Elimination

An older client who is living in a nursing home is admitted to the hospital to be treated with intravenous antibiotics for sepsis. After the client becomes agitated and attempts to pull out the IV, the healthcare provider prescribes a stat dose of haloperidol 0.5 mg intramuscularly (IM). The haloperidol is available in a vial that contains 2 mg/mL. How much solution will the nurse administer? Record your answer using two decimal places. Include a leading zero if applicable. ___ mL

0.25

What is the maximum recommended length for enema tube insertion in an adolescent? Record your answer using a whole number. _____ cm

10

Which client's urine specific gravity level is abnormal? 1-1.006 2-1.012 3-1.028 4-1.041

4- 1.041 The normal specific gravity of urine lies between 1.005 and 1.030.

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? 1-Distal tubule 2-Collecting duct 3-Glomerulus of the nephron 4-Loop of Henle

4- Loop of Henle

A client is scheduled for a colonoscopy, and the healthcare provider prescribes a tap water enema. In which position should the nurse place the client during the enema? 1-Left Sims 2-Back lying 3-Knee chest 4-Mid-Fowler

1- Left Sims

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? 1-By catheterizing the client for residual urine 2-By palpating the client's suprapubic area gently 3-By asking the client whether she still feels the urge to urinate 4-By determining whether the client is experiencing suprapubic pain

2- By palpating the client's suprapubic area gently

When obtaining a health history from a client recently diagnosed with type 1 diabetes, the nurse expects the client to report what clinical manifestations? 1-Irritability, polydipsia, and polyuria 2-Polyuria, polydipsia, and polyphagia 3-Nocturia, weight loss, and polydipsia 4-Polyphagia, polyuria, and diaphoresis

2- Polyuria, polydipsia, and polyphagia

A registered nurse teaches a nursing student about the physiologic changes that occur during pregnancy and their impact on drug disposition and dosing. Which statement of the nursing student indicates the need for further education? 1-Drug elimination is increased. 2-The hepatic metabolism of a drug is decreased. 3-The intestinal transit time of a drug is increased. 4-The absorption of a drug through the gastrointestinal tract is increased.

2- The hepatic metabolism of a drug is decreased

Which intervention would be most beneficial in preventing a catheter-associated urinary tract infection in a postoperative client? 1-Pouring warm water over the perineum 2-Ensuring the patency of the catheter 3-Removing the catheter within 24 hours 4-Cleaning the catheter insertion site

3- Removing the catheter pithing 24 hours

The nurse plans to assess a postpartum client's uterine fundus. What should the nurse ask the client to do before this assessment? 1-Drink fluids 2-Empty her bladder 3-Perform the Valsalva maneuver 4-Assume the semi-Fowler position

2- Empty her bladder

After surgery for creation of an ileostomy, a client is to be discharged. Before discharge, what is the primary nursing intervention? 1-Emphasizing that it is essential that the client can care for the ileostomy without assistance 2-Evaluating the client's ability to care for the ileostomy 3-Ensuring that the client understands the dietary limitations that must be followed 4-Ensuring that the client is competent at changing the dry sterile dressing on the incision

2- Evaluating the client's ability to care for the ileostomy

Which part of the nephron secretes creatinine required for elimination? 1-Glomerulus 2-Loop of Henle 3-Collecting duct 4-Proximal tubule

4- Proximal tubule

A nurse is counseling a woman who had recurrent urinary tract infections. Which factor should the nurse explain is the reason why women are at a greater risk than men for contracting a urinary tract infection? 1-Altered urinary pH 2-Hormonal secretions 3-Juxtaposition of the bladder 4-Proximity of the urethra to the anus

4- Proximity of the urethra to the anus

Which hormonal deficiency causes diabetes insipidus in a client? 1-Prolactin 2-Thyrotropin 3-Luteinizing hormone (LH) 4-Antidiuretic hormone (ADH)

4- antidiuretic hormone (ADH)

What is the recommended size of the urinary catheter that can be used in a 3-year-old child? 1-5 to 6 Fr 2-8 to 10 Fr 3-14 to 16 Fr 4-16 to 18 Fr

2- 8 to 10 Fr

A 50-year-old client being seen for a routine physical asks why a stool specimen for occult blood testing has been prescribed when there is no history of health problems. What is an appropriate nursing response? 1-"You will need to ask your healthcare provider; it is not part of the usual tests for people your age." 2-"There must be concern of a family history of colon cancer; that is a primary reason for an occult blood stool test." 3-"It is performed routinely starting at your age as part of an assessment for colon cancer." 4-"There must have been a positive finding after a digital rectal examination performed by your healthcare provider."

