Exam (elaborations)
Unit 3 Exam NURS 172 Questions With Complete Solutions
- Course
- Hondros NUR 172
- Institution
- Hondros College School Of Nursing
Unit 3 Exam NURS 172 Questions With Complete Solutions
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Unit 3 Exam NURS 172 Questions WithComplete Solutions
A nurse evaluating the therapeutic effect of the drug sodium
polystyrene sulfonate (Kayexalate) for a patient diagnosed with
chronic kidney disease. Which therapeutic effect from the
medication does the nurse anticipate?
1) Decreased serum sodium
2) Increased stool excretion
3) Decreased urine specific gravity
4) Decreased serum potassium Correct Answers 4) Decreased
serum potassium
A nurse is providing care to a group of patients on a urology
unit. Which patient does the nurse identify as being at the
greatest risk for developing urinary stones?
1) A 35-year-old female with quadriplegia from an auto accident
2) A 65-year-old male with a recent history of myocardial
infarction
3) A 50-year-old male with type II diabetes mellitus
4)A 25-year-old female with several episodes of urinary
infection Correct Answers 1) A 35-year-old female with
quadriplegia from an auto accident
A patient admitted to the hospital with a diagnosis of gout has
also been diagnosed with uric acid renal calculi. When planning
meals for this patient, which diet will the nurse anticipate?
1) Low-purine diet
2) Low-sodium diet
3) A diet high in calcium
,4) A diet low in calcium Correct Answers 1) Low-purine diet
A patient agrees to receive long-term hemodialysis to treat
chronic kidney disease. For which surgical procedure should the
nurse instruct this patient?
1) Insertion of a double-lumen catheter into the subclavian
artery
2) Placement of a peritoneal catheter
3) Insertion of a subarachnoid-peritoneal shunt
4)Placement of an arteriovenous fistula Correct Answers
4)Placement of an arteriovenous fistula
A patient is admitted to the emergency department and
diagnosed with urinary calculi after experiencing symptoms for
one week. When planning care for this patient, which nursing
diagnosis is the most appropriate?
1) Risk for Constipation
2) Risk for Disuse Syndrome
3) Imbalanced Nutrition
4) Activity Intolerance Correct Answers 3) Imbalanced
Nutrition
A patient is complaining of dull flank pain. List the order of the
steps the nurse should take in conducting the physical
assessment for this patient. (Enter the number of each step in the
proper sequence; do not use punctuation or spaces. Example:
1234)
4) Inspect the abdomen for color, contour, symmetry, and
distention
1) Instruct the patient
3) Assess the general appearance
, 2) Position the patient Correct Answers 1) Instruct the patient
2) Position the patient
3) Assess the general appearance
4) Inspect the abdomen for color, contour, symmetry, and
distention
A patient with a history of hypertension is diagnosed with
chronic kidney disease. When the patient asks the nurse how this
occurred, which response by the nurse is the most appropriate?
1) "Thickening of the kidney structures and gradual death of
nephrons has caused this diagnosis."
2)"Cysts compress renal tissue that destroys the kidneys, causing
this diagnosis."
3)"High blood pressure reduces renal blood flow and harms the
kidney tissue, causing this diagnosis."
4)"Immune complexes form in the kidney tissue that causes
inflammation, causing this diagnosis. Correct Answers 3)"High
blood pressure reduces renal blood flow and harms the kidney
tissue, causing this diagnosis."
A patient with acute kidney injury is complaining of a metallic
taste in the mouth and has no appetite. Based on this data, which
intervention by the nurse is the most appropriate?
1) Provide mouth care before meals
2) Administer an antiemetic as prescribed
3) Restrict fluids
4 Encourage the intake of protein, salt, and potassium Correct
Answers 1) Provide mouth care before meals
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