hesi week 8

A client with a renal disorder is scheduled for an intravenous pyelogram (IVP). Which interventions should the nurse undertake prior to the procedure? Select all that apply.

Ensure that the consent form is signed Assess the client for iodine sensitivity Administer an enema or cathartic to the client

A child is administered a RotaTeq vaccine. What adverse drug effect should the nurse monitor for?

Intussusception

Which dietary selection by the client leads the nurse to determine that teaching about a low-residue diet is understood?

Lean roast beef, buttered white rice with egg slices, white bread with jelly, tea with sugar

A nurse is caring for a preterm infant with necrotizing enterocolitis (NEC). Which nursing intervention is most important for this infant?

Measuring abdominal girth frequently

A client has returned from surgery with a nephrostomy tube. Which is the most essential nursing intervention for this client?

Ensure free drainage of urine.

Nitrofurantoin 0.1 g is prescribed for a client with a urinary tract infection. Each tablet contains 50 mg. How many tablets will the nurse administer? Record your answer using a whole number. ___

2

Despite receiving 2900 mL intake for 2 days, the client's urine output has progressively diminished. The nurse identifies that the urinary output is less than 40 mL/hr over the past 3 hours. What action will the nurse take?

Assess breath sounds and obtain vital signs

A toddler who lacks toilet training is admitted to a hospital. What does the nurse need to do when collecting urine samples from the toddler? Select all that apply.

Attach single-use bags over the child's urethral meatus. Use the terms for urination that the child can understand.

An infant with a cardiac defect is fed in the semi-Fowler position. After the nurse feeds and burps the infant and changes the infant's position, the infant has a bowel movement and almost immediately becomes cyanotic, diaphoretic, and limp. Which activity most likely caused the infant's response?

Bowel movement

A healthcare provider schedules a paracentesis for a client with ascites. What should the nurse include in the client's teaching plan?

Emptying the bladder immediately before the procedure

How should the nurse expect the urine of a child with acute glomerulonephritis with hematuria to appear?

Cola-colored

During the fourth stage of labor, the assessment of a primipara who has had a vaginal birth reveals a moderate to large amount of lochia rubra, a firm fundus that is at the umbilicus and deviated to the right, and pain that she rates as a 3 on a scale of 1 to 10. What is the priority nursing action?

Helping the client void.

A client undergoing treatment for a medical condition gave birth to a baby with renal failure as a result of the teratogenic effect of the medications. Which medical condition is the client likely getting treated for?

Hypertension

In which medical conditions do the client's chloride levels in the 24-hour urine sample test increase? Select all that apply.

Hypokalemia Adrenal Insufficiency

The nurse is caring for a client with nephrogenic diabetes insipidus who is prescribed a low-sodium diet and chlorothiazide therapy. The client fails to respond to the therapy. Which alternative treatment should the nurse be prepared to administer?

Indomethacin

A nurse is caring for an infant born with exstrophy of the bladder. What does the nurse identify as the greatest risk for this infant?

Infection

A nurse is planning care for a client admitted to the hospital with abdominal spasms and pain associated with severe diarrhea. What primary serum blood level should the nurse monitor?

Potassium

The nurse identifies a decrease in serum sodium when reviewing the laboratory reports of an older client with diarrhea. A decrease in which additional electrolyte is a cause for the greatest concern for this client?

Potassium

One week after beginning antithyroid medication for the treatment of hyperthyroidism, a client reports diarrhea, abdominal pain, and a fever. The client is admitted with a diagnosis of thyrotoxic crisis. What is the most important intervention to implement for this client?

Reducing body temperature and HR

A client with end-stage kidney disease is receiving continuous ambulatory peritoneal dialysis. The nurse should monitor the client for which peritoneal dialysis complications? Select all that apply

Tachycardia Cloudy outflow Abdominal pain

A client is diagnosed with pheochromocytoma. Which finding in the urinalysis report supports the diagnosis?

Total catecholamines - 640 mmol/24 hr

A client with urinary incontinence is prescribed amitriptyline. Which instruction should the nurse provide to the client?

You should rise slowly from a sitting to a standing position.

A client has corrective surgery for a bladder laceration. What nursing intervention takes priority during this client's postoperative period?

turning frequently

An older adult client comes to the emergency department reporting pink-tinged urine. An electrocardiogram (ECG) is performed, which is within acceptable limits, and blood specimens are sent to the laboratory for diagnostic tests. The nurse obtains a health history and the client's vital signs and reviews the laboratory test results. What nursing action is a priority when caring for this client?

Institute measures to prevent physical injury.

A nurse is providing discharge teaching for a client who recently had surgery for an abdominal perineal resection of the colon and the creation of a colostomy. Which condition will the nurse share with the client for when to call the healthcare provider immediately?

Difficulty inserting the irrigation tube

A client with a history of chronic kidney disease is hospitalized. Which assessment findings will alert the nurse to kidney insufficiency?

Edema and pruritis

The urinalysis report of a client reveals pH to be 6, turbidity-cloudy, specific gravity of 1.02, and 0.7 mg/dL of proteins. What does the primary healthcare provider infer from the findings?

Infection

A client who just had a transurethral resection of the prostate reports pain in the operative area. What should the nurse do first?

Inspect the drainage tubing for occlusion

A nurse is caring for a client who has urinary incontinence as the result of a cerebrovascular accident (also known as "brain attack"). What action should the nurse include in the plan of care to limit the occurrence of urinary incontinence?

Institute measures to prevent constipation.

The nurse is caring for a client who is on a low-carbohydrate diet. With this diet, there is decreased glucose available for energy and fat is metabolized for energy, resulting in an increased production of which substance in the urine?

Ketones