Question

A nurse is preparing to begin a 24-hour urine collection for a client. Which of the following actions should the nurse take?

Answer 1

Correct Answers:

Discard the first voiding when beginning the test

Rationale :

✳️ Discarding the first void ensures the 24-hour urine test starts with an empty bladder, providing a precise starting point.

✳️ This helps eliminate residual urine from prior hours that could distort results.

✳️ All subsequent urine should be collected in the designated container to capture full 24-hour output.

✳️ This protocol aids in evaluating kidney function, hormone levels, and protein excretion accurately.

✳️ It's crucial for diagnosing renal or endocrine disorders based on full-day urine chemistry.

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Answer 2

Correct Answers:

Encourage the client to drink 3 L of fluids per day

Rationale :

🟢 Adequate fluid intake helps dilute urine, which decreases crystal and stone formation.

🟢 Hydration promotes urine output, supporting stone passage through the urinary tract.

🟢 Clients with urolithiasis need to flush the system frequently to prevent stone recurrence.

🟢 A daily goal of 3 liters is standard unless contraindicated by other medical conditions.

🟢 Increased fluids reduce urinary stasis, which is a major risk factor for calculi buildup.

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Answer 3

Correct Answers:

Encouraging the client to perform Kegel exercises regularly

Rationale :

🔹 Kegel exercises strengthen the pelvic floor muscles, improving urinary control.

🔹 Regular practice reduces symptoms of stress and urge incontinence over time.

🔹 They are non-invasive, cost-free, and can be done discreetly, increasing compliance.

🔹 Pelvic floor therapy can help both men and women, particularly post-childbirth or post-surgery.

🔹 Teaching clients how to identify and contract these muscles is key to success.

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Answer 4

Correct Answers:

Body weight

Rationale :

⚫ Pre- and post-dialysis weights reflect exact fluid volume removed during hemodialysis.

⚫ This helps prevent fluid overload or excessive removal that can lead to hypotension.

⚫ Daily weights are among the most reliable indicators of fluid status.

⚫ Unlike blood pressure, weight directly correlates with fluid balance, not vascular tone.

⚫ Monitoring weight ensures that the dialysis prescription is achieving its therapeutic goal.

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Answer 5

Correct Answers:

Use the provided towelette to cleanse the area by moving in a back-and-forth motion

Rationale :

♦️ Wiping back and forth increases the risk of introducing bacteria into the urethra.

♦️ Proper perineal hygiene involves a front-to-back motion to avoid contamination.

♦️ Midstream urine collection requires the cleanest sample possible to prevent false results.

♦️ Education on correct technique helps avoid UTIs and inaccurate diagnostic data.

♦️ Nurses must correct any faulty instruction during sample collection to uphold standards.

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Answer 6

Correct Answers:

The patient who has an indwelling catheter for a urinary tract infection (UTI)

Rationale :

🔵 Indwelling catheters provide a direct pathway for bacteria, elevating the risk for urosepsis.

🔵 Urosepsis can develop rapidly, especially in older adults with compromised immune systems.

🔵 Signs include fever, altered mental status, and tachycardia, requiring prompt detection.

🔵 Monitoring this patient closely allows for early antibiotic intervention.

🔵 Infection prevention includes catheter care and prompt removal when no longer needed.

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Answer 7

Correct Answers:

Bananas

Rationale :

🟣 Bananas are rich in potassium, ideal for clients on furosemide, which causes potassium loss.

🟣 Hypokalemia (K⁺ < 3.5 mEq/L) can cause muscle weakness and cardiac dysrhythmias.

🟣 Dietary teaching helps maintain electrolyte balance without medication reliance.

🟣 Furosemide users should eat high-potassium foods like bananas, oranges, and spinach.

🟣 Educating clients empowers them to self-manage supplement needs through nutrition.

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Answer 8

Correct Answers:

To assess kidney function

Rationale :

🔴 Serum creatinine levels reflect glomerular filtration rate (GFR) and overall renal function.

