The nurse determines that instruction regarding prevention of future urinary tract infections (UTIs) has been effective for a 22-year-old female patient with cystitis when the patient states which of the following?
“I will empty my bladder every 3 to 4 hours during the day.”
100
A 30-year-old patient seen in the emergency department for severe headache and acute confusion is found to have a serum sodium level of 118 mEq/L. The nurse will anticipate the need for which diagnostic test?
Antiduiretic hormone level
100
A 60-year-old patient is taking spironolactone (Aldactone), a drug that blocks the action of aldosterone on the kidney, for hypertension. The nurse will monitor for
elevated serum potassuim
100
Which finding for a patient who has hypothyroidism and hypertension indicates that the nurse should contact the health care provider before administering levothyroxine (Synthroid)?
Increased T 4 level
100
30 year old patient in good physical condition suffering from Chronic Kidney Disease what would be the first line choice for dialysis options
peritoneal dialysis
200
Which finding by the nurse will be most helpful in determining whether a 67-year-old patient with benign prostatic hyperplasia has an upper urinary tract infection (UTI)?
Costovertebral tenderness
200
Which question will provide the most useful information to a nurse who is interviewing a patient about a possible thyroid disorder?
Have you had a recent unplanned weight loss or gain
200
. The nurse is caring for a 63-year-old with a possible pituitary tumor who is scheduled for a computed tomography (CT) scan with contrast. Which information about the patient is most important to discuss with the health care provider before the test?
history of renal insuffiencey
200
A 48-year-old male patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L). The nurse will plan to teach the patient about
lifestyle changes to lower blood glucose
200
Acute kidney injury in a patient without symptoms of uremia is typically treated ?
CRRT
300
Following rectal surgery, a patient voids about 50 mL of urine every 30 to 60 minutes for the first 4 hours. Which nursing action is most appropriate?
Use an ultrasound scanner to check the postvoiding residual volume.
300
61-year-old female patient admitted with pneumonia has a total serum calcium level of 13.3 mg/dL (3.3 mmol/L). The nurse will anticipate the need to teach the patient about testing for _____ levels.
parathyroid hormone
300
An expected nursing diagnosis for a 30-year-old patient admitted to the hospital with symptoms of diabetes insipidus is
sleep pattern disturbance related to waking frequently to void
300
A nurse will teach a patient who is scheduled to complete a 24-hour urine collection for 17-ketosteroids to
keep the specimen refrigerated or on ice.
300
What the steps in a PD exchange?
Fill, do its' job, drain
400
The home health nurse teaches a patient with a neurogenic bladder how to use intermittent catheterization for bladder emptying. Which patient statement indicates that the teaching has been effective?
cleaning the catheter before and after every use-- it is customary to use the same catheter for 7 days for home use
400
Which laboratory value should the nurse review to determine whether a patient’s hypothyroidism is caused by a problem with the anterior pituitary gland or with the thyroid gland?
TSH
400
A patient who had a subtotal thyroidectomy earlier today develops laryngeal stridor and a cramp in the right hand upon returning to the surgical nursing unit. Which collaborative action will the nurse anticipate next?
administer IV calcium gluconate
400
A 60-year-old patient is taking spironolactone (Aldactone), a drug that blocks the action of aldosterone on the kidney, for hypertension. The nurse will monitor for
elevated serum potassium.
400
How frequently is HD performed and what is the average length of a session?
every 2-3 days and 4 hours.
500
A patient who has acute glomerulonephritis is hospitalized with hyperkalemia. Which information will the nurse monitor to evaluate the effectiveness of the prescribed calcium gluconate IV?
Cardiac rhythm
500
The nurse reviews a patient’s glycosylated hemoglobin (Hb A1C) results to evaluate
glucose control over the last 90 days
500
An 82-year-old patient in a long-term care facility has several medications prescribed. After the patient is newly diagnosed with hypothyroidism, the nurse will need to consult with the health care provider before administering
valuim
500
The nurse determines that additional instruction is needed for a 60-year-old patient with chronic syndrome of inappropriate antidiuretic hormone (SIADH) when the patient says which of the following?
“I need to shop for foods low in sodium and avoid adding salt to food.”
500
how long must the fluid stay in the cavity to do its' job in PD or in the cycler system?
typical times are 6-8 hours for manual exchanges and 20-30 minutes for cycler exchanges