Questions 47

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ATILPN Med Surg Urinary Exam Questions

Extract:


Question 1 of 5

A nurse is planning the care for an older adult patient. Which age-related changes in kidney function should the nurse consider when providing care to this patient? (Select all that apply.)

Correct Answer: A,B,C,E

Rationale: Age-related kidney changes include reduced urine concentration ability, decreased erythropoietin production, vascular sclerosis, and declining glomerular filtration rate, impacting overall kidney function.

Question 2 of 5

What is true about the urine osmolality when the kidney is adequately functioning?

Correct Answer: D

Rationale: In a healthy kidney, urine osmolality is regulated to match serum osmolality, reflecting balanced kidney function.

Question 3 of 5

A 14-year-old male is taking tolterodine (Detrol). What is the action of this drug?

Correct Answer: A

Rationale:
Tolterodine, an anticholinergic, reduces bladder contractions, decreasing the urge to void in patients with overactive bladder.

Question 4 of 5

After undergoing prostate surgery, a patient is discharged on the medication phenazopyridine hydrochloride (Pyridium) to assist with urinary catheter discomfort. What information will the nurse include in the discharge teaching?

Correct Answer: D

Rationale: Phenazopyridine causes a harmless reddish-orange discoloration of urine, which can stain clothing or contact lenses, and this should be included in discharge teaching.

Question 5 of 5

Order: furosemide (lasix) 40mg IV daily. Available: furosemide 10mg/ml Give________ ml

Correct Answer: 4

Rationale: Dividing the ordered dose (40 mg) by the concentration (10 mg/mL) yields 4 mL for administration.

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