Nur 1100 Week 6 Quiz

The nurse educator is presenting a lecture on clients at risk for developing urinary tract infections (UTIs). Which response made by the staff nurse would indicate to the educator a need for further teaching? -"Having sexual relationships does not put a woman at risk for developing a UTI." -"I will make sure to teach my clients with diabetes mellitus to control their glucose level to help prevent a UTI." -"A woman using an intrauterine device for contraceptive reason is at risk for developing a UTI." -"Due to the physiologic changes with aging, the elderly are at risk for developing a UTI."

"Having sexual relationships does not put a woman at risk for developing a UTI."

A nurse is planning care for a client who has a serum potassium level of 3.0 mEq/L. The nurse should plan to monitor the client for which of the following findings? A. Hyperactive deep-tendon reflexes B. Orthostatic hypotension C. Rapid, deep respirations D. Strong, bounding pulse

B. Orthostatic hypotension

The parent of a 5-year-old child tells the nurse that on two occasions her son has lost control of urination when he had to wait to go to the bathroom at school. What is the appropriate nursing response? "Let's review the types of fluids that your child drinks in the morning." "This is extremely abnormal. You will need to see your son's pediatrician." "It would be appropriate to place your son in incontinence undergarments." "I would only worry about this if you were raising a daughter."

"Let's review the types of fluids that your child drinks in the morning."

A woman informs the nurse that when she is experiencing stress it is difficult to void, and wonders why this happens. What is the nurse's best explanation? "You might have a neurologic condition." "What medications are you taking?" "Stress causes the muscles to become tense." "You require greater privacy to void."

"Stress causes the muscles to become tense."

The catheter slips into the vagina during a straight catheterization of a female client. The nurse does which action? 1. leaves the catheter in place and gets a new sterile catheter. 2. leaves the catheter in place and asks another nurse to attempt the procedure 3. removes the catheter and redirects it to the urinary meatus. 4. removes the catheter, wipes it with a sterile gauze, and redirects it to the urinary meatus.

1. leaves the catheter in place and gets a new sterile catheter.

During assessment of the client with urinary incontinence, the nurse is most likely to assess for which of the following? Select ALL that apply. 1. perineal skin irritation 2. fluid intake of less than 1,500 mL/day 3. History of antihistamine intake 4. History of frequent urinary tract infections 5. fecal impaction

1. the perineum may become irritated by the frequent contact with urine 2. Normal fluid intake is at least 1,500 mL/day and clients often decrease their intake to try to minimize urine leakage 4. UTIs can contribute to incontince 5. Fecal impaction can compress the urethra, which can result in small amounts of urine leakage

A female client has a UTI. Which teaching points by the nurse would be helpful to the client? Select ALL that apply 1. Limit fluids to avoid the burning sensation on urination 2. review symptoms of UTI with the client. 3. wipe the perineal area from back to front 4. wear cotton underclothes 5. take baths rather than showers

2 & 4

Which of the following behaviors indicates that the client on a bladder training program has met the expected outcome? Select ALL that apply 1. voids each time there is an urge 2. practices slow, deep breathing until the urge decreases 3. uses adult diapers, for "just in case." 4. Drinks citrus juices and carbonated beverages 5. Performs pelvic muscle exercises

2 & 5

The nurse will need to assess the client's performance of clean intermittent self-catheterization for a client with which urinary diversion? 1. Ileal conduit 2. Kock pouch 3. Neobladder 4. Vesicostomy

2. Kock Pouch

Which action represents the appropriate nursing management of a client wearing a condom catheter? 1. Ensure that the tip of the penis fits snugly against the end of the condom. 2. check the penis for adequate circulation 30 minutes after applying. 3. change the condom every 8 hours 4. tape the collecting tube to the lower abdomen.

2. check the penis for adequate circulation 30 minutes after applying.

Which statement indicates a need for further teaching of the home care client with a long-term indwelling catheter? 1. "I will keep the collecting bag below the level of the bladder at all times." 2. "Intake of cranberry juice may help decrease the risk of infection." 3. "Soaking in a warm tub bath may ease the irritation associated with the catheter." 4. "I should use clean technique when emptying the collecting bag."

