Elimination EAQ

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

To manage diarrhea

Which genitourinary factor contributes to urinary incontinence in older adult clients and needs to be considered by the nurse when planning the care for these clients?

UTI

Which prescription by the health care provider would the nurse question when caring for a client who is hospitalized or an acute myocardial infarction?

Rectal suppository as needed for constipation

An older client is admitted to the hospital for rehydration therapy after 3 days of diarrhea. In addition to sodium, which electrolyte would the nurse be most concerned about?

Potassium

Which structure surrounding the male urethra would the nurse describe to a client scheduled for a dilation of the urethra?

Prostate gland

The provider has ordered endocrine testing for a client. Arrange the steps to be followed for the urine specimen collection in the correct sequence.

Empty bladder and discard urine The timing for the urine collection begins after this specimen Note the time Empty bladder at the end of the timed period and add urine to the collection

Which action would the nurse take in a client who takes rifampin who tells the nurse. "my urine looks orange."?

Explain that this is expected.

Which prescribed medication would the nurse anticipate initiating for a client with a Clostridium difficile - associated disease (CDAD)?

Fidaxomicin Metronidazole Vancomycin

Which factor may contribute to a client developing urinary calculi?

History of hyperparathyroidism

Which manifestations are exhibited with syndrome of inappropriate secretion of antidiuretic hormone (SIADH)?

Hyponatremia and decreased urine output

Which nursing intervention would help an older adult experiencing urinary incontinence?

Provide voiding opportunities Avoid indwelling catheterization Promote measures to prevent skin breakdown

Which nursing action is a priority before administering prescribed furosemide?

Review the potassium level results

Which test would the nurse check to determine whether a transplanted kidney is functioning?

Serum creatinine level

The nurse observes that a clients urine has a sweet fruity odor. Which information is important to evaluate when performing a further client assessment?

Serum glucose level

For which condition is an adult client with a weakened urinary sphincter at risk?

Skin irritation

How does sodium bisphosphate, prescribed for a client before a colonoscopy, accomplish its therapeutic effect?

Increases osmotic pressure in the intestines.

Which part of the renal system does furosemide exerts its effects?

Loop of Henle

Which anti diarrheal medication would the nurse anticipate administering to a client with severe diarrhea who is prescribed intravenous fluids, sodium bicarbonate, and an antidiarrheal medication?

Loperamide

The burse is caring for a client with type 2 diabetes mellitus and renal insufficiency. The client is scheduled for a computerized tomography (CT) scan with contrast. Which medication would the nurse withhold to prevent lactic acidosis?

Metformin

Which medication is the first-line medication used to treat a client with mild diarrhea who is diagnosed with a C diff infection?

Metronidazole

Which mechanism would a nurse recall when caring for a client prescribed Bisacodyl for constipation?

Stimulating peristalsis

Which preventative would the burse anticipate will be prescribed daily to avoid straining due to constipation for a client who has had a recent brain attack? (stroke)

Stool softener

Which medication would the nurse identify as a risk factor for straining due to constipation in a client with a myocardial infarction receiving digoxin, fluoxetine, morphine, and docusate sodium?

Morphine

Which principle explains how loop diuretics promote diuresis?

Osmosis

Which dietary instruction would be beneficial to a client who has undergone a hypophysectomy and has difficulty passing stools?

"Drink plenty of water"

Which statement is important for the nurse to include in the teaching plan of a client with IBS who has instructions to take psyllium for constipation?

"Each dose should be taken with a full glass of water or juice"

Which rationale will the nurse provide to a client with Crohn's disease who asks why the prescribed vitamins have to be given IV rather than by mouth?

"They provide more rapid action results." "Oral vitamins are less effective" "Intestinal absorption may be inadequate"

Which intervention is indicted as initial treatment for a client who had a hemorrhoidectomy?

Applying most heat Administering stool softeners Encouraging sitz baths

The nurse administers vasopressin to a client and recalls that the medication is which type of hormone?

Antidiuretic hormone

Which hormonal deficiency causes diabetes insipidus in a client?

Antidiuretic hormone (ADH)

The nurse is teaching a group of adults about the signs and symptoms of colorectal cancer. Which common clinical manifestation would the nurse include in the teaching program?

Anemia Rectal bleeding Change in bowel habits

Which action by the nurse would be best when a client who has been admitted with the pulmonary edema and received furosemide intravenously needs to void?

