NUR105 M2.5: ATI Engage Fundamentals: Elimination
A nurse is reinforcing teaching with a client about foods that can irritate the bladder. Which of the following foods should the nurse identify as being a bladder irritant?
Answer: Oranges
Explanation: Oranges are acidic and can be bladder irritants, potentially worsening symptoms for those with bladder issues.
A nurse is reviewing a client’s list of medications and supplements. Which of the following medication classifications increases the risk of constipation?NUR105 M2.5: ATI Engage Fundamentals
Answer: Narcotic pain medications
Explanation: Narcotic pain medications, also known as opioids, are known to slow down intestinal motility and increase the risk of constipation.
A nurse is reinforcing instructions for a client who had kidney stone removal and placement of a nephrostomy tube. Which of the following statements should the nurse identify as true regarding a nephrostomy tube?
Answer: The tube is temporary
Explanation: Nephrostomy tubes are typically temporary and are used to drain urine from the kidney to relieve pressure caused by conditions such as kidney stones.
A nurse is providing information to a client about what may happen if their urinary tract infection (UTI) is not treated. Which of the following statements by the client indicates an understanding of the information?
Answer: “I can develop a kidney infection called pyelonephritis”NUR105 M2.5: ATI Engage Fundamentals
Explanation: An untreated UTI can lead to pyelonephritis, a more severe infection involving the kidneys. It’s crucial for clients to understand the potential consequences of untreated UTIs.
A nurse is caring for a client who has a prescription for a vitamin K injection. The nurse should identify that vitamin K is naturally produced in which of the following locations in the body.
Answer: The large intestine
Explanation: Vitamin K is naturally produced by bacteria in the large intestine, and it plays a vital role in blood clotting.
A nurse is caring for a group of clients who are at risk for an alteration in urinary elimination. Which of the following groups should the nurse identify as being at an increased risk? (Select all that apply)
Answer: Uncircumcised infants, School-age children, older adults
Explanation: These groups are at increased risk due to various factors. For example, uncircumcised infants may be at risk for urinary tract infections, school-age children might experience urinary issues related to growth and development, and older adults may face issues related to decreased bladder tone and other age-related changes.
A nurse is caring for an older adult client who is experiencing urinary leakage. Which of the following is an expected age-related change that can contribute to this occurrence?
Answer: Loss of bladder tone
Explanation: Loss of bladder tone is an age-related change that can lead to urinary incontinence or leakage in older adults.NUR105 M2.5: ATI Engage Fundamentals
A nurse is caring for a client who is receiving antibiotic treatment for a urinary tract infection and is experiencing diarrhea. Which of the following should the nurse identify as a potential cause of the diarrhea?
Answer: The antibiotic eliminates the healthy gastrointestinal bacteria, allowing harmful bacteria to grow
Explanation: Antibiotics can disrupt the balance of bacteria in the gastrointestinal tract, potentially leading to diarrhea as harmful bacteria proliferate.
A nurse is planning care for a client who has a new colostomy. Which of the following complications should the nurse plan to monitor for?
Answer: HerniaNUR105 M2.5: ATI Engage Fundamentals
Explanation: Clients with a new colostomy are at risk for complications such as hernias at the stoma site.
A nurse is caring for a client who has constipation and requires an enema. Which of the following actions should the nurse take when administering the enema solution?
Answer: Instruct the client to lie on their left side with their right leg pulled up to their chest
Explanation: This position helps facilitate the flow of the enema solution into the rectum and colon, making the procedure more effective.
A nurse is reinforcing teaching for a client who has an ileostomy. The nurse should identify that which of the following is true regarding an ileostomy?
Answer: An ileostomy can allow the colon time to heal from surgery
Explanation: An ileostomy diverts the small intestine through an opening in the abdominal wall. This diversion allows the colon time to heal, as the stool bypasses it. This can be a temporary or permanent procedure, depending on the client’s condition.
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