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Nursing

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Nov 24, 2024

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a. Increase in pulse rate b. Increase in daily weight c. Clear lung sounds d. Edema e. Labored respirations ANSWER: A, B, D, E Signs and symptoms of fluid overload: changes in pulse rate, respirations, cardiac sounds, and lung fields. Increase in daily morning weights. 15. The nurse is reviewing the urinalysis report on an assigned patient. The nurse recognizes which findings to be normal? (Select all that apply.) a. Turbidity clear b. pH 6.0 c. Glucose negative d. Red blood cells, 15 to 20 e. White blood cells ANSWER: A, C The type and size of urinary catheter are determined by the location and cause of the urinary tract problem. COMPLETION 16. Exercises to increase muscle tone of the pelvic floor are known as exercises. ANSWER: Kegel Women with weakened structures of the pelvic floor are prone to stress incontinence. For the female patient, Kegel exercises are helpful; 10 repetitions, 5 to 10 times a day, are suggested to improve muscle tone. 17. In the nephrotic syndrome, the glomeruli are damaged by inflammation and allow small to pass through into the urine. ANSWER: proteins In nephrotic syndrome, the glomeruli are damaged by inflammation and allow small proteins such as albumin to enter the urine. This creates a deficit of protein in the circulation volume (hypoalbuminemia), which leads to massive edema.

CH: 44. Urinary Tract Disorders MULTIPLE CHOICE 1.A client is being evaluated for a lower urinary tract infection. Which of the following symptoms would the nurse expect to find? 1. Cloudy urine 2.Flank pain 3.Nausea 4.Temperature 102.9F ANSWER: 1 Symptoms of a lower urinary tract infection include dysuria, frequency, urgency, hesitancy, cloudy urine, lower abdominal pain, chills, malaise, and mild fever (less than 101F). The other options aresymptoms of upper urinary tract infection. 2. An elderly client is diagnosed with a urinary tract infection. Which of the following will the nurse most likely assess in this client? 1.Jaundice 2.Vomiting 3.Poor eating habits 4.Change in mental status ANSWER: 4 The elderly tend to have symptoms of fever or hypothermia, poor appetite, lethargy, and a change in mental status. Newborns demonstrate jaundice. Infants can experience vomiting. Children tend to have poor eating habits. 3.A nurse is collecting a post-void residual urine volume for a client. Which of the following volumes would be abnormal? 1.30 mL 2.60 mL 3.95 mL

4.125 mL ANSWER : 4 A residual volume of greater than 100 mL is abnormal. The other volumes would be considered within normal limits. 4.A client is prescribed trimethoprim-sulfamethoxazole for a urinary tract infection. Which of the following instructions would not be appropriate for this medication? 1.Complete all the medication even if you feel better. 2.Drink extra water during the day. 3.Take on an empty stomach with water. 4.Take with an antacid. ANSWER: 4 This medication does not need to be taken with an antacid. Trimethoprim-sulfamethoxazole (Bactrim) should be taken on an empty stomach with water. The client should consume extra water to prevent sedimentation in the urine and calculus formation. All medication should be taken to treat and eliminate the infection. 5.A client with a urinary tract infection is being discharged with a prescription for ciprofloxacin. Thenurse should include which of the following discharge instructions? 1.Do not take within 2 hours of antacid use. 2.Limit fluids. 3. Restrict activity 4. Expect to be nauseated with this medication. ANSWER: 1 Ciprofloxacin should not be administered within 2 hours of taking an antacid. The client does not need to limit fluids or restrict activity. Nausea is not always a side effect of this medication. 6.A client is recovering from a cystoscopy. The nurse would expect to assess which of the following regarding the clients urine after the procedure? 1.Anuria 2.Blood clots

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