A nurse is reinforcing teaching with a client who has recurrent urinary tract infections (UTIs) about prevention measures. Which of the following client statements indicates the need for further teaching?

The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

The nurse is preparing to assist the physician with a bone marrow biopsy. Which intervention is most important for the nurse to carry out before the procedure?

A nurse is collecting data from a client who has end-stage kidney disease and is waiting for transport to dialysis. Which of the following findings should the nurse expect?

A nurse is reinforcing teaching with a client who has recurrent urinary tract infections (UTIs) about prevention measures. Which of the following client statements indicates the need for further teaching?

A patient with dehydration will have which color of urine?

You are caring for this team of patients. Which patient is the priority to see first to collect data?

A nurse is caring for a client who is postoperative following a laparoscopic cholecystectomy. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching?

The nurse is caring for a 32-year-old female patient coming to the clinic with peripheral edema, periorbital edema and flank pain. Use the chart to answer the questions

History & Assessments

Medical/Surgical history: Systemic lupus erythematosus (SLE) x12 years. controlled with glucocorticoids, diabetes mellitus x2 years, recurring urinary tract infections (UTIs).

Surgical history includes C-sections x2. Mitral valve regurgitation for 2 years.

Social History: Married with two healthy children, Works full-time as an office manager. Denies use of alcohol, drugs, or tobacco.

Family History: Mother also had SLE died at age 55 from complications of renal failure. Father is alive and healthy.

Physical Assessment: Alert and oriented, moves all extremities, grips and pushes strong, PERRLA 3 mm. Lungs with crackles, bilaterally, no shortness of breath. 51, 52 heart sounds with murmur: 3+ radial and pedal pulses: 4+ edema of the lower legs, ankles and feet: 2+ edema of the fingers and hands: periorbital edema present. Pain with percussion of the costovertebral angle.

Medications: Prednisone 10 mg PO daily, metformin 500 mg PO BID: ibuprofen 600 mg PO for pain PRN.

The nurse is concerned about the patient’s renal function. For each patient finding, specify if the finding is consistent with the disease process of glomerulonephritis, urinary tract infection, or chronic kidney disease. Select all that apply in each row.

A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider?