EXAM 2 - Module 5, 6 and 8

GI endoscopic examination use the following medications: Midazolam hydrochloride (Versed), fentanyl (Sublimaze), and/or propofol (Diprivan) which are commonly used drugs for sedation. These drugs can depress the rate and depth of the patient's _________. Select the best answer: - Heart - Renal system - Respirations - Biliary

* Respirations

A patient with chronic kidney disease (CKD) is experiencing nausea, vomiting, visual changes, and anorexia. Which action by the nurse is best? • Get a referral to a gastrointestinal provider. • Administer an antinausea medication. • Ask if the patient is able to eat crackers. • Check the patient's digoxin (Lanoxin) level.

* Check the patient's digoxin (Lanoxin) level.

A nurse is reviewing laboratory values for several patients. Which value causes the nurse to conduct nutritional assessments as a priority? Select the best answer: • Prealbumin: 28 mg/dL • Cholesterol: 142 mg/dL (3.7 mmol/L) • Hemoglobin: 9.8 mg/dL (98 mmol/L) • Albumin: 3.5 g/dL

• Cholesterol: 142 mg/dL (3.7 mmol/L)

A nurse cares for a patient with diabetes mellitus who is prescribed metformin (Glucophage) and is scheduled for a contrast-enhanced CT. What action should the nurse take first? Select the best answer: • Check the patient's bedside blood glucose and administer prescribed insulin. • Keep the patient NPO for at least 6 hours prior to the examination. • Contact the provider and recommend discontinuing the metformin. • Administer intravenous fluids to dilute and increase the excretion of dye.

• Contact the provider and recommend discontinuing the metformin.

A nurse cares for a patient who has elevated levels of antidiuretic hormone (ADH). Which disorder should the nurse identify as a trigger for the release of this hormone? Select the best answer: • Renal failure • Dehydration • Pneumonia • Edema

• Dehydration

A 44-year-old client with diabetes asks how often a visit to the eye-care practitioner is recommended. What is the appropriate nursing response? "No examinations are necessary until you are 50 years old." "Only if you have vision problems." "Every 6 months." "Annually."

* "Annually."

The patient in the medical-surgical unit currently has diarrhea and has been diagnosed with gastroenteritis. The nurse is preparing to assess the patient's bowel sounds, prior to auscultating bowel sounds with the stethoscope, the nurse hears loud gurgling sounds from the abdomen. The nurse is aware these sounds are called________ Select the best answer: - borborygmus - bruits - hypoactive bowel sounds - normal bowel sounds

* borborygmus

The RN who received the patient post colonoscopy knows to check or the following passage of ___________before allowing fluids or food. Select the best answer: - Urine - Stool - flatus

* flatus

The patient returned from the esophagogastroduodenoscopy and the patient is awake and is complaining of a dry mouth. The family is requesting for the student nurse to bring a small glass of water for the patient to drink. The student nurse knows that the patient should not have water, not until the RN checks to make sure the patient____ Select the best answer: - gag reflex is intact to prevent aspiraton - has rinsed all residue from the oral cavity to prevent aspiraton - received pain medication to prevent aspiraton - obtained a history and physical to prevent aspiraton

* gag reflex is intact to prevent aspiraton

Which foods will the nurse recommend to a client who wishes to enhance eye health? Select all that apply. - Spinach - Carrots - Kale - Shellfish - Bananas - Ground beef

- Spinach - Carrots - Kale - Bananas

If appendicitis or an abdominal aneurysm is suspected, the student nurse understands that palpation not be done? True or False

True

After treating several young women for UTIs, the college nurse plans an educational offering on reducing the risk of getting a UTI. What information does the nurse include? Select the best answer: • Wear loose-fitting nylon panties • Wipe or clean the perineum from front to back • Do not douche or use scented feminine products • Void before and after each act of intercourse • Consider changing to spermicide from birth control pills

• Wipe or clean the perineum from front to back • Do not douche or use scented feminine products • Void before and after each act of intercourse • Consider changing to spermicide from birth control pills

The nurse is caring for a client who reports slow onset of a gradual loss of vision in the center of both eyes. The client describes vision as "foggy" and reports concerns of ongoing headaches from "trying to concentrate to see." What condition does the nurse anticipate? -Retinal detachment -Glaucoma -Conjunctivitis -Cataract

* Glaucoma

A confused patient with pneumonia is admitted with an indwelling catheter in place. During interdisciplinary rounds the following day, which question would the nurse ask the primary healthcare provider? Select the best answer: • "Can we discontinue the indwelling catheter?" • "Do you want daily weights on this patient?" • "Should we get another chest x-ray today?" • "Will the patient be able to return home?"

* "Can we discontinue the indwelling catheter?"

The nurse is teaching a client who must instill multiple types of eyedrops before cataract surgery. Which client statement requires further teaching? "I will make a schedule for inserting the eyedrops." "Touching the dropper to my eye could cause contamination and infection." "If I can't remember when to take which drops, I'll just take them all at once." "If I have trouble instilling the drops, I will have my spouse put them in for me."

* "If I can't remember when to take which drops, I'll just take them all at once."

A 28-year-old male patient comes into the emergency department with a serum creatinine of 2.2 mg/dL (1944 mmol/L) and a blood urea nitrogen (BUN) of 24 mL/dL (8.57 mmol/L). What question would the nurse ask first when taking this patient's history? Select the best answer: • "Have you had a diet that is low in protein recently?" • "Has a relative had a kidney transplant lately?" • "Do you have anyone in your family with renal failure?" • "Have you been taking any aspirin, ibuprofen, or naproxen recently?"

*"Have you been taking any aspirin, ibuprofen, or naproxen recently?"

When obtaining a health history from a 22-year-old female client who has new-onset urinary incontinence, which findings or factors does the nurse consider significant? Select all that apply. - A new inability to hold urine (urgency) - A recent change in the client's oral contraceptive prescription - Urinating 10 times daily although fluid intake remains unchanged - A "stinky" odor from the urine - A burning sensation occurring on urination - Chemical exposure in the workplace

*A new inability to hold urine (urgency) *Urinating 10 times daily although fluid intake remains unchanged *A "stinky" odor from the urine *A burning sensation occurring on urination

The nurse is caring for an older adult client who experiences an exacerbation of ulcerative colitis with severe diarrhea that has lasted a week. For which complications will the nurse assess? Select all that apply. - Deep vein thrombus - Dehydration - Skin breakdown - Hypokalemia - Hyperkalemia

- Skin breakdown - Hypokalemia

Solumedrol 1.5 mg/kg is ordered for an adult patient weighing 74.8 lb. Solumedrol is available as 125 mg / 2mL. How many mL must the nurse administer? Round per MSJC policy

Weight in Kg * Dosage Per Kg = Y (Required Dosage) Convert 74.8 lb to kg. lb → kg ( ÷ by 2.2 ) 8 lb ÷ 2.2 = 34 kg 34 kg * 1.5 mg/kg = 51 mg This is now an ordinary Mass/Liquid For Liquid QuestionLinks to an external site.. 51 mgis ordered and the medication is available as 125 mg / 2 mL. Ordered Have x Volume Per Have = Y (Liquid Required) 51 mg 125 mg x 2 mL = 0.82 mL ANSWER = 0.8ml

A nurse cares for a patient who has been prescribed lactulose (Heptalac). The patient states, "I do not want to take this medication because it causes diarrhea." How would the nurse respond? • "You may take Kaopectate liquid daily for loose stools." • "We will need to send a stool specimen to the laboratory." • "Do not take any more of the medication until your stools firm up." • "Diarrhea is expected; that's how your body gets rid of ammonia."

• "Diarrhea is expected; that's how your body gets rid of ammonia."

A nurse teaches a young female patient who is prescribed amoxicillin (Amoxil) for a urinary tract infection. Which statement would the nurse include in this patient's teaching? Select the best answer: • "Use a second form of birth control while on this medication." • "You will experience increased menstrual bleeding while on this drug." • "Watch for blood in your urine while taking this medication." • "You may experience an irregular heartbeat while on this drug."

* "Use a second form of birth control while on this medication."

A nurse teaches a female patient who has stress incontinence. Which statements would the nurse include about pelvic muscle exercises? Select all that apply: • "When you start and stop your urine stream, you are using your pelvic muscles." • "After you have been doing these exercises for a couple days, your control of urine will improve." • "Pelvic muscle exercises should only be performed sitting upright with your feet on the floor." • "Like any other muscle in your body, you can make your pelvic muscles stronger by contracting them." • "Tighten your pelvic muscles for a slow count of 10 and then relax for a slow count of 10."

* "When you start and stop your urine stream, you are using your pelvic muscles." * "Like any other muscle in your body, you can make your pelvic muscles stronger by contracting them." • "Tighten your pelvic muscles for a slow count of 10 and then relax for a slow count of 10."

The nurse is caring for a client who has experienced an increased frequency in Ménière's disease attacks. When the client asks, "Will I have to have surgery?", what is the appropriate nursing response? Select all that apply. - "Surgery is not an option for this type of disorder." - "I wouldn't worry about surgery. Let's see how this new medication works for you." - "It will be essential for you to have surgery if medications don't work." - "You sound like you are concerned about having surgery." - "If you eat a better balanced diet, you won't need surgery." - "Different types of surgery can be considered with your health care provider."

* "You sound like you are concerned about having surgery." * "Different types of surgery can be considered with your health care provider."

The community nurse is talking with four clients who have reported digestive concerns. Which client does the nurse recognize as most likely to experience gallstone production? Select all that apply. 8-year-old Canadian who manages a fast-food restaurant 64-year-old Mexican American who resides with grandchildren 59-year-old Asian American who is an investment banker 35-year-old American Indian who works in construction 23-year-old Caucasian vegetarian who is a dancer

* 64-year-old Mexican American who resides with grandchildren * 35-year-old American Indian who works in construction

After administering 40 mEq of potassium chloride, a nurse evaluates the patient's response. Which manifestations indicate that treatment is improving the patient's hypokalemia? • Absent deep tendon reflexes • Active bowel sounds • Respiratory rate of 8 breaths/min • Strong productive cough • U waves present on the electrocardiogram (ECG)

* Active bowel sounds * Strong productive cough

A 70-kg adult with chronic renal failure is on a protein restriction diet. The patient has a reduced glomerular filtration rate and is not undergoing dialysis. Which result would give the nurse the most concern? Select the best answer: • Albumin level of 1.9 g/dL (3.63 mcmol/L) • Potassium level of 4.9 mEq/L (5.5 mmol/L) • Phosphorus level of 5 mg/dL (1.62 mmol/L) • Sodium level of 135 mEq/L (135 mmol/L)

* Albumin level of 1.9 g/dL (3.63 mcmol/L)

Which client being managed for dehydration does the nurse consider at greatest risk for possible reduced kidney function? - A 62-year-old woman with a known allergy to contrast media - A 48-year-old woman with established urinary incontinence - An 80-year-old man who has benign prostatic hyperplasia - A 45-year-old man receiving oral and IV fluid therapy

* An 80-year-old man who has benign prostatic hyperplasia

An emergency department nurse assesses a patient with a history of urinary incontinence who presents with extreme dry mouth, constipation, and an inability to void. Which question would the nurse ask first? Select the best answer: • "You are aware that you should drink plenty of water?" • "Have you tried laxatives or enemas?" • "Has this type of thing ever happened before?" * Are you taking anticholinergic medications at home for your incontinence?

* Are you taking anticholinergic medications at home for your incontinence?

