ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 65 Questions
Question 1 of 5
A nurse reviews a female clients laboratory results. Which results from the clients urinalysis should the nurse recognize as abnormal?
Correct Answer: B
Rationale: Ketone bodies are by-products of incomplete metabolism of fatty acids and are not normally present in urine. Their presence indicates abnormal metabolism, such as in diabetes or starvation. A pH between 4.6 and 8.0, specific gravity between 1.005 and 1.030, and clear yellow urine are normal findings.
Question 2 of 5
A nurse plans care for an older adult client. Which interventions should the nurse include in this clients plan of care to promote kidney health? (Select all that apply.)
Correct Answer: A,B,E,F
Rationale: Adequate fluid intake prevents dehydration, which can stress the kidneys. Leaving the bathroom light on aids safe ambulation for older adults, reducing fall risk. Thorough perineal care prevents infections, and assessing for urinary retention and UTIs ensures early detection of issues. Delegating bladder training to UAP is inappropriate, as it requires nursing judgment, and scheduled toileting every 6 hours may not address individual needs.
Question 3 of 5
A nurse assesses a client with renal insufficiency and a low red blood cell count. The client asks, Is my anemia related to the renal insufficiency? How should the nurse respond?
Correct Answer: C
Rationale: Erythropoietin is produced in the kidney and is released in response to decreased oxygen tension in the renal blood supply. Erythropoietin stimulates red blood cell production in the bone marrow. Anemia and renal insufficiency are not manifestations of vitamin D deficiency. The kidneys do not play a role in the transportation of red blood cells or any other cells in the blood.
Question 4 of 5
A nurse reviews laboratory results for a client who was admitted for a myocardial infarction and cardiogenic shock. Which laboratory result indicates the client may have acute kidney injury?
Correct Answer: B
Rationale: Normal creatinine levels are 0.6"?1.2 mg/dL (males) or 0.5"?1.1 mg/dL (females). A creatinine level of 2.3 mg/dL is elevated, indicating possible acute kidney injury, especially in the context of cardiogenic shock, which can reduce renal perfusion. A BUN of 52 mg/dL is also elevated but less specific, as BUN can be affected by non-renal factors.
Question 5 of 5
After delegating to an unlicensed assistive personnel (UAP) the task of completing a bladder scan examination for a client, the nurse evaluates the UAPs performance. Which action by the UAP indicates the nurse must provide additional instructions when delegating this task?
Correct Answer: A
Rationale: Moving the client to a room with a private bathroom is unnecessary and impractical for a bladder scan, which can be performed in the client's current room with proper privacy measures, such as closing the curtain. Closing the curtain, positioning the client correctly, and cleaning the probe are appropriate actions.