A nurse manager at a skilled nursing facility has noticed an increase in urinary tract infections (UTIs) by 12% in the past year. In an e?ort to decrease this rate, which of the following should the nurse manager teach the nursing sta?? (Select all that apply.)

Promote perineal care that includes wiping the perineum from the front to the back.

Obtain orders from the health care provider to discontinue catheters as soon as possible.

Continue prescribed antibiotics even if the client's symptoms have subsided.

Remind clients to urinate right away when they have an urge and to completely empty their bladder.

Encourage adequate fluid intake every day.

Answer and Explanation

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

Choice A reason: Proper perineal care is crucial in preventing UTIs, especially in a skilled nursing facility where clients may need assistance with personal hygiene.

Choice B reason: Catheters should be discontinued as soon as medically feasible because they can be a source of infection.

Choice C reason: It is important to complete the full course of prescribed antibiotics to ensure all bacteria are eradicated and to prevent antibiotic resistance.

Choice D reason: Encouraging clients to urinate regularly and completely empty their bladder can help ?ush out bacteria and prevent UTIs.

Choice E reason: Adequate fluid intake is essential to help dilute urine and ?ush bacteria from the urinary tract.

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Correct Answer is C

Explanation

Choice A reason: During the oliguric phase of acute kidney injury, BUN and creatinine levels typically increase, not decrease, due to reduced kidney function.

Choice B reason: Renal function is not reestablished during the oliguric phase; this phase is characterized by decreased function.

Choice C reason: The oliguric phase is defined by significantly reduced urine output, often less than 400 mL per 24 hours.

Choice D reason: The GFR does not recover during the oliguric phase; it is usually decreased.

A. Eat at least 45 g of fiber per day. B. Consume less than 0.8 g/kg of body weight of protein per day. C. Eat no more than 300 mg of cholesterol per day. D. Consume less than 45% of total calories from carbohydrates per day.

Correct Answer is B

Explanation

Choice A reason: While fiber is important in a diet, recommending at least 45 g per day does not specifically address the needs of a patient with diabetic nephropathy.

Choice B reason: Consuming less than 0.8 g/kg of body weight of protein per day is recommended for patients with diabetic nephropathy to reduce the workload on the kidneys.

Choice C reason: Limiting cholesterol intake to 300 mg per day is a general recommendation for heart health but is not specific to diabetic nephropathy dietary management.

Choice D reason: The recommendation to consume less than 45% of total calories from carbohydrates is not specific to diabetic nephropathy, and carbohydrate needs can vary based on individual energy requirements.

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A nurse manager at a skilled nursing facility has noticed an increase in urinary tract infections (UTIs) by 12% in the past year. In an e?ort to decrease this rate, which of the following should the nurse manager teach the nursing sta?? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is providing dietary teaching to a client who has nephropathy secondary to diabetes mellitus and plans to make dietary adjustments. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is caring for a client in the emergency department with a diagnosis of renal calculi. Which of the following areas of the renal system do most renal calculi begin forming?

A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)

A nurse is monitoring an older adult female client who had a myocardial infarction (MI) for the development of acute kidney injury (AKI). Which of the following findings should the nurse identify as indicating an increased risk of AKI?

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?

A nurse is preparing a client for a kidney biopsy. Which of the following client conditions should the nurse identify as a contraindication for this diagnostic test?

A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions?

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?