A nurse assesses a patient who reports pain in the right upper quadrant of the abdomen. Which focused assessments would the nurse complete? (Select all that apply.) - Assess the patient's blood glucose. - Obtain a scan of the patient's bladder. - Auscultate for an abdominal aorta aneurysm. - Review the patient's serum ammonia level.

* Assess the patient's blood glucose. * Review the patient's serum ammonia level.

In teaching health promotion measures in the prevention of urinary tract infections for postmenopausal women, the nurse should stress which of the following measures? (Select all that apply) - Avoid bubble baths - After voiding, cleanse the perineal area from back to front. - Wear cotton briefs. - Drink 2 to 2.5 quarts of fluid a day - Douche weekly

* Avoid bubble baths * Wear cotton briefs. * Drink 2 to 2.5 quarts of fluid a day

The student nurse is aware that some clinicians refer to the patient most at risk for acute cholecystitis and gallstones by the four Fs(Female, Forty, Fat and Fertile):The student nurse is aware that the following are also risk factors. Select all that apply: - Cholesterol-lowering drugs - African American - Anemia - Glucose intolerance/diabetes - decrease serum cholesterol

* Cholesterol-lowering drugs * Glucose intolerance/diabetes * Increased serum cholesterol

A nurse is evaluating a patient who is being treated for dehydration. Which assessment result does the nurse correlate with therapeutic response to the treatment plan? • Decreased orthostatic light-headedness and dizziness • Increased urine specific gravity from 1.012 to 1.030 g/mL • Decreased skin turgor on the patient's posterior hand and forehead • Increased respiratory rate from 12 to 22 breaths/min

* Decreased orthostatic light-headedness and dizziness

The nurse working with older patients understands age-related changes in the gastrointestinal system. Which changes does this include? (Select all that apply.) - Diminished sensation that can lead to constipation - Increased peristalsis in the large intestine - Pancreatic vessels become calcified - Decreased hydrochloric acid production - Fat not digested as well in older adults

* Diminished sensation that can lead to constipation * Pancreatic vessels become calcified * Decreased hydrochloric acid production * Fat not digested as well in older adults

Which interventions should be included in the plan of care for a client with a colostomy? (Select all that apply) - Discuss foods that cause odor and gas. - Limit the intake of oral fluids. - Consult an enterostomal therapist. - Restrict physical activities. - Refer to the local Ostomy Association

* Discuss foods that cause odor and gas. * Consult an enterostomal therapist. * Refer to the local Ostomy Association

A nurse is caring for patients with electrolyte imbalances on a medical-surgical unit. Which clinical manifestations are correctly paired with the contributing electrolyte imbalance? • Hypercalcemia—Positive Trousseau's and Chvostek's signs • Hypokalemia—Flaccid paralysis with respiratory depression • Hyponatremia—Decreased level of consciousness • Hypomagnesemia—Bradycardia, peripheral vasodilation, and hypotension • Hyperphosphatemia—Paresthesia with sensations of tingling and numbness

* Hypokalemia—Flaccid paralysis with respiratory depression * Hyponatremia—Decreased level of consciousness

The patient presented with nausea, abdominal pain, and vomiting. The physician suspects Norovirus. The patient states his understanding of transmission by which statement. Select all that apply: - I am aware the virus is transmitted by the fecal-oral route - The virus does not cause dehydration - I am aware the virus is transmitted by possibly the respiratory route (vomitus) - The norovirus affects children only

* I am aware the virus is transmitted by the fecal-oral route * I am aware the virus is transmitted by possibly the respiratory route (vomitus)

To reduce abdominal distention in a client admitted with a diagnosis of a bowel obstruction, the nurse should anticipate which of these orders?Select the best answer: - Insert a nasal gastric tube. - Elevate the head of the bed. - Incentive spirometer - Turn, cough, and deep breathe every 4 hours.

* Insert a nasal gastric tube.

