Elimination

The nurse is caring for a 48-year-old male patient who is receiving 20 mg of furosemide (Lasix) OD. Which information is most important to tell the oncoming nurse?

The 82-year-old patient has voided 240 mL in a 24-hour period. Which term does the nurse use to report this finding?

The nurse is instructing the nursing student on indwelling urinary catheterization. Which statement does the nurse include in the teaching? 

The 72-year-old male patient was recently diagnosed with prostate cancer. The nurse anticipates which additional complaint? 

Two days after receiving a kidney transplant, the patient complains of flank pain. Which urine output, if reported by the unlicensed assistive personnel, is most concerning to the nurse? 

Which test is most helpful to diagnose kidney failure?

The nurse asks a patient to provide a urine sample for a urine culture. When the nurse returns 3 hours later, the patient says the urine sample has been sitting by the bed for the last 2 hours. Which action by the nurse is appropriate?

The patient is found to have 4 g/dL protein in the 24-hour urine collection. This result indicates which condition? 

The nurse is assigned to a patient with acute lymphocytic leukemia (ALL) about to undergo his first round of chemotherapy. The patient’s WBC is 120,000/uL and his LDH is 3 times the upper limit of normal. Which intervention is most important?

The patient who resides in a long term care facility is admitted to the hospital for an acute decrease in level of consciousness, confusion, and dehydration due to anorexia. The patient’s arterial blood gas, temperature, heart rate, respiratory rate, breath sounds, and bowel sounds are all within normal limits. The nurse anticipates which diagnosis?

The nurse is instructed to assess the patient’s postvoid urine residual volume. Which is the best method by the nurse to perform this task?

Which assessment in the patient with bladder cancer indicates the patient is experiencing a complication of the disease?

Which assessment prompts the nurse to suspect intussusception in the 10-month-old patient? 

Which finding is expected in the patient with diabetic ketoacidosis (DKA)?

The patient who underwent an upper gastrointestinal radiographic study requires which post-procedure instruction?

The patient’s stool sample is positive for Entamoeba histolytica. The nurse plans education about which class of medication for this patient?

The patient with bloody diarrhea and liver abscess is diagnosed with an Entamoeba histolytica infection. The nurse anticipates administering which medication?

The patient is experiencing syndrome of inappropriate antidiuretic hormone. The nurse recognizes malfunction of which structure is responsible for this disorder?

Following brain surgery, the patient is producing massive volumes of dilute urine. The nurse suspects which structure was inadvertently harmed during the surgery?

The nurse is reviewing the patient’s urinalysis and notes the presence of rare epithelial cells. Which interpretation of this finding is correct?

Which complication is of greatest concern for the patient with nephrotic syndrome?

The nurse is providing education to the parents of a child with nephrotic syndrome. Which statement indicates an understanding of the teaching?

The nurse receives report on a 76-year-old patient who is recovering from surgery for creation of an ileal pouch-anal anastomosis. The nurse plans care to prevent which complication that is most specific to this patient?

The nurse is planning care for a patient returning from surgery for a colon resection and ileal pouch-anal anastomosis. Which interventions does the nurse employ to prevent surgical site infection? Select all that apply.

The urine output of a 40-year-old male patient with a urethral catheter has decreased from 80 mL/h to 15 mL/h. Which action should the nurse take first?

The patient with increased intracranial pressure has been administered mannitol. Which patient symptom indicates the drug is having its intended effect?

The 3-week-old neonate has failed to return to birth weight due to projectile vomiting partially-digested breast milk after most feedings. Upon assessment, an olive-shaped mass is palpated in the upper right abdominal quadrant. The nurse anticipates which diagnosis?

Which is the most appropriate patient assignment to assign to an unlicensed assistive personnel (UAP)?

The nurse is the first responder to a 3-year-old male who is with his mother, having recently ingested a large quantity of household cleaner. The patient is unconscious but is hemodynamically stable and breathing. An ambulance has already been called. Which action by the nurse is appropriate?

A unit has experienced a significant rise in the incidence of hospital-acquired urinary tract infections (UTIs). Which action item will be most effective to reduce the incidence of hospital-acquired UTIs?

A patient comes into the ER with HR 122 bpm, BP 110/72 mm Hg, Temp 99.4 F, and RR 22. They report a racing feeling in their heart and have also been experiencing diarrhea for the last several months. Which lab result does the nurse anticipate?

Which nursing intervention will be most effective in preventing the spread of Clostridium difficile between patients?

Which interventions does the nurse implement for the patient diagnosed with Clostridium difficile? Select all that apply.

The nurse is caring for a 62-year-old female who was recently diagnosed with glaucoma. The patient is given docusate. Which of the following is the primary reason for giving the patient a stool softener?

The nurse is caring for a 48-year-old female diagnosed with acute kidney injury. Laboratory results reveal that the patient is experiencing mild hyperkalemia. Which independent nursing action is appropriate to manage the patient's hyperkalemia?

The patient who will be travelling out of the country soon is concerned about traveler's diarrhea. How does the nurse counsel the patient? 

The patient with cholestasis complains of significant pruritus. The nurse bases the explanation on which understanding of the pathophysiology behind the patient's pruritus?

The nurse is collecting a urine specimen from a 44-year-old woman with dysuria. Which instructions does the nurse provide to the patient? Select all that apply.

The 23-year-old G1P0 patient who is 14 weeks pregnant presents to the emergency department with weakness and lethargy due to intractable nausea and vomiting. The patient has lost approximately 7% of pre-pregnancy weight. The nurse is aware the patient's symptoms are due to excess production of which hormone(s)? Select all that apply.

The elderly patient is at risk for falls related to urinary incontinence. Which intervention is appropriate?

The patient with severe abdominal pain and distention, elevated white blood cell count, fever, and disorientation is diagnosed with toxic megacolon due to Clostridium difficile infection. Which order for this patient does the nurse question?

The family practice nurse is reviewing telephone messages from patients. Which call is to be returned first?

The nursing team consists of a nurse, a licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP). Which task is appropriate to assign to the UAP?

The nurse receives shift report on four patients. In which order does the nurse see the patients? Place the answer options in the correct order.

The nursing team consists of a registered nurse, a licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP). Which patient does the registered nurse assign to the LPN?

The nurse is assessing the elderly patient in the long-term care facility. Which findings suggest urinary catheter-associated urinary tract infection (CAUTI)? Select all that apply.

The nurse is helping the nursing student to relate patient findings to pathophysiological concepts. Which findings, if selected by the nursing student as characteristics that prompt the kidneys to release renin, indicates a need for further teaching?

Which statement effectively summarizes the effect of the renin-angiotensin-aldosterone system?

The nurse is providing medication instructions for iron supplements to a patient with anemia. Which information is included?

Which urinalysis findings support the diagnosis of shock in the hypotensive patient? Select all that apply.