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ATI Med Surg Exam 2 Questions

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Question 1 of 5

A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse effects should the nurse inform the client?

Correct Answer: B

Rationale: Aluminum hydroxide commonly causes constipation as a side effect. Muscle spasms, headaches, and metallic taste are not typical.

Question 2 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 3 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.

Question 4 of 5

A nurse is caring for a client admited for pyelonephritis. The client's history includes frequent urinary tract infections (UTI). Which of the following statements by the client indicates that they are su?ering from a psychosocial effect from frequent UTIs?

Correct Answer: B

Rationale: Missing social activities indicates a psychosocial impact. Back pain, bathroom proximity, and nausea are physical symptoms.

Question 5 of 5

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi?

Correct Answer: C

Rationale: Dehydration concentrates urine, promoting stone formation. Iron deficiency, proteinuria, and obesity are less directly linked.

Similar Questions

A nurse manager at a skilled nursing facility has noticed an increase in urinary tract infections (UTIs) by 12% in the past year. In an e?ort to decrease this rate, which of the following should the nurse manager teach the nursing staff? (Select all that apply.)
A nurse is caring for a group of clients on a medical-surgical unit. Which of the following clients is at greatest risk for urinary retention?
A nurse is preparing to administer diphenhydramine 50 mg PO every 6 hours to a client who has acute dystonia. Available are diphenhydramine 25 mg tablets. How many tablets 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.)
A nurse is caring for a client who has end-stage kidney disease and will soon begin hemodialysis treatments. Which of the following restrictions should the nurse discuss with the client that may impact their quality of life? (Select all that apply.)
A nurse is caring for a client who has end-stage kidney disease (ESKD) and reports having shortness of breath and swelling in his lower extremities. Upon assessment, the nurse notes the client has crackles in his lungs and an elevated blood pressure. The nurse should suspect which of the following based on the client's manifestations?

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