Exam 1 Med Questions and Answers

1. Questions

1. 1.ID: 4615549930

When planning an assessment of the urethra, what does the nurse do first?

A. Examine the meatus.

B. Note any unusual discharge.

C. Record the presence of abnormalities.

D. Don gloves. Correct

Before examination begins, body fluid precautions (gloves) must be implemented first. Examining

the meatus, noting unusual discharge, or recording the presence of abnormalities are things that the

nurse should do after putting on gloves.

Awarded 1.0 points out of 1.0 possible points.

2. 2.ID: 4615549903

When caring for a client with uremia, the nurse assesses for which symptom?

A. Tenderness at the costovertebral angle (CVA)

B. Cyanosis of the skin Incorrect

C. Nausea and vomiting Correct

D. Insomnia

Manifestations of uremia include anorexia, nausea, vomiting, weakness, and fatigue. CVA

tenderness is a sign of inflammation or infection in the renal pelvis. Cyanosis is related to poor tissue

perfusion. Insomnia is nonspecific and may be caused by psychoemotional factors, medications, or

other problems.

Awarded 0.0 points out of 1.0 possible points.

3. 3.ID: 4615547591

Which laboratory test is the best indicator of kidney function?

A. Blood urea nitrogen (BUN)

B. Creatinine Correct

C. Aspartate aminotransferase (AST)

D. Alkaline phosphatase

Creatinine excretion, the end product of muscle metabolism, remains relatively steady and therefore

is the best indicator of renal function. BUN may be affected by protein or fluid intake. AST and

alkaline phosphatase are measures of hepatic function.

Awarded 1.0 points out of 1.0 possible points.

4. 4.ID: 4615549922

When performing bladder scanning to detect residual urine in a female client, the nurse

must first assess which factor?

A. Abdominal girth

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B. Presence of urinary infection Incorrect

C. History of hysterectomy Correct

D. Hematuria

The scanner must be in the scan mode for female clients to ensure the scanner subtracts the

volume of the uterus from the measurement, or in the scan mode for male clients for women who

have undergone a hysterectomy. The nurse performs this procedure in response to distention or

pressure in the bladder; girth is not a factor. This procedure detects urine retained in the bladder, not

infection. The presence of retained urine in the bladder is assessed, regardless of hematuria.

Awarded 0.0 points out of 1.0 possible points.

5. 5.ID: 4615549918

The nurse is reviewing the medical record for a client with polycystic kidney disease who is

scheduled for computed tomographic angiography with contrast:

History and Physical Assessment Medications Diagnostic Findings

Polycystic kidney disease

Diabetes

Hysterectomy

Abdomen distended

Negative edema

Glyburide

Metformin

Synthroid

BUN 26 mg/dL

Creatinine 1.0 mg/dL

HbA1c 6.9%

Glucose 132 mg/dL

Which intervention is essential for the nurse to perform?

A. Obtain a thyroid-stimulating hormone (TSH) level.

B. Report the blood urea nitrogen (BUN) and creatinine.

C. Hold the metformin 24 hours before and on the day of the

procedure. Correct

D. Notify the provider regarding blood glucose and glycosylated

hemoglobin (HbA1c) values.

Before studies with contrast media are performed, the nurse must withhold metformin, which may

cause lactic acidosis. The focus of this admission is the polycystic kidneys; a TSH level is not

essential at this time. BUN and creatinine are normal. The glucose is only mildly elevated (if fasting),

and the HbA1c is in an appropriate range.

Awarded 1.0 points out of 1.0 possible points.

6. 6.ID: 4615549928

A client has returned from a captopril renal scan. Which teaching does the nurse provide when the

client returns?

A. “Arise slowly and call for assistance when ambulating.” Correct

B. “I must measure your intake and output.”

C. “We must save your urine because it is radioactive.”

D. “I must attach you to this cardiac monitor.”

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