Which of the following assessment data would most likely be related to a client’s current complaint of stress incontinence? A. The client’s intake of 2 to 3 L of fluid per day. B. The client’s history of three full-term pregnancies. C. The client’s age of 45 years. D. The client’s history… Read More »
The nurse teaches the client with chronic renal failure when to take the aluminum hydroxide gel. Which of the following statements would indicate that the client understands the teaching? A. “I’ll take it every four (4) hours around the clock.” B. “I’ll take it between meals and at bedtime.” C. “I’ll take… Read More »
Which criterion is required before a patient can be considered for continuous peritoneal dialysis? A. The patient must be hemodynamically stable. B. The vascular access must have healed. C. The patient must be in a home setting. D. Hemodialysis must have failed. Correct Answer: A. The patient… Read More »
The nurse is developing a teaching plan for a client with stress incontinence. Which of the following instructions should be included? A. Avoid activities that are stressful and upsetting. B. Avoid caffeine and alcohol. C. Do not wear a girdle. D. Limit physical exertion. Correct Answer: B.… Read More »
The client with chronic renal failure tells the nurse he takes magnesium hydroxide (milk of magnesia) at home for constipation. The nurse suggests that the client switch to psyllium hydrophilic mucilloid (Metamucil) because: A. MOM can cause magnesium toxicity. B. MOM is too harsh on the bowel. C. Metamucil is more palatable.… Read More »
Polystyrene sulfonate (Kayexalate) is used in renal failure to: A. Correct acidosis. B. Reduce serum phosphate levels. C. Exchange potassium for sodium. D. Prevent constipation from sorbitol use. Correct Answer: C. Exchange potassium for sodium. In renal failure, patients become hyperkalemic because they can’t excrete potassium in… Read More »
A client has urge incontinence. Which of the following signs and symptoms would the nurse expect to find in this client? A. Inability to empty the bladder. B. Loss of urine when coughing. C. Involuntary urination with minimal warning. D. Frequent dribbling of urine. Correct Answer: C.… Read More »
In planning teaching strategies for the client with chronic renal failure, the nurse must keep in mind the neurologic impact of uremia. Which teaching strategy would be most appropriate? A. Providing all needed teaching in one extended session. B. Validating frequently the client’s understanding of the material. C. Conducting a one-on-one session… Read More »
Your patient has complaints of severe right-sided flank pain, nausea, vomiting, and restlessness. He appears slightly pale and is diaphoretic. Vital signs are BP 140/90 mmHg, Pulse 118 beats/min., respirations 33 breaths/minute, and temperature, 98.0F. Which subjective data supports a diagnosis of renal calculi? A. Pain radiating to the right upper quadrant. B.… Read More »
A 72-year old male client is brought to the emergency room by his son. The client is extremely uncomfortable and has been unable to void for the past 12 hours. He has known for some time that he has an enlarged prostate but has wanted to avoid surgery. The best method for the nurse to… Read More »