The nurse should include which of the following to ensure the return of peristalsis in a client diagnosed with a bowel obstruction? - Keep the client NPO - Encourage a liquid diet - Weigh every day. - Monitor urinary output

* Keep the client NPO

The nurse working with patients who have gastrointestinal problems knows that which laboratory values are related to what organ dysfunctions? (Select all that apply.) - Lipase: pancreas - Urine urobilinogen: stomach - Ammonia: liver - Amylase: thyroid - Alanine aminotransferase: biliary system

* Lipase: pancreas * Ammonia: liver

A patient is diagnosed with chronic kidney disease (CKD). What is an ideal goal of treatment set by the nurse in the care plan to reduce the risk of pulmonary edema? • Limited shortness of breath upon exertion • Minimal crackles and wheezes in lung sounds • Maintaining oxygen saturation of 89% • Maintaining a balanced intake and output

* Maintaining a balanced intake and output

The nurse is performing medication reconciliation for a newly admitted client. The nurse recognizes which drugs contribute to signs and symptoms of gastritis? Select all that apply. - Naproxen, taken once daily for joint pain associated with arthritis - Prednisone, tapered over a 14-day period to decrease inflammation associated with an acute sinus infection - Aspirin, taken once daily to prevent cardiac concerns - Bacitracin ointment (over the counter), applied to minor scrapes on arms and legs - Amoxicillin, taken over a 10-day period for an acute sinus infection

* Naproxen, taken once daily for joint pain associated with arthritis * Prednisone, tapered over a 14-day period to decrease inflammation associated with an acute sinus infection * Aspirin, taken once daily to prevent cardiac concerns

A patient is placed on fluid restrictions because of chronic kidney disease (CKD). Which assessment finding would alert the nurse that the patient's fluid balance is stable at this time? Select the best answer • No adventitious sounds in the lungs • Decreased calcium levels • Increased edema in the legs • Increased phosphorus levels

* No adventitious sounds in the lungs

A nurse cares for an older patient admitted from a nursing home after several recent falls. What intervention would the nurse complete first?Select the best answer: • Administer intravenous antibiotics. • Encourage protein intake and additional fluids. • Obtain urine sample for culture and sensitivity. • Consult physical therapy for gait training.

* Obtain urine sample for culture and sensitivity

The nurse is caring for four patients with chronic kidney disease. Which patient would the nurse assess first upon initial rounding? Select the best answer: • Man with skin itching from head to toe • Patient with halitosis and stomatitis • Woman with a blood pressure of 158/90 mm Hg • Patient with Kussmaul respirations

* Patient with Kussmaul respirations

The nurse is caring for a client who has just been prescribed a glucocorticoid to treat an exacerbation of ulcerative colitis. What teaching will the nurse provide? Select the best answer - Decrease the drug dose during the next exacerbation. - This drug will act as an antidiarrheal - Report fever to health care provider immediately. - Determine if the client's insurance covers payment for this medication.

* Report fever to health care provider immediately.

Match the location of body structures in each abdominal quadrant and midline region of the abdomen • Most of the liver • Gallbladder • Duodenum • Head of the pancreas • Hepatic flexure of the colon • Part of the ascending and transverse colon • Left lobe of the liver • Stomach • Spleen • Body and tail of the pancreas • Splenic flexure of the colon • Part of the transverse and descending colon • Abdominal aorta • Uterus (if enlarged) • Bladder (if distended) • Cecum • Appendix • Right ureter • Right ovary and fallopian tube • Right spermatic cord • Part of the descending colon • Sigmoid colon • Left ureter • Left ovary and fallopian tube • Left spermatic cord

* Right Upper Quadrant (RUQ) * Left Upper Quadrant (LUQ) * Midline * Right Lower Quadrant (RLQ) * Left Lower Quadrant (LLQ)

The patient was admitted complaining of whirling or turning in space and feeling like they may fall when walking. The student nurse is concerned about what the patient is experiencing. Select the best answer: - Anemia - Nystagmus - Vertigo - Hypotension

* Vertigo

The patient is alert and speaking to the patient and is ready to go home after an endoscopic procedure. The student nurse is aware that the patient must have someone available to drive him or her home because of: of the effects of moderate sedation possible aspiration possible contamination of others possible vomiting while driving in the car

* of the effects of moderate sedation

Match the terms accordingly. Each term has one answer. - Bruits - Eructation - Flatulence - Melena - enlarged liver - splenomegaly - An excessive amount of fat in the stool.

