4. Swelling at the shunt site. ■ 51. The client with acute renal failure is recovering and asks the nurse, my kidneys ever function “Will The is based normally again?” nurse’s response on knowledge that the renal status will most client’s likely: Continue to improve over a period of weeks. 1. ■ 2. Result in the need for permanent hemodialysis. ■ 3. Improve only if the client receives a renal ■ transplant. 4. Result in end-stage renal failure. ■ The Client with Urinary Tract Infection 52. The nurse is teaching an 80-year-old client with a urinary tract infection about the importance of increasing fl uids in the diet. Which of the following puts this client at a risk for not obtaining suffi - cient fl uids? 1. Diminished liver function. ■ 2. Increased production of antidiuretic hormone. ■ 3. Decreased production of aldosterone. ■ 4. Decreased ability to detect thirst. ■ 53. A client with a urinary tract infection is to take nitrofurantoin (Macrodantin) four times each day. The client asks the nurse, should I do if I “What forget a What should the nurse tell the client? dose?” 1. can wait and take the next dose when it ■ “You is due.” 2. the amount prescribed with your ■ “Double next dose.” 3. the prescribed dose as soon as you ■ “Take remember it, and if it is very close to the time for the next dose, delay that next dose.” a lot of water with a double amount of 4. ■ “Take your prescribed dose.” 54. A nurse is assessing a client with a urinary tract infection who takes an antihypertensive drug. The nurse reviews the urinalysis results (see client’s chart). The nurse should: Encourage the client to increase fl uid intake. 1. ■ 2. Withhold the next dose of antihypertensive ■ medication. 3. Restrict the sodium intake. ■ client’s 4. Encourage the client to eat at least half of a ■ banana per day. Laboratory Results Test Result pH 6.8 Red blood cells 3 per high power fi eld Color Yellow Specifi c gravity 1.030 55. A client has nephropathy. The physician orders that a 24-hour urine collection be done for
■ 4. Swelling at the shunt site. 51. The client with acute renal failure is recovering and asks the nurse, “Will my kidneys ever function normally again?” The nurse’s response is based on knowledge that the client’s renal status will most likely: ■ 1. Continue to improve over a period of weeks. ■ 2. Result in the need for permanent hemodialysis. ■ 3. Improve only if the client receives a renal transplant. ■ 4. Result in end-stage renal failure. The Client with Urinary Tract Infection 52. The nurse is teaching an 80-year-old client with a urinary tract infection about the importance of increasing fl uids in the diet. Which of the following puts this client at a risk for not obtaining suffi - cient fl uids? ■ 1. Diminished liver function. ■ 2. Increased production of antidiuretic hormone. ■ 3. Decreased production of aldosterone. ■ 4. Decreased ability to detect thirst. 53. A client with a urinary tract infection is to take nitrofurantoin (Macrodantin) four times each day. The client asks the nurse, “What should I do if I forget a dose?” What should the nurse tell the client? ■ 1. “You can wait and take the next dose when it is due.” ■ 2. “Double the amount prescribed with your next dose.” ■ 3. “Take the prescribed dose as soon as you remember it, and if it is very close to the time for the next dose, delay that next dose.” ■ 4. “Take a lot of water with a double amount of your prescribed dose.” 54. A nurse is assessing a client with a urinary tract infection who takes an antihypertensive drug. The nurse reviews the client’s urinalysis results (see chart). The nurse should: ■ 1. Encourage the client to increase fl uid intake. ■ 2. Withhold the next dose of antihypertensive medication. ■ 3. Restrict the client’s sodium intake. ■ 4. Encourage the client to eat at least half of a banana per day. Laboratory Results Test Result pH 6.8 Red blood cells 3 per high power fi eld Color Yellow Specifi c gravity 1.030 55. A client has nephropathy. The physician orders that a 24-hour urine collection be done for
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