ATI LPN
Urinary System Questions and Answers Questions
Question 1 of 5
A nurse cares for a client with diabetes mellitus who is prescribed metformin (Glucophage) and is scheduled for an intravenous urography. Which action should the nurse take first?
Correct Answer: A
Rationale: Metformin with dye can cause lactic acidosis, so discontinuing it is the priority.
Question 2 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? (Select all that apply.)
Correct Answer: A
Rationale: Protein, sodium, and calcium restriction helps prevent calcium phosphate stone formation.
Question 3 of 5
The nurse is caring for a patient who takes low-dose erythromycin as a prophylactic medication. The patient will begin taking cefaclor for treatment of an acute infection. The nurse should discuss this with the provider because taking both of these medications simultaneously can cause which effect?
Correct Answer: A
Rationale: Erythromycin reduces cefaclor's effectiveness, requiring discussion with the provider.
Question 4 of 5
The nurse is providing discharge teaching for a patient who will receive oral levofloxacin (Levaquin) to treat pneumonia. The patient takes an oral hypoglycemic medication and uses over-the-counter (OTC) antacids to treat occasional heartburn. The patient reports frequent arthritis pain and takes acetaminophen when needed. Which statement by the nurse is correct when teaching this patient?
Correct Answer: C
Rationale: Levofloxacin may enhance hypoglycemic effects, requiring closer glucose monitoring.
Question 5 of 5
The nurse is caring for a patient who has metabolic alkalosis and is experiencing fluid overload. The provider orders acetazolamide (Diamox). The patient reports right-sided flank pain after taking this medication. The nurse suspects that this patient has developed which condition?
Correct Answer: D
Rationale: Flank pain suggests renal calculi, a side effect of acetazolamide therapy.