Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?
A. "The last time I voided it was painful and red-tinged.”.
Painful and red-tinged urination could indicate a urinary tract infection or passing of a kidney stone, not necessarily a contraindication for an intravenous pyelogram.
B. "My period ended 2 days ago.”.
The end of a menstrual period does not affect the procedure.
C. "I drink at least 2 quarts of fluid every day.”.
Adequate fluid intake is generally beneficial for kidney health.
D. "I don't eat shellfish because it gives me hives.”.
An allergy to shellfish might indicate an allergy to iodine, which is used in the contrast dye for an intravenous pyelogram. This is a potential contraindication for the procedure and should be reported to the provider.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Custom NURSING 221 Proctored Exam 3. Take the full exam now
Full Explanation
Choice A rationale:
Painful and red-tinged urination could indicate a urinary tract infection or passing of a kidney stone, not necessarily a contraindication for an intravenous pyelogram.
Choice B rationale:
The end of a menstrual period does not affect the procedure.
Choice C rationale:
Adequate fluid intake is generally beneficial for kidney health.
Choice D rationale:
An allergy to shellfish might indicate an allergy to iodine, which is used in the contrast dye for an intravenous pyelogram. This is a potential contraindication for the procedure and should be reported to the provider.
Similar Questions
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?
A. Dehydration.
Diabetes insipidus is characterized by excessive thirst and excretion of large amounts of severely dilute urine, leading to dehydration.
B. Bradycardia.
Bradycardia is not a typical finding in diabetes insipidus.
C. Polyphagia.
Polyphagia (excessive hunger) is more commonly associated with diabetes mellitus, not diabetes insipidus.
D. Hyperglycemia.
Hyperglycemia is a symptom of diabetes mellitus, not diabetes insipidus.
Full Explanation
Choice A rationale:
Diabetes insipidus is characterized by excessive thirst and excretion of large amounts of severely dilute urine, leading to dehydration.
Choice B rationale:
Bradycardia is not a typical finding in diabetes insipidus.
Choice C rationale:
Polyphagia (excessive hunger) is more commonly associated with diabetes mellitus, not diabetes insipidus.
Choice D rationale:
Hyperglycemia is a symptom of diabetes mellitus, not diabetes insipidus.
A nurse is planning nutritional teaching for a client who is experiencing fatigue due to iron deficiency anemia. Which of the following foods should the nurse recommend to the client?
A. 8 oz whole milk.
Whole milk is a good source of calcium and vitamin D, but it is not high in iron.
B. 8 oz black tea.
Black tea contains tannins, which can inhibit iron absorption.
C. 1.5 oz raisins.
Raisins contain some iron, but not as much as other food options.
D. 1 cup canned black beans.
Black beans are a good source of iron, and consuming them can help increase iron levels in the body, which can alleviate symptoms of iron deficiency anemia.
Full Explanation
Choice A rationale:
Whole milk is a good source of calcium and vitamin D, but it is not high in iron.
Choice B rationale:
Black tea contains tannins, which can inhibit iron absorption.
Choice C rationale:
Raisins contain some iron, but not as much as other food options.
Choice D rationale:
Black beans are a good source of iron, and consuming them can help increase iron levels in the body, which can alleviate symptoms of iron deficiency anemia.
A nurse is caring for a client who is postoperative and is at risk for developing venous thromboembolism (VTE). The nurse should instruct the client to avoid which of the following unsafe actions?
A. Flexing her ankles.
Flexing her ankles is a safe action that promotes blood flow and prevents clot formation.
B. Massaging her legs.
Massaging her legs can dislodge a clot if one has formed, leading to a VTE.
C. Elevating her feet.
Elevating her feet improves venous return, reducing the risk of VTE.
D. Ambulating soon after surgery.
Ambulating soon after surgery promotes blood flow and prevents clot formation.
Full Explanation
Choice A rationale:
Flexing her ankles is a safe action that promotes blood flow and prevents clot formation.
Choice B rationale:
Massaging her legs can dislodge a clot if one has formed, leading to a VTE.
Choice C rationale:
Elevating her feet improves venous return, reducing the risk of VTE.
Choice D rationale:
Ambulating soon after surgery promotes blood flow and prevents clot formation.