MS2.UrinaryDisorders.EndChptQuestions.ch37

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pcp
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185312
Filename:
MS2.UrinaryDisorders.EndChptQuestions.ch37
Updated:
2012-12-02 11:11:27
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MEDSURG2 URINARY UTI ANURIA AZOTEMIA CALCULI CYSTITS GLOMERULONEPHRITIS HEMODIALYSIS HYDRONEPHROSIS NEPHROPATHY NEPHRECTOMY NEPHROLITHOTOMY NEPHROSTOMY NEPHROTOXIN OLIGURIA PERITONEAL DIALYSIS POLYURIA PYELONEPHRITIS UREMIA URETHRITIS URETHROPLASTY UROSEPSIS
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MEDSURG 2 URINARY SYSTEM DISORDERS CHPT 37 TEXTBOOK
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  1. When teaching a patient about preventing urinary tract infections, which of the following information should the nurse include? (select all that apply)
    A. Void frequently.
    B. Drink large amounts of citrus juices.
    C. Eat large amounts of vegetables.
    D. Wash the perimeum every 8 hours.
    E. Void after sexual intercourse.
    F. Avoid drinking cranberry juice.
    • A. Void frequently.
    • E. Void after sexual intercourse.

    These help prevent UTIs, the others do not.
  2. A patient is admitted to the hospital with a diagnosis of a kidney stone. Which of the following interventions should be included in the POC?
    A. Maintain bedrest.
    B. Increase calcium intake.
    C. Strain all urine.
    D. Restrict fluids.
    C. Strain all urine.

    All urine is strained to detect passage of stone.
    (this multiple choice question has been scrambled)
  3. The nurse is taking a history on a patient with a diagnosis of bladder cancer. Which of the following would the nurse expect to find in the patient's history?
    A. Tobacco use.
    B. Alcohol use.
    C. Vegetarian diet.
    D. Caffeine use.
    A. Tobacco use.

    Tobacco use is a risk factor for bladder cancer.
    (this multiple choice question has been scrambled)
  4. While changing the pouch at the stoma site of an ileal conduit, the nurse notes the stoma is constantly spilling urine. Which of the following actions should the nurse take?
    A. Notify the physician of the constant spillage.
    B. Continue changing the pouch.
    C. Remove the overflow of urine with a straight catheter.
    D. Irrigate the stoma with a sterile solution of normal saline.
    B. Continue changing the pouch.

    Spilling of urine is normal.
    (this multiple choice question has been scrambled)
  5. The nurse is caring for a patient with glomerulonephritis. Which of the following interventions would the nurse recommend be included in the patient's POC?
    A. Decrease carbohydrate intake.
    B. Increase potassium intake.
    C. Decrease sodium intake.
    D. Increase fluid intake.
    D. Increase fluid intake.

    Fluid intake is increased to flush the kidneys.
    (this multiple choice question has been scrambled)
  6. The nurse is caring for a postoperative pt who is receiving 0.9% normal saline IV at 125mL/hr, morphine for pain control, and gentamicin (Garamycin) IVPB every 8 hrs for 24 hrs. The patient is allergic to iodine. Morning labs are WBC 8500, Hgb 12.4 g/dL, creatinine 2.2 mg/dL. Which of these findings is a priority for the nurse to report to the RN?
    A. Allergies.
    B. Creatinine level.
    C. IV rate of 125 mL/hr.
    D. WBC.
    B. Creatinine level.

    Creatinine level is elevated and must be reported; the nephrotoxic gentamicin is held until physician is notified.
    (this multiple choice question has been scrambled)
  7. A patient with chronic kidney disease who is on hemodialysis asks for a snack in the afternoon. The patient's potassium level remains high. Which of the following foods could be given? (select all that apply).
    A. Banana.
    B. Gelatin dessert.
    C. Clear carbonated beverage.
    D. Cranberry juice.
    • B. Gelatin dessert.
    • C. Clear carbonated beverage.
    • D. Cranberry juice.
  8. How should the nurse assess the patency of a new right arm AV fistula?
    A. Ausculate the right brachial pulse.
    B. Auscuate and palpate the right radial pulse.
    C. Palpate for thrill and ausculate bruit over the fistula.
    D. Measure blood pressure in the right arm.
    C. Palpate for thrill and ausculate bruit over the fistula.

    Patency is assessed with palpation for a thrill and ausculation of a bruit over the fistula site.
    (this multiple choice question has been scrambled)
  9. A patient is returning to the medical unit after a dialysis session. The nurse notes bleeding from the patient's vascular access in the left arm. Which of the following is the nurse's first action?
    A. Apply pressure to the site.
    B. Call the physician.
    C. Notify the dialysis nurse.
    D. Take patient's blood pressure.
    A. Apply pressure to the site.

    Appying pressure to a bleeding site is the first action the nurse takes to control the bleeding.
    (this multiple choice question has been scrambled)
  10. A patient is to receive 1600mg of Renagel (sevelamer) orally with meals. Renagel 400 mg tablets are available. How many tablets should the nurse give?
    4

    1600/400 = 4

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