Anemia
The nurse is instructing a patient with IDA about appropriate menu choices.
A. Broiled fish, salad, grapefruit, carrot sticks
B. Pork chop, mashed potatoes/ gravy, cauliflower, tea
C. Roast beef, steamed spinach, tomato soup, orange juice
Which nursing action is indicated for the patient with thrombocytopenia?
A. Avoid intramuscular injections.
B. Encourage the patient to drink plenty of fluids.
C. Place the patient on isolation precautions.
The nurse monitors for which EKG change as the first indication of hyperkalemia in the patient with acute kidney disease?
A. Absence of P waves
B. Tall T waves
C. Long PR intervals
The nurse monitors the patient diagnosed with upper ureteral calculi with which clinical manifestation?
A. Lower abdominal pain
B. Radiating flank pain
C. Groin pain
The nurse correlates which laboratory result as the most reliable indicator of impaired renal function?
A. Serum BUN 35 mg/dL
B. Serum creatinine 2.4 mg/dL
C. Serum potassium 5.0 150 mEq/L
The nurse develops the nursing diagnosis “Risk for Bleeding related to lack of intrinsic factor” for the patient with which hematological disorder?
A. Iron deficiency anemia
B. Pernicious anemia
C. Folic acid deficiency anemia
Which clinical symptoms are consistent with thrombocytopenia? SATA
A. Petechiae
B. Tarry stools
C. Diarrhea
D. Bloody urine
The nurse is planning care for the patient with AKI. Which assessment data supports the nursing diagnosis of excess fluid volume?
A. Pitting edema in the lower extremities
B. Bowel sounds positive in four quadrants
C. Wheezing in the lungs
In administering an alpha-adrenergic blocker to a pt with urolithiasis, the nurse knows this medication is used for?
A. Decrease nausea and vomiting
B. Decrease pain
C. Dilate lower ureter
The nurse suspects that the patient is experiencing a urinary tract infection. Which urinalysis result supports the nurse’s suspicions?
A. pH 5.2
B. Negative glucose
C. WBC 10 to 15
A pt dx with aplastic anemia is admitted to the hospital, what information does the nurse teach about the disease?
A. Aplastic anemia causes a proliferation of white blood cells.
B. Aplastic anemia is characterized by abnormally shaped red blood cells.
C. Aplastic anemia is caused by the bone marrow producing inadequate cells.
Which are clinical manifestations in a patient diagnosed with malignant lymphoma? SATA
A. Night sweats
B. High fevers
C. Swollen lymph nodes
D. Weight loss
The nurse monitors for which clinical manifestations in the patient diagnosed with acute glomerulonephritis?
A. Hematuria
B. Proteinuria
C. Serum BUN 8.0 mg/dL
D. Serum creatinine 2.4 mg/dL
The nurse cares for the patient dx with a kidney stone that has not passed. What statement is most important to include in the teaching for this patient?
A. You need to take the prescribed morphine sulfate for your pain.
B. You must strain all urine to confirm whether or not the stone has passed.
C. A low-sodium diet will help to decrease your risk of kidney stones in the future.
What term does the nurse use to document a patient’s complaints of painful urination?
A. Anuria
B. Dysuria
C. Enuresis
D. Hematuria
Which priority teaching point for the nurse to include in the discharge instructions for the patient being discharged after a sickle cell crisis?
A. Rapid weaning of pain medications
B. A diet high in protein
C. Adequate hydration
Malignant lymphomas are divided into two main classifications: Hodgkin’s lymphoma and non-Hodgkin’s lymphoma.
True
Which medication does the nurse identify as potentially nephrotoxic when conducting a health history exam for a patient who is admitted for acute kidney disease?
A. Ibuprofen (Advil)
B. Lisinpril
C. Albuterol
D. Acetaminophen (Tylenol)
In PKD polycystic kidney disease, the nurse recognizes which finding as the first clinical manifestation of this disease process?
A. Hypertension
B. Hematuria
C. Urinary frequency
The note reads “Patient experiencing dysuria, frequency, incontinence, and nocturia.” What can the nurse determine from this documentation? SATA
A. The patient urinates small amounts of urine often.
B. The patient has involuntary urination at night.
C. The patient sometimes wets themselves.
D. The patient feels burning with urination.
List 5 anemias with 1-2 clinical features that are unique to that anemia.
Write on board
The CRAB criterion is useful in the diagnosis of multiple myeloma.
What does CRAB stand for? Write on board
Describe clinical features of AKI VS CKD
write on board
What are risk factors for functional incontinence? SATA
A. Limited mobility
B. Impaired vision
C. Lack of access to facilities
D. Dementia
List types of urinary incontinence:
Write on board