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310 Exam 2 – Questions With Right Solutions

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310 Exam 2 – Questions With Right Solutions

Institution
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Course
310T

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310 Exam 2 – Questions With Right Solutions

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A patient was diagnosed with oxalate A. restrict protein intake as ordered
renal calculi. When planning this
patient's health education, what
nutritional guidelines should the nurse
provide?
A. restrict protein intake as ordered
B. increase intake of potassium rich
foods
C. follow a low calcium diet
D. encourage intake of food
containing oxalates


The nurse is caring for a patient who C. notify the physician about cloudy or foul smelling
underwent percutaneous lithotripsy urine
earlier in the day. What instruction
should the nurse give the patient?
A. limit oral fluid to 1000ml intake for 1-
2 days
B. report the presence of fine, sand
like particles through the
nephrostomy tube
C. notify the physician about cloudy
or foul smelling urine
D. report any pink tinged urine within
24 hours after the procedure

,The nurse is caring for a patient B. 2000 ml
recently diagnosed with renal calculi.
The nurse should instruct the patient
to increase fluid intake to a level
where the patient produces at least
how much urine each day?
A. 1250 ml
B. 2000 ml
C. 2750 ml
D. 3500 ml


A patient with cancer of the prostate A. 30 ml
has just returned to the unit from the
PACU after a complicated surgery. The
nurse is monitoring the patient's urine
output hourly and notifies the
physician when the hourly output is
less than what?
A. 30 ml
B. 50 ml
C. 100 ml
D. 125 ml


A patient with kidney stones is A. Strain the patient's urine following the procedure
scheduled for extracorporeal shock
wave lithotripsy (ESWL). What should
the nurse include in the patient's post
procedure care?
A. Strain the patient's urine following
the procedure
B. Administer a bolus of 500 ml normal
saline following the procedure
C. Monitor the patient for fluid
overload following the procedure
D. Insert a urinary catheter for 24-48
hours after the procedure

,A 43 years old man is diagnosed with A. Hydronephrosis
renal calculi that is causing bladder
outlet obstruction. This condition can
cause what?
A. Hydronephrosis
B. Nephritic syndrome
C. Pylonephritis
D. Nephrotoxicity


During the admission assessment of a A. Dietary history
patient with renal stones, was B. Family history of renal stones
parameters would be priorities for the C. Medication history
nurse to address? Select all that apply.
A. Dietary history
B. Family history of renal stones
C. Medication history
D. Surgical history
E. Vaccination history


A 43 years old man is admitted with D. Encourage the patient to continue this pattern of
kidney stones. During admission fluid intake
assessment, the patient tells the nurse
that he has been drinking 2.5L to 3 L of
fluids daily since his flank pain started.
What would be the nurse's best
response?
A. Supplement the patient's fluid
intake with a high-calorie diet
B. Emphasize the need to limit intake
to 2L of fluid daily
C. Obtain an order for a high sodium
diet to prevent dilution hyponatremia
D. Encourage the patient to continue
this pattern of fluid intake

, A patient has been admitted to the C. Hematuria
medical unit with a diagnosis of D. Urinary frequency
ureteral colic secondary to urolithiasis. E. Acute pain
When planning the patient's admission
assessment, the nurse should be
aware of the signs and symptoms that
are characteristic of this diagnosis?
Select all that apply.
A. Diarrhea
B. High fever
C. Hematuria
D. Urinary frequency
E. Acute pain


A nurse in the ED receives a patient C. Pain management
with a recent diagnosis of
nephrolithiasis. The patient has no
previous history of cardiopulmonary
disorders. What aspect of care should
the nurse prioritize?
A. 1000 L of IV fluid administration
B. Insertion of an indwelling urinary
catheter
C. Pain management
C. Assisting with aspiration of the
stone


A nurses preparing a patient for B. Increasing fluid intake
discharge after a successful treatment
for kidney stones. The nurse knowns
that there is a 50% chance of
recurrence of kidney stones. What
preventative measure should the
nurse encourage the patient to
adopt?
A. Increasing intake of protein from
plant sources
B. Increasing fluid intake
C. Adopting a high calcium diet
D. Eating several small meals each day

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Institution
310T
Course
310T

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Number of pages
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