Week 11: Concept of Elimination EAQ
A client who is taking rifampin tells the nurse, "My urine looks orange." What action will the nurse take?
Explain that this is expected
A nurse is caring for a client with Addison disease. Which information should the nurse include in a teaching plan to encourage this client to modify dietary intake?
Extra salt is needed to replace the amount being lost caused by lack of sufficient aldosterone to conserve sodium
A client is instructed to avoid straining on defecation postoperatively. Which food item chosen by the client indicates successful learning?
Green vegetables
A client who had a transurethral resection of the prostate is transferred to the postanesthesia care unit with an intravenous (IV) line and a urinary retention catheter. For which major complication is it most important for the nurse to assess during the immediate postoperative period?
Hemorrhage
A client is receiving hypertonic tube feedings. What should the nurse consider to be the main reason this client may experience diarrhea?
High osmolarity of the feedings
Which hormone may be excreted in urine during pregnancy?
Human chorionic gonadotropin
A child with nephrotic syndrome visits the clinic for follow-up. During the visit the parent states that the child is always tired and has no appetite. The nurse notes that the child has a muddy, pale complexion. What problem does the nurse suspect?
Impending renal failure
A healthcare provider prescribes furosemide for a client with hypervolemia. The nurse recalls that furosemide exerts its effects in what part of the renal system?
Loop of Henle
Which ovulation stimulant is derived from the urine of postmenopausal women?
Menotropins
A client hospitalized for uncontrolled hypertension and chest pain was started on a daily diuretic 2 days ago upon admission, with prescriptions for a daily basic metabolic panel. The client's potassium level this morning is 2.7 mEq/L (2.7 mmol/L). Which action should the nurse take next?
Notify the healthcare provider that the potassium level is below normal
A client has a colon resection with an anastomosis. What assessments by the nurse support a suspicion of impending shock? Select all that apply.
Oliguria Irritability Hypotension
The nurse is educating student nurses about the anatomy and physiology of the kidneys. What term does the nurse explain is used for the tip of the pyramid of a kidney?
Papilla
What is the maximum recommended length for enema tube insertion in an adolescent?
10 cm
A nurse identifies a moderate amount of bright red blood in a client's gastric drainage four hours after a subtotal gastrectomy. What should the nurse do first?
A nurse identifies a moderate amount of bright red blood in a client's gastric drainage four hours after a subtotal gastrectomy. What should the nurse do first?
A client with cancer of the colon is admitted to the hospital for a hemicolectomy. What does the nurse expect the preoperative plan of care to include?
Administering cleansing enemas and then neomycin
A nurse in the pediatric clinic is examining a toddler with suspected enterobiasis (pinworm infestation). For which first sign of an infestation should the nurse assess the child?
Anal itching
Which urinalysis finding indicates a urinary tract infection?
Presence of leukoesterase
A 9-year-old child with chronic kidney disease is undergoing peritoneal dialysis. For which associated complication should the nurse monitor the child?
Cloudy return dialysate
A client is taking fertility drugs for the first time. Which adverse effect of the drug should the nurse inform the client about?
Constipation
For what additional defect should the nurse assess an infant with exstrophy of the bladder?
Pubic bone malformation
What is the action of vasopressin
Reabsorbs water into the capillaries
A 4-year-old child with Wilms tumor undergoes nephrectomy. What essential information should the nurse plan to teach the parents?
Recognize the signs of urinary tract infection
Which intervention would be most beneficial in preventing a catheter-associated urinary tract infection in a postoperative client?
Removing the catheter within 24 hours
A school-aged child with newly diagnosed acute lymphocytic leukemia (ALL) is to undergo induction therapy with prednisone, vincristine, and asparaginase. After several days the child becomes constipated. What does the nurse suspect as the cause?
Vincristine, which decreases peristalsis
A 3-year-old preschooler has been hospitalized with nephrotic syndrome. What is the best way for the nurse to evaluate fluid retention or loss?
Weighing the child at the same time each day