3. "Soaking in a warm tub bath may ease the irritation associated with the catheter."

Which focus is the nurse most likely to teach for a client with a flaccid bladder? 1. Habit training: attempt voiding at specific time periods 2. bladder training: delay voiding according to a preschedule timetable 3. crede's maneuver: apply gentle manual pressure to the lower abdomen. 4. Kegel exercises: contract the pelvic muscles

3. crede's maneuver: apply gentle manual pressure to the lower abdomen.

The nurse recognizes that urinary elimination changes may occur even in healthy older adults because of which of the following? 1. The bladder distends and its capacity increases. 2. Older adults ignore the need to void. 3. Urine becomes more concentrated 4. the amount of urine retained after voiding increases

4. the amount of urine retained after voiding increases

During shift report, the nurse learns that an older female client is unable to maintain continence after she senses the urge to void and becomes incontinent on the way to the bathroom. Which nursing diagnosis is most appropriate? 1. Stress Urinary incontinence 2. reflex urinary incontinence 3. Functional Urinary incontinence 4. urge urinary incontinence

4. urge urinary incontinence

A nurse is planning care for a client who has experienced excessive fluid loss. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Administer IV fluids evenly over 24hr B. Provide the client with a salt substitute C. Assess for pitting edema D. Encourage the client to rise slowly when standing up E. Weigh the client every 8hr

A. Administer IV fluids evenly over 24hr D. Encourage the client to rise slowly when standing up E. Weigh the client every 8hr

The nurse is caring for a patient who had a parathyroidectomy. Upon evaluation of the patient's laboratory studies, the nurse would expect to see imbalances in which electrolyte related to the removal of the parathyroid gland? A. Calcium and phosphorus B. Potassium and chloride C. Potassium and sodium D. Chloride and magnesium

A. Calcium and phosphorus

A nurse is assessing a client who has hyperkalemia. Which of the following findings should the nurse expect? A. Decreased muscle strength B. Decreased gastric motility C. Increased heart rate D. Increased blood pressure

A. Decreased muscle strength

What it the movement of water in and out of a permeable membrane from an area of higher pressure to one of lower pressure? A. Filtration B. Osmosis C. Passive D. Diffusion

A. Filtration

(Select all that apply)What are the functions of electrolytes in the body? A. Fluid balance B. Neuromuscular activity C. Cardiovascular activity D. Enzyme reactions E. Acid-Base balance

A. Fluid balance B. Neuromuscular activity C. Cardiovascular activity D. Enzyme reactions E. Acid-Base balance

The nurse's morning assessment of a patient who has a history of heart failure reveals the presence of 2+ pitting edema in the patient's ankles and feet bilaterally. What is this assessment finding suggestive of? A. Fluid volume excess B. Hypovolemia C. Metabolic acidosis D. Hyponatremia

A. Fluid volume excess

A nurse is assessing a client who has hypomagnesemia. Which of the following findings should the nurse expect? A. Hyperactive deep-tendon reflexes B. Increased bowel sounds C. Drowsiness D. Decreased blood pressure

A. Hyperactive deep-tendon reflexes

While reviewing a client's laboratory results, a nurse notes a serum calcium level of 8.0 mg/dL. Which of the following actions should the nurse take?A. Implement seizure precautions B. Administer phosphate C. Initiate diuretic therapy D. Prepare the client for hemodialysis

A. Implement seizure precautions

Which patient is at a greater risk for fluid volume deficit related to the loss of total body fluid and extracellular fluid? A. a 4-month-old infant B. a 45-year-old woman C. an 86-year-old man D. a 17-year-old adolescent

A. a 4-month-old infant

A nurse suspects a patient with electrolyte imbalances is experiencing hypomagnesemia. What nursing assessment finding may indicate hypomagnesemia? A. hyperactive deep tendon reflexes (DTRs) B. hyperthermia C. hypothermia D. hypoactive deep tendon reflexes (DTRs)

