Exam (elaborations)
Adult Health 1 Final Exam|175 Questions and Answers
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- Adult Health 1
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- Adult Health 1
Adult Health 1 Final Exam|175 Questions and Answers
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Adult Health 1 Final Exam|175Questions and Answers
A patient is suspected to have a UTI. Which lab tests are appropriate in the
diagnosis? - -Urinalysis for culture and sensitivity
-The nurse administers which of the following prescribed medications to a
client with recurrent UTIs caused by E. Coli? - -Sulfamethoxazole and
Trimethaprim (Bactrim DS)
-The nurse instructs a client with pyelonephritis to drink 2.5 to 3L of fluid per
day. The nurse understands the rationale for this self care intervention as? -
-To prevent stasis of urine
-The nurse is presenting a class on urinary tract infections. Which of the
following should be included in the presentation? (select all that apply) - --
Males and females over the age of 65 are equally prone to UTIs
- Women of menopausal age have an increased risk of UTIs
- E. Coli is the most common cause of bacterial UTIs
-The nurse is teaching a client diagnosed with a urinary tract infection. An
intervention that needs to be followed by the client includes? - -Avoid tight-
fitting pants or clothing
-Which medication taken at home by a patient with decreased renal function
will be of most concern to the nurse? - -Ibuprofen (motrin)
-The nurse completing a physical assessment for a newly admitted patient is
unable to feel either kidney on palpation. Which action should the nurse
take? - -Document the information on the assessment form
-The nurse is assessing the urinary system of an older adult female client.
Which of the following findings would be an expected age related change?
Select all that apply. - -- palpable bladder after urination
- stress incontinence
- nocturia
-The nurse is assessing a client who states, "I feel like I am not emptying my
bladder completely." Which of the following would be the best action for the
nurse to take? - -Percuss for dullness over the area of the symphysis pubis.
-The nurse is developing the plan of care for a client with urge incontinence.
Which of the following should the nurse understand when developing the
, plan of care for this client? - -The client will have the inability to stop urine
flow long enough to get to the toilet
-The nurse is caring for a client who reports seeing a reddish colored tint in
the urine. Which of the following questions would be most appropriate for the
nurse to ask? - -"Do you take prescribed anticoagulants?"
-The nurse is assessing a client diagnosed with acute pyelonephritis. Which
of the following assessment findings should the nurse expect? - -
Costovertebral tenderness
-The nurse is assessing a group of assigned clients. Which of the following
clients has the highest risk of developing a urinary tract infection? - -56-
year-old female client with poorly controlled type 2, diabetes mellitus.
-How do you test for suspected pyelonephritis? - -Check for flank pain by
percussion of the CVA and asking the patient about pain- strike a flat hand
covering the costovertebral angle CVA
-The nurse is assessing a client who reports having a sharp pain along the
costovertebral angles. The nurse recognizes that this assessment finding
might be due to which of the following? - -kidney inflammation
-What is the most common cause of healthcare associated infections? - -
Urinary catheterization
-The nurse is preparing a staff education program about urinary tract
infections (UTIs). Which of the following information should the nurse include
in the education program? Select all that apply. - -- "Uncomplicated UTIs can
occur in a normal urinary tract."
- "Diabetes mellitus is a risk factor for urinary tract infections."
- "Nitrates on a urine dipstick can indicate the presence of a UTI."
-A 72-yr-old patient with a history of benign prostatic hyperplasia (BPH) is
admitted with acute urinary retention and elevated blood urea nitrogen
(BUN) and creatinine levels. What action should the nurse take? - -Insert a
urinary catheter
-The nurse has taught nutrition management for a client diagnosed with
oxalate kidney stones. Which of the following food choices by the client
would indicate that the client requires more teaching? - -Spinach salad and
rhubarb pie
-What medication should be given first for patients with renal colic? - -
Morphine 2 mg every 4 hr PRN to control pain
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