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