The nurse is caring for a patient with kidney stones. Which intervention should the nurse implement?

Strain all urine.

Apply ice to the painful area.

Encourage bedrest.

Restrict fluids.

Answer and Explanation

The Correct Answer is A

A.   Straining urine is important to catch any stones that are passed, which can then be analyzed to determine their composition and inform future treatment and prevention strategies.
B.   While cold therapy may provide some relief from discomfort associated with kidney stones, it is not the primary intervention for managing kidney stones.
C.   Bedrest is generally not recommended for patients with kidney stones. Remaining active may help promote passage of the stone.
D.   Adequate fluid intake is essential for preventing kidney stone formation and facilitating stone passage. Restricting fluids can exacerbate the problem by leading to concentrated urine and increased risk of stone formation.

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

Explanation

A. Digoxin typically decreases the heart rate by increasing vagal tone and reducing conduction through the atrioventricular node.
B. Digoxin may have minimal effects on blood pressure, primarily by improving cardiac output in patients with heart failure, but its primary action is on cardiac contractility and rhythm.
C. Digoxin has a negative chronotropic effect, meaning it slows the heart rate by increasing parasympathetic tone and decreasing conduction through the atrioventricular node.
D. Digoxin has a positive inotropic effect, meaning it increases the force of cardiac contractions, which can be beneficial in patients with heart failure.
E. Digoxin can suppress ectopic beats (abnormal heart rhythms originating outside the sinoatrial node) by slowing conduction through the atrioventricular node and enhancing vagal tone

A. signs of polycythemia B. Need for fluid restrictions C. Obtain a daily weight D. Frequent oral care E. Normal protein in the diet F. Avoid nephrotoxic substances G. Decrease sodium in the diet H. Close monitoring of urine output

Correct Answer is ["B","C","D","E","G","H"]

Explanation

A. Polycythemia (an abnormally high red blood cell count) is not typically a primary concern in dialysis patients; instead, they are more often monitored for anemia.
B. Dialysis patients often need to restrict fluid intake to prevent fluid overload, which can exacerbate edema and cause additional cardiovascular strain.
C. Daily weight monitoring is crucial for dialysis patients to track fluid balance and detect any sudden changes that might indicate fluid retention or loss.
D. Frequent oral care is important to prevent infections, particularly because dialysis patients are at increased risk due to their compromised immune systems and possible fluid restrictions, which can lead to dry mouth and other oral health issues.
E. Dialysis patients may need a modified protein intake, depending on their specific needs and the type of dialysis (hemodialysis vs. peritoneal dialysis). Protein needs can vary, so it is essential to follow the specific dietary recommendations provided by a healthcare provider.
F. Avoiding nephrotoxic substances (e.g., certain medications, contrast dyes) is critical to protect the remaining kidney function and prevent further damage.
G. A low-sodium diet helps manage blood pressure and fluid balance, reducing the risk of fluid retention and hypertension in dialysis patients.

H. Monitoring urine output is important to assess kidney function and fluid balance.

Even though dialysis takes over some kidney functions, any remaining urine output can provide valuable information about the patient's residual kidney function.

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The nurse is caring for a patient with kidney stones. Which intervention should the nurse implement?

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Naxlex Comprehensive Predictor Exams

The nurse is teaching a patient about digoxin. The nurse would evaluate the patient as understanding the teaching if the patient made which of these statements? Select all that apply.

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

Explanation

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. Exhibits Which items should the nurse include when teaching the patient and family about dialysis? Select all that apply.

Correct Answer is ["B","C","D","E","G","H"]

Explanation

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