Which health care provider prescription for a client with a nephrostomy tube should a nurse question?

Monitor the urine’s color and odor.

Record the intake and output every eight hours.

Irrigate the tube with 30 mL of sterile saline as needed.

Measure the vital signs every four hours during the day.

Answer and Explanation

The Correct Answer is C

Irrigating the tube with 30 mL of sterile saline as needed. This prescription should be questioned by the nurse because it may cause trauma to the kidney or dislodge the tube. The nurse should only irrigate the tube if ordered by the health care provider and with a smaller amount of fluid.

Choice A is wrong because monitoring the urine’s color and odor is an appropriate intervention for a client with a nephrostomy tube. The urine may be bloody or cloudy initially, but it should gradually clear.

Choice B is wrong because recording the intake and output every eight hours is also an appropriate intervention for a client with a nephrostomy tube. The nurse should measure and document the amount and characteristics of urine drainage and report any changes or abnormalities.

Choice D is wrong because measuring the vital signs every four hours during the day is a reasonable prescription for a client with a nephrostomy tube. The nurse should monitor the client for signs of infection, bleeding, or obstruction.

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Free Nursing Study Resources

Correct Answer is ["B","C","D"]

Explanation

These are some of the common symptoms of hypothyroidism, which is a condition where the thyroid gland does not produce enough thyroid hormones. Thyroid hormones regulate the body’s metabolism, temperature and heart rate.

Choice A is wrong because a pulse of 126 is too high for hypothyroidism. Hypothyroidism usually causes a slow heart rate (bradycardia), not a fast one (tachycardia). A normal resting pulse rate for adults is between 60 and 100 beats per minute.

Choice E is wrong because a pulse of 54 is within the normal range for

hypothyroidism. Hypothyroidism can cause a pulse rate lower than 60 beats per minute, but this is not always abnormal. Some people, such as athletes, may have a lower resting pulse rate due to their fitness level.

The normal ranges for thyroid function tests are:

Thyroid-stimulating hormone (TSH): 0.4 to 4.0 milli-international units per liter (mIU/L).
Free thyroxine (T4): 0.8 to 2.8 nanograms per deciliter (ng/dL).
Total triiodothyronine (T3): 80 to 220 ng/dL.

A. Decreases risk of skin breakdown behind the knee. B. Eliminates pain of arthritis of the lower legs. C. Prevents pressure on the popliteal artery. D. Avoids irritation of the knee joints.

Correct Answer is C

Explanation

The popliteal artery is a major blood vessel that runs behind the knee and supplies blood to the lower leg. Sitting with knees crossed can compress this artery and reduce blood flow to the leg.

This can cause numbness, tingling, or pain in the leg. It can also increase the risk of blood clots or varicose veins.

Choice A is wrong because sitting with knees crossed does not decrease the risk of skin breakdown behind the knee. In fact, it may increase the risk by causing friction or pressure on the skin.

Choice B is wrong because sitting with knees crossed does not eliminate the pain of arthritis in the lower legs.

Arthritis is a joint inflammation that causes pain, stiffness, and swelling. Sitting with knees crossed can worsen these symptoms by putting more stress on the knee joints.

Choice D is wrong because sitting with knees crossed does not avoid irritation of the knee joints.

On the contrary, it can cause irritation by overstretching the knee ligaments and muscles

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Which health care provider prescription for a client with a nephrostomy tube should a nurse question?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been newly diagnosed with hypothyroidism. What symptoms or signs would be expected with this diagnosis? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

A nurse should include which rationale when instructing a client to avoid sitting with knees crossed?

Correct Answer is C

Explanation

Which situation requires a nurse to complete an incident report? The nurse:.

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