Question 1 of 6
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Which data would the nurse collect every day for a patient with nephrotic syndrome? Select all that apply. One, some, or all responses may be correct
Correct
Obtaining weight
The patient with nephrotic syndrome has ascites and fluid retention; therefore the nurse would weigh the patient.
Correct
Monitoring for edema
The patient with nephrotic syndrome has ascites and fluid retention; therefore the nurse would monitor for edema.
Correct
Assessing for irritability
Patient may experience lethargy, irritability, or tiredness because of accumulation of toxins or fluid.
Correct
Measuring abdominal girth
The patient with nephrotic syndrome has ascites and fluid retention; therefore the nurse would measure abdominal girth.
Checking daily urinalysis results
Initially, urinalysis is obtained for diagnostic purposes, but daily urinalysis is not needed for nephrotic syndrome.
Question 2 of 6
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Which food item would the nurse suggest for a patient with edema and oliguria secondary to acute glomerulonephritis? Select all that apply. One, some, or all responses may be correct.
Deli meat
The patient with acute glomerulonephritis, edema, and low urine output needs a low-sodium, high-carbohydrate, fluid-restricted diet. Deli meat is high in sodium.
Correct
Fresh fruit
The patient with acute glomerulonephritis, edema, and low urine output needs a low-sodium, high-carbohydrate, fluid-restricted diet. Fresh fruit would be a good choice for this patient.
Potato chips
The patient with acute glomerulonephritis, edema, and low urine output needs a low-sodium, high-carbohydrate, fluid-restricted diet. Potato chips are high in sodium.
Chicken broth
The patient with acute glomerulonephritis, edema, and low urine output needs a low-sodium, high-carbohydrate, fluid-restricted diet. Chicken broth is high in sodium.
Canned vegetables
The patient with acute glomerulonephritis, edema, and low urine output needs a low-sodium, high-carbohydrate, fluid-restricted diet. Canned vegetables are high in sodium.
Correct
Pasta with garlic olive oil
The patient with acute glomerulonephritis, edema, and low urine output needs a low-sodium, high-carbohydrate, fluid-restricted diet. Pasta with garlic olive oil would be a good choice for this patient.
Question 3 of 6
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The nurse is providing discharge teaching to a patient prescribed tobramycin for a urinary tract infection. Which statement by the nurse should be included in the teaching?
Correct
“Use sunscreen when you are outdoors.”
It is important for patients taking aminoglycosides to use sunscreen when outside and to try to avoid direct exposure to sunlight.
“Report a rash to your health care provider immediately.”
A rash is a side effect of sulfonamide and some cephalosporin medications.
“Yeast infections can occur as a side effect.”
Yeast infections often occur as a side effect of second-generation cephalosporin medications.
“You must avoid drinking alcohol while taking this drug.”
Alcohol should be avoided when taking cefepime (Maxipime).
Question 4 of 6
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Which patient statement indicates an understanding of strategies to prevent urinary tract infections (UTIs)?
“I will use bleach to clean my clothes effectively.”
Bleach and other harsh cleaners have been shown to increase the risk of UTIs and should be avoided.
“I plan to douche my vagina at least once per week.”
Over-the-counter douching products should not be used and can contribute to the development of UTIs.
Correct
“After sex, I need to urinate and completely empty my bladder.”
Urinating and emptying the bladder completely after sex can decrease the risk for developing a UTI.
“I will take baths instead of showers.”
Showers are better than baths for preventing UTIs.
Question 5 of 6
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Which nursing intervention is appropriate when caring for a patient with a urinary tract infection who is prescribed oral nitrofurantoin?
Ask the patient about allergies to penicillin.
Cephalosporins, not nitrofurantoin, should be avoided (or used cautiously) for patients that are allergic to penicillin.
Monitor blood urea nitrogen (BUN) levels closely while the patient is taking this drug.
Cephalosporins may cause damage to the kidneys so the BUN should be monitored closely with these drugs, not with nitrofurantoin.
Correct
Instruct the patient to rinse their mouth after taking the medication.
The patient should rinse their mouth after taking oral nitrofurantoin because it can stain the teeth.
Educate the patient about the increased risk for yeast infections with this drug.
There is an increased risk for developing yeast infections with cephalosporin medications, not with nitrofurantoin.
Question 6 of 6
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Question Stem Which clinical manifestation would the nurse expect when caring for a patient diagnosed with pyelonephritis? Select all that apply. One, some, or all responses may be correct.
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Fever
High fever is a common clinical manifestation of pyelonephritis.
Correct
Malaise
Malaise is a common finding associated with pyelonephritis.
Chest pain
Flank pain, not chest pain, is common with pyelonephritis.
Correct
Hematuria
Hematuria, or blood in the urine, is a later sign of pyelonephritis.
Correct
Headache
Headache is a common clinical manifestation of pyelonephritis.