Assist the client to a bedside commode

Which condition would the nurse suspect in a client who complains of nocturia, bladder pain, urinary frequency, urgency, and dribbling at the end of the urination with a digital rectal examination report indicating smooth, firm, and enlarged prostate tissue surrounding the urethra?

Benign prostatic hyperplasia (BPH)

Which prescribed medication will the nurse administer to ensure a bowel movement before discharge for a client who has not had a bowel movement since before surgery, which was 4 days ago?

Bisacodyl suppository

Why is the blood glucose self-monitoring preferred over the urine glucose testing?

Blood glucose monitoring is more accurate.

Which condition is it most important for the nurse to assess for in a client admitted to the hospital for acute gastritis and ascites secondary to alcohol use and cirrhosis?

Blood in the stool

Which lifestyle advice does the nurse give to a client when oral digoxin therapy is initiated?

Bran can decrease digoxin absorption. Digoxin should not be taken with hawthorn supplements. Ginseng may cause a dangerous increase in digoxin levels in the blood. Medications that lower serum potassium or magnesium can worse digoxin toxicity.

A client tells the nurse about recent recurrent episodes of bleeding hemorrhoids. Which instruction would the nurse provide to the client to help prevent future hemorrhoidal episodes?

Consume a high-fiber diet and drink adequate water.

Which factor would the nurse assess for a client reporting constipation?

Diet Fluid intake Use of laxative Date of last bowel movement Use of opioid pain medications

Which clinical manifestation would the nurse associate with benign prostatic hyperplasia?

Distention of the lower abdomen

Which information would the nurse include when teaching about why women are more susceptible to urinary tract infections than men?

The length of the urethra

Which mechanism of action explains how diuretics reduce blood pressure?

They reduce the circulating blood volume

The nurse provides education related to manifestations of hyperglycemia to a client with type 1 diabetes. Which signs and symptoms, identified by the client, indicate that the teaching was effective?

Thirst Fruity breath odor Excessive urination

Which type of urinary condition would cholinergic agonists be prescribed for?

Urine retention

A client who had a cesarean birth is unable to void 3 hours after the removal of an indwelling catheter. How would the nurse evaluate the client for bladder distension?

By palpating the client's suprapubic area gently

Which action would the nurse include in the plan of care for a client admitted with the heart failure who has gained 20 pounds in 3 weeks?

Diuretics Low-salt diet Daily weight checks Fluid restriction Intake and output Oxygen administration

Which suggestion would the nurse provide to the parent whose child has been constipated for 3 days?

Give laxatives to the child Increase the child's physical activity Include food with a high fiber content in a child's diet

Which finding for a client with pulmonary edema who received furosemide is the best indicator that the treatment has been effective?

Oxygen saturation per pulse oximetry is 99%

Which action will a nurse take when a male client receiving prolonged steroid therapy complains of always being thirsty and urinating frequently?

Perform a finger stick to test the clients blood glucose level.

Which intervention would the nurse implement when providing care for an older adult male client who is immobile and incontinent of urine?

Regularly offer the client a urinal

Which statement is important for the nurse to teach a client prescribed psyllium 3.5g twice a day for constipation?

"Each dose should be taken with a full glass of water."

Which statement indicates family understanding of age - related changes and required care after the family members received discharge instructions for an older adult male recovering from a urinary tract infection

"I provide privacy and standby assistance to help him void."

Which treatment strategy would the nurse conclude is the cause of the diarrhea several days after a health care provider prescribes bed rest, loperamide, and esomeprazole for a client who just had major surgery?

Esomeprazole

A client is admitted with a head injury and has large amounts of clear, colorless urine draining from the urinary catheter. Which physiological response is possibly causing the increased urine output?

Inadequate antidiuretic hormone secretion (ADH)

Which new prescription will the nurse question when reviewing a plan of care for a client who was admitted with a dehydration as a result of prolonged watery diarrhea?

Magnesium citrate

Which finding indicated that a client is at an increased risk for colorectal cancer (CRC)?

Presence of dark, tarry stools Family history of polyposis 20- year history of ulcerative colitis Unintentional 20- pound weight loss Change in bowel pattern for 3 months

Which electrolyte deficiency triggers the secretion of renin?

Sodium

Which action is responsible for the therapeutic effect of docusate sodium?

Softens the feces