🔴 High levels indicate kidney dysfunction, especially in chronic kidney disease (CKD).

🔴 Creatinine is a waste product cleared almost exclusively by the kidneys.

🔴 Routine monitoring helps prevent acute kidney injury (AKI) and manage existing disease.

🔴 It is often paired with BUN and GFR calculations for a full renal assessment.

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Answer 9

Correct Answers:

Notify the healthcare provider and radiology department about the client's allergy

Rationale :

🟢 IV contrast dye allergies can trigger severe anaphylactic reactions.

🟢 Notifying the provider allows for alternative imaging or pre-medication protocols.

🟢 Administering dye without precautions may cause life-threatening complications.

🟢 The care team must always check for allergies prior to contrast use.

🟢 Documentation ensures future safety in imaging procedures.

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Answer 10

Correct Answers:

Gelatin dessert
Cranberry juice
Clear carbonated beverage

Rationale :

🟠 Gelatin dessert – Safe because it is low in potassium and kidney-friendly.

🟠 Cranberry juice – Low potassium and helps prevent UTIs, common in CKD.

🟠 Clear carbonated beverage – Generally potassium-free, good for hydration.

🟠 Clients with high potassium must avoid bananas, oranges, nectarines, etc.

🟠 All snacks given should be renal-appropriate and electrolyte-safe.

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ATI LPN Advanced Medical surgical Exam I

No.

1 :
A nurse is preparing to begin a 24-hour urine collection for a client. Which of the following actions should the nurse take?

2 :
A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?

3 :
Which of the following nursing interventions is appropriate for managing urinary incontinence?

4 :
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?

5 :
A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?

6 :
The nurse is providing care for older adult clients in an extended care facility. Which patient should be monitored for signs of urosepsis?

7 :
A nurse is reinforcing teaching with a client who takes furosemide and has a serum potassium level of 3.1 mEq/L. Which of the following foods should the nurse instruct the client to include in his daily diet?

8 :
Why would a nurse check a serum creatinine level?

9 :
What is the appropriate action to take if a client has a known allergy to IV dye used in CT scans?

10 :
A client with CKD who is on hemodialysis asks for a snack in the afternoon. The patient's potassium level is elevated. Which of the following foods could be given? Select all that apply.

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ATI LPN Advanced Medical surgical Exam I

No.

1 : A nurse is preparing to begin a 24-hour urine collection for a client. Which of the following actions should the nurse take?

2 : A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?

3 : Which of the following nursing interventions is appropriate for managing urinary incontinence?

4 : 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?

5 : A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?

6 : The nurse is providing care for older adult clients in an extended care facility. Which patient should be monitored for signs of urosepsis?

7 : A nurse is reinforcing teaching with a client who takes furosemide and has a serum potassium level of 3.1 mEq/L. Which of the following foods should the nurse instruct the client to include in his daily diet?

8 : Why would a nurse check a serum creatinine level?

9 : What is the appropriate action to take if a client has a known allergy to IV dye used in CT scans?

10 : A client with CKD who is on hemodialysis asks for a snack in the afternoon. The patient's potassium level is elevated. Which of the following foods could be given? Select all that apply.

1 :
A nurse is preparing to begin a 24-hour urine collection for a client. Which of the following actions should the nurse take?

2 :
A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?

3 :
Which of the following nursing interventions is appropriate for managing urinary incontinence?

4 :
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?

5 :
A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?

6 :
The nurse is providing care for older adult clients in an extended care facility. Which patient should be monitored for signs of urosepsis?

7 :
A nurse is reinforcing teaching with a client who takes furosemide and has a serum potassium level of 3.1 mEq/L. Which of the following foods should the nurse instruct the client to include in his daily diet?

8 :
Why would a nurse check a serum creatinine level?

9 :
What is the appropriate action to take if a client has a known allergy to IV dye used in CT scans?

10 :
A client with CKD who is on hemodialysis asks for a snack in the afternoon. The patient's potassium level is elevated. Which of the following foods could be given? Select all that apply.