A nurse is caring for a client diagnosed with spastic neurogenic bladder.  Which of the following medications would the nurse anticipate being included in the plan of care? 

A 70-year-old female with stage 4 chronic kidney disease (CKD) due to hypertension and diabetes, is admitted for generalized weakness, nausea, and swelling in her legs. She states, “I feel more tired than usual, and my muscles have been cramping a lot.”  The nurse reviews the client’s data, laboratory results and medications below and identifies which trend as most concerning and requiring immediate intervention? Vital Signs/Weight/Urine Output Day   BP HR RR Temp O₂ Sat Weight Urine Output Day 1 150/90 78 20 98.2°F 97% 160 lb 1,200 mL/day Day 2 162/94 72 22 98.4°F 96% 163 lb 900 mL/day Day 3 170/98 66 24 98.6°F 94% 167 lb 500 mL/day Laboratory Results Lab Test Day 1 Day 2 Day 3 Normal Range Serum Creatinine 5.5 mg/dL 6.2 mg/dL 7.0 mg/dL 0.5 – 1.5 mg/dL BUN 55 mg/dL 68 mg/dL 75 mg/dL 5 – 25 mg/dL GFR 20 mL/min 15 mL/min 10 mL/min 90-120 mL/min Serum Potassium 5.6 mEq/L 6.0 mEq/L 6.8 mEq/L 3.5 – 5.3 mEq/L Hemoglobin 9.2 g/dL 8.8 g/dL 8.3 g/dL 12 – 16 g/dL Serum Phosphorus 5.5 mg/dL 6.0 mg/dL 