RNSG-1430 exam 3 Elimination, Nutrition, Growth & Development Questions & Answers

Kidney & Urinary System functions (Select all the apply) A. Regulates fluid & electrolytes B. Removes waste C. Synthesizes growth hormone D. Provides hormones involved in the production of RBC E. Bone metabolism F. Controls blood pressure G. Regulates WBC production - ANSWERSA B D E F A nurse is caring for a client suffering from urinary stasis, which of the following best describes this issue. A. The patient has incontinence such as urine dribble B. The patient is not emptying their bladder (Urinary retention) C. The patient is dehydrated D. The patient is unable to feel the urge to urinate - ANSWERSB Normal values for Creatinine level: A. 60.0-70.2 mg/dL B. 0.7-2.2 mg/dL C. 0.6-1.2 mg/dL D. 0.5-2.5 mg/dL - ANSWERSC Normal values for BUN level: A. 7-10 mg/dL B. 18-20 mg/dL C. 3-4 mg/dL D. 10-20 mg/dL - ANSWERSD A patients UA shows traces of glucose, how would the nurse address this issue? A. Glucose is an abnormal finding in urine B. Glucose is a normal finding C. Traces of glucose are ok in the urine - ANSWERSA A nurse is monitoring a patients I & O. The patient had the following input and output: 4oz Ice chips, 400ml IV fluid, 800ml foley urine, 8oz water, 60ml feces & 4oz OJ. What is the patients total input and output? A. 880ml input & 860ml output B. 870ml input & 850ml output C. 820ml input & 860ml output D. 700ml inout & 800ml output - ANSWERSC Which test helps identify a disruption in kidney function and can help in diagnosing diabetes, UTI, hematuria and proteinuria? A. PSA (Prostate specific antigen) B. CMP (Comprehensive metabolic panel) C. CBC (Complete blood count) D. UA & Urine culture (Urinalysis) - ANSWERSD A nurse has been caring for a patient that suffered from urinary retention. The nurse knows the patients urinary retention has subsided when which of the following occurs? A. The patient is voiding 30mL of urine per hour B. The patient is voiding 30mL of urine per 8 hours C. The patient has constant dribbling urine D. The patient has incontinence - ANSWERSA What is the normal adult bladder capacity? A. 50 to 100 mL B. 100 to 200 mL C. 300 to 500 mL D. 600 to 800 mL - ANSWERSC A patient who has come into the clinic is experiencing incontinence, what patient teaching could the nurse implement when teaching the patient risk factors? A. A diet high in fiber can cause incontinence B. Caffeine can decrease the elasticity of sphincter C. Cranberry juice causes UTIs D. The patient probably has cancer - ANSWERSB A 24-hour urine collection is scheduled to start at 0100. When should the nurse start the procedure? A. At 0100, with or without a specimen B. At the first specimen that was voided at 0400 C. 2 hours after the urine was discarded D. After discarding the 0100 specimen - ANSWERSD A nurse is caring for a patient who is experiencing diarrhea. Which of the following nursing interventions would be appropriate? A. Administer physician ordered PRN PO ibuprofen B. Provide bed pan for patient C. Increase patients fluid and fiber intake D. Contact doctor immediately - ANSWERSC A 52 y/o old male is seen in the clinic for his yearly check-up, what tests could the nurse expect to see ordered by the physician to test for Benign Prostate Hypertrophy (BPH) A. Metabolic panel B. DRE and PSA C. CBC D. UA - ANSWERSB 3. A patient has developed edema in her lower legs and feet, prompting her physician to prescribe furosemide (Lasix), a diuretic medication. After the client has begun this new medication, what should the nurse anticipate? A. A risk of urinary tract infections B. Increased urine concentration C. Increased output of dilute urine D. Transient incontinence and increased urine production - ANSWERSC Which of the following describes the term micturition? A. Emptying the bladder B. Catheterizing the bladder C. Collecting a urine specimen D. Experiencing total incontinence - ANSWERSA 7. A nurse is caring for older adult clients in an assisted-living facility. Which effect of aging should the nurse consider when performing a urinary assessment? A. The diminished ability of the kidneys to concentrate urine may result in urinary tract infection. B. Increased bladder muscle tone may reduce the capacity of the bladder to hold urine, resulting in frequency. C. Decreased bladder contractility may lead to urine retention and stasis, which increase the likelihood of urinary tract infection. D. Neuromuscular problems may result in the client finding urinary control too much trouble, resulting in incontinence. - ANSWERSC