3- "It is performed routinely starting at your age as part of an assessment for colon cancer."

A client is taught how to change the dressing and how to care for a recently inserted nephrostomy tube. On the day of discharge the client states, "I hope I can handle all this at home; it's a lot to remember." Which is the best response by the nurse? 1-"I'm sure you can do it." 2-"Oh, a family member can do it for you." 3-"You seem to be nervous about going home." 4-"Perhaps you can stay in the hospital another day."

3- "You seem to be nervous about going home"

The nurse is providing care to a client being treated for bacterial cystitis. What is the goal before discharge for this client? 1-Understand the need to drink 4 L of water per day, an essential measure to prevent dehydration 2-Be able to identify dietary restrictions and plan menus 3-Achieve relief of symptoms and maintain kidney function 4-Recognize signs of bleeding, a complication associated with this type of procedure

3- Achieve relief of symptoms and maintain kidney function

A client is instructed to avoid straining on defecation postoperatively. Which food item chosen by the client indicates successful learning? 1-Ripe bananas 2-Milk products 3-Green vegetables 4-Creamed potatoes

3- 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? 1-Sepsis 2-Phlebitis 3-Hemorrhage 4-Leakage around the IV catheter

3- Hemorrhage

A nurse educates the client about the relationship between the kidneys and blood pressure. Which term should the nurse use to describe the part of the kidney that senses changes in blood pressure? 1-Calices 2-Glomerulus 3-Macula densa 4-Juxtaglomerular cells

3- Macula densa

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? 1-Diet, which lacks bulk 2-Inactivity, which results from illness 3-Vincristine, which decreases peristalsis 4-Prednisone, which causes gastric irritability

3- Vincristine, which decreases peristalsis

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? 1-Potassium 8 mEq/L 2-Hemoglobin 10 g/dL 3-Phosphorous 7 mg/dL 4-Bicarbonate 15 mEq/L

4- Bicarbonate 15 mEq/L

A client arrives at a health clinic reporting hematuria, frequency, urgency, and pain on urination. Which diagnosis will the nurse most likely observe written in the client's medical record? 1-Chronic glomerulonephritis 2-Nephrotic syndrome 3-Pyelonephritis 4-Cystitis

4- Cystitis

A nurse may find that for optimum nutrition a client with a cerebrovascular accident (also known as "brain attack") needs assistance with eating. What should the nurse do? 1-Request that the client's food be pureed. 2-Feed the client to conserve the client's energy. 3-Have a family member assist the client with each meal. 4-Encourage the client to participate in the feeding process.

4- Encourage the client to participate ins the feeding process

A client has surgery for an abdominal cholecystectomy and returns from surgery with a nasogastric tube to low continuous suction, a T-tube, and an indwelling catheter. Which intervention should the nurse perform first? 1-Fasten each tube to the bedsheets 2-Irrigate each tube with normal saline 3-Measure the drainage in the collection devices 4-Ensure that all tubes are attached to collection devices

4- Ensure that all tubes are attached to collection devices

A client is receiving hypertonic tube feedings. What should the nurse consider to be the main reason this client may experience diarrhea? 1-Increased fiber intake 2-Bacterial contamination 3-Inappropriate positioning 4-High osmolarity of the feedings

4- High osmolarity of the feedings

A client with ascites is scheduled for a paracentesis. To prepare the client for the abdominal paracentesis, what should the nurse do? 1-Shave the client's abdomen. 2-Medicate the client for pain. 3-Encourage the client to drink fluids. 4-Instruct the client to empty the bladder.

4- Instruct the client to empty the bladder.

After several episodes of intermittent abdominal pain and vomiting, a 5-month-old infant is admitted to the pediatric unit. A diagnosis of intussusception is made. What is the priority nursing assessment that will help confirm the diagnosis? 1-Auscultating for bowel sounds 2-Listening for high-pitched crying 3-Measuring fluid intake and output 4-Observing characteristics of stools

4- Observing characteristics of stools

Which drug prescribed to a client with a urinary tract infection (UTI) turns urine reddish-orange in color? 1-Amoxicillin 2-Ciprofloxacin 3-Nitrofurantoin 4-Phenazopyridine

4- Phenazopyridine