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Midterm NURS 317 Questions With Answers.
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Midterm NURS 317 Questions With Answers.
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Midterm NURS 317 Questions WithAnswers.
A client is on a 1500 ml fluid restriction for 24 hrs. At 3p, the client consumed 2/3 of the
fluid allowance for 24 hrs. What are the maximum ml of fluid remaining that the client
can consume during the evening shift? - ANSWER- 500
The class of diuretics that act to block the chloride pump in the distal convoluted tubules
and leads to a loss of sodium and potassium and a minor loss of water is what?
A)
Carbonic anhydrase inhibitors
B)
Osmotic diuretics
C)
Potassium-sparing diuretics
D)
Thiazide diuretics - ANSWER- thiazide
A client with a diagnosis of chronic kidney disease may require the administration of
which of the following drugs to treat co exisiting conditions that carry a high mortality -
ANSWER- antihypertensive medications
a chronic kidney disease client asks the nurse, "why do i Itch all the time?. The nurse
bases her response on which of the following integumentary physiologic factors that
causes pruritiis? - ANSWER- decrease in perspiration
elevated serum phosphate levels
a client's sodium intake for one meal was 0.004g and 0.152 g. How many grams, to the
nearest hundreths, of sodium was consumed? - ANSWER- 0.16
a patient with benign prostate hypertrophy has just begun to take pentosan polysulfate
sodium. The nurse would notify the physician if the patient exhibited which symptoms. -
ANSWER- blood in the urine
petechiae
decreased blood pressure
a 50 year old man calls the clinic nurse and complains of gi upset after taking
nitrofurantoin on an empty stomach. What recommendaton should the nurse make? -
ANSWER- taking the medicine with or after meals
a drug abuser was found unconscious after shooting up heroin 2 days prior. Because of
the pressure placed on the hip and arm, the client has developed rhabdomyolysis. The
, nurse knows this can: - ANSWER- obstruct the renal tubules with mygoglobin and
damage tubular cells
which of the following clients is likely at the greatest risk of developing a urinary tract
infection? - ANSWER- a 79 year old client with an indwelling catheter for urinary
incontience
glomerunephritis is usually caused by - ANSWER- antigen - antibody complexes
a client reports drinking 45% of a 12 ounce can of soda. How many ounces are
documented? - ANSWER- 5.4
a child is recovering from a bout with group A B-hemolytic Streptococcus infection. They
return to the clinic a week later complaining of decrease in urine output with puffiness
and edema noted in the face and hands. The health care provider suspects the child
has developed: - ANSWER- acute postinfectious glomeruulonephritis
the nurse is caring for a patient who has just been diagnosed with essential
hypertension. The nurse is aware that the health care provider will begin therapy with
which classification of diuretics? - ANSWER- thaizide and thizide like diuretics
a client who has had recurrent UTIs asks the nurse about the old wise tale of drinking
cranberry juice daily. The nurse can respond: - ANSWER- research suggests cranberry
juice will reduce bacterial adherence to the lining of the urinary tract
a clinic patient has been prescribed phenzopyridine for aid in treating a UTI. This patient
should be informed that Pyridium will turn urine what color? - ANSWER- reddish-orange
a patient has just begun therapy with furosemide (lasix), and the nurse is instructing the
patient about the need to include foods high in potassium in the diet. Which foods would
be appropriate for this patient to choose. - ANSWER- lima beans
watermelon
prunes
a patient has just begun to take a prescribed diuretic. Why would the nurse tell the
patient to drink 8-10 glasses of water daily (unless contraindicated) - ANSWER- to avoid
rebound edema
a neighbor is complaining to a friend who happens to be a nurse about several changes
in their body. Which of the following complains raises a red flag because it could be a
sign of epitheelial cell bladder cancer? - ANSWER- i noticed my urine is pinkish red, but
im not having any pain when i pee
a client had excessive blood loss and prolonged hypotension during surgery. His
postoperative urine output is sharply decreased, and his blood urea nitrogen is elevate.
The most likely cause for the change is acute: - ANSWER- prerenal inflammation
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