The RollingStones
The nurse provides dietary teaching for patient with calcium oxalate kidney stones. The nurse would instruct the patient to limit the intake of which item?
1. Sodium
2. Grapes
3. Red wine
4. Organ meat
1. Sodium
What microorganism would the nurse suspect as the cause of acute glomerulonephritis?
1. Haemophilus
2. Streptococcus
3. Pseudomonas
4. Stpahylococcus
2. Streptococcus
A client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the nurse assess first?
a) Blood pressure
b) Temperature
c) Respirations
d) Pulse
D. Pulse
•Which approach would the nurse use for an older adult client with Alzheimer disease who frequently switches from being pleasant and happy to being hostile and unhappy without apparent external cause?
A. Pointing out reality to the client
B. Providing nursing care when the client is receptive
C. Encouraging the client to talk about personal feelings
D. Restraining the client when hostility is being exhibited
B. Providing nursing care when the client is receptive
A client develops bacterial meningitis. Which action is the priority nurse care?
A.Monitoring for signs of intracranial pressure
B.Adding pads to the side of the bed
C.Administering prescribed antibiotics
D.Administering glucocorticoids
C. Administering prescribed antibiotics
Which instructions would the nurse give to a patient with renal calculi? Select all that apply.
1. Drink plenty of water
2. Have spinach soup every day
3. Substitute lemon juice for tea
4. Include high amounts of protein in the diet
5. Consume foods rich in omega-3 fatty acids
1. Drink Plenty of Water
3. Substitute lemon juice for tea
What does UTI stand for?
1. Universal Tract Infection
2. Urinary Tube Infection
3. Urinary Tract Infection
4. Unilateral Tract Infection
3. Urinary Tract Infection
A client with early CKD is scheduled for a creatinine clearance test. What should the nurse do?
a) Provide the client with a sterile urine collection container.
b) Instruct the client to force fluids to 3,000 mL/day.
c) Instruct the client about the need to collect urine for 24 hours.
d) Prepare to insert an indwelling urethral catheter
C. Instruct the client about the need to collect urine for 24 hours.
The nurse is caring for a client diagnosed with restless leg syndrome (RLS). When would the nurse expect the client’s symptoms to be more pronounced?
A. In the morning
B. After standing for long periods of time
C. In the evening
D. In the winter months
C. In the evening
Which would the nurse conclude about isolation for the child admitted to the pediatric unit with a diagnosis of meningococcal meningitis?
A.It is unnecessary during the incubation period.
B.It is required for 7 to 10 days until the fever subsides
C.It will be unnecessary after the diagnosis is confirmed
D.It will be necessary for 24 to 72 hours after the initiation of antibiotic therapy
D. 24-72 hours after ABX therapy
Which intervention would the nurse implement first when providing care for an older adult male client who is immobile and incontinent of urine?
A.Restrict the client’s fluid intake
B.Regularly offer the client a urinal
C.Apply incontinence pants
D.Insert an indwelling urinary catheter
B. Regularly offer the client a urinal
A client arrive at a health clinic reporting a recent onset of hematuria, frequency, urgency, and pain on urination. Which diagnosis will the nurse observe in the patient’s medical record?
A.Chronic glomerulonephritis
B.Nephrotic syndrome
C.Pyelonephritis
D.Cystitis
D. Cystitis
A client with diabetes mellitus has had declining renal function over the past several years. Which diet regimen should the nurse recommend to the client on days between dialysis?
a) A low-protein diet with a prescribed amount of water
b) A high-protein diet with a prescribed amount of water
c) No protein in the diet and use of salt sparingly
d) A low-protein diet with an unlimited amount of water
A. a low protein diet with the prescribed amount of water.
Which communication strategy would be used by the nurse when working with a client experiencing substance withdrawal delirium?
A.Encouraging the client to practice self-control
B.Using humor when communicating with the client
C.Offering an introduction to the client at each meeting
D.Approaching the client from the side rather than the front
C. Offering an introduction to the client at each meeting
Which preventable childhood communicable disease may lead to encephalitis?
