med surg test 4 ati questions

A nurse is developing a plan if care for a client who has a new ileal conduit. The nurse should include that the client is at risk for which of the following. ( select all that apply)

1. Anxiety 2. Infection 3. Impaired skin Integrity 4. Disturbed body image

A nurse is planning postoperative care for a client who is scheduled for a ileal conduit procedure. The nurse should include which of the following in the client's care. (select all that apply)

1. Apply a skin barrier around the stoma site. 2. Educate the client that hematuria is expected following the procedure. 3.Monitor hourly urine output.

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? (select all that apply)

1. Use sterile technique when preparing the irrigation solution. 2. Ensure the drainage tubing is patent and without obstruction or kinks. 3. Notify the surgeon if the urine is bright red in appearance or has large clots.

A nurse is teaching a client who has a new diagnosis of urge incontinence. Which of the following information should the nurse include in the teaching.

1. Your provider might prescribe anticholinergic medications. 2. You should limit fluids in the evening. 3. You should restrict your intake of caffeine.

A nurse is caring for a client who is 4 hrs postoperative following a kidney biopsy. Which of the following interventions should the nurse take. (Select all that apply).

1. monitor for hematuria 2. check for flank pain 3.

A nurse is planning care for a client who is scheduled to have a kidney biopsy. Which of the following information should the nurse include in the plan? (select all that apply)

1. obtain a urine specimen prior to the procedure. 2. obtain written, informed consent 3. maintain NPO status prior to the procedure. 4. obtain coagulation studies

A nurse is providing dietary teaching to a client who has chronic kidney disease (CKD). The nurse should instruct the client to limit which of the following nutrients.

1. protein 2. phosphorous 3. sodium

A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings.

1. slurred speech 2. bone pain 3. pruritus

A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to void. (select all that apply).

1. tomatoes 2. raisins 3. Bananas