elimination

A nurse is admitting a 6-month-old infant who has dehydration period which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance

2mL/kg/hr

A nurse is caring for female client has recurrent kidney stones and is scheduled for an intravenous pilot gram. which of the following same is by the clients to the nurse report to the provider

I don't eat shellfish because it gives me hives this is because the contrast die uses IVP as an iodine derivative which is an issue for those who are sensitive to selfish

A nurse is providing dietary teaching to a client who has calcium oxalate kidney stones. which of the following statements indicates an understanding of the teaching

I may eat a banana with my breakfast excessive dietary intake of oxalate can increase the risk of calcium oxalate stones. bananas are not high in this therefore the food choice indicates an understanding of the teaching

The nurses providing preoperative teaching to a client who is to undergo an open bowel resection at 1300 next week. which of the following same is by the client indicates the need for further teaching

I will be able to eat solid food when I wake up from anesthesia

A nurse is providing teaching to a client about measures to prevent urinary tract infections. which of the following client statements indicates a need for further teaching

I will need to wipe my perineal area from back to front after urination

A nurse instructs a female client about collecting a midstream urine sample period which of the following client statements indicates an understanding of the procedure

I'll use the cleansing wipe from front to back

A charged nurse is observing a nurse oscillating a client's bowel sounds. which of the following actions require intervention by the charge nurse

Tell face the abdomen prior to performing oscillation

A nurse is assessing a client who is in stage kidney disease and is receiving hemodialysis. which of the following fighting should the nurse identify as an indication the client is experiencing fluid overload

The client has a 5 lb weight gain since yesterday

A nurse is preparing a teaching plan for a client who has chronic constipation secondary to a regular bowel habits. which of the following should the nurse plan to include in the teaching

The client should follow a high fiber diet to establish bowel irregularity

A nurse is teaching a client about self-administered peritoneal dialysis. which of the following statements by the client indicates a need for teaching

The microwave in my kitchen can warm the solution before I use it

and Charizard is observing a nurse insert a indolent catheter into a female client. which of the following actions by the nurse should the charge nurse intervene

The nurse separates the client's labia with her dominant hand The rationale does basically explain how if you use your dominant hand to hold you're going to have a hard time using it. But it doesn't take into effect that some people actually can do it better with the other hand.

A nurse is teaching a client who is scheduled for a cystoscopy. which of the following information to the nurse include in the teaching

You may have pink tinged urine after this procedure

Henry says for writing discharge teaching for a client who is to perform peritoneal dialysis at home. which of the following information should the nurse include

You should anticipate paying the first week during the info of dialysolate

A nurse is teaching a client who has urinary tract infection and is taking ciprofloxacin. which of the following instructions should the nurse give to the client

You should report any tendon discomfort you experience while taking this medication rationale does not go into depth

A nurse is teaching a client who is preoperative for a neo bladder urinary diversion. which of the following statements should the nurse make

You will have an internal pouch to store your urine

A nurse is providing instructions about bio cleansing with a polyethylene glycol electrolyte solution for a client he was going to have a colonoscopy period which of the following information should the nurse include

abdominal bloating might occur

A nurse is providing skin care for a client who has urinary incontinence. which of the following actions should the nurse take

apply a barrier cream

A nurse is caring for a client who is post-operative following abdominal surgery. The nurse discovers a loop of bowel through an opening in the surgical incision. which of the following actions should the nurse take

apply moisten to sterile gauze to the site

A nurse is caring for a client who has urinary incontinence. which of the following actions should the nurse implement to prevent the development of skin breakdown

apply moisture barrier ointment to the client's skin

A nurse is provide dietary teaching to a client who has frequent kidney stones. which of the following instructions to the nurses include in the teaching

avoid eating tree nuts such as almond They are high oxalate foods also includes cashews and hazelnuts

A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure period which of the following responses by the nurse is appropriate

before the examination call me your provider will give you a sedative that will make you sleepy

