CORRECT AND VERIFIED ANSWERS|LATEST
A nurse is assisting in planning care for a client who has cystitis. Which of the following
interventions should be included in the plan of care? - ANSWER- Instruct the client to
avoid drinking caffeinated beverages. Rationale: caffeinated beverages should be avoided by
clients who have cystitis as they can irritate the mucosa of the bladder resulting in painful
spasms.
A nurse is reinforcing teaching with a client who has constipation about a high fiber diet.
Which of the following foods should be included as sources of fiber? - ANSWER-
Kidney beans
Strawberries
Whole wheat toast
A nurse is reinforcing teaching about elimination with an adolescent who is paralyzed from
the waist down following A spinal cord injury. Which of the following statements by the
adolescent indicates a need for further teaching? - ANSWER- " I need to catheterize
myself twice a day"
Rationale: in most cases paralysis from the waist down affects bladder and bowel control.
catheterization should be performed every 4 to 6 hrs and as needed. Infrequent emptying of
the bladder can result in urinary tract infections.
A nurse is reinforcing teaching with a client who has a urinary tract infection. Which of the
following risk factors should the nurse include in the teaching? - ANSWER- Diabetes
Mellitus
Rationale: diabetes mellitus is considered a risk factor for a UTI due to the increased amount
of glucose present in the urine.
,A nurse in a providers office is reinforcing teaching with a client who is to undergo a
cystoscope. Which of the following information should the nurse include in the teaching? -
ANSWER- " you can take a warm sitz bath after the procedure"
Rationale: following the procedure the client might have avoiding discomfort. A mild and
analgesic and warm sitz bath can help alleviate pain.
A nurse is caring for an older adult client who has confusion and weakness. The client has a
HCT of 53%, a BUN of 25 mg /DL, And a urine specific gravity of 1.232. Which of the
following actions should the nurse contribute to the clients plan of care? - ANSWER-
Monitor the clients intake and output.
Weigh the client daily
Instruct the client to sit on the side of the bed for a few minutes
Check the clients orientation to person, place or time regularly
A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram
(IVP) Which of the following statements should the nurse include in the teaching? -
ANSWER- " after the procedure you will be encouraged to drink plenty of fluids "
Rationale: The nurse should encourage fluid intake after the procedure to promote
elimination of the dye
A nurse is caring for a client who has impaired renal function. The nurse should notify the
provider if the clients hourly urine output falls below what amount? - ANSWER- 30 ml
Rationale: The nurse should report a urinary output that is less than 30 mL an hour to the
provider. This indicates a fluid in balance, a decreased circulating fluid volume, and possibly
in adequate renal perfusion.
A nurse is reinforcing discharge instructions with a client who has a new prescription for
Phenazopyridine hydrochloride. Which of the following statements should the nurse include
in the instructions? - ANSWER- Phenazyopyridine hydrochloride works as a urinary
tract analgesic.
, Rationale: The nurse should include in the clients instruction that the medication works as
an anesthetic to relieve burning upon urination.
A nurse is reinforcing teaching with a client who reports constipation and wants to use an
herbal supplement. The nurse should a identify that the client can use which of the following
herbal supplements to treat constipation? - ANSWER- Flaxseed
Rationale:
Flaxseed provides soluble plant fiber and will mimic the action of a bulk forming a laxative to
treat constipation. In addition flaxseed reduces total cholesterol and LDL cholesterol but has
no effect on HDL cholesterol or triglycerides.
A nurse is reviewing the urinalysis results Of a client who reports urinary frequency and
burning. Which of the following findings should the nurse report to the provider? - ANSWER-
Microscopic hematuria
Rationale: hematuria indicates the presence of blood in the urine, which is a finding
associated with UTI. The nurse should report this finding to the provider so the client can
receive appropriate treatment.
A nurse is caring for a client who is pregnant and reports constipation. Which of the
following recommendations should the nurse make? - ANSWER- Increased fiber and
fluid in the diet
A nurse is reinforcing discharge teaching to a client who be performing intermittent self
catheterization Which of the following statements should the nurse include in the teaching?
