Questions 26

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ATI LPN TextBook-Based Test Bank

Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition

Chapter 66 Questions

Question 1 of 5

A nurse teaches a client about self-care after experiencing a urinary calculus treated by lithotripsy. Which statements should the nurse include in this client's discharge teaching?

Correct Answer: A,B,C

Rationale: The client should be taught to finish the prescribed antibiotic to ensure that he or she does not get a urinary tract infection. The client should drink at least 3 liters of fluid daily to dilute potential stone-forming crystals, prevent dehydration, and promote urine flow. After lithotripsy, the client should expect bruising that may take several weeks to resolve.

Question 2 of 5

A nurse assesses a client who presents with renal calculi. Which question should the nurse ask?

Correct Answer: A

Rationale: There is a strong association between family history and stone formation and recurrence. Nephrolithiasis is associated with many genetic variations; therefore, the nurse should ask whether other family members have also had renal stones.

Question 3 of 5

A nurse assesses a male client who is recovering from a urologic procedure. Which assessment finding indicates an obstruction of urine flow?

Correct Answer: B

Rationale: The most common manifestation of urethral stricture after a urologic procedure is obstruction of urine flow, leading to overflow incontinence with the involuntary loss of urine when the bladder is distended.

Question 4 of 5

A nurse teaches a client with functional urinary incontinence. Which statement should the nurse include in this client's teaching?

Correct Answer: E

Rationale: Functional urinary incontinence occurs as the result of problems not related to the client's bladder, such as trouble accessing a toilet. One goal is that the client be able to manage his or her clothing independently. Elastic waistband slacks that are easy to pull down can help the client get on the toilet in time to void. The other instructions do not relate to functional urinary incontinence.

Question 5 of 5

A nurse teaches a young female client who is prescribed amoxicillin (Amoxil) for a urinary tract infection. Which statement should the nurse include in this client's teaching?

Correct Answer: A

Rationale: The client should use a second form of birth control because penicillin seems to reduce the effectiveness of estrogen-containing contraceptives. She should not experience increased menstrual bleeding or blood in her urine while taking this drug.

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