NCLEX Managing care, quality, and safety of clients with urinary tract health problems

4. cancel the IVP and notify the healthcare provider (HCP).

105. A client is scheduled for an intravenous pyelogram (IVP). The evening before the procedure, the nurse learns that the client has a sensitivity to shellfish. The nurse should: 1. administer a cathartic to the client to empty the colon. 2. administer an antiflatulent to the client to relieve gas. 3. keep the client on nothing-by-mouth (NPO) status. 4. cancel the IVP and notify the healthcare provider (HCP).

1. discard the urine and obtain a new specimen.

106. The nurse finds a container with the client's urine specimen sitting on a counter in the bathroom. The client states that the specimen has been sitting in the bathroom for at least 2 hours. The nurse should: 1. discard the urine and obtain a new specimen 2. send the urine to the laboratory as quickly as possible. 3. add fresh urine to the collected specimen and send the specimen to the laboratory. 4. refrigerate the specimen until it can be transported to the laboratory.

1. There is an IV access with the appropriate tubing and normal saline as the priming solution. 2. There is a signed informed consent for transfusion therapy. 3. Blood typing and cross-matching are documented in the medical record. 4. The vital signs have been taken and documented in accordance with facility policy and procedure. 6. The client has an identification bracelet.

107. A client with early acute renal failure has anemia, tachycardia, hypotension, and shortness of breath. The healthcare provider (HCP) has prescribed 2 units of packed red blood cells (RBCS) What should the nurse determine prior to initiating the blood transfusion? Select all that apply. 1. There is an IV access with the appropriate tubing and normal saline as the priming solution. 2. There is a signed informed consent for transfusion therapy. 3. Blood typing and cross-matching are documented in the medical record. 4. The vital signs have been taken and documented in accordance w facility policy and procedure. 5. There is the second unit of blood in the medication room. 6. The client has an identification bracelet.

3. "I will ask the client to clean her labia, void into the toilet, and then into the specimen cup."

108. The nurse is instructing the unlicensed assistive personnel (UAP) about the correct technique for obtaining a clean-catch urine culture from a female client. Which statement indicates that th UAP has understood the instructions? 1. "I will have the client completely empty her bladder into the specimen cup." 2. "I will need to catheterize the client to get the urine specimen." 3. "I will ask the client to clean her labia, void into the toilet, and then into the specimen cup." 4. "I will obtain the specimen in the afternoon after the client has had plenty of fluids."

1. fluid restriction 3. vital signs every 4 hours instead of every shift 4. bed alarm 5. Foley catheter 6. strict intake and output 7. repeat electrolytes, urine for sodium and specific gravity in the morning

109. An elderly client admitted with new-onset confusion, headache, poor skin turgor, bounding pulse, and urinary incontinence has been drinking copious amounts of water. Upon reviewing the lab results, the nurse discovers a sodium level of 122 mEq/L (122 mmol/L). A report to the healthcare provider (HCP) should include what recommenda- tions? Select all that apply. 1. fluid restriction 2. encourage fluids 3. vital signs every 4 hours instead of every shift 4. bed alarm 5. Foley catheter 6. strict intake and output 7. repeat electrolytes, urine for sodiumn and specific gravity in the morning 8. 2-g sodium diet