front 1 A nurse is caring for a client with Addison disease. Which information should the nurse include in a teaching plan to encourage this client to modify dietary intake?
| back 1 D. Extra salt is needed to replace the amount being lost caused by lack of sufficient aldosterone to conserve sodium. |
front 2 A client is admitted with a diagnosis of cancer of the colon. What information about malignant tumors of the colon should the nurse consider when caring for this client?
| back 2 D. Colon obstructions usually are malignant. |
front 3 A client just has returned from the postanesthesia care unit after having a laparotomy. Which initial sign or symptom indicates to the nurse that peristalsis has begun to return?
| back 3 C. Borborygmi are auscultated. |
front 4 Which statement by an older adult most strongly supports the nurse's conclusion that the client is impacted with stool?
| back 4 C. "I feel like I have to go, but I just seep." |
front 5 A client is diagnosed with a peptic ulcer. When teaching about peptic ulcers, the nurse instructs the client to report what kind of stools?
| back 5 D. Dark brown or black |
front 6 A client with irritable bowel syndrome has instructions to take psyllium 2 rounded teaspoons full twice a day for constipation. What is most important for the nurse to include in the teaching plan?
| back 6 C. Each dose should be taken with a full glass of water or juice. |
front 7 A health care provider prescribes sodium biphosphate for a client before a colonoscopy. How does the drug accomplish its therapeutic effect?
| back 7 D. Increases osmotic pressure in the intestines |
front 8 Four days after abdominal surgery a client has not passed flatus and there are no bowel sounds. Paralytic ileus is suspected. What does the nurse conclude is the most likely cause of the ileus?
| back 8 B. Impaired neural functioning |
front 9 A healthcare provider prescribes furosemide for a client with hypervolemia. The nurse recalls that furosemide exerts its effects in what part of the renal system?
| back 9 D. Loop of Henle |
front 10 A nurse is caring for a client with a ureteral calculus. Which are the most important nursing actions? Select all that apply.
| back 10 B. Monitoring intake and output C. Straining the urine at each voiding E. Administering the prescribed analgesic |
front 11 A nurse is caring for a client with acute kidney injury who is receiving a protein-restricted diet. The client asks why this diet is necessary. Which information should the nurse include in a response to the client’s questions?
| back 11 C. This supplies only essential amino acids, reducing the amount of metabolic waste products, thus decreasing stress on the kidneys. |
front 12 An older adult client is admitted to the hospital with a diagnosis of chronic kidney disease. The nurse reviews the client’s medical record. Which clinical finding is a priority to be communicated to the primary healthcare provider?
| back 12 B. Potassium level |
front 13 A nurse is caring for a client with acute kidney injury. Which findings should the nurse anticipate when reviewing the laboratory report of the client’s blood level of calcium, potassium, and creatinine?Select all that apply.
| back 13 A. Calcium: 7.6 mg/dL (1.9 mmol/L) C. Potassium 6.0 mEq/L (6.0 mmol/L) E. Creatinine: 3.2 mg/dL (194 mcmol/L) |
front 14 A client with end-stage kidney disease is receiving continuous ambulatory peritoneal dialysis. The nurse should monitor the client for which peritoneal dialysis complications? Select all that apply.
| back 14 C. Tachycardia D. Cloudy outflow E. Abdominal pain |
front 15 A client with a history of chronic kidney disease is hospitalized. Which assessment findings will alert the nurse to kidney insufficiency?
| back 15 B. Edema and pruritus |
front 16 A client is admitted to the hospital in the oliguric phase of acute kidney injury. The nurse estimates that the urine output for the last 12 hours is about 200 mL. The nurse reviews the plan of care and notes a prescription for 900 mL of water to be given orally over the next 24 hours. What does the nurse conclude about the amount of fluid prescribed?
| back 16 C. It will compensate for both insensible and expected output over the next 24 hours. |
front 17 A nurse is caring for a client with end-stage kidney disease who is about to receive a transplant. When the client returns from the postanesthesia care unit after a kidney transplant, how often should the nurse measure the client’s urinary output?
| back 17 A. 1 hour |
front 18 When monitoring a client 24 to 48 hours after abdominal surgery, the nurse should assess for which problem associated with anesthetic agents?
| back 18 C. Paralytic ileus |
front 19 A nurse is providing care to a client 8 hours after the client had surgery to correct an upper urinary tract obstruction. Which assessment finding should the nurse report to the surgeon?
| back 19 C. Urine output of 20 mL/hr |
front 20 While reviewing the urinalysis reports of an elderly client, the nurse finds white blood cells (WBCs) in the urine. Which condition might the client have?
| back 20 C. Kidney infection |
front 21 Which is an abnormal finding of the urinary system?
| back 21 D. Pain in the flank region upon hitting |
front 22 A client is diagnosed with a pathology in the medulla of the kidney. Which part of the nephron is the region most likely affected by the pathology?
| back 22 D. D – descending loop of henle |
front 23 A client has undergone pelvic surgery and the nurse removes the catheter in a week according to instructions. In the follow up within several hours, which finding in the client indicates a need for reinsertion of catheter?
| back 23 C. Retention |
front 24 A child is administered a RotaTeq vaccine. What adverse drug effect should the nurse monitor for?
| back 24 A. Intussusception |
front 25 Which vaccine may cause intussusception in children?
| back 25 A. Rotavirus |