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ATI Med Surg Exam 2 Questions

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Question 1 of 5

A nurse is caring for four clients on the urology unit. Which of the following clients should the nurse plan to teach about kidney stone prevention?

Correct Answer: B

Rationale: Severe flank pain, nausea, and vomiting indicate kidney stones, warranting prevention education. Other symptoms suggest different conditions.

Question 2 of 5

A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions?

Correct Answer: C

Rationale: Collapse after exertion in heat with elevated sodium suggests dehydration. Renal failure, low-protein diet, and SIADH are inconsistent.

Question 3 of 5

A nurse is caring for a client admited with renal calculus. Which of the following assessment findings should the nurse associate with renal calculi? (Select all that apply)

Correct Answer: A,B,E

Rationale: Fever may indicate infection from renal calculi (
A). Urinary urgency occurs if stones affect the lower urinary tract (
B). Flank pain is a classic symptom (E). Incontinence and gastrointestinal upset are not directly linked.

Question 4 of 5

A nurse is caring for a 68-kg (150-lb) client who has dehydration. Which of the following manifestations is an indication of effective treatment?

Correct Answer: A

Rationale: Normal urine specific gravity (1.005–1.030) indicates rehydration. Decreased pulse pressure, lightheadedness, and low urine output suggest ongoing dehydration.

Question 5 of 5

A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication the client is experiencing fluid overload?

Correct Answer: C

Rationale: A 5 lb weight gain indicates fluid overload in hemodialysis patients. Flattened veins, normal skin turgor, and 93% oxygen saturation suggest other issues.

Similar Questions

A nurse is caring for a client in the clinic who has a distended bladder with discomfort over the area and a sense of fullness. Which of the following tests should the nurse expect the health care provider to order to determine if the client has urinary retention? (Select all that apply.)
A nurse is caring for a client who is receiving peritoneal dialysis for kidney failure. Which additional condition in the client's medical history puts the client at increased risk for the development of peritonitis?
A client who has polycystic kidney disease (PKD) presents to the emergency department with reports of a severe headache. Which of the following complications should the nurse expect?
A nurse is caring for a client who has an admited diagnosis of renal calculi and a medical history of hypertension and gout. The client works 6 days a week outside in temperatures between 32.2°C to 37.8°C (90°F to 100°F). Which of the following should the nurse tell the client to prevent a recurrence of renal calculi?
A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. The client is prescribed phenytoin 250 mg. The amount available is phenytoin oral solution 25 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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