* swishing sound in the larger arteries * the act of belching * the presence of an excessive amount of gas in the stomach or intestines * blood in the stool with the appearance of black tarry stool * hepatomegaly. * enlargement of the spleen * steatorrhea

A patient in the medical-surgical unit with acute kidney injury (AKI) must maintain a mean arterial pressure (MAP) of 65 mm Hg to promote kidney perfusion. What is the patient's MAP if the blood pressure is 98/50 mm Hg? (Record your answer using a whole number of the correct units behind our answer) _______ mm Hg

66 mmHg

A patient weighs 228 lbs (103.6 kg) and is 5'3" (160 cm) tall. What is this patient's body mass index (BMI)? (Record your answer using a decimal rounded up to the nearest tenth.) __ Submit your work on the paper provided with your name on it.

Your Answer: 40.46875 rounded to the nearest tenth = 40.5 BMI but put 40.4

A doctor orders 200 mg of Rocephin to be taken by a 15.4 lb infant every 8 hours. The medication label shows that 75-150 mg/kg per day is the appropriate dosage range. Is this doctor's order within the desired range? Show your work for min and max desired dosage, this will provide the rationale for your yes or no answer. If the work is not shown clearly points will not be added. Show work on paper, do not waste time to place in the exam.

Your Answer: Yes, the order is within the desired range. * Weight in Kg * Dosage Per Kg = Y (Required Dosage) Convert 15.4 lb to kg. lb → kg ( ÷ by 2.2 ) 4 lb ÷ 2.2 = 7 kg 7 kg * 75 mg/kg = 525 mg (Minimum Desired Dosage) 7 kg * 150 mg/kg = 1,050 mg (Maximum Desired Dosage) 24 hours in one day and the medication is ordered every 8 hours. 24 hrs / 8 hrs = 3 times per day doctor ordered medication 200 * 3 = 600 mg ordered per day 600 mg is within the desired range of 525-1,050 mg Yes doctor has ordered a dosage within the desired range.

A nurse teaches a patient who is recovering from a contrast-enhanced CT. Which instruction should the nurse include in this patient's discharge teaching? Select the best answer: • "Be sure to drink at least 3 L of fluids today to help eliminate the dye faster." • "Your skin may become slightly yellow from the dye used in this procedure." • "You may have some dribbling of urine for several weeks after this procedure." • "Avoid direct contact with your urine for 24 hours until the radioisotope clears."

• "Be sure to drink at least 3 L of fluids today to help eliminate the dye faster."

A nurse assesses a patient with renal insufficiency and a low red blood cell count. The patient asks, "Is my anemia related to the renal insufficiency?" How should the nurse respond? Select the best answer: • "Your anemia and renal insufficiency are related to inadequate vitamin D and a loss of bone density." • "Kidney insufficiency inhibits active transportation of red blood cells throughout the blood." • "Erythropoietin is usually released from the kidneys and stimulates red blood cell production in the bone marrow." • "Red blood cells produce erythropoietin, which increases blood flow to the kidneys."

• "Erythropoietin is usually released from the kidneys and stimulates red blood cell production in the bone marrow."

A nurse cares for a patient with urinary incontinence. The patient states, "I am so embarrassed. My bladder leaks like a young child's bladder." How would the nurse respond? Select the best answer: • "I understand how you feel. I would be mortified." • "More people experience incontinence than you might think." • "I can teach you strategies to help control your incontinence." • "Incontinence pads will minimize leaks in public."

• "I can teach you strategies to help control your incontinence."

After teaching a patient with a history of renal calculi, the nurse assesses the patient's understanding. Which statement made by the patient indicates a correct understanding of the teaching? • "I will eliminate all dairy or sources of calcium from my diet." • "I should drink at least 3 L of fluid every day." • "Aspirin and aspirin-containing products can lead to stones." • "The doctor can give me antibiotics at the first sign of a stone."

• "I should drink at least 3 L of fluid every day."

A nurse teaches patients about the difference between urge incontinence and stress incontinence. Which statements would the nurse include in this education? Select the best answer: • "Urge incontinence involves a post-void residual volume less than 50 mL." • "Stress incontinence usually occurs in people with dementia." • "Urge incontinence can be managed by increasing fluid intake." • "Urge incontinence occurs due to abnormal bladder contractions." • "Stress incontinence occurs due to weak pelvic floor muscles."

• "Urge incontinence occurs due to abnormal bladder contractions." • "Stress incontinence occurs due to weak pelvic floor muscles."

When working with older adults to promote good nutrition, what actions by the nurse are most appropriate? Select all that apply: • Provide salty foods that the patient can taste. • Assess dentures for appropriate fit. • Ensure that the patient has glasses on when eating. • Allow uninterrupted time for eating. • Serve high-calorie, high-protein snacks.

• Assess dentures for appropriate fit. • Ensure that the patient has glasses on when eating. • Allow uninterrupted time for eating. • Serve high-calorie, high-protein snacks.

A nurse cares for a patient with a urine specific gravity of 1.018. What action should the nurse take? Select the best answer: • Encourage the patient to drink more fluids, especially water. • Obtain a specimen for a urine culture and sensitivity. • Evaluate the patient's intake and output for the past 24 hours. • Document the finding in the chart and continue to monitor.

• Document the finding in the chart and continue to monitor.

A nurse reviews the health history of a patient with an oversecretion of renin. Which disorder should the nurse correlate with this assessment finding? Select the best answer: • Diabetes mellitus • Alzheimer's disease • Hypertension • Viral hepatitis

• Hypertension

The nurse understands that malnutrition can occur in hospitalized patients for several reasons. Which are possible reasons for this to occur? Select all that apply: • Increased need for nutrition • Cultural food preferences • Need for NPO status • Staff shortages • Family bringing snacks

• Increased need for nutrition • Cultural food preferences • Need for NPO status • Staff shortages

A nurse reviews a patient's laboratory results. Which results from the patient's urinalysis should the nurse recognize as abnormal? Select the best answer: • pH 5.6 • Ketone bodies present • Specific gravity of 1.020 • Clear and yellow color

• Ketone bodies present

A nurse assesses a patient with a fungal urinary tract infection (UTI). Which assessments would the nurse complete? Select all that apply: • Obtain a current list of medications. • Assess the medical history and current medical problems. • Inquire about recent travel to foreign countries. • Perform a bladder scan to assess postvoid residual. • Palpate the kidneys and bladder.

• Obtain a current list of medications. • Assess the medical history and current medical problems.

A nurse plans care for an older adult patient. Which interventions should the nurse include in this patient's plan of care to promote kidney health? Select all that apply: • Provide thorough perineal care after each voiding. • Assess for urinary retention and urinary tract infection. • Leave the bathroom light on at night. • Delegate bladder training instructions to the unlicensed assistive personnel (UAP). • Encourage use of the toilet every 6 hours. • Ensure adequate fluid intake.

• Provide thorough perineal care after each voiding. • Assess for urinary retention and urinary tract infection. • Leave the bathroom light on at night. • Ensure adequate fluid intake.

A nurse reviews the allergy list of a patient who is scheduled for a contrast-enhanced CT. Which patient allergy should alert the nurse to urgently contact the healthcare provider? Select the best answer • Bee stings • Penicillin • Seafood • Red food dye

• Seafood