MEDICAL SURGICAL LPN RN EXAMPREP
MATERIAL SOLVED QUESTIONS AND VERIFIED
SOLUTIONS PREMIUM COLLECTION
◉ A nurse is caring for a client who has a diagnosis of renal calculi
and reports severe flank pain which of the following is a priority
nursing action?
A) Relieve the client's pain
B) Encourage the client to increase fluid intake
C) Monitor the client's I and O
D) Strain the clients urine. Answer: A) Relieve the client's pain
The nurse should apply the urgent versus non-urgent priority-setting
framework when caring for the client. Using this framework, the
nurse should consider urgent needs to be the priority because they
pose a greater threat to the client. The nurse might also need to use
Maslow's hierarchy of needs, the ABC priority-setting framework, or
nursing knowledge to identify which finding is the most urgent. The
pain associated with renal calculi is severe and can lead to shock;
therefore, this is the priority action.
◉ A nurse is providing teaching to a client who has a history of
urinary tract infections. Which of the following statements should
indicate to the nurse the need for additional teaching?
A) " I will empty my bladder every four hours"
, B) "I will drink 2 L of fluids per day"
C) " I will use a vaginal douche daily"
D) " I will wear cotton underwear". Answer: C) "I will use a vaginal
douche daily"
The client should avoid vaginal douches, bubble baths, and any
substances that can increase the risk for UTIs. The client should use
mild soap and water to wash the perineal area.
◉ A nurse is caring for a client who is receiving peritoneal dialysis.
The nurse notes that the client's dialysate output is less than the input,
and his abdomen is distended. Which of the following actions should
the nurse take?
A) Insert an indwelling urinary catheter
B) administer pain medication to the client
C) change the clients position
D) place the drainage bag above the clients abdomen. Answer: C)
change the client's position
The client is retaining the dialysate solution after the dwell time. The
nurse should ensure that the clamp is open and the tubing is not
kinked, and reposition the client to facilitate the drainage of the
solution from the peritoneal cavity.
◉ A nurse is teaching a newly licensed nurse about caring for a client
who has a new left arteriovenous fistula. Which of the following
statements should the nurse make?
MATERIAL SOLVED QUESTIONS AND VERIFIED
SOLUTIONS PREMIUM COLLECTION
◉ A nurse is caring for a client who has a diagnosis of renal calculi
and reports severe flank pain which of the following is a priority
nursing action?
A) Relieve the client's pain
B) Encourage the client to increase fluid intake
C) Monitor the client's I and O
D) Strain the clients urine. Answer: A) Relieve the client's pain
The nurse should apply the urgent versus non-urgent priority-setting
framework when caring for the client. Using this framework, the
nurse should consider urgent needs to be the priority because they
pose a greater threat to the client. The nurse might also need to use
Maslow's hierarchy of needs, the ABC priority-setting framework, or
nursing knowledge to identify which finding is the most urgent. The
pain associated with renal calculi is severe and can lead to shock;
therefore, this is the priority action.
◉ A nurse is providing teaching to a client who has a history of
urinary tract infections. Which of the following statements should
indicate to the nurse the need for additional teaching?
A) " I will empty my bladder every four hours"
, B) "I will drink 2 L of fluids per day"
C) " I will use a vaginal douche daily"
D) " I will wear cotton underwear". Answer: C) "I will use a vaginal
douche daily"
The client should avoid vaginal douches, bubble baths, and any
substances that can increase the risk for UTIs. The client should use
mild soap and water to wash the perineal area.
◉ A nurse is caring for a client who is receiving peritoneal dialysis.
The nurse notes that the client's dialysate output is less than the input,
and his abdomen is distended. Which of the following actions should
the nurse take?
A) Insert an indwelling urinary catheter
B) administer pain medication to the client
C) change the clients position
D) place the drainage bag above the clients abdomen. Answer: C)
change the client's position
The client is retaining the dialysate solution after the dwell time. The
nurse should ensure that the clamp is open and the tubing is not
kinked, and reposition the client to facilitate the drainage of the
solution from the peritoneal cavity.
◉ A nurse is teaching a newly licensed nurse about caring for a client
who has a new left arteriovenous fistula. Which of the following
statements should the nurse make?