The nurses came for a client who has alternative colitis and is teaching the client about the common link with Crohn's disease. which of the following information should the nurse include

both are inflammatory

A nurse is caring for a client who is about to have a colonoscopy. The client states I'm so nervous about what the doctor might find during the test. The client asks the client are you feeling anxious about the results of your colonoscopy. which with this question the nurses using which of the following communication techniques

clarification

A nurse is caring for an older adult client who has a urinary tract infection. which of the following manifestations in the nurse identify as a finding specifically associated with this client

confusion

The family of an older adult client brings them to the emergency department after finding him wondering outside. during the initial assessment, the nurse notes that the client flinches when she palpates his abdomen yet responds to questions only by nodding and smiling. which of the following factors should a nurse identify as a likely explanation for the client's behavior

confusion

A nurse and a dialysis center is caring for a client who has a new diagnosis of end stage kidney disease. when he arrives for his first dialysis treatment, he tells the nurse, I decided to come today but I am not sure if I will need to come back again this week. I am feeling much better since my discharge from the hospital and think my kidneys are working again. The nurse identify that this client is demonstrating which of the following kubler Ross stages of grieving

denial

A nurse is planning care for a client who has urinary incontinence. The nurse should plan to monitor the client for which of the following findings

dermatitis all the rationale says is tissue integrity

A nurse is planning care for a client who is diverticulitis. which of the following menu selection to the nurse include in the plan

grilled chicken breast with white rice The rationale is that it's because it's low in fiber which is advised during the inflammation. If it's diverticulosis then a high fiber diet is indicated

A nurse is caring for client immediately following a hemodialysis treatment. for which of the following manifestations when the nurse administer PRN dose of phenoten

headache and restlessness

A nurse is caring for an infant who has inadequate motility on part of the intestine resulting in mechanical obstruction period The nurse identified this fighting as a manifestation of which of the following disorders

hirschsprung's disease

A nurse is caring for a client who reports taking bicycodile to promote a daily bowel movement. which of the following assessment questions should be the nurse's priority

how long have you been taking the bicycodal

A nurse is coming for a client who returns to their nursing unit from the recovery room after a sigmoid colon resection for annoys carcinoma. The client has a episode of interoperative leading. which finding indicates in the nurse that the client may be developing hypovolemic shock

increase in the heart rate from 88 to 110 a minute

A nurse's administering a tap water enema to a client who is constipated. during the administration of the enema, the client states he is having abdominal cramps. which of the following actions to the nurse take to relieve the client's discomfort

lower the height of the solution container

A charge nurse is observing a newly licensed nurse insert an indwelling urinary catheter for a male client. which of the following actions by the newly licensed nurse requires intervention by the charge nurse

lubricates the first 2.5 - 5 cm of the catheter this is for a woman. for a man it is the first 15 to 17.5 cm

A nurse is preparing a sterile field prior to inserting a urinary catheter for a client. identify the sequence of steps at the nurse should follow

perform hand hygiene place package on work surface Open outermost flap away from self Open side flat pulling to the side Open innermost flap towards self 0 use inner surface as sterile field

A nurse is planning care for a client who is diverticulitis. The nurse should plan a monitor for which of the following complications of diverticulitis

peritonitis

A nurse is preparing to discontinue a client's indwelling urinary catheter. which of the following action should the nurse take

place the client in a supine position

A nurse is caring for a client who has urinary incontinence. which of the following actions should the nurse take

playing the client skin with a pH based cleanser

My nurse is caring for a client who has urinary linkage due to nerve damage falling a spinal cord injury. The nurse identified that the client is experiencing which of the following types of urinary incontinence

reflex incontinence

A nurse is discussing indications for urinary catheterization with a newly licensed nurse. which of the following indications should the nurse include

release of urinary retention measurement of residual urine after urination an open peroneal wound

