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Practice Question

A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?

Answer Choices:

Correct Answer:

Encourage the client to drink 3 L of fluids per day

Rationale:

or a client with urolithiasis (urinary stones), increasing fluid intake to at least 3 L/day helps flush the urinary system, promotes stone passage, and prevents new stone formation by diluting the urine.

Incorrect Options:

Option 1: Bed rest is not recommended; activity helps move the stone through the urinary tract unless contraindicated by pain or medical condition.

Option 2: A high-protein diet can increase the risk of certain types of stones (e.g., uric acid stones), so it's generally not advised.

Option 4: A decrease in urine output may indicate obstruction or worsening condition and is not expected—it should be reported immediately.

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This question is from ATI LPN Advanced Med Surg (I) which contains 40 questions.

More Questions from This Exam
A nurse is preparing to begin a 24-hour urine collection for a client. Which of the following actions should the nurse take?

Answer Choices:

A. Discard the first voiding when beginning the test
B. Store collected urine in a designated container at room temperature
C. Document any urine collection that was missed during the 24 hours of the testing
D. Post a notice on the client's door regarding the test
Which of the following nursing interventions is appropriate for managing urinary incontinence?

Answer Choices:

A. Encouraging fluid intake to increase urine output
B. Providing frequent reminders for the client to use the restroom
C. Encouraging the client to perform Kegel exercises regularly
D. Limiting the client's access to the restroom to promote bladder control
A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene?

Answer Choices:

A. Start the flow of urine before passing the container under the stream to collect the specimen
B. Remove the specimen container before stopping the stream of urine
C. Use the provided towelette to cleanse the area by moving in a back-and-forth motion
D. It will be easier to use your non-dominant hand to spread the labia
The nurse is providing care for older adult clients in an extended care facility. Which patient should be monitored for signs of urosepsis?

Answer Choices:

A. The patient who has an indwelling catheter for a urinary tract infection (UTI)
B. The patient who is unable to obtain fluids independently
C. The patient who has surgery for placement of an ileostomy
D. The patient with continuous urinary incontinence
From Exam
ATI LPN Advanced Med Surg (I)

40 Questions

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Question Details
  • Category: LPN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: MED-SURG PN
  • Answer Choices: 4
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