A. hyperactive deep tendon reflexes (DTRs)

Which of the following statements most accurately describes osmosis? A. water moves from an area of lower solute concentration to an area of higher solute concentration B. solutes pass through semipermeable membranes to areas of lower concentration C. plasma proteins facilitate the reabsorption of fluids into the capillaries D. water shifts from high-solute areas of lower solute concentration

A. water moves from an area of lower solute concentration to an area of higher solute concentration

A nurse is assessing a client who has a serum calcium level of 8.1 mg/dL. Which of the following findings is the priority for the nurse to assess? A. Deep-tendon reflexes B. Cardiac rhythm C. Peripheral sensation D. Bowel sounds

B. Cardiac rhythm

What is the pulling force into the capillary area? A. Filtration B. Colloid osmotic pressure C. Hydrostatic pressure D. Capillary hydrostatic pressure

B. Colloid osmotic pressure

A nurse is reviewing the laboratory data on four clients. Which of the following serum laboratory values should the nurse expect off for the client who is experiencing 2+ pitting ankle edema? A. Sodium 138 mEq/L B. Hematocrit 34% C. BUN 22 mg/dL D. Protein 9 g/L

B. Hematocrit 34%

What is the constancy in the environment of the body that is naturally maintained by adaptive responses? A. Osmosis B. Homeostasis C. Immune Response D. Balance

B. Homeostasis

Endurance athletes who exercise for long periods of time and consume only water may experience a sodium deficit in their extracellular fluid. What is this electrolyte imbalance known as? A. Hypokalemia B. Hyponatremia C. Hypernatremia D. Hyperkalemia

B. Hyponatremia

A nurse is caring for a client who is experiencing respiratory distress as a result of acute pulmonary edema. Which of the following actions should the nurse take first? A. Assist with intubation B. Initiate high-flow oxygen therapy C. Administer a rapid-acting diuretic D. Administer morphine IV

B. Initiate high-flow oxygen therapy

A nurse is evaluating a client who is receiving IV fluids to treat isotonic dehydration. Which of the following laboratory findings indicates that the fluid therapy has been effective? A. BUN 26 mg/dL B. Serum sodium 138 mEq/L C. Hct 56% D. Urine specific gravity 1.035

B. Serum sodium 138 mEq/L

The nurse is administering albumin to a patient to promote movement of fluid into the capillaries. What is the "pulling force" of fluid by use of a protein such as albumin known as? A. diffusion B. colloid osmotic pressure C. osmosis D. active transport

B. colloid osmotic pressure

A patient who is NPO prior to surgery is complaining of thirst. What is the physiologic process that drives this thirst factor? A. increased blood volume and intracellular dehydration B. decreased blood volume and intracellular dehydration C. decreased blood volume and extracellular overhydration D. increased blood volume and extracellular overhydration

B. decreased blood volume and intracellular dehydration

The nurse is caring for a client who reports having cloudy, foul-smelling urine. Which other symptoms does the nurse anticipate that the client has? burning and frequency episodes of clear urine mixed with episodes of cloudy urine constipation and fluid overload difficulty starting the stream of urine

Burning and Frequency

A nurse is caring for a client who is receiving furosemide daily. During the morning assessment, the client tells the nurse that he is "feeling weak in the legs." Which of the following actions should the nurse take first? A. Monitor the client's bowel sounds B. Review the client's daily laboratory results C. Auscultate the client's lungs D. Palpate the client's peripheral pulses

C. Auscultate the client's lungs

A nurse is caring for a client who has dehydration and is receiving IV fluids. When assessing for complications, the nurse should recognize which of the following manifestations as a sign of fluid overload? A. Increased urine specific gravity B. Hypoactive bowel sounds C. Bounding peripheral pulses D. Decreased respiratory rate

C. Bounding peripheral pulses

What is the passive solute movement across a permeable membrane from high to low until equal going downhill? A. Filtration B. Osmosis C. Diffusion D. Active

C. Diffusion

A nurse is assessing a client who has a serum phosphorus level of 2.4 mg/dL. Which of the following findings should the nurse expect? A. Hepatic failure B. Abdominal pain C. Slow peripheral pulsations D. Increase in cardiac output

