NR 325 EXAM 1 CHAMBERLAIN
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QUESTIONS & DETAILED
EXPLANATIONS GRADED A+
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To assess whether there is any improvement in a patient's
dysuria, which question will the nurse ask?
a."Do you have to urinate at night?"
b."Do you have blood in your urine?"
c."Do you have to urinate frequently?"
d."Do you have pain when you urinate?" - Answer: D. Dysuria is
painful urination.
When a patient's urine dipstick test indicates a small amount of
protein, the nurse's next action should be to:
,a. send a urine specimen to the laboratory to test for ketones.
b. obtain a clean-catch urine for culture and sensitivity testing.
c. inquire about which medications the patient is currently
taking.
d. ask the patient about any family history of chronic renal
failure. - Answer: ANS: C
Normally the urinalysis will show zero to trace amounts of
protein, but some medications may give false-positive readings.
A hospitalized patient with possible renal insufficiency after
coronary artery bypass surgery is scheduled for a creatinine
clearance test. Which equipment will the nurse need to obtain?
a. Urinary catheter
b. Cleaning towelettes
c. Large container for urine
d. Sterile urine specimen cup - Answer: ANS: C
,Because creatinine clearance testing involves a 24-hour urine
specimen, the nurse should obtain a large container for the
urine collection.
A 32-year-old patient who is employed as a hairdresser and has
a 15 pack-year history of cigarette smoking is scheduled for an
annual physical examination. The nurse will plan to teach the
patient about the increased risk for
a. renal failure.
b. kidney stones.
c. pyelonephritis.
d. bladder cancer. - Answer: ANS: D
Exposure to the chemicals involved with working as a
hairdresser and in smoking both increase the risk of bladder
cancer, and the nurse should assess whether the patient
understands this risk.
Which medication taken at home by a 47-year-old patient with
decreased renal function will be of most concern to the nurse?
a. ibuprofen (Motrin)
, b. warfarin (Coumadin)
c. folic acid (vitamin B9)
d. penicillin (Bicillin LA) - Answer: ANS: A
The nonsteroidal antiinflammatory medications (NSAIDs) are
nephrotoxic and should be avoided in patients with impaired
renal function.
A 79-year-old man has been admitted with benign prostatic
hyperplasia. What is most appropriate to include in the nursing
plan of care?
a. Limit fluid intake to no more than 1000 mL/day.
b. Leave a light on in the bathroom during the night.
c. Ask the patient to use a urinal so that urine can be measured.
d. Pad the patient's bed to accommodate overflow
incontinence. - Answer: ANS: B
The patient's age and diagnosis indicate a likelihood of nocturia,
so leaving the light on in the bathroom is appropriate. Fluids
should be encouraged because dehydration is more common in
LATEST UPDATE VERIFIED
QUESTIONS & DETAILED
EXPLANATIONS GRADED A+
Professional Academic Assistance Services
To assess whether there is any improvement in a patient's
dysuria, which question will the nurse ask?
a."Do you have to urinate at night?"
b."Do you have blood in your urine?"
c."Do you have to urinate frequently?"
d."Do you have pain when you urinate?" - Answer: D. Dysuria is
painful urination.
When a patient's urine dipstick test indicates a small amount of
protein, the nurse's next action should be to:
,a. send a urine specimen to the laboratory to test for ketones.
b. obtain a clean-catch urine for culture and sensitivity testing.
c. inquire about which medications the patient is currently
taking.
d. ask the patient about any family history of chronic renal
failure. - Answer: ANS: C
Normally the urinalysis will show zero to trace amounts of
protein, but some medications may give false-positive readings.
A hospitalized patient with possible renal insufficiency after
coronary artery bypass surgery is scheduled for a creatinine
clearance test. Which equipment will the nurse need to obtain?
a. Urinary catheter
b. Cleaning towelettes
c. Large container for urine
d. Sterile urine specimen cup - Answer: ANS: C
,Because creatinine clearance testing involves a 24-hour urine
specimen, the nurse should obtain a large container for the
urine collection.
A 32-year-old patient who is employed as a hairdresser and has
a 15 pack-year history of cigarette smoking is scheduled for an
annual physical examination. The nurse will plan to teach the
patient about the increased risk for
a. renal failure.
b. kidney stones.
c. pyelonephritis.
d. bladder cancer. - Answer: ANS: D
Exposure to the chemicals involved with working as a
hairdresser and in smoking both increase the risk of bladder
cancer, and the nurse should assess whether the patient
understands this risk.
Which medication taken at home by a 47-year-old patient with
decreased renal function will be of most concern to the nurse?
a. ibuprofen (Motrin)
, b. warfarin (Coumadin)
c. folic acid (vitamin B9)
d. penicillin (Bicillin LA) - Answer: ANS: A
The nonsteroidal antiinflammatory medications (NSAIDs) are
nephrotoxic and should be avoided in patients with impaired
renal function.
A 79-year-old man has been admitted with benign prostatic
hyperplasia. What is most appropriate to include in the nursing
plan of care?
a. Limit fluid intake to no more than 1000 mL/day.
b. Leave a light on in the bathroom during the night.
c. Ask the patient to use a urinal so that urine can be measured.
d. Pad the patient's bed to accommodate overflow
incontinence. - Answer: ANS: B
The patient's age and diagnosis indicate a likelihood of nocturia,
so leaving the light on in the bathroom is appropriate. Fluids
should be encouraged because dehydration is more common in