- ANSWER- Advance the catheter 5cm( 2in) after urine begins to flow
A nurse in a providers office is collecting data from an older adult client who reports a
sudden onset of urinary incontinence. The nurse should collect additional data to determine
if the client has which of the following conditions? - ANSWER- Urinary tract infection
A nurse is assisting in planning care for a client who has cystitis. Which of the following
interventions should be included in the plan of care? - ANSWER- Instruct the client to
avoid drinking caffeinated beverages. Rationale: caffeinated beverages should be avoided by
clients who have cystitis as they can irritate the mucosa of the bladder resulting in painful
spasms.
A nurse is reinforcing teaching with a client who has constipation about a high fiber diet.
Which of the following foods should be included as sources of fiber? - ANSWER-
Kidney beans
Strawberries
Whole wheat toast
A nurse is reinforcing teaching about elimination with an adolescent who is paralyzed from
the waist down following A spinal cord injury. Which of the following statements by the
adolescent indicates a need for further teaching? - ANSWER- " I need to catheterize
myself twice a day"
Rationale: in most cases paralysis from the waist down affects bladder and bowel control.
catheterization should be performed every 4 to 6 hrs and as needed. Infrequent emptying of
the bladder can result in urinary tract infections.
A nurse is reinforcing teaching with a client who has a urinary tract infection. Which of the
following risk factors should the nurse include in the teaching? - ANSWER- Diabetes
Mellitus
Rationale: diabetes mellitus is considered a risk factor for a UTI due to the increased amount
of glucose present in the urine.
,A nurse in a providers office is reinforcing teaching with a client who is to undergo a
cystoscope. Which of the following information should the nurse include in the teaching? -
ANSWER- " you can take a warm sitz bath after the procedure"
Rationale: following the procedure the client might have avoiding discomfort. A mild and
analgesic and warm sitz bath can help alleviate pain.
A nurse is caring for an older adult client who has confusion and weakness. The client has a
HCT of 53%, a BUN of 25 mg /DL, And a urine specific gravity of 1.232. Which of the
following actions should the nurse contribute to the clients plan of care? - ANSWER-
Monitor the clients intake and output.
Weigh the client daily
Instruct the client to sit on the side of the bed for a few minutes
Check the clients orientation to person, place or time regularly
A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram
(IVP) Which of the following statements should the nurse include in the teaching? -
ANSWER- " after the procedure you will be encouraged to drink plenty of fluids "
Rationale: The nurse should encourage fluid intake after the procedure to promote
elimination of the dye
A nurse is caring for a client who has impaired renal function. The nurse should notify the
provider if the clients hourly urine output falls below what amount? - ANSWER- 30 ml
Rationale: The nurse should report a urinary output that is less than 30 mL an hour to the
provider. This indicates a fluid in balance, a decreased circulating fluid volume, and possibly
in adequate renal perfusion.
A nurse is reinforcing discharge instructions with a client who has a new prescription for
Phenazopyridine hydrochloride. Which of the following statements should the nurse include
in the instructions? - ANSWER- Phenazyopyridine hydrochloride works as a urinary
tract analgesic.
, Rationale: The nurse should include in the clients instruction that the medication works as
an anesthetic to relieve burning upon urination.
A nurse is reinforcing teaching with a client who reports constipation and wants to use an
herbal supplement. The nurse should a identify that the client can use which of the following
herbal supplements to treat constipation? - ANSWER- Flaxseed
Rationale:
Flaxseed provides soluble plant fiber and will mimic the action of a bulk forming a laxative to
treat constipation. In addition flaxseed reduces total cholesterol and LDL cholesterol but has
no effect on HDL cholesterol or triglycerides.
A nurse is reviewing the urinalysis results Of a client who reports urinary frequency and
burning. Which of the following findings should the nurse report to the provider? - ANSWER-
Microscopic hematuria
Rationale: hematuria indicates the presence of blood in the urine, which is a finding
associated with UTI. The nurse should report this finding to the provider so the client can
receive appropriate treatment.
A nurse is caring for a client who is pregnant and reports constipation. Which of the
following recommendations should the nurse make? - ANSWER- Increased fiber and
fluid in the diet
A nurse is reinforcing discharge teaching to a client who be performing intermittent self
catheterization Which of the following statements should the nurse include in the teaching?
- ANSWER- Advance the catheter 5cm( 2in) after urine begins to flow
A nurse in a providers office is collecting data from an older adult client who reports a
sudden onset of urinary incontinence. The nurse should collect additional data to determine
if the client has which of the following conditions? - ANSWER- Urinary tract infection
