NUR 155 EXAM 2|| ACTUAL EXAM ALL QUESTIONS AND 100% CORRECT ANSWERS ALREADY GRADED A+|| LATEST AND COMPLETE UPDATE 2025 WITH VERIFIED SOLUTIONS|| ASSURED PASS!!!

NUR 155 EXAM 2|| ACTUAL EXAM ALL QUESTIONS AND 100%
CORRECT ANSWERS ALREADY GRADED A+|| LATEST AND
COMPLETE UPDATE 2025 WITH VERIFIED SOLUTIONS||
ASSURED PASS!!!
When caring for the patient with interstitial cystitis, what can the nurse teach the
patient to do?*
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A. Avoid foods that make the urine more alkaline.
B. Use high-potency vitamin therapy to decrease the autoimmune effects of the
disorder.
C. Always keep a voiding diary to document pain, voiding frequency, and
patterns of nocturia.
D. Use the dietary supplement calcium glycerophosphate (Prelief) to decrease
bladder irritation.
- ANSWER: D
Calcium glycerophosphate (Prelief) alkalinizes the urine and can help to relieve the
irritation from acidic foods. A diet low in acidic foods is recommended and if a
multivitamin is used, high-potency vitamins should be avoided because these
products may irritate the bladder. A voiding diary is useful in diagnosis but does
not need to be kept indefinitely.


A female patient reports that she is experiencing burning on urination, frequency,
and urgency. The nurse notes that a clean-voided urine specimen is markedly
cloudy. The probable cause of these symptoms and findings is:*
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A. Cystitis.
B. Hematuria.

,2|P a g e


C. Pyelonephritis.
D. Dysuria.
- ANSWER: A
Signs and symptoms of cystitis are as follows: Abdominal or flank pain/tenderness,
frequency and urgency of urination, Pain on voiding, Nocturia, Nausea, Fever,
Cloudy urine, Hematuria, Vomiting


In cystitis to minimize experiencing nocturia, the nurse would teach the patient to:*
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A. Perform perineal hygiene after urinating.
B. Set up a toileting schedule.
C. Double void.
D. Limit fluids before bedtime.
- ANSWER: D
With nocturia the patient has to get up during the night to urinate. Limiting fluids 2
hours before bedtime minimizes nocturia.


An older male patient states that he is having problems starting and stopping his
stream of urine and he feels the urgency to void. The best way to assist this patient
is to*
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A. Help him stand to void.
B. Place a condom catheter.


C. Have him practice Credé's method.
D. Initiate Kegel exercises.
- ANSWER: D

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Kegel exercises strengthen pelvic floor muscles and are effective in urine control
in patients with urge incontinence and difficulty starting and stopping urination.


A 24-year-old female client comes to an ambulatory care clinic in moderate
distress with a probable diagnosis of acute cystitis. When obtaining the client's
history, the nurse should ask the client if she has had:*
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A. Fever and chills.
B. Frequency and burning on urination.
C. Flank pain and nausea.
D. Hematuria.
- ANSWER: B
The classic symptoms of cystitis are severe burning on urination, urgency, and
frequent urination. Systemic symptoms, such as fever and nausea and vomiting, are
more likely to accompany pyelonephritis than cystitis. Hematuria may occur, but it
is not as common as frequency and burning.


A client who has been diagnosed with renal calculi reports that the pain is
intermittent and less colicky. Which of the following nursing actions is most
important at this time?*
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A. Report hematuria to the physician.
B. Strain the urine carefully.
C. Administer meperidine (Demerol) every 3 hours.
D. Apply warm compresses to the flank area.
- ANSWER: B
Intermittent pain that is less colicky indicates that the calculi may be moving along
the urinary tract. Fluids should be encouraged to promote movement, and the urine
should be strained to detect passage of the stone. Hematuria is to be expected from
1 B| BP B a B g B e

, 4 B| BP B a B g B e


the irritation of the stone. Analgesics should be administered when the client
B B B B B B B B B B B


Bneeds them, not routinely. Moist heat to the flank area is helpful when renal
B B B B B B B B B B B B B


Bcolic occurs, but it is less necessary as pain is lessened.
B B B B B B B B B B




The client is scheduled for an intravenous pyelogram (IVP) to determine the
B B B B B B B B B B B


location of the renal calculi. Which of the following measures would be most
B B B B B B B B B B B B B


important for the nurse to include in pretest preparation?*
B B B B B B B B B




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A. Ensuring adequate fluid intake on the day of the test.
B B B B B B B B B




B. Preparing the client for the possibility of bladder spasms during the test.
B B B B B B B B B B B




C. Checking the client's history for allergy to iodine.
B B B B B B B




D. Determining when the client last had a bowel movement. B B B B B B B B



- ANSWER: C
B B




A client scheduled for an IVP should be assessed for allergies to iodine and
B B B B B B B B B B B B B


shellfish. Clients with such allergies may be allergic to the IVP dye and be at
B B B B B B B B B B B B B B B


risk for an anaphylactic reaction. Adequate fluid intake is important after the
B B B B B B B B B B B B


examination.
B




Bladder spasms are not common during an IVP. Bowel preparation is important
B B B B B B B B B B B




before an IVP to allowvisualization of the ureters and bladder, but checking for
B B B B B B B B B B B B


allergies is most important.
B B B B




After an intravenous pyelogram (IVP), the nurse should anticipate incorporating
B B B B B B B B B


which of the following measures into the client's plan of care?*
B B B B B B B B B B B



1/1
A. Maintaining bed rest. B B




B. Encouraging adequate fluid intake. B B B



C. Assessing for hematuria. B B