ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 66 : Care of Patients with Urinary Problems Questions
Question 1 of 5
A nurse teaches a client with a history of calcium phosphate urinary stones. Which statements should the nurse include in this client's dietary teaching?
Correct Answer: A,B,E
Rationale: Clients with calcium phosphate urinary stones should be taught to limit the intake of foods high in animal protein, sodium, and calcium. Clients with calcium oxalate stones should avoid spinach, black tea, and rhubarb.
Question 2 of 5
A nurse cares for a client who has kidney stones from secondary hyperoxaluria. Which medication should the nurse anticipate administering?
Correct Answer: D
Rationale: Stones caused by secondary hyperoxaluria respond to allopurinol (Zyloprim). Phenazopyridine is given to clients with urinary tract infections. Propatudeline is an anticholinergic.
Tolterodine is an anticholinergic with smooth muscle relaxant properties.
Question 3 of 5
A nurse assesses a client who is recovering from extracorporeal shock wave lithotripsy for renal calculi. The nurse notes an ecchymotic area on the client's right lower back. Which action should the nurse take?
Correct Answer: A
Rationale: The shock waves from lithotripsy can cause bleeding into the tissues through which the waves pass. Application of ice can reduce the extent and discomfort of the bruising. Although coagulation test results and fresh-frozen plasma are used to assess and treat bleeding disorders, ecchymosis after this procedure is not unusual. Obtaining serum coagulation is a higher level of intervention. Changing the client's position will not decrease bleeding.
Question 4 of 5
A nurse cares for a client admitted from a nursing home after several recent falls. What prescription should the nurse complete first?
Correct Answer: A
Rationale: Although all interventions are or might be important, obtaining a urine sample for urinalysis takes priority. Often urinary tract infection (UTI) symptoms in older adults are atypical, and a UTI may present with new onset of confusion or falling. The urine sample should be obtained before starting antibiotics.
Question 5 of 5
A nurse assesses a client for risk factors for bladder cancer. Which question should the nurse ask?
Correct Answer: A
Rationale: Smoking is known to be a factor that greatly increases the risk of bladder cancer. Alcohol use, recreational drug use, and family history (except medications that contain phenacetin) are not known to significantly increase the risk of developing bladder cancer.