NSG2340 Week 5-8 Review

A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal conduit. Which of the following instructions should the nurse include in the teaching?

• Change the ostomy pouch daily.

• Empty the ostomy pouch when it is 2/3 full.

• Trim the opening of the ostomy seal to be 1/2 in. wider than the stoma.

• Apply lotion to the peristomal skin when changing the ostomy pouch.

A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take?

• Provide a diet high in protein.

• Provide ibuprofen for retroperitoneal discomfort.

• Monitor intake and output hourly.

• Encourage the client to consume at least 2 L of fluid daily.

A nurse is caring for a client who is receiving hemodialysis. Which of the following client measurements should the nurse compare before and after dialysis treatment to determine fluid losses?

• Neck vein distention

• Blood pressure

• Body weight

• Abdominal girth

A nurse is reinforcing teaching to a female client who has acute cystitis and is to start therapy with phenazopyridine. Which of the following information should the nurse give to the client?

• Use birth control while taking this medication to prevent pregnancy.

• Wear a protective pad under clothing to prevent staining.

• Take the medication on an empty stomach.

• Finish the medication in order to resolve the infection.

Which of the following findings indicates to the nurse the need to catheterize the client?

• Urge incontinence

• Suprapubic discomfort

• Reflex incontinence

• Nocturnal enuresis

An older adult client in a long-term care facility has dementia and begins to have frequent episodes of urinary incontinence. After the provider finds no medical cause for his incontinence, which of the following interventions should the nurse initiate to manage this behavior?

• Remind the client to tell the nurse when he has to urinate.

• Use adult diapers to prevent frequent clothing changes.

• Take the client to the bathroom on an every-2-hr schedule.

• Request a prescription for an indwelling urinary catheter.

A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asks the nurse, "What is the purpose for this test?" Which of the following responses should the nurse give?

• This test will inform your provider how your kidneys are functioning.

• This test will inform your provider if you are anemic.

• This test will inform your provider if you have an infection.

• This test will inform your provider if you have a thyroid disorder.

A nurse is reinforcing teaching with a female client about preventing urinary tract infections (UTIs). Which of the following instructions should the nurse include?

• Wear underwear made from nylon.

• Drink 16 oz of cranberry juice each day.

• Use an over-the-counter douche product after intercourse.

• Wait to void until the bladder feels full.

A nurse is collecting data for a client who has early manifestations of renal impairment. Which of the following findings should the nurse expect?

• Diluted urine

• Yellowish-gray skin

• Muscle cramps

• Weight gain

A nurse is reinforcing teaching with a client about the oliguric phase of acute kidney injury. Which of the following information should the nurse include in the teaching?

• The oliguric phase lasts for 2 days.

• The oliguric phase begins within 1 month of the injury.

• The client’s urine output is less than 400 mL per 24 hours.

• The client’s BUN and creatinine decreases during this phase.