A.Varicella
B.Scarlet fever
C.Poliomyelitis
D.Whooping cough
A.Varicella
Which interventions should the nurse instruct the client to perform to decrease the incidence of urinary incontinence? Select all that apply.
1. Limit caffeine intake to one cup of coffee a day
2. Limit the intake of fluids
3. Stop smoking
4. Lose weight
5. Replace sugar with artificial sweetener
1, 3, 4
Limit caffeine intake
Stop Smoking
Lose weight
A nurse is caring for a client with acute pyelonephritis. Which nursing intervention is the most important?
a) Increasing fluid intake to 3 L/day
b) Using an indwelling urinary catheter to measure urine output accurately
c) Encouraging the client to drink cranberry juice to acidify the urine
d) Administering a sitz bath twice per day
A. increasing fluid intake to 3L/day
After a Transurethral Resection of the Prostate (TURP) for prostate cancer, a client has an indwelling catheter removed. The client then begins to have periods of incontinence. Which intervention would the nurse anticipate the provider ordering?
a) Self-catheterization
b) Artificial sphincter use
c) Fluid restriction
d) Kegel exercises
D. Kegel exercises
The nurse is giving education to a patient that has recently been diagnosed with Huntington’s disease. The nurse knows that the patient requires further education when which statement is made?
A. “My disease will become progressively worse.”
B. “ With the treatment given to me, over time, my disease will be cured.”
C. “My children are at risk for developing Huntington's disease.”
D. “ In order to maintain a healthy body weight, I have to eat 4-5 thousand calories per day.”
B. “ With the treatment given to me, over time, my disease will be cured.”
A patient presents to the unit with complaints of a headache and nuchal rigidity. During examination it is noted that the flexion of the patient’s neck causes flexion of the hips and knees. This finding is known as a positive ________ sign.
1. Kernig’s
2. Chvostek’s
3. Brudzinski’s
4. Trousseau’s
3. Brudzinski’s
The nurse is discussing ways to treat functional incontinence with a group of older adults in a senior citizens center. Which intervention would be most appropriate for the nurse to include in the presentation?
1. Timed voiding
2. Kegel exercises
3. Straight catheterization
4. Pharmacological treatment
1. Timed Voiding
A client with a urinary tract infection is to take nitrofurantoin four times each day. The client asks the nurse, "What should I do if I forget a dose?" What should the nurse tell the client?
a) "Take the prescribed dose as soon as you remember it, and if it is very close to the time for the next dose, delay that next dose."
b) "Take a lot of water with a double amount of your prescribed dose."
c) "Double the amount prescribed with your next dose."
d) "You can wait and take the next dose when it is due."
A. Take the prescribed dose as soon as you remember it.
Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia. Which finding during this procedure signals a significant problem?
a) White blood cell (WBC) count of 20,000/mm3 (0.02 L)
b) Hematocrit (HCT) of 35%
c) Blood glucose level of 200 mg/dl (11.1 mmol/L)
d) Potassium level of 3.5 mEq/L (3.5 mmol/L)
A. WBC
Which ability should the nurse expect from a patient in the mild stage of dementia of the Alzheimer’s type?
A. Remembering the daily schedule
B. Coping with anxiety
C. Recalling past events
D. Solving problems of daily living
C. Recalling past events
•The nurse is preparing a patient diagnosed with rule-out meningitis for a lumbar puncture. Which interventions should the nurse implement? Select all that apply.
1. Obtain an informed consent from the patient
2. Have the patient empty the bladder prior to the procedure
3. Place the patient in a side-lying position with the back arched.
4. Instruct patient to breathe rapidly and deeply during the procedure.
5. Explain what to expect during the procedure.
1. Obtain an informed consent from the patient
2. Have the patient empty the bladder prior to the procedure
3. Place the patient in a side-lying position with the back arched.
5. Explain what to expect during the procedure.