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NR 325 Exam 1 questions with well defined solutions latest update graded a+
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NR 325 Exam 1 questions with well defined solutions latest update graded a+
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NR 325 Exam 1 questions withwell defined solutions latest
update graded a+
The nonsteroidal antiinflammatory medications (NSAIDs) are nephrotoxic and
should be avoided in patients with impaired renal function.
A 79-year-old man has been admitted with benign prostatic hyperplasia. What is
most appropriate to include in the nursing plan of care?
a. Limit fluid intake to no more than 1000 mL/day.
b. Leave a light on in the bathroom during the night.
c. Ask the patient to use a urinal so that urine can be measured.
d. Pad the patient's bed to accommodate overflow incontinence. - Answer ANS:
B
The patient's age and diagnosis indicate a likelihood of nocturia, so leaving the
light on in the bathroom is appropriate. Fluids should be encouraged because
dehydration is more common in older patients.
The nurse completing a physical assessment for a newly admitted male patient is
unable to feel either kidney on palpation. Which action should the nurse take
next?
a. Obtain a urine specimen to check for hematuria.
,b. Document the information on the assessment form.
c. Ask the patient about any history of recent sore throat.
d. Ask the health care provider about scheduling a renal ultrasound. - Answer
ANS: B
The kidneys are protected by the abdominal organs, ribs, and muscles of the back,
and may not be palpable under normal circumstances, so no action except to
document the assessment information is needed.
How will the nurse assess for flank tenderness in a 30-year-old female patient
with suspected pyelonephritis?
a. Palpate along both sides of the lumbar vertebral column.
b. Strike a flat hand covering the costovertebral angle (CVA).
c. Push fingers upward into the two lowest intercostal spaces.
d. Percuss between the iliac crest and ribs along the midaxillary line. - Answer
ANS: B
Checking for flank pain is best performed by percussion of the CVA and asking
about pain.
,What glomerular filtration rate (GFR) would the nurse estimate for a 30-year-old
patient with a creatinine clearance result of 60 mL/min?
a. 60 mL/min
b. 90 mL/min
c. 120 mL/min
d. 180 mL/min - Answer ANS: A
The creatinine clearance approximates the GFR.
The nurse assessing the urinary system of a 45-year-old female would use
auscultation to
a. determine kidney position.
b. identify renal artery bruits.
c. check for ureteral peristalsis.
d. assess for bladder distention. - Answer ANS: B
The presence of a bruit may indicate problems such as renal artery tortuosity or
abdominal aortic aneurysm.
A patient gives the nurse health information before a scheduled intravenous
pyelogram (IVP). Which item has the most immediate implications for the
patient's care?
a. The patient has not had food or drink for 8 hours.
b. The patient lists allergies to shellfish and penicillin.
, c. The patient complains of costovertebral angle (CVA) tenderness.
d. The patient used a bisacodyl (Dulcolax) tablet the previous night. - Answer
ANS: B
Iodine-based contrast dye is used during IVP and for many computed tomography
(CT) scans. The nurse will need to notify the health care provider before the
procedures so that the patient can receive medications such as antihistamines or
corticosteroids before the procedures are started.
A patient passing bloody urine is scheduled for a cystoscopy with cystogram.
Which description of the procedure by the nurse is accurate?
a. "Your doctor will place a catheter into an artery in your groin and inject a dye
that will visualize the blood supply to the kidneys."
b. "Your doctor will insert a lighted tube into the bladder, and little catheters will
be inserted through the tube into your kidney."
c. "Your doctor will insert a lighted tube into the bladder through your urethra,
inspect the bladder, and instill a dye that will outline your bladder on x-ray."
d. "Your doctor will inject a radioactive solution into a vein in your arm and the
distribution of the isotope in your kidneys and bladder will be checked." -
Answer ANS: C
In a cystoscope and cystogram procedure, a cystoscope is inserted into the
bladder for direct visualization, and then contrast solution is injected through the
scope so that x-rays can be taken.
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