C. Slow peripheral pulsations

A nurse is preparing to administer oral potassium for a client who has a potassium level of 5.5 mEq/L. Which of the following actions should the nurse take first? A. Administer a hypertonic solution B. Repeat the potassium level C. Withhold the medication D. Monitor for paresthesia

C. Withhold the medication

The nurse is performing data collection on an older adult client brought to the clinic by his daughter. Which finding collected would indicate to the nurse that the client may have a urinary tract infection (UTI)? Confusion Gender Frequency Nocturia

Confusion

The nurse is caring for a client who reports burning upon urination, and an ongoing sense of needing to urinate. Which urine characteristics does the nurse anticipate? cloudy, foul odor light yellow, clear strongly aromatic, amber clear, dark amber

cloudy, foul odor

A nurse is teaching nutritional strategies to a client who has a low serum calcium level and an allergy to milk. Which of the following statements by the client indicates an understanding of the teaching? A. "I will eat extra cheese because I can't drink milk." B. "I will need to avoid foods with vitamin D because I am allergic to milk." C. "I will stop taking my calcium supplements if they irritate my stomach." D. "I will add broccoli and kale to my diet."

D. "I will add broccoli and kale to my diet."

What is the energy transportation, expending energy by going against the concentration gradient, and traveling from an area of lower concentration to higher going uphill? A. Filtration B. Osmosis C. Passive D. Active

D. Active

What is the pushing force out into the interstitial space? A. Filtration B. Colloid osmotic pressure C. Hydrostatic pressure D. Capillary hydrostatic pressure

D. Capillary hydrostatic pressure

A patient admitted with heart failure requires careful monitoring of his fluid status. What assessment parameter will provide the nurse with the best indication of the patient's fluid status? A. Intake and output measurements B. Daily BUN and serum creatinine monitoring C. Daily electrolyte monitoring D. Daily weights

D. Daily weights

A nurse is assessing a client who has dehydration. Which of the following assessments is the priority? A. Skin turgor B. Urine output C. Weight D. Mental status

D. Mental status

What is the movement of water only through a semipermeable cell membrane from an area of less concentration of particles to an area of greater? A. Osmolarity B. Diffusion C. Active D. Osmosis

D. Osmosis

A nurse is caring for a client who requires continuous cardiac monitoring. The nurse identifies a prolonged PR interval and a widened QRS complex. Which of the following laboratory values supports this finding? A. Sodium 152 mEq/L B. Chloride 102 mEq/L C. Magnesium 1.8 mEq/L D. Potassium 6.1 mg/L

D. Potassium 6.1 mg/L

A nurse is planning dietary teaching for a client who has hypermagnesemia. Which of the following food choices contains the most magnesium and is, therefore, a food the nurse should plan to instruct the client to avoid? A. Hard-boiled eggs B. Cheddar cheese C. Raw rhubarb D. Raw spinach

D. Raw spinach

A patient's most recent blood work indicates a K+ level of 7.2 mEq/L, a finding that constitutes hyperkalemia. What signs and symptoms should the nurse vigilantly monitor for? A. metabolic acidosis B. increased intracranial pressure (ICP) C. muscle weakness D. cardiac irregularities

D. cardiac irregularities

A dialysis unit nurse caring for a patient with renal failure will expect the patient to exhibit which fluid and electrolyte imbalances? A. fluid volume deficit and acidosis B. fluid volume excess and alkalosis C. fluid volume deficit and alkalosis D. fluid volume excess and acidosis

D. fluid volume excess and acidosis

A patient has been admitted to the hospital with a diagnosis of acute renal failure, a health problem the necessitates vigilant monitoring of the patient's fluid balance. What is the most accurate way that the care team can achieve this assessment goal? A. daily laboratory studies B. measurement of urine concentration C. daily assessment of the patient's skin turgor D. weighing the patient once per day

D. weighing the patient once per day

The nurse is working with a client who requires continence training. Which client teaching about pelvic floor muscle exercises (Kegel exercises) will the nurse include? Keep muscles contracted for at least 10 seconds. Perform these exercises two times daily for a week. Loosen the internal muscles used to prevent or interrupt urination. Relax muscles for at least 5 minutes between Kegels.

Keep muscles contracted for at least 10 seconds.

