A patient has been admitted with a severe crushing injury after an industrial accident.
Which laboratory result will be most important to report to the health care provider?
a. Serum creatinine level of 2.1 mg/dL.
b. Serum potassium level of 6.5 mEq/L.
c. White blood cell count of 11,500/uL.
d. Blood urea nitrogen (BUN) of 56 mg/dL.
Give this one a try later!
b. Serum potassium level of 6.5 mEq/L.
The hyperkalemia associated with crushing injuries may cause cardiac
arrest and would be treated immediately. The nurse will report the other
laboratory values, but abnormalities in these are not immediately life
threatening.
,A patient admitted with acute kidney injury due to dehydration has oliguria, anemia,
and hyperkalemia. Which prescribed action would the nurse take first?
a. Insert a urinary retention catheter.
b. Administer epoetin alfa (Epogen).
c. Place the patient on a cardiac monitor.
d. Give sodium polystyrene sulfonate (Kayexalate).
Give this one a try later!
c. Place the patient on a cardiac monitor.
Because hyperkalemia can cause fatal dysrhythmias, the initial action would
be to monitor the cardiac rhythm. Kayexalate and Epogen will take time to
correct the hyperkalemia and anemia. The catheter allows monitoring of
the urine output but does not correct the cause of the renal failure.
The nurse is assessing a client with a diagnosis of prerenal acute kidney injury (AKI).
Which
condition would the nurse expect to find in the patient's recent history?
a. Pyelonephritis
b. Dehydration
c. Bladder cancer
d. Kidney stones
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b. Dehydration
When preparing a female patient with bladder cancer for intravesical chemotherapy,
the nurse will teach about
,a. premedicating to prevent nausea.
b. obtaining wigs and scarves to wear.
c. emptying the bladder before the medication.
d. maintaining oral care during the treatments.
Give this one a try later!
c. emptying the bladder before the medication.
The patient will be asked to empty the bladder before instillation of the
chemotherapy. Systemic side effects are not usually experienced with
intravesical chemotherapy.
Bladder Cancer, pg 75 MS CC book
The nurse is caring for a patient with pancreatic cancer. Which nursing action would
be the highest priority?
a. Offer psychologic support for depression.
b. Offer high-calorie, high-protein dietary choices.
c. Administer prescribed opioids to relieve pain as needed.
d. Teach about the need to avoid scratching any pruritic areas.
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ANS: C Effective pain management will be necessary in order for the
patient to improve nutrition, be receptive to teaching, or manage anxiety or
depression
Which risk factor would the nurse specifically ask about when a patient is being
admitted with acute pancreatitis?
a. Diabetes
b. Alcohol use
, c. High-protein diet
d. Cigarette smoking
Give this one a try later!
ANS: B Alcohol use is one of the most common risk factors for pancreatitis
in the United States. Cigarette smoking, diabetes, and high-protein diets are
not risk factors.
A patient with a history of benign prostatic hyperplasia (BPH) is admitted with acute
urinary retention and elevated blood urea nitrogen (BUN) and creatinine levels. Which
prescribed therapy would the nurse implement first?
a. Insert urethral catheter.
b. Obtain renal ultrasound.
c. Draw a complete blood count.
d. Infuse normal saline at 50 mL/hr.
Give this one a try later!
a. Insert urethral catheter.
The patient's elevation in BUN is most likely associated with hydronephrosis
caused by the acute urinary retention, so the insertion of an indwelling
catheter is the first action to prevent ongoing post-renal failure for this
patient. The other actions are appropriate but would be implemented after
the catheter.
Which instruction to prevent recurrent UTI would the nurse provide female patients?
a. Restrict purines in your diet
b. Schedule a follow up urine culture
c. Wipe back to front after urinating
d. Empty your bladder before and after sexual intercourse
Which laboratory result will be most important to report to the health care provider?
a. Serum creatinine level of 2.1 mg/dL.
b. Serum potassium level of 6.5 mEq/L.
c. White blood cell count of 11,500/uL.
d. Blood urea nitrogen (BUN) of 56 mg/dL.
Give this one a try later!
b. Serum potassium level of 6.5 mEq/L.
The hyperkalemia associated with crushing injuries may cause cardiac
arrest and would be treated immediately. The nurse will report the other
laboratory values, but abnormalities in these are not immediately life
threatening.
,A patient admitted with acute kidney injury due to dehydration has oliguria, anemia,
and hyperkalemia. Which prescribed action would the nurse take first?
a. Insert a urinary retention catheter.
b. Administer epoetin alfa (Epogen).
c. Place the patient on a cardiac monitor.
d. Give sodium polystyrene sulfonate (Kayexalate).
Give this one a try later!
c. Place the patient on a cardiac monitor.
Because hyperkalemia can cause fatal dysrhythmias, the initial action would
be to monitor the cardiac rhythm. Kayexalate and Epogen will take time to
correct the hyperkalemia and anemia. The catheter allows monitoring of
the urine output but does not correct the cause of the renal failure.
The nurse is assessing a client with a diagnosis of prerenal acute kidney injury (AKI).
Which
condition would the nurse expect to find in the patient's recent history?
a. Pyelonephritis
b. Dehydration
c. Bladder cancer
d. Kidney stones
Give this one a try later!
b. Dehydration
When preparing a female patient with bladder cancer for intravesical chemotherapy,
the nurse will teach about
,a. premedicating to prevent nausea.
b. obtaining wigs and scarves to wear.
c. emptying the bladder before the medication.
d. maintaining oral care during the treatments.
Give this one a try later!
c. emptying the bladder before the medication.
The patient will be asked to empty the bladder before instillation of the
chemotherapy. Systemic side effects are not usually experienced with
intravesical chemotherapy.
Bladder Cancer, pg 75 MS CC book
The nurse is caring for a patient with pancreatic cancer. Which nursing action would
be the highest priority?
a. Offer psychologic support for depression.
b. Offer high-calorie, high-protein dietary choices.
c. Administer prescribed opioids to relieve pain as needed.
d. Teach about the need to avoid scratching any pruritic areas.
Give this one a try later!
ANS: C Effective pain management will be necessary in order for the
patient to improve nutrition, be receptive to teaching, or manage anxiety or
depression
Which risk factor would the nurse specifically ask about when a patient is being
admitted with acute pancreatitis?
a. Diabetes
b. Alcohol use
, c. High-protein diet
d. Cigarette smoking
Give this one a try later!
ANS: B Alcohol use is one of the most common risk factors for pancreatitis
in the United States. Cigarette smoking, diabetes, and high-protein diets are
not risk factors.
A patient with a history of benign prostatic hyperplasia (BPH) is admitted with acute
urinary retention and elevated blood urea nitrogen (BUN) and creatinine levels. Which
prescribed therapy would the nurse implement first?
a. Insert urethral catheter.
b. Obtain renal ultrasound.
c. Draw a complete blood count.
d. Infuse normal saline at 50 mL/hr.
Give this one a try later!
a. Insert urethral catheter.
The patient's elevation in BUN is most likely associated with hydronephrosis
caused by the acute urinary retention, so the insertion of an indwelling
catheter is the first action to prevent ongoing post-renal failure for this
patient. The other actions are appropriate but would be implemented after
the catheter.
Which instruction to prevent recurrent UTI would the nurse provide female patients?
a. Restrict purines in your diet
b. Schedule a follow up urine culture
c. Wipe back to front after urinating
d. Empty your bladder before and after sexual intercourse
