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A nurse is caring for a client in a clinic who has foul-smelling urine, a low-grade fever of 37.7°C (100°F), and pain with urination. Which of the following should the nurse expect the health care provider to order? (Select all that apply.)

WBC count

Blood cultures x2

Foley catheter placement

Broad-spectrum antibiotic

0.9% sodium chloride infusion at 100 mL/hr

A clean-catch urinalysis and urine culture

Answer and Explanation

Correct Answer : A,B,D,E,F

Choice A reason: A WBC count can help determine the presence of infection.

Choice B reason: Blood cultures may be ordered if there is a concern for a systemic infection or sepsis.

Choice C reason: Foley catheter placement is not typically indicated for UTI and can increase the risk of infection.

Choice D reason: A broad-spectrum antibiotic may be prescribed to treat the suspected UTI until specific causative bacteria are identified.

Choice E reason: IV fluids may be administered to ensure hydration, especially if the client is unable to maintain adequate oral intake due to nausea or vomiting.

Choice F reason: A clean-catch urinalysis and urine culture are essential to identify the specific bacteria causing the UTI and to determine the appropriate antibiotic therapy.

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Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Ensuring the client's urine output is at least 1 mL/kg/hour is important before administering potassium to prevent hyperkalemia, especially in clients with renal impairment.

Choice B reason: While educating the client about high-potassium food sources is important, it is not directly related to the administration of intravenous potassium.

Choice C reason: Cardiac monitoring during infusion is crucial due to the risk of arrhythmias associated with rapid

changes in potassium levels.

Choice D reason: Repeating blood serum potassium is necessary to monitor the effectiveness of the supplementation and avoid hyperkalemia.

Choice E reason: Potassium should not be prepared with 5% dextrose solution as it may cause a trans-cellular shift of potassium into cells, which is not recommended.

A. "The kidney infection has caused narrowing of the ureters, and your abdomen has filled with fluid." B. "The kidneys continue to enlarge due to the cysts growing, which increases the girth of your abdomen." C. "The stones might descend into the ureters, blocking the flow of urine and causing an increase in the girth of your abdomen." D. "The in?ammation in your kidneys damages the filtration system, which causes fluid retention in your abdomen."

Correct Answer is B

Explanation

Choice A reason: While kidney infections can cause swelling, they typically do not lead to a significant increase in abdominal girth unless associated with severe obstruction or advanced kidney disease.

Choice B reason: In PKD, the kidneys can become significantly enlarged due to the growth of numerous cysts, which

can indeed lead to an increase in abdominal girth.

Choice C reason: While stones can cause blockage and swelling, they would not typically result in a generalized increase in abdominal girth unless there is an associated infection or severe obstruction.

Choice D reason: Inflammation can lead to fluid retention, but in the context of PKD, it is the cysts' growth that primarily contributes to increased kidney size and abdominal girth.

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A nurse is caring for a client in a clinic who has foul-smelling urine, a low-grade fever of 37.7°C (100°F), and pain with urination. Which of the following should the nurse expect the health care provider to order? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer prescribed intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L (normal range: 3.5 to 5 mEq/L). Which of the following actions should the nurse plan to include? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is caring for a client who has polycystic kidney disease (PKD). The client is admited to the hospital for renal calculi and reports that their abdomen has been getting bigger. Which of the following statements by the nurse is the best explanation for the increase in abdominal girth?

Correct Answer is B

Explanation

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