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Ati lpn 112 med surg proctored exam (urinary)

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Total Questions : 59

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Question 1:

Urinary output 26 mL/hr

Lethargic

Temperature: 37.1°C

Heart rate: 98/min

Respiratory rate: 24/min

Blood pressure: 142/92 mm Hg

Oxygen saturation: 98% on room air

WBC: 11,200/mm³ (5,000–10,000/mm³)

Hemoglobin: 13 g/dL (12–16 g/dL)

Hematocrit: 39% (36–47%)

Platelets: 250,000/mm³ (150,000–400,000/mm³)

BUN: 40 mg/dL (10–20 mg/dL)

Creatinine: 4 mg/dL (0.5–1.1 mg/dL)

Sodium: 138 mEq/L (136–145 mEq/L)

Potassium: 4.2 mEq/L (3.5–5.0 mEq/L)

Chloride: 101 mEq/L (98–106 mEq/L)

Glucose: 98 mg/dL (74–106 mg/dL)

A nurse is assisting with the care of a client who has acute kidney injury.

Which of the following findings require immediate follow-up by the nurse. (Select all that apply.)

Answer and Explanation

A
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Question 2:

A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? (Select all that apply.)

Answer and Explanation

A
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Question 3:

A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?

Answer and Explanation

A
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Question 4:

A nurse is assisting in planning care for a client who has cystitis. Which of the following interventions should be included in the plan of care?

Answer and Explanation

A
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Question 5:

A nurse manager in a health clinic is discussing complications associated with sexually transmitted infections (STIs) with a newly licensed nurse. Which of the following statements should be included in the discussion?

Answer and Explanation

A
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Question 6:

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?

Answer and Explanation

A
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Question 7:

A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination?

Answer and Explanation

A
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Question 8:

A nurse in a health clinic is reinforcing teaching to a newly licensed nurse about vaginal yeast infections. Which of the following information should the nurse include in the teaching?

Answer and Explanation

A
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Question 9:

A nurse is reviewing the laboratory results for a client who has chronic kidney disease. Which of the following laboratory findings should the nurse expect?

Answer and Explanation

A
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Question 10:

Type 2 diabetes mellitus

Chronic kidney disease

Hemodialysis with arteriovenous fistula

Day 1:

1000: Client alert and oriented to person, place, and time Lung fields clear; heart rhythm regular; bowel sounds normoactive x4, 79% of morning meal. Denies pain. Left forearm arteriovenous (AV) fistula, skin warm, brachial and radial pulses + 4

1600: Returned from dialysis, lethargic, not hungry tried to eat a few crackers but vomited them up. Capillary blood glucose of 134 mid AV fistula site skin warm, bruit and thrill noted, brachial and radial pulses palpable.

Day 2:

0700: Client reports not sleeping well last night; capillary blood glucose of 75 mg/dl, crackles in left lower lobe; unproductive cough. AV fistula ecchymotic, warm, bruit and thrill noted. Oriented to person, place, and time

Day 1, 1000:

Temperature: 36.3° C (97.3° F)

Heart rate 70/min

Respiratory rate 16/min

Blood pressure 144/72 mm Hg

Oxygen saturation 94% on room air

Weight 90 kg (198 lb)

Day 1, 1600:

Temperature: 37.1° C (98.7° F)

Heart rate 62/min

Respiratory rate 16/min

Blood pressure 112/54 mm Hg

Oxygen saturation 95% on room air

Day 2, 0700:

Temperature: 36.7° C (98.1° F)

Heart rate 62/min

A nurse is caring for a client receiving hemodialysis.

A nurse is caring for a client who has received hemodialysis. Which of the following assessment findings require follow-up? Select all that apply.

Answer and Explanation

A
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