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NURS 309 Acute Renal 1 Questions With Complete Solutions
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NURS 309 Acute Renal 1 Questions With Complete Solutions
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NURS 309 Acute Renal 1 Questions With CompleteSolutions
A 28-year-old married female patient with cystitis requires
instruction about how to prevent future urinary tract infections
(UTIs). The supervising RN has assigned this teaching to a
newly graduated nurse. Which statement by the new graduate
nurse requires that the supervising RN intervene?
A. "You should always drink 2 to 3 L of fluid every day"
B. "Empty your bladder regularly even if you don't feel the urge
to urinate"
C. "Drinking cranberry juice daily will decrease the number of
bacteria in your bladder"
D. "It's okay to soak in the tub with bubble bath because it will
keep you clean" Correct Answers D. "It's okay to soak in the
tub with bubble bath because it will keep you clean"
A client experiences difficulty in voiding after an indwelling
urinary catheter is removed. To waht does the nurse determine
that this is most probably related?
A. Fluid imbalance
B. Sedentary lifestyle
C. Interruption in previous voiding habits
D. Nervous tension following the procedure Correct Answers
C. Interruption in previous voiding habits
A client in a nursing home is diagnosed with urethritis. What
should the nurse plan to do before initiating antibiotic therapy
prescribed by the health care provider?
A. Prepare for urinary catheterization
B. Teach how to perform perineal care
,C. Start a 24-hour urine collection
D. Obtain a urine specimen for culture and sensitivity Correct
Answers D. Obtain a urine specimen for culture and sensitivity
A client is admitted to the hospital from the emergency
department with a diagnosis of urolithiasis. The nurse reviews
the client's record and performs an admission assessment. What
is the priority nursing action?
A. Strain the client's urine
B. Administer the prescribed morphine
C. Position in the high-Fowler's position
D. Collect a urine specimen for culture and sensitivity Correct
Answers B. Administer the prescribed morphine
A lithotripsy to break up renal calculi is unsuccessful, and a
nephrolithotomy is performed. Which postoperative clinical
indicator should the nurse report to the health care provider?
A. Passage of pink-tinged urine
B. Pink drainage on the dressing
C. Intake of 1750 mL in 24 hours
D. Urine output of 20 to 30 mL/hr Correct Answers D. Urine
output of 20 to 30 mL/hr
A male college student comes to the clinic reporting burning or
difficulty with urination and a discharge from the urethral
meatus. Based on the patient's report, what is the most logical
question for the nurse to ask?
A. "Do you have a history of a narrow urethra or a stricture?"
B. "Could you have been exposed to a sexually transmitted
disease?"
C. "Do you have a history of kidney stones?"
,D. "Have you been drinking an adequate amount of fluids?"
Correct Answers B. "Could you have been exposed to a
sexually transmitted disease?"
A male patient must undergo intermittent catheterization. The
nurse is preparing to insert a catheter to assess the patient for
postvoid residual. Place the steps for intermittent catheterization
in the correct order.
1. Assist the patient to the bathroom and ask the patient to
attempt to void
2. Retract the foreskin and hold the penis at a 60-to-90 degree
angle
3. Open the catheterization kit and put on sterile gloves
4. Lubricate the catheter and insert it through the meatus of the
penis
5. Position the patient supine in bed or with the head slightly
elevated
6. Drain all the urine present in the bladder into a container
7. Cleanse the glans penis starting at the meatus and working
upward
8. Remove the catheter, clean the penis, and measure the amount
of urine returned Correct Answers 1, 5, 3, 2, 7, 4, 6, 8
A middle-aged woman has urinary stress incontinence relate to
weak pelvic muscles. Which interventions does the nurse
include in the treatment plan? SATA
A. Suggest keeping a detailed diary of urine leakage, activities,
and foods eaten
B. Suggests wearing an absorbent undergarment during the
assessment process
C. tech pelvic floor (Kegel) exercise therapy
, D. Teach about vaginal cone therapy
E. Encourage drinking orange juice every day for 4-6 weeks
F. Refer to a nutritionist for diet therapy for weight reduction
Correct Answers A. Suggest keeping a detailed diary of urine
leakage, activities, and foods eaten
B. Suggests wearing an absorbent undergarment during the
assessment process
C. tech pelvic floor (Kegel) exercise therapy
D. Teach about vaginal cone therapy
F. Refer to a nutritionist for diet therapy for weight reduction
A nurse is assessing the urine of a client with a urinary tract
infection. For which characteristic should the nurse assess each
specimen of urine?
A. Clarity
B. Viscosity
C. Glucose level
D. Specific gravity Correct Answers A. Clarity
A nurse is caring for a client who is admitted with urethral colic
and hematuria. The client also has stage 1 hypertension and is
overweight. The decrease of which clinical indicator associated
with this client's status should the nurse be most concerned
about at this time?
A. Pain
B. Weight
C. Hematuria
D. Hypertension Correct Answers A. Pain
A nurse is caring for a client with a diagnosis of renal calculi of
calcium phosphate composition. Which type of diet should the
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