An older adult client is experiencing urinary retention. What age-related physiologic change does the nurse discuss with the client that may be a contributing factor? Older adults may have a decrease in contraction of the bladder. Older adults can have a decrease in bladder muscle tone. Older adults have a decreased ability to concentrate urine. Older adults who have limited support can feel powerless.

Older adults may have a decrease in contraction of the bladder.

While providing care to a client admitted to the health care facility, the client states that she has "a burning sensation when urinating." After further questioning, the nurse inspects the client's perineal area. Which sign/symptom would the nurse document as an abnormal finding? Moist perineal skin Absence of discharge Reddened perineal skin Presence of smegma

Reddened perineal skin

Which catheter would the nurse use to drain a client's bladder for short periods (5 to 10 minutes)? Foley catheter suprapubic catheter straight catheter indwelling urethral catheter

Straight Catheter

A 70-year-old client who has four children and six grandchildren states that she "wets" herself when she sneezes or laughs. She reports that sometimes this also occurs when rising from a sitting to standing position. Which type of incontinence does the nurse anticipate? total stress reflect urge

Stress

The clinic nurse is collecting data from a female client with frequent, recurrent urinary tract infections who was discharged from the hospital. Which data collection would indicate to the nurse that the client is adhering to discharge instructions? The client soaks in the bathtub daily for perineal care. The client drinks two glasses of water before and after sexual intercourse. Since the client is symptom-free, she no longer takes the prescribed antibiotics. The client drinks eight 8-oz glasses of cranberry juice daily.

The client drinks two glasses of water before and after sexual intercourse.

The nurse is teaching a client how to perform pelvic floor muscle exercises (Kegel exercises). Which teaching will the nurse include? Perform these exercises 10 times daily for 1 month. Relax muscles for at least 1 minute between Kegels. Keep muscles contracted for at least 30 seconds. Tighten the internal muscles used to prevent or interrupt urination

Tighten the internal muscles used to prevent or interrupt urination.

A sterile urine specimen for culture and sensitivity has been ordered for a client who has an indwelling urinary catheter. How should the nurse obtain this specimen? Empty the collection bag, wait 30 minutes, and then collect the contents of the collection bag. Withdraw several milliliters of urine from the port on the collection tubing, using a syringe and needle. Discontinue the indwelling catheter and insert an intermittent catheter to obtain the sterile specimen. Collect a urine specimen from the collection bag first thing in the morning, or a few hours after the client receives a diuretic.

Withdraw several milliliters of urine from the port on the collection tubing, using a syringe and needle.

The nurse is caring for a patient in the intensive care unit (ICU) following a saltwater near-drowning event. The client is restless, lethargic, and demonstrating tremors. Additional assessment findings include swollen dry tongue, flushed skin, and peripheral edema. The nurse anticipated that the patient's serum sodium value would be which of the following? a) 155 mEq/L b) 135 mEq/L c) 125 mEq/L d) 145 mEq/L

a) 155 mEq/L

The nurse is assigned to care for a patient with a serum phosphorus level of 5.0 mg/dL. The nurse anticipates that the patient will also experience which of the following electrolyte imbalances? a) Hypocalcemia b) Hyponatremia c) Hyperchloremia d) Hypermagnesemia

a) Hypocalcemia

The nurse is caring for a patient who was admitted with fluid volume excess (FVE). Which of the following nursing assessments should the nurse include in the ongoing monitoring of the patient? Select all that apply. a) Intake and output, urine volume, and color b) Blood pressure, heart rate, and rhythm c) Strength testing for muscle wasting d) Nutritional status and diet e) Skin assessment for edema and turgor

a) Intake and output, urine volume, and color b) Blood pressure, heart rate, and rhythm e) Skin assessment for edema and turgor

The nurse is caring for a patient undergoing alcohol withdrawal. Which of the following serum laboratory values should the nurse monitor most closely? a) Magnesium b) Potassium c) Phosphorus d) Calcium

a) Magnesium

The nurse is analyzing the electrocardiographic (ECG) rhythm tracing of a patient experiencing hypercalcemia. Which of the following ECG changes is typically associated with this electrolyte imbalance? a) Prolonged PR intervals b) Elevated ST segments c) Prolonged QT intervals d) Peaked T waves

a) Prolonged PR intervals

A nurse is caring for a patient with acute renal failure and hypernatremia. Which of the following actions can be delegated to the nursing assistant? a) Provide oral care every 2-3 hours. b) Monitor for signs and symptoms of dehydration. c) Teach the patient about increased fluid intake. d) Assess the patient's daily weights for trends.

a) Provide oral care every 2-3 hours.

