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NCA Test #5 Questions with Detailed Verified Answers

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NCA Test #5 Questions with Detailed Verified Answers

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NCA Test #5 Questions with Detailed Verified Answers



Urinary Tract Infection - Assessment Ans: ✓ ✓ ✓ Fever

Chills

Dysuria

Hematuria (visible or detected only by urine analysis)

Cloudy, foul-smelling urine

Atypical presentation in elderly: afebrile, absence of dysuria, *loss of appetite, altered mental
status*

prevention of UTIs Ans: ✓ ✓ ✓ Empty bladder before and after sexual intercourse

Empty the bladder about every 3-4 hours during the day

Avoid bubble baths, powders, and sprays in the perineal area

true about glomerulonephritis Ans: ✓ ✓ ✓ Glomerulonephritis may be triggered by illicit drug use

Hypertension may be a symptom of glomerulonephritis

nutritional therapy for the prevention of kidney stones For stones made of [Oxalate] Ans: ✓ ✓ ✓
void dark roughage, nuts, and chocolate

teaching nutritional therapy for the prevention of kidney stones with stones made of [Calcium]
Ans: ✓ ✓ ✓ void foods like milk, cheese, and fish with fine bones

teaching nutritional therapy for the prevention of kidney stones with patients who have a [Purine]
stone Ans: ✓ ✓ ✓ avoid sardines, mussels, venison and meat soups

which assessment findings requires intervention or a patient who is 3 days post op from an ileal
conduit surgery Ans: ✓ ✓ ✓ The urine is bright red


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symptoms would the nurse expect to see in a patient experiencing pyelonephritis Ans: ✓ ✓ ✓
Flank pain,

Nausea and vomiting,

Fever and chills,

Malaise

NOT renal colic

Which statement indicated further teach for a client with recurrent kidney stones who is being
discharged following a lithotripsy Ans: ✓ ✓ ✓ I should increase my calcium intake

The nurse is caring for an 87 year old resident in a nursing home. Which of the following symptoms
require immediate intervention? Ans: ✓ ✓ ✓ loss of appetite and acute altered mental status

site of pain based on where the kidney stone located Ans: ✓ ✓ ✓ ureterovesicle junction

is higher than

calyx or ureteropelvic junction

nursing intervention is most appropriate for managing urinary retention in a patient with benign
prostatic hyperplasia (BPH) Ans: ✓ ✓ ✓ Administer alpha-adrenergic blocker therapy such as
terazosin

statements made by the patient indicates a need for further education about patient with a UTI the
potential adverse effects of nitrofurantoin Ans: ✓ ✓ ✓ I should take a over the counter cough
suppressant if I develop a cough and shortness of breath while taking this medication."

Urine output should be Ans: ✓ ✓ ✓ > 30 mL/hr

should be included in the plan of care for most patients with acute glomerulonephritis Ans: ✓ ✓ ✓
Rest

UTI treatment Ans: ✓ ✓ ✓ Uncomplicated UTI: 3-day course of antibiotics

Complicated UTI: 7-14 days of antibiotics

Asymptomatic UTI: no treatment

First choice abx for uncomplicated UTI
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