NMNC 1110 - EAQ 3: Elimination

Which statement indicates the nurse has a correct understanding of kidney ultrasonography?

"Kidney ultrasonography makes use of sound waves and has minimal risk."

A 20-lb infant has a normal saline enema ordered, at a dose of 10 mL/kg. Which dose would the nurse administer?

90 mL

Which goal would the nurse expect a client receiving treatment for bacterial cystitis to achieve before their discharge from the hospital?

Achieve relief of clinical symptoms and maintain kidney function.

A client is scheduled for discharge after surgery. The medical record indicates that the client has not had a bowel movement since before surgery, which was 4 days ago. Which prescribed medication will the nurse administer to ensure a bowel movement before discharge?

Bisacodyl suppository

Which finding would the nurse expect when taking a health history of a 15-month-old child with celiac disease?

Has bulky, foul, frothy stools

Which ovulation stimulant would the nurse identify as being derived from the urine of postmenopausal women?

Menotropins

Which stool finding would the nurse anticipate in a breastfed neonate? Select all that apply. One, some, or all responses may be correct.

Pasty consistency

In which parts of the kidney are glucose and amino acids reabsorbed?

Proximal tubule

Which statement explains why women have a greater risk for recurrent urinary tract infections than men do?

Proximity of the urethra to the anus

Which diagnostic tests are used to measure kidney size? Select all that apply. One, some, or all responses may be correct.

Radiography Computed tomography (CT)

Which dietary selections made by the client indicate understanding of previously taught dietary principles associated with having viral hepatitis?

Salad, sliced chicken sandwich, gelatin dessert

Which client statement indicates understanding of content taught about removing his or her three-way indwelling catheter and continuous bladder irrigation (CBI)?

"I probably will have diluted urine."

A client with chronic kidney disease selects treatment using continuous ambulatory peritoneal dialysis (CAPD). Which statement indicates the client understands the purpose of this therapy?

"The treatment uses the peritoneum as a semipermeable membrane to clear toxins by osmosis and diffusion."

Which is the maximum recommended length for enema tube insertion in an adolescent? Record your answer using a whole number. _____ cm

10

For optimum nutrition, which intervention would the nurse implement when determining a client, who sustained a cerebrovascular accident (also known as a "brain attack"), needs assistance with eating?

Encourage the client to participate in the feeding process.

Which assessment finding of a client with heart failure would prompt the nurse to contact the health care provider? Select all that apply. One, some, or all responses may be correct.

Fatigue Orthopnea Pitting edema Dry hacking cough 4-pound weight gain

Which organ-specific autoimmune disorder would the nurse associate with a client's kidney?

Goodpasture syndrome

Which hormone would the nurse identify as being excreted in urine during pregnancy?

Human chorionic gonadotropin

A health care provider prescribes furosemide for a client with hypervolemia. The nurse recalls that furosemide exerts its effects in which part of the renal system?

Loop of Henle

At which site would the nurse obtain a sterile urinalysis from a client with an indwelling catheter?

Tubing injection port

Identify the type of hypersensitivity reaction associated with systemic lupus erythematosus (SLE).

Type 3

A client recovering from deep, partial-thickness burns develops chills, fever, flank pain, and malaise. Which prescribed diagnostic test would the nurse expect to confirm a tentative urinary tract diagnosis?

Urinalysis and urine culture and sensitivity

Which collecting structure is located at the end of the renal papilla?

Calyx

To ensure a quality specimen and an accurate test result, which instruction would the nurse give a client who is scheduled to undergo urine endocrine testing?

"Store the urine specimen in a cooler with ice."

The nurse in the pediatric clinic is examining a toddler with a suspected pinworm (Enterobius vermicularis) infestation. Which first sign of an infestation would the nurse assess the child?

Anal itching

A client who takes rifampin tells the nurse, "My urine looks orange." Which action would the nurse take?

Explain that this is expected.

Which surgical procedure involves urinary diversion in which the ureters are transplanted to a resected section of the small intestines, with one end attached to the abdominal wall?

Ileal conduit

The nurse shares the discharge instructions with a client who has prostate cancer. The client asks, "How much more blood will they need? Don't they have enough?" Which laboratory test would the nurse discuss the need to monitor throughout the course of the disease?

Prostate-specific antigen (PSA)

Which electrolyte deficiency triggers the secretion of renin?

Sodium

Which rational explains the purpose of administering diphenoxylate hydrochloride to clients with acquired immunodeficiency syndrome (AIDS)?

To manage diarrhea