A client with right hydronephrosis and a history of renal calculi is preparing for discharge following a retrograde pyelogram.
Which instruction should the nurse include in the client’s discharge instructions?
Use an incentive spirometer.
Monitor the urinary stream for decreased output.
Restrict physical activities.
Report when hematuria becomes pink-tinged.
The Correct Answer is B
Choice A rationale
Using an incentive spirometer is generally recommended for respiratory conditions to improve lung function, not specifically for a client with hydronephrosis and a history of renal calculi.
Choice B rationale
Monitoring the urinary stream for decreased output is crucial for a client with hydronephrosis and a history of renal calculi. Hydronephrosis is a condition characterized by urine accumulation in the kidney, which can lead to decreased urine output. Therefore, monitoring urinary output can help detect any potential complications or worsening of the condition.
Choice C rationale
Restricting physical activities is not typically necessary for a client with hydronephrosis and a history of renal calculi unless specified by the healthcare provider. It’s more important to focus on maintaining overall health and well-being.
Choice D rationale
Reporting when hematuria becomes pink-tinged is not the most relevant instruction for a client with hydronephrosis and a history of renal calculi. While it’s important to report any changes in urine color, monitoring urinary output (Choice B) is more directly related to the client’s condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
Furosemide is a loop diuretic used to treat fluid retention and high blood pressure by increasing the amount of urine the body makes. Therefore, assessing urinary output is crucial to determine the patient’s response to treatment. Lung sounds and oxygen saturation should also be assessed as furosemide is often used to treat edema caused by heart failure. Improved lung sounds and oxygen saturation can indicate a reduction in fluid buildup in the lungs.
Correct Answer is D
Explanation
Choice A rationale
Brown, rough, greasy, wart-like papules on the face are not typically associated with overexposure to PUVA treatment. These symptoms could be indicative of a different skin condition.
Choice B rationale
Thick skin plaques topped by silvery-white scales are characteristic of psoriasis vulgaris, not overexposure to PUVA treatment. PUVA is used to treat these symptoms, not cause them.
Choice C rationale
Needing sunglasses because sunlight hurts the eyes is not a typical sign of overexposure to PUVA treatment. This could be a sign of a different issue, such as an eye condition or side effect from a different medication.
Choice D rationale
Tenderness upon palpation and generalized erythema are signs of overexposure to PUVA treatment. If a patient is overexposed to PUVA, they may experience a burning sensation, discomfort, and redness at the treatment site.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