A nurse is preparing to initiate a bladder‑retraining program for a client who has incontinence. Which of the following actions should the nurse take? (Select all that apply.) a. Establish a schedule of urinating prior to meal times. B. Have the client record urination times. C. Gradually increase the urination intervals. D. remind the client to hold urine until the next scheduled urination time. E. Provide a sterile container for urine.

a. Bladder training involves voiding at scheduled frequent intervals and gradually increasing these intervals to 4 hr.meal times are not regular, and the intervals can be longer than every 4 hr. B. CORRECT: the nurse should ask the client to keep track of urination times as a record of progress toward the goal of 4‑hr intervals between urination. C. CORRECT: Gradually increasing the urination intervals helps the client progress toward the goal of 4‑hr intervals between urination. D. CORRECT: the nurse should remind the client to hold urine until the next scheduled urination time as part of progressing toward the goal of 4‑hr intervals between urination. E. a bladder‑retraining program does not involve collecting sterile urine specimens

A nurse is reviewing factors that increase the risk of urinary tract infections (UtIs) with a client who has recurrent UtI's. Which of the following factors should the nurse include? (Select all that apply.) a. Frequent sexual intercourse B. lowering of testosterone levels C. Wiping from front to back D. location of the urethra in relation to the anus E. Frequent catheterization

a. CORRECT: Having frequent sexual intercourse increases the risk of UTIs in both men and women. B. the decrease in estrogen levels during menopause increases a woman's susceptibility to UTI's. C. Wiping from front to back decreases a woman's risk of UTIs. D. CORRECT: the close proximity of the female urethra to the anus is a factor that increases the risk of UTIs. E. CORRECT: Frequent catheterization and the use of indwelling catheters are risk factors for UTIs

A client who has an indwelling catheter reports a need to urinate. Which of the following actions should the nurse take? a. Check to see whether the catheter is patent. B. reassure the client that it is not possible for her to urinate. C. recatheterize the bladder with a larger‑gauge catheter. D. Collect a urine specimen for analysis

a. a clogged or kinked catheter causes the bladder to fill and stimulates the need to urinate

A nurse is caring for a client who has a prescription for a 24‑hr urine collection. Which of the following actions should the nurse take? a.Discard the first voiding. B.Keep the urine in a single container at room temperature. C. ask the client to urinate and pour the urine into a specimen container. D. ask the client to urinate into the toilet, stop midstream, and finish urinating into the specimen container.

a. the nurse should discard the first voiding of the 24‑hr urine specimen, and note the time

A nurse in a provider's office is evaluating a client who reports losing control of urine whenever she coughs, laughs, or sneezes. the client relates a history of three vaginal births, but no serious accidents or illnesses.Which of the following interventions should the nurse suggest for helping to control or eliminate the client'sincontinence? (Select all that apply.) a. limit total daily fluid intake. B.Decrease or avoid caffeine. C. take calcium supplements. D. avoid drinking alcohol. E.Use the Credé maneuver.

a.Because stress incontinence results from weak pelvic muscles and other structures, limiting fluids will not resolve the problem. B. CORRECT: Caffeine is a bladder irritant and can worsen stress incontinence. C. Calcium has no effect on stress incontinence. D. CORRECT: alcohol is a bladder irritant and can worsen stress incontinence. E. the Credé maneuver helps manage reflex incontinence, not stress incontinence

