A nurse is performing discharge teaching with a client who was admited for pyelonephritis. Which of the following instructions related to the prevention of pyelonephritis should the nurse include in the teaching? (Select all that apply.)

Bathing at least twice a day

Using douche to cleanse the vaginal area

Consuming adequate fluid intake

Completing all the antibiotics as prescribed

Wiping the perineal area from front to back after voiding

Answer and Explanation

Correct Answer : C,D,E

Choice A reason: Bathing twice a day is not necessary and can dry out the skin, which may lead to cracks and increase the risk of infection.

Choice B reason: Douching is not recommended as it can disrupt the natural ?ora of the vagina and potentially increase the risk of UTIs.

Choice C reason: Consuming adequate fluids is important to help ?ush bacteria from the urinary tract.

Choice D reason: Completing all antibiotics as prescribed is crucial to ensure the infection is fully treated and to prevent resistance.

Choice E reason: Wiping from front to back helps prevent bacteria from the anal area from spreading to the urethra.

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Correct Answer is B

Explanation

Choice A reason: Hyperkalemia is not typically associated with corticosteroid therapy. Corticosteroids can lead to increased excretion of potassium, not retention.

Choice B reason: Hypokalemia is a common side effect of corticosteroid therapy due to increased excretion of potassium in the urine.

Choice C reason: Hypomagnesemia is not commonly associated with corticosteroid therapy.

Choice D reason: Hypermagnesemia is not typically induced by corticosteroid therapy.

A. Muscle spasms B. Constipation C. Headache D. Metallic taste

Correct Answer is B

Explanation

Choice A reason: Muscle spasms are not typically associated with aluminum hydroxide use.

Choice B reason: Constipation is a common adverse effect of aluminum hydroxide, especially when used as a

phosphate binder in clients with renal failure.

Choice C reason: Headaches are not commonly reported as an adverse effect of aluminum hydroxide.

Choice D reason: A metallic taste is not a common adverse effect associated with aluminum hydroxide.

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A nurse is performing discharge teaching with a client who was admited for pyelonephritis. Which of the following instructions related to the prevention of pyelonephritis should the nurse include in the teaching? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has nephrotic syndrome and is receiving high-dose corticosteroid therapy. For which of the following electrolyte imbalances should the nurse monitor?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse effects should the nurse inform the client?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who has nephrotic syndrome. The nurse should recognize that which of the following client statements indicates a need for further teaching?

A nurse is gathering medical history from a client admited for pyelonephritis. Which of the following should the nurse expect the client to report when asked about their medical history?

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A nurse is providing discharge teaching for a client who is to perform peritoneal dialysis at home. Which of the following information should the nurse include?

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.)

A nurse is caring for four clients on the urology unit. Which of the following clients should the nurse plan to teach about kidney stone prevention?

A nurse is caring for a 68-kg (150-lb) client who has dehydration. Which of the following manifestations is an indication of effective treatment?

A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the followingfindings should the nurse identify as an indication the client is experiencing fluid overload?