Med-Surge Quiz- week 13 ATI Exam Questions & Answers
Difficulty starting the flow of urine - A nurse is caring for a client who has benign prostatic hyperplasia(BPH). Which of the following finding should the nurse expect?
Increased urine specific gravity - A nurse is collecting data for a client who has fluid volume deficit. Which of the following is an expected finding?
Weigh at the same time each day - A nurse is reinforcing teaching about monitoring weight with a client who has chronic kidney disease. Which of the following instructions should the nurse include in the teaching?
Vancomycin - A nurse is reviewing the medication record of a client who has chronic renal disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity?
Recent CT scan with contrast dye - A nurse is reviewing the medical record of a client who ha acute kidney injury. Which of the following findings should the nurse recognized as a potential causative factor?
Serum creatinine 6 mg/dL - A nurse is reviewing laboratory findings for a client who has acute kidney disease. Which of the following findings should the nurse expect?
The client has bright red urine in his urinary catheter. - A nurse is collecting data on a client who is postoperative following a transurethral resection of the
prostate(TURP). The nurse should recognize which of the following findings is the priority?
Silodosin - A nurse is reviewing the admission prescriptions for a client who has benign prostatic hyperplasia. Which of the following medications should the nurse expect to administer?
Monitor intake and output hourly - A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take?
Use sterile techniques when preparing the irrigation solution.
Make sure the drainage tubing is patent and without obstruction.
Notify the surgeon if the urine is bright red or has large clots. - A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate(TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take?
"I need to limit my sun exposure and wear sunscreen while on this medication." - The nurse is reinforcing discharge teaching with a client about a new prescription for furosemide. Which of the following client statements indicates an understanding of the teaching?
Microscopic hematuria - A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider?
Empty the stony ouch when its 2/3 full - A nurse is reinforcing discharge teaching with a client about how to care for a newly created ideal conduit. Which of the following instructions should the nurse include in the teaching?
Eggs - A nurse is caring for a client who has end-stage renal disease and must limit protein intake. Which of the following foods should the nurse plan to include in the clients diet?
Periorbital edema - A nurse is collecting data from a child who has nephrotic syndrome. Which of the following manifestations should the nurse expect?
Body weight. - A nurse is caring for a client who is receiving hemodialysis. Which of the following client measurements should the nurse compare before and after dialysis treatment to determine fluid lesses?
Urinary output - A nurse is caring for a client who is receiving treatment for a potassium level of 3.1 mEq/L. The nurse should identify a decrease in which of the following factors as a therapeutic response to therapy?
Sodium 126 mEq/L - A nurse is reviewing a client laboratory results. Which of the following findings should the nurse report to the provider?
Check the Childs weight daily - A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurses priority.
Advance the catheter 5 cm after urine begins to flow. - A nurse is reinforcing discharge teaching to a client who will be performing intermittent self- catheterizations. Which of the following statements should the nurse include in the teaching?
Determine the latency of the tubing. - A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate(TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there has not been any urinary output in the last hour. Which of the following actions should the nurse perform first?
Hypermagnesemia - A nurse is reviewing the laboratory test results from a client who has acute kidney injury. Which of the following findings should the nurse identify as expected for this condition?
"I need to catheterize myself twice a day." - A nurse is reinforcing teaching about elimination with an adolescent who is paralyzed from the waist down following a spinal cord injury. Which of the following statements by the adolescent indicates a need for further teaching?
High-purine diet - A nurse is caring for a client who has a new diagnosis or urolithiasis. Which of the following risk factors should the nurse identify as contributing to this diagnosis?