A nurse is caring for a client who's being admitted for an acute exacerbation of ulcerative colitis. which of the following actions should the nurse take first

review the client's electrolyte values

A nurse is caring for a client who has recently diagnosed with an opioid use disorder. They were a student and a local community college but were recently dismissed her family in their classes. their previous diagnosis is include anxiety, Crohn's disease, and chronic back pain due to gymnastic injury in high school. which of the following should the nurse identify as potential underlying reasons why the client might have started using opioids

to treat pain in ease anxiety

hunters is coming for a client who has Crohn's disease. which of the following food choices should the nurse recommend for clients who have Crohn's disease

toast with jelly

and nurses caring for a client who has suspected cholecystitis. The nurse should expect the client's urine to appear which of the following colors

dark and foaming indicates the kidneys are filtering excess bilirubin from the blood

A nurse is caring for client who has constipation is bearing down to have a bowel movement. The nurse monitor the client for which of the following

decreased heart rate

A nurse is completing dietary teaching on consuming a low fiber diet with a client who is ulcerative colitis. which of the following food should be eliminated and the client's diet

dried apricots

The nurse is planning on teaching plan for a client who has an instalostomy and will require stomach care. which of the following information showed the nurse include

empty the pouch when it is half full

A nurse is assisting a provider with a sterile procedure and prepares to pour solution onto a piece of gauze. identify the sequence of steps the nurse should follow and purring the solution.

remove bottle cap place a bottle cap face up on a clean surface pick up bottle with the label facing the palm pour one to two milliliters into a receptacle pour the solution onto the gauze

A nurse is assessing a client who has peritonitis. which of the following fighting should the nurse expect

rigid abdomen

A nurse is preparing a client for a colonoscopy period The client has a family history of colon cancer. which of the following types of prevention is the nurse demonstrating

secondary prevention The rationale does not go that much into debt that just says that providing care to detect a health condition is secondary however I learned that is primary so 🖕

A nurse's reviewing the medication list for client who is a no diagnosis of a small bowel obstruction period The nurse should withhold which of the following medications

senna laxatives are conticated to prevent perforation period because the bowel does not allowed for any passage of stool with a complete small bowel extra obstruction these will cause an increased abdominal cramping and discomfort

The nurse is discussing good food choices with the client who is recovering from an exacerbation of inflammatory bowel disease and is to start a low lactose diet. which of the following foods is the best choice for the client

soy milk

A nurse in the long-term care facilities caring for an older adult client who has dementia and begins to have frequent episodes of urinary incontinence. After the provider determines no medical cause for the clients and continents, which of the following interventions to the nurse initiate to manage this behavior

take the client to the bathroom every 2 hours

A nurse removes an indwelling catheter that an older adult client has had in place for 2 days. The nurse should assess the client for which of the following outcomes after catheter removal

temporary urinary retention

A nurse is preparing to administer an internal feeding via nasal gastric tube. identify the correct sequence inertia follow to initiate the feeding

verify two placement check the residual feeding contents administer the feeding evaluate tolerance of feeding

A nurse is developing a plan of care for a client who is to begin receiving peritoneal dialysis. which of the following interventions of the nurse implement to ensure proper dialysate exchange

warm the dilacilit solution prior to installation

her nurses implementing a bowel training program for a client. for the program to be effective, the nurse should take the client to the toilet at which of the following times

when the client has the urge to defecate

A nurse is teaching a client who has chronic kidney disease about the process of continuous angulatory peritoneal dialysis. which of the following information to the nurse include in the teaching

CAPD requires a client to follow fewer dietary and fluid restrictions and hemodialysis requires

A nurse is preparing to insert an indwelling catheter for a client. which of the following actions should the nurse plan to take

Don sterile gloves before inserting the end dwelling urinary catheter

A nurse is caring for a client who has Crohn's disease and is receiving peritoneal nutrition. which of the following intervention should the nurse include in this care of the client

monitor daily lab values and report as needed

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse monitored to the client for which of the following manifestations of peritonitis

nausea and vomiting other manifestations are abdominal tenderness or pain, anorexia, restlessness and confusion

