STUVIA 2024/2025
Urinary Exam 3 Medsurg2
A: d.) Cloudy effluent
R: A cloudy or opaque effluent indicates the client is at greatest risk for peritonitis, a bacterial infection
of the peritoneum. Therefore, this is the priority finding for the RN to report to the MD. - ✔✔A nurse
is collecting data from a client who is receiving peritoneal dialysis. Which of the following findings
should the RN report to the MD immediately?
a.) Difficulty draining the effluent
b.) Redness at the access site.
c.) Fluid flowing from the catheter site.
d.) Cloudy effluent.
A. Potassium and magnesium
Clients who have chronic kidney disease have hyperkalemia, hyperphosphatemia, and
hypermagnesemia as well as elevations in serum creatinine and blood urea nitrogen. - ✔✔A nurse is
checking the laboratory values of a client who has chronic kidney disease. The nurse should expect
elevations in which of the following values?
%
a) Potassium and magnesium
b) Calcium and bicarbonate
c) Hemoglobin and hematocrit
d) Arterial pH and PaCO2
A. Relieve the client's pain
The nurse should apply the urgent versus non-urgent priority-setting framework when caring for the
client. Using this framework, the nurse should prioritize urgent needs because they pose a greater
threat to the client. The nurse might also need to use Maslow's hierarchy of needs, the ABC
priority-setting framework, and/or nursing knowledge to identify which finding is the most urgent. The
pain associated with renal calculi is severe and can lead to shock; therefore, this is the nurse's priority
action. - ✔✔A nurse is caring for a client who has a diagnosis of renal calculi and reports severe
flank pain. Which of the following is the priority nursing action?
A. Relieve the client's pain
B. Encourage the client to increase fluid intake
C. Monitor the client's intake and output
D. Strain the client's urine
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, STUVIA 2024/2025
Answer : D
the greatest risk to the client is injury to the renal system and sepsis from the uti .the priority
intervention is to administer antibiotics - ✔✔A nurse is caring for a client who has a urinary tract
infection which of the following is a priority intervention by the nurse?
A. Offer a warm sitz bath
B. Recommend drinking cranberry juice
C. Encourage increased fluids
D. Administer an antibiotic
Answer A
A decrease in urine output after a TURP indicates an obstruction to urine flow by a clot or residual
prostatic tissue and Should be reported to the provider - ✔✔A nurse is collecting data from a client
who is PostOperative following a transurethral resection of the prostate (TURP), After the nurse
discontinues the client's Urinary Catheter, Which of the following findings should the nurse report to
the provider?
%
A.Decrease Urine output
B.Report of burning upon urination
C.stress incontinence
D.pink-tinged urine
ANSWER A.
Following a stroke the client might have bladder incontinence due to confusion, impaired sensation, in
response to bladder fullness, and decreased sphincter control. The nurse should encourage the client
to void every 2 hours while awake to promote bladder control. By offering the bedpan the nurse
promotes client safety. - ✔✔A nurse is contributing to the plan of care for a client who had a stroke.
The client has hemiplegia and occasional urinary incontinence. Which of the following interventions
should the nurse recommend?
A. Offer the client a bedpan every 2 hours
B. Limit the clients daily fluid intake until he is no longer incontinent
C. Request a prescription for an indwelling catheter from the clients provider
D. Ambulate the client to the bathroom every 30 minutes
Answer A. ureter
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