ATI LPN
ATILPN Med Surg Urinary Exam Questions
Extract:
Question 1 of 5
A patient on dialysis asks why he is receiving aluminum hydroxide gel (Amphojel), a phosphate binder, for his renal disorder. What should the nurse explain regarding the action of that Amphojel?
Correct Answer: D
Rationale: Aluminum hydroxide binds dietary phosphorus to manage calcium-phosphorus balance, preventing bone demineralization in dialysis patients.
Question 2 of 5
Erythropoietin is a hormone produced by the kidney. What will a deficiency of erythropoietin in a patient in chronic renal failure result in?
Correct Answer: C
Rationale: Erythropoietin deficiency in chronic renal failure reduces red blood cell production, leading to anemia.
Question 3 of 5
What laboratory value change should indicate to a nurse that a patient with renal failure has entered the oliguric stage?
Correct Answer: B
Rationale: Elevated BUN levels in the oliguric stage result from reduced urine output and waste accumulation.
Question 4 of 5
A nurse is caring for a patient after urinary diversion surgery. What postoperative nursing assessment is the priority?
Correct Answer: D
Rationale: Monitoring bowel sounds is critical post-surgery to detect complications like paralytic ileus.
Question 5 of 5
What should nursing care focus on when caring for a patient with a ureteral catheter in place after the removal of a kidney stone?
Correct Answer: C
Rationale: Ensuring the ureteral catheter remains patent prevents complications like obstruction or infection, making patency the primary focus.