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vinh vinh
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Posts: 331
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6 years ago
A patient has been diagnosed with urinary tract calculi that are high in uric acid. Which foods will the nurse teach the patient to avoid (select all that apply)?
 
  a. Milk
  b. Liver
  c. Spinach
  d. Chicken
  e. Cabbage
  f. Chocolate

Question 2

After change-of-shift report, which patient should the nurse assess first?
 
  a. Patient with a urethral stricture who has not voided for 12 hours
  b. Patient who has cloudy urine after orthotopic bladder reconstruction
  c. Patient with polycystic kidney disease whose blood pressure is 186/98 mm Hg
  d. Patient who voided bright red urine immediately after returning from lithotripsy

Question 3

A patient is admitted to the emergency department with possible renal trauma after an automobile accident. Which prescribed intervention will the nurse implement first?
 
  a. Check blood pressure and heart rate.
  b. Administer morphine sulfate 4 mg IV.
  c. Transport to radiology for an intravenous pyelogram.
  d. Insert a urethral catheter and obtain a urine specimen.

Question 4

Which information about a patient with Goodpasture syndrome requires the most rapid action by the nurse?
 
  a. Blood urea nitrogen level is 70 mg/dL.
  b. Urine output over the last 2 hours is 30 mL.
  c. Audible crackles bilaterally over the posterior chest to the midscapular level.
  d. Elevated level of antiglomerular basement membrane (anti-GBM) antibodies.
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Replies
wrote...
6 years ago
The answer to question 1

ANS: B, D
Meats contain purines, which are metabolized to uric acid. The other foods might be restricted in patients who have calcium or oxalate stones.

The answer to question 2

ANS: A
The patient information suggests acute urinary retention, a medical emergency. The nurse will need to assess the patient and consider whether to insert a retention catheter. The other patients will also be assessed, but their findings are consistent with their diagnoses and do not require immediate assessment or possible intervention.

The answer to question 3

ANS: A
Because the kidney is very vascular, the initial action with renal trauma will be assessment for bleeding and shock. The other actions are also important once the patient's cardiovascular status has been determined and stabilized.

The answer to question 4

ANS: C
Crackles heard to a high level indicate a need for rapid actions such as assessment of oxygen saturation, reporting the findings to the health care provider, initiating oxygen therapy, and dialysis. The other findings will also be reported, but are typical of Goodpasture syndrome and do not require immediate nursing action.
vinh Author
wrote...
6 years ago
White Heavy Checkmark
wrote...
6 years ago
Don't forget to rate the answer too
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