Quiz questions

To help prevent a cycle of recurring urinary tract infections in a female client, which instruction should the nurse share? A.) "Urinate as soon as possible after intercourse." B.) "Increase your daily intake of citrus juice." C.) "Douche regularly with alkaline agents." D.) "Take bubble baths regularly."

A.) "Urinate as soon as possible after intercourse." Intercourse may cause urethral inflammation, increasing the risk of infection; voiding cleards the urinary meatus and urethra of microorganisms.

A client with ascites has a paracentesis, and 1500 mL of fluid is removed. For which immediate response is it most important for the nurse to monitor? A.) Rapid, thready pulse B.) Decreased peristalsis C.) Respiratory congestion D.) Increase in temperature

A.) Rapid, thready pulse Fluid shifts from the intravascular compartment into the abdominal cavity, causing hypovolemia. A rapid, thready pulse, which is indicative of shock, is a compensatory response to this shift. After a paracentesis, intravascular fluid shifts into the abdominal cavity, not into the lungs.

A client is admitted to the hospital from the emergency department with a diagnosis of urolithiasis. The nurse reviews the client's clinical record and performs an admission assessment. Which is the priority nursing action? A.) Strain the client's urine. B.) Place the client in the high-Fowler position. C.) Administer the prescribed morphine. D.) Collect a urine specimen for culture and sensitivity.

C.) Administer the prescribed morphine Pain relief is the priority. Once the pain is under control and the client is comfortable, other medical and nursing interventions can be implemented. Although straining urine is required, pain relief is the priority.

The nurse observes a client with kidney failure has increased rate and depth of breathing. Which laboratory parameter does the nurse suspect is associated with this client's condition? A.) Potassium 8 mEq/L B.) Hemoglobin 10 g/dL C.) Phosphorous 7 mg/dL D.) Bicarbonate 15 mEq/L

D.) Bicarbonate 15mEq/L An increased rate and depth of breathing is called Kussmaul respiration and occurs d/t metabolic acidosis in clients with kidney disease. Serum Bicarbonate level decreases in metabolic acidosis. The normal range of serum bicarbonate is 23-30 mEq/L. Therefore the bicarbonate value of 15mEq/L is associated with Kussmaul respirations in the client.

A client in a nursing home is diagnosed with urethritis. What should the nurse plan to do before initiating antibiotic therapy prescribed by the primary healthcare provider? A.) Start a 24-hour urine collection. B.) Prepare for urinary catheterization. C.) Teach the client how to perform perineal care. D.) Obtain a urine specimen for culture and sensitivity.

D.) Obtain a urine specimen for culture and sensitivity. The causative organism should be isolated before starting antibiotic therapy; a culture and sensitivity should be obtained before starting the antibiotic.