MED-SURG AGENCY II GU NCLEX EXAM BRAND NEW ACTUAL EXAM 2024-2025 UPDATED WITH VERIFIED AND APPROVED QUESTIONS WITH WELL ELABORATED ANSWERS AND RATIONALE (GRADED A+)

MED-SURG AGENCY II GU NCLEX EXAM BRAND
NEW ACTUAL EXAM 2024-2025 UPDATED WITH
VERIFIED AND APPROVED QUESTIONS WITH
WELL ELABORATED ANSWERS AND RATIONALE
(GRADED A+)
The nurse is providing postprocedure care for a client who underwent
percutaneous lithotripsy. In this procedure, an ultrasonic probe inserted
through a nephrostomy tube into the renal pelvis generates ultra-highfrequency sound waves to shatter renal calculi. The nurse should instruct the
client to:
limit oral fluid intake for 1 to 2 weeks.
report the presence of fine, sandlike particles through the nephrostomy tube.
notify the physician about cloudy or foul-smelling urine.
report bright pink urine within 24 hours after the procedure. - ANSWER-3
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RATIONALES: The client should report the presence of foul-smelling or
cloudy urine. Unless contraindicated, the client should be instructed to
drink large quantities of fluid each day to flush the kidneys. Sandlike
debris is normal because of residual stone products. Hematuria is
common after lithotripsy.
NURSING PROCESS STEP: Implementation CLIENT NEEDS CATEGORY:
Physiological integrity
CLIENT NEEDS SUBCATEGORY: Physiological adaptation COGNITIVE
LEVEL: Analysis
A 25-year-old female client seeks care for a possible infection. Her
symptoms include burning on urination and frequent, urgent voiding of small
amounts of urine. She's placed on trimethoprim-sulfamethoxazole (Bactrim)
to treat possible infection. Another medication is prescribed to decrease the
pain and frequency. Which is the most likely medication prescribed for the
pain?
nitrofurantoin (Macrodantin)
ibuprofen (Motrin)
acetaminophen with codeine
phenazopyridine (Pyridium) - ANSWER-4
RATIONALES: Phenazopyridine may be prescribed in conjunction with
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an antibiotic for painful bladder infections to promote comfort. Because
of its local anesthetic action on the urinary mucosa, phenazopyridine
specifically relieves bladder pain. Nitrofurantoin is a urinary antiseptic
with no analgesic properties. Although ibuprofen and acetaminophen
with codeine are analgesics, they don't exert a direct effect on the
urinary mucosa.
NURSING PROCESS STEP: Implementation CLIENT NEEDS CATEGORY:
Physiological integrity
CLIENT NEEDS SUBCATEGORY: Pharmacological and parenteral
therapies COGNITIVE LEVEL: Application
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A client with a urinary tract infection is prescribed co-trimoxazole
(trimethoprim- sulfamethoxazole). The nurse should provide which
medication instruction?
"Take the medication with food."
"Drink at least eight 8-oz glasses of fluid daily."
"Avoid taking antacids during co-trimoxazole therapy."
"Don't be afraid to go out in the sun." - ANSWER-2
RATIONALES: When receiving a sulfonamide such as co-trimoxazole,
the client should drink at least eight 8-oz glasses of fluid daily to
maintain a urine output of at least 1,500 ml/day. Otherwise, inadequate
urine output may lead to crystalluria or tubular deposits. For maximum
absorption, the client should take this drug at least 1 hour before or 2
hours after meals. No evidence indicates that antacids interfere with the
effects of sulfonamides. To prevent a photosensitivity reaction, the
client should avoid direct sunlight during co-trimoxazole therapy.
NURSING PROCESS STEP: Implementation CLIENT NEEDS CATEGORY:
Physiological integrity
CLIENT NEEDS SUBCATEGORY: Pharmacological and parenteral
therapies COGNITIVE LEVEL: Application
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Which of the following is an appropriate nursing diagnosis for a client with
renal calculi?
Ineffective renal tissue perfusion
Functional urinary incontinence
Risk for infection
Decreased cardiac output - ANSWER-3
RATIONALES: Infection can occur with renal calculi from urine stasis
caused by obstruction. Options 1 and 4 aren't appropriate for this
client, and retention of urine, rather than incontinence, usually occurs.
NURSING PROCESS STEP: Analysis
CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS
SUBCATEGORY: Physiological adaptation COGNITIVE LEVEL: Application