HCC II PrepU Elimination
A client has cystitis. The nurse should further assess the client for:
foul-smelling urine.
A patient reports to the nurse that she has a sense of pelvic pressure and urinary problems such as incontinence, frequency, and urgency. The problem has gotten much worse since the birth of her third child. What does the nurse suspect the patient is experiencing?
A cystocele
A female client is diagnosed with hepatitis C as well as a urinary tract infection. The organism is sensitive to tetracycline. Why is the health care provider reluctant to order tetracycline in a client with hepatic impairment?
It slows drug elimination.
Which assessment would a nurse perform on a client with Cushing's syndrome who is at high risk of developing a peptic ulcer?
Observe stool color.
Dilutional hyponatremia occurs in which disorder?
Syndrome of inappropriate antidiuretic hormone secretion (SIADH)
Early in pregnancy, frequent urination results mainly from which cause?
pressure on the bladder from the uterus
A nurse is caring for a woman who has just been diagnosed with uterine prolapse. Which symptoms may interfere with her daily activities? Select all that apply.
urinary frequency low back pain pelvic pressure
The client will have an abdominal hysterectomy tomorrow. Which information will be most important for the nurse to give to the client prior to admission to the hospital?
what she can eat and drink before admission
The nurse is aware that it requires approximately how many half-lives for a client to excrete a medication from the body?
4-5
A nurse is evaluating patients to determine their need for total parenteral nutrition (TPN). Which patients would be the best candidates for this type of nutritional support? Select all that apply. A A patient with irritable bowel syndrome who has intractable diarrhea B A patient with celiac disease not absorbing nutrients from the GI tract C A patient who is underweight and needs short-term nutritional support D A patient who is comatose and needs long-term nutritional support E A patient who has anorexia and refuses to take foods via the oral route F A patient with burns who has not been able to eat adequately for 5 days
A A patient with irritable bowel syndrome who has intractable diarrhea B A patient with celiac disease not absorbing nutrients from the GI tract F A patient with burns who has not been able to eat adequately for 5 days
A client has undergone a total abdominal hysterectomy and bilateral salpingo-oopherectomy as treatment for endometrial cancer. When providing postoperative care to this client the nurse would be alert for signs and symptoms of which of the following?
Bladder dysfunction
The nurse is irrigating a client's colostomy when the client begins to report cramping. What is the appropriate action by the nurse?
Clamp the tubing and allow client to rest.
A client with food poisoning has the nursing diagnosis "diarrhea." Which expected client outcome most directly demonstrates resolution of the problem?
Client will have formed stools within 24 hours.
The nurse is completing a routine urinalysis using a dipstick. The test reveals an increased specific gravity. The nurse should suspect which condition?
Decreased fluid intake
A nurse is performing postoperative care on a child with a ureteral stent. Which intervention will help manage bladder spasms
Encourage high fluid intake.
A client is diagnosed with pyelonephritis. Which nursing action is a priority for care now?
Ensure sufficient hydration.
While assessing a male neonate whose mother desires him to be circumcised, the nurse observes that the neonate's urinary meatus appears to be located on the ventral surface of the penis. The primary health care provider is notified because the nurse suspects which of the following?
Hypospadias.
Which of the following assessments should the nurse perform to determine the development of peptic ulcers when caring for a patient with Cushing's syndrome?
Observe the color of stool
What is the main purpose of the chorionic villi?
Provide an exchange site for the exchange of nutrients and wastes
A terminally ill client is receiving morphine around-the-clock for pain control. As part of the client's plan of care focusing on pain management, which nursing diagnosis would the nurse most likely identify?
Risk for constipation related to the effects of an opioid
While enrolled in a geography course, a student nurse learns that diarrheal illness is deadly for large numbers of infants in Third World countries. What vaccine will this nursing student identify as part of the solution to this problem?
Rotavirus (RV)
Which of the following will the nurse observe as symptoms of perforation in a patient with intestinal obstruction?
Sudden, sustained abdominal pain
The nurse is caring for a client who has been experiencing difficulty voiding since her vaginal birth. The client voices concern to the nurse. What information should be provided to the client?
The birth can cause perineal swelling.
James Roth, a 63-year-old accountant, is a client on the hospital unit where you practice nursing. Mr. Roth has developed urinary incontinence and is beginning bladder training to regain control over his urine elimination. Why is the catheter being clamped and unclamped?
To promote normal bladder function
A nurse is caring for a client who has had part of her small intestine removed due to cancer. She has also now developed hypertension and has been prescribed a new medication to decrease her blood pressure. While planning the client's care, the nurse should consider a possible alteration in which aspect of pharmacokinetics?
absorption
The nursing instructor is teaching the students about pelvic organ prolapse (POP). The nurse understands that teaching has been successful when the students identify which different types of POP? Select all that apply.
cystocele rectocele enterocele uterine prolapse
Which are anticholinergic side effects that may occur with the use of antipsychotic drugs? Select all that apply. diarrhea dry mouth constipation runny nose urinary retention
dry mouth constipation urinary retention
A voiding cystourethrogram (VCUG) is ordered on a child. What education should be provided to the parents?
he VCUG will rule out VUR
A nurse drains the bladder of a client by inserting a catheter for 5 minutes. What type of catheter would the nurse use in this instance?
intermittent urethral catheter
