Elimination EAQ Questions and Answers 2022/2023 with complete solution
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Elimination EAQ
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Elimination EAQ
Elimination EAQ Questions and Answers 2022/2023 with complete solution
Which conclusion would the nurse make about the assessment finding of a client's very pale-yellow-colored urine?
Answer:Dilute urine
Reason: Dilute urine tends to appear very pale-yellow in color. Dark-red or brown color ur...
Elimination EAQ Questions and Answers 2022/2023 with
complete solution
Which conclusion would the nurse make about the assessment finding of a
client's very pale-yellow-colored urine?
Answer:Dilute urine
Reason: Dilute urine tends to appear very pale-yellow in color. Dark-red or brown color
urine indicates hematuria, the presence of blood in the urine. Dark-amber color urine
indicates concentrated urine. Red color urine may indicate the presence of
myoglobinuria.
Which medication turns urine reddish-orange in color?
Phenazopyridine
When preparing to administer medications safely, it is important for the nurse to
remember at which age an infant's gastric emptying time reaches adult values?
Answer:6 to 8 months
Reason: Gastric emptying is prolonged and irregular in early infancy. It gradually
reaches adult values by 6 to 8 months of age. By the ages of 10 to 24 months, gastric
emptying time will have already reached adult values.
The nurse receives an order to prepare the solution for administering a cleansing
enema to a 3-year-old child. Which is the volume of solution the nurse would
prepare?
Answer: 250 to 350 mL
Reason: The nurse would prepare 250 to 350 mL of warmed solution for administering a
cleansing enema in a toddler. The nurse would prepare 150 to 250 mL of warmed
solution for infants. In school-aged children, the volume of warmed solution is 300 to
500 mL. In adolescents, the volume required is 500 to 750 mL.
Which antidepressant may be prescribed to a new mother diagnosed with
depression?
Answer: Sertraline
Reason: Sertraline is considered safe in lactating females. Dosing immediately after
breast-feeding can reduce the risk for excretion of the medication in the breast milk by
the next feeding time. Fluoxetine and amphetamine are not recommended for breast-
feeding clients. Carbamazepine is not used to treat depression.
For which condition would an infant born with exstrophy of the bladder be at
risk?
Answer: Infection
Reason: The greatest problem facing this infant is infection of the bladder mucosa and
excoriation of the surrounding tissue; meticulous hygiene is necessary both before and
after surgery. Dehydration is not a problem, because fluid intake and the amount of
urine output are not affected. Urine retention is not a problem, because the urine drains
continuously. The congenital abnormality involves the genitourinary system, not the
intestines.
Which goal would the nurse expect a client receiving treatment for bacterial
cystitis to achieve before their discharge from the hospital?
, Answer: Achieve relief of clinical symptoms and maintain kidney function.
Reason: Relief of symptoms and continued urine output are measurable responses to
therapy and are the desired outcomes. Four liters of water per day is too much fluid; 2
to 3 liters a day is recommended to flush the bladder and urethra. Dietary restrictions
are not necessary with cystitis. Bleeding is not a complication associated with this
treatment.
Which statement reflects the nurse's suspicions regarding a client's cloudy urine
noted on a urinalysis report?
Answer: The client has a urinary infection.
Reason: The urine becomes cloudy when an infection is present due to the presence of
leukocytes. The nurse concludes the client has a urinary infection. In cases of biliary
obstruction, the urine contains bilirubin. The presence of ketones in the urine indicates
diabetic ketoacidosis or prolonged starvation.
Which collecting structure is located at the end of the renal papilla?
Answer: Calyx
Reason: The calyx is a cuplike structure that collects urine and is located at the end of
each papilla. The outer surface of the kidney consists of fibrous tissue and is called the
capsule. The renal cortex is the outer tissue layer. The renal columns are the cortical
tissue that dip down into the interior of the kidney and separate the pyramids.
Which is the maximum recommended length for enema tube insertion in an
adolescent? Record your answer using a whole number. _____ cm
Answer: 10 cm
Reason: In adolescents, the maximum length for insertion of an enema tube is 10 cm.
Which is the recommended size of the urinary catheter that can be used in a 3-
year-old child?
Answer: 8 to 10 Fr
Reason: The recommended size of a urinary catheter that can be used in a 3-year-old
child is 8 to 10 Fr. A urinary catheter of 5 to 6 Fr is generally used in infants. A length of
14 to 16 Fr is recommended for most adult clients. A length of 16 to 18 Fr is commonly
used in adult males.
The nurse prepares a male client with a history of recurrent urinary tract
infections (UTIs) for discharge after a ureterolithotomy. Which clinical
manifestations of a UTI would the nurse teach this client to recognize?
Answer: Urgency or frequency of urination
Reason: Urgency or frequency of urination occurs with a urinary tract infection because
of bladder irritability; burning on urination and fever are additional signs of a UTI.
Increased ketones indicate diabetes mellitus, starvation, or dehydration. A UTI does not
affect the ability of a male to maintain an erection. Pain radiating to the external
genitalia is a symptom of a urinary calculus, not an infection.
Which action would the nurse include in the plan of care for a client admitted with
heart failure who has gained 20 pounds in 3 weeks? Select all that apply. One,
some, or all responses may be correct.
Answer: Diuretics, Low-salt diet, Daily weight checks, Fluid restriction, Intake and
output, Oxygen administration
Reason: Interventions for a client with heart failure who has sustained a 20-pound
weight gain would be focused on decreasing fluid retention. Interventions could include
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