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A nurse is performing an assessment of a female client in the clinic. The client reports foul-smelling urine and pain with urination. The client states, "I bet I have a UTI. Why do I tend to get urinary tract infections?" Which of the following statements should the nurse include in the explanation?

"If you take too many showers, you are more susceptible to getting a UTI because you are washing o? the protective bacteria."

"As a female, you have a shorter urethra, creating an easier way for bacteria to invade your bladder."

"As a female, you have more E. coli in your gastrointestinal system that can enter the bladder through your urethra."

"At your age, you have more sexual intercourse than older females, making you more likely to get a UTI."

Answer and Explanation

The Correct Answer is B

Choice A reason: Taking too many showers does not increase susceptibility to UTIs by washing o? protective bacteria. This is a misconception.

Choice B reason: Females do have a shorter urethra than males, which makes it easier for bacteria to reach the bladder and cause infections.

Choice C reason: While E. coli is a common bacteria causing UTIs, stating that females have more E. coli is incorrect and not a reason for increased UTIs.

Choice D reason: Sexual activity can increase the risk of UTIs, but it is not appropriate to assume that the client's age correlates with increased sexual activity.

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Free Nursing Study Resources

Correct Answer is ["50"]

Explanation

Step 1: The total amount of phenytoin required per dose is 250 mg.

Step 2: Each 5 mL of oral solution contains 25 mg of phenytoin.

Step 3: To find out how many mL are needed, we divide the total amount required by the amount in each 5 mL of oral solution. So, (250 mg ÷ 25 mg/5 mL).

Step 4: The result is 50 mL.

So, the nurse should administer 50 mL per dose. This is already a whole number, so no rounding is necessary.

A. "A low-protein diet will reduce the risk for hyperkalemia." B. "A low-protein diet reduces the risk for uremia." C. "A low-protein diet reduces the risk for edema." D. "A low-protein diet will decrease the nitrogenous waste in the blood."

Correct Answer is B

Explanation

Choice A reason: While a low-protein diet can help manage electrolyte imbalances, it is not specifically targeted at reducing the risk for hyperkalemia. Hyperkalemia is more directly managed by restricting foods high in potassium.

Choice B reason: A low-protein diet helps reduce the risk for uremia, which is the accumulation of waste products in the blood due to impaired kidney function. By consuming less protein, there is less urea and other nitrogenous wastes for the kidneys to filter, which can help delay the progression of kidney disease.

Choice C reason: Edema is related to ﬂuid retention and not directly to protein intake. A low-protein diet does not specifically reduce the risk for edema unless it is associated with kidney dysfunction aﬀecting ﬂuid balance.

Choice D reason: A low-protein diet will indeed decrease the amount of nitrogenous waste in the blood because less protein breakdown means less waste for the kidneys to remove. However, this choice is less specific than Choice B, which directly addresses the condition of uremia that is a concern for patients with chronic kidney failure.

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["50"]

Explanation

A nurse is teaching a client who has chronic kidney failure about planning a low-protein diet. The client asks, "Why do I have to be concerned about protein?" Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is caring for a client in the clinic who has a distended bladder with discomfort over the area and a sense of fullness. Which of the following tests should the nurse expect the health care provider to order to determine if the client has urinary retention? (Select all that apply.)

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.)

The nurse reviews data from a new client's kidney function test. Which of the following standards of transplant nursing practice is the nurse primarily performing?

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is teaching a client who has acute kidney injury about dietary sources of potassium. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is admitting a client who has pyelonephritis. Which of the following manifestations should the nurse expect to be present during the assessment? (Select all that apply.)

A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?