When caring for a patient who has risk factors for fluid and electrolyte imbalances, which of the following assessment findings is the highest priority for the nurse to follow up? a) Mild confusion b) Irregular heart rate c) Weight loss of 4 lb d) Blood pressure 96/53 mm Hg

b) Irregular heart rate

The nurse is caring for a patient diagnosed with hyperchloremia. Signs and symptoms of hyperchloremia include which of the following? Select all that apply. a) Hypotension b) Tachypnea c) Lethargy d) Weakness e) Dehydration

b) Tachypnea c) Lethargy d) Weakness

The nurse is caring for a client diagnosed with bulimia. The client is being treated for a serum potassium level of 2.9 mEq/L. Which of the following statements made by the patient indicates the need for further teaching? a) "I will take a potassium supplement daily as prescribed." b) "I will be sure to buy frozen vegetables when I grocery shop." c) "I can use laxatives and enemas but only once a week." d) "A good breakfast for me will include milk and a couple of bananas."

c) "I can use laxatives and enemas but only once a week."

The nurse is caring for a patient with a serum sodium level of 113 mEq/L. The nurse should monitor the patient for the development of which of the following? a) Hallucinations b) Nausea c) Confusion d) Headache

c) Confusion

A woman is reporting bladder urgency. It is most important to assess: weight. exercise. vitamin supplements. caffeine intake.

caffeine intake

When a client is diagnosed with a urinary tract infection, the nurse anticipates that the client's urine will be: light yellow with a faint ammonia odor. greenish with a strong ammonia odor. transparent with an aromatic odor. cloudy with an offensive odor.

cloudy with an offensive odor.

The nurse is instructing a patient with recurrent hyperkalemia about following a potassium-restricted diet. Which of the following patient statements indicates the need for additional instruction? a) "Bananas have a lot of potassium in them, I'll stop buying them." b) "I need to check if my cola beverage has potassium in it." c) "I'll drink cranberry juice with my breakfast instead of coffee." d) "I will not salt my food, instead I'll use salt substitute."

d) "I will not salt my food, instead I'll use salt substitute."

The nurse has been assigned to care for the following patients. Which patient is at the highest risk for a fluid and electrolyte imbalance? a) A 45-year-old man who had a laparoscopic appendectomy 24 hours ago being advanced to a regular diet. b) A 79-year-old man admitted with a diagnosis of pneumonia. c) A 66-year-old woman who had an open cholecystectomy with a T-tube placed that is draining 125 mL of bile per shift. d) An 82-year-old woman who receives all nutrition via tube feedings. Her medications include carvedilol (Coreg) and torsemide (Demadex).

d) An 82-year-old woman who receives all nutrition via tube feedings. Her medications include carvedilol (Coreg) and torsemide (Demadex).

A patient is being treated with loop diuretics; gastric suctioning has been initiated. The nurse understands the patient is at risk for developing which of the following electrolyte imbalances? a) Hypocalcemia b) Hyponatremia c) Hypomagnesemia d) Hypokalemia

d) Hypokalemia

A patient is being treated in the ICU 24 hours after having a radical neck dissection completed. The patient's serum calcium level is 7.6 mg/dL. Which of the following physical examination findings is consistent with this electrolyte imbalance? a) Slurred speech b) Muscle weakness c) Negative Chvostek's sign d) Presence of Trousseau's sign

d) Presence of Trousseau's sign

A patient with cancer is being treated on the oncology unit for bilateral breast cancer. The patient is undergoing chemotherapy. The nurse notes the patient's serum calcium level is 12.3 mg/ dL. Given this laboratory finding, the nurse should suspect which of the following statements? a) The patient has a history of alcohol abuse. b) The patient may be developing hyperaldosteronism. c) The patient's diet is lacking in calcium-rich food products. d) The patient's malignancy is causing the electrolyte imbalance.

d) The patient's malignancy is causing the electrolyte imbalance.

A nurse is the guest speaker at a women's club. Most of the women are over the age of 40 years. The women have asked the nurse to speak on health promotion topics. In the area of urinary urgency, the nurse will instruct the women to: increase caffeine daily. take an antispasmodic. perform Kegel exercises. limit fluid intake.

perform Kegel exercises

A client reports to the nurse that after delivering a baby, she loses small amounts of urine each time she sneezes or laughs hard. Which type of incontinence does the nurse anticipate? total urge reflex stress

stress