A female client has undergone surgery to remove a large stru... | ATI Med Surg Exam (IV)

Practice Question

A female client has undergone surgery to remove a large struvite kidney stone. Based on the cause of struvite stones, which medication therapy should the nurse anticipate will be ordered to prevent recurrence of the stones?

Answer Choices:

A. Calcium gluconate

B. Antibiotics ✓ Correct Answer

C. Tamsulosin

D. Phosphate binders

Correct Answer:

Antibiotics

Rationale:

➤ Struvite stones are composed of magnesium-ammonium-phosphate and are often caused by chronic urinary tract infections.

➤ Long-term antibiotic therapy is used to prevent recurrent infections, thereby preventing further stone formation.

➤ Tamsulosin helps with stone passage, but not prevention.

➤ Calcium or phosphate binders are not relevant in struvite stone management.

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A client with chronic kidney disease (CKD) has a serum potassium level of 6.5 mEq/L. Which of the following medications removes excess potassium from the body?

Answer Choices:

A. Insulin and sodium bicarbonate

B. Calcium gluconate

C. Patiromer (Veltassa)

D. Lisinopril

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The nurse is providing education to a male client who is newly- diagnosed with polycystic kidney disease. Which of the following statements should be included in the client teaching?

Answer Choices:

A. You will need to eat a high-potassium and high-protein diet

B. You may end up needing dialysis as the disease progresses.

C. You will need to undergo a vasectomy because people with this condition should not have children.

D. People with this genetic condition are not candidates for kidney transplant

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A nurse is caring for a client who recently had a streptococcal infection of the throat, and is now experiencing new-onset flank pain. Urinalysis is positive for proteinuria and hematuria. The client's urine output for the past 24 hours has been 250 mL, and BUN and creatinine are elevated. On assessment, the nurse notes pitting edema to the bilateral lower extremities. Which of the following interventions is appropriate in the plan of care?

Answer Choices:

A. Encourage frequent ambulation.

B. Obtain weight weekly

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D. Encourage increased fluid intake.

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A nurse is assessing a client who has chronic kidney disease (CKD) for fluid volume overload prior to scheduled hemodialysis. Which of the following methods provides a reliable measurement of the amount of fluid the client has retained since the last dialysis treatment?

Answer Choices:

A. Comparing the client's current weight to the last post-dialysis weight

B. Measuring the client's current creatinine and BUN levels.

C. Assessing the client's skin turgor and peripheral edema.

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Which of the following clients is at risk of developing acute kidney injury from a post-renal cause?

Answer Choices:

A. A client who is having an exacerbation of left-sided heart failure

B. A client with multiple sclerosis who has a flaccid bladder

C. A client who will receive contrast media for an MRI

D. A client who has thrombotic thrombocytopenic purpura

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ATI Med Surg Exam (IV)

23 Questions

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Question Details

Category: RN - Nursing Exam(s)
Subcategory: ATI Exams
Domain: ATI MED-SURG
Answer Choices: 4

NursingSprint

Practice Question

A female client has undergone surgery to remove a large struvite kidney stone. Based on the cause of struvite stones, which medication therapy should the nurse anticipate will be ordered to prevent recurrence of the stones?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

A client with chronic kidney disease (CKD) has a serum potassium level of 6.5 mEq/L. Which of the following medications removes excess potassium from the body?

The nurse is providing education to a male client who is newly- diagnosed with polycystic kidney disease. Which of the following statements should be included in the client teaching?

A nurse is assessing a client who has chronic kidney disease (CKD) for fluid volume overload prior to scheduled hemodialysis. Which of the following methods provides a reliable measurement of the amount of fluid the client has retained since the last dialysis treatment?

Which of the following clients is at risk of developing acute kidney injury from a post-renal cause?

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ATI Med Surg Exam (IV)

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Practice Question

A female client has undergone surgery to remove a large struvite kidney stone. Based on the cause of struvite stones, which medication therapy should the nurse anticipate will be ordered to prevent recurrence of the stones?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

A client with chronic kidney disease (CKD) has a serum potassium level of 6.5 mEq/L. Which of the following medications removes excess potassium from the body?

The nurse is providing education to a male client who is newly- diagnosed with polycystic kidney disease. Which of the following statements should be included in the client teaching?

A nurse is assessing a client who has chronic kidney disease (CKD) for fluid volume overload prior to scheduled hemodialysis. Which of the following methods provides a reliable measurement of the amount of fluid the client has retained since the last dialysis treatment?

Which of the following clients is at risk of developing acute kidney injury from a post-renal cause?

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ATI Med Surg Exam (IV)

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