A nurse just came for a client who has an indwell urinary catheter and notes blood tension in the catheter bag. The nurse recognizes this Friday can be manifestation of which of the following urinary alterations

bladder infection

A nurse is planning care for a client who is scheduled for extracorporeal shockwave with a strip C. The nurse should plan to monitor the client for which of the following adverse effects of ESWL

bruising

A nurse is teaching a client who has urinary continence about avoiding foods and beverages that can cause bladder irritation. The nurse should include that which of the following foods are better beverages is a bladder irritant

caffeinated beverages

A client who is receiving magnesium sulfate has a urine output of 20 mL an hour. which of the following medication to the nurse expect to administer

calcium gluconate

A nurse is carrying for a client who has an indwelling urinary catheter. which of the following actions should the nurse take to prevent infection

check the catheter tubing for kinks or twisting

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia period which of the following manifestations of colitis should the nerves identify as a contributing factor to the development of the anemia

chronic blood loss

A nurse is planning to insert a female external urinary catheter for a client. which of the following actions should the nurse plan to take

connect the catheter to continuous wall section

A nurse is assessing an older client who reports a sudden onset of urinary incontinence. The nurse should recognize which of the following conditions can cause incontinence in the older adult client

cystitis

A nurse is caring for an adult client who states I am afraid that I may fall while walking to the bathroom during the night. which of the following actions should the nurse take

leave in night light on in the client's room

A nurse is teaching a client who has a prescription of a nasal gastric tube to treat a pyloric obstruction. which of the following rationales for the use of the nasal gastric tubes the nurse include in the teaching

decompress the stomach

A nurse is teaching a client who is your lethiasis or renal calculator. The nurse should explain that which of the following conditions can increase the risk for Reno calculi

dehydration

A nurse is reviewing the medical record of a client who has a urinary tract infection. which of the following findings to the nurse recognize as a risk factor

diabetes mellitus

A nurse is caring for a client following his first hemodialysis treatment. The client reports headache, nausea, and restlessness. The nurse should identify these findings as manifestations of which of the following complication

dialysis equilibrium caused by the rapid decrease in fluid volume and BUN levels during dialysis. The change in your real levels can cause cerebral edema and increase intracranial pressure. So the manifestations would headache nausea vomiting restlessness seizures and coma

her nurse is caring for an older client who has had surgery for an intestinal obstruction and has an NG2 to walk flexion. which a flying intervention to the nurse include in the client's post-operative plan of care

discontinue section when assessing for peristalsis irrigate the NG tube with normal saline Play sequential compression devices on the bilateral lower extremities reposition the client from side to side every 2 hours

A nurse is coming for a client he was a new colostomy and states that they are not ready to look at the stoma. The nurse incredrages the client to share their feelings about the colostomy. which of the following teaching strategies is the nurse utilizing

discussion

A nurse is teaching a client following a cystoscopy about his new prescription for tamasulicin. which of the following adverse effects should the nurse include in the teaching

dizziness

A nurse is caring for a client who is paraplegia following an automobile accident. The client is on an intermittent urinary catheterization program. which of the following findings indicate the need for catherization

dribbling of urine indicates overflowing continents or an indicator of bladder distension

A nurse is providing dietary teaching to a client who has a history of recurring calcium oxalate kidney stones. which of the following instructions to the nurse include in the teaching

drink 3 L of fluid everyday

A nurse is planning care for female client who has a t4 spinal cord injury and as at risk for acquiring urinary tract infections. which of the following actions to the nurse include in the client's plan of care

encourage food intake at and between meals

A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asked the nurse several questions about what the provider might be planning to do. which of the following responses should the nurse make

encourage the client to write down questions to ask the provider

The nurse is assessing a client who is experiencing prostatic hypertrophy. which of the following findings associated with bladder retention should the nurse expect

feeling of pressure tenderness over the synthesis pubis distended bladder voiding 30 ml frequently

A nurse is teaching a client who has kidney stones. which of the following instructions show the nurse include

filter your urine each day The rational doesn't go that far into depth just says they should filter their urine each day that identify the type of kidney stone

A nurse is caring for a client who reports having chronic constipation period which of the following herbal supplements should the nurse recommend

flaxseed

A nurse is prioritizing care for two clients at the start of the shift. The first client who is one day post-operative following a partial bell resection requires addressing change, total parital nutrition administration and reports the pain level of six on a scale of 0 to 10. The second client, who has a newly inserted percutaneous gastronomy tube, requires a tube feeding, dressing change, and daily weight. which of the following nurse actions should the nurse plan to complete first

obtain vital signs for both clients

The nurse is assessing a client who has urine output of 250 ml in a 24-hour period. which of the following descriptive terms should the nurse place and the client's electronic record

oliguria

A nurse is assessing a client notes that the client has a constant linkage a small amount of urine and a bladder that is descended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence

overflow incontinence

A nurse is caring for a 64-year-old client who is a small bowel obstruction period The patient is complaining of cramping abdominal pain, vomiting, and is passing blood of mucus without fecal matter. denies continuous pain and states that is mid abdominal not lower abdominal. temperature is 101, apical pulse is 120 a minute, respiratory rate is 20 a minute, blood pressure is 90 over 54, and pulse ox is 93% on room air. patient is alert and oriented times 3 with a pain of 8 out of 10. hyperactive bowel sounds have been heard along with abdominal distention and tenderness. skin is pale and cool. heart tones were heard in the breast sounds are clear bilaterally.

oxygen to liters via nasal cannula is not essential an NG tube is anticipated a chest x-ray is non-essential morphine 4 mg IV as needed for pain every 2 hours is contraindicated because it can slow intestinal motility which can cause vomiting normal saline and 150 ml an hour is anticipated because it's isotonic 200 mg of a sodium diet is contraindicated since they will probably be NPO patient has a small bowel obstruction

A nurse is caring for a client who is undergone a transurethral prostectomy. falling Catherine remover, the nurse should inform the client that he should expect which of the following variations and the color of his urine

pale pink The patient should expect to pass some small clots and tissue in his urine for a few days which will give it this color. by 2 to 3 days after the surgery around the time of discharge the urine should be back to clear yellow

A nurse is assessment client who's three days post-operative following abdominal surgery and notes the absence of bowel sounds, abdominal distention, and the client passing no flattest. which of the following conditions should the nurse suspect

paralytic alias

A nurse in a long-term care facility is observing an assistant personnel changing the linen for a client who is feet going continence. which of the following actions should the AP understands the principles of infection control

places clean linen that touched the floor and the soiled linen bag

A nurse is reviewing the laboratory data of a client following hemodialysis treatment. The nurse expect to find a decrease in which of the following laboratory values

potassium

The nurse is preparing to insert an NG2 for a client who requires gastric suctioning. place following steps in the appropriate order

prepare equipment at the bedside measure the NG tube instruct the patient to extend the neck backward instruct the client to flex his head forward obtain an x-ray connect the tube to the section device

A nurse's assessing a client's bowel sounds. at which of the following points in the assessment should the nurse oscillate the client's abdomen

prior to percussing the abdomen

A nurse is caring for a client who is not avoided for 8 hours following the removal of an indwelling urinary catheter. which of the following actions should the nurse take first

put form of bladder scan

A nurse is providing teaching about a low FODMAP diet for client who has irritable syndrome. The nurse instruct the client to avoid which of the following foods

raisin

and there's this teaching a client who is pre-dialysis in stage kidney disease about diet. which of the following instructions are the nursing include

reduce and take a food high in potassium rationale is that potassium clearances impaired

A nurse is caring for a client observes that the client's urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these fightings are associated with which of the following

urinary tract infection

A nurse is creating a plan of care to maintain the skin integrity of a client who experiences frequent diarrhea due to ulcerative colitis. which of the following intervention should the nurse include in the plan

wipe the perineal area with warm water and apply a barrier cream

a nurse is caring for a client who has an indwelling urinary catheter in a prescription for urine specimen for culture and sensitivity. which of the following actions should the nurse take

withdraw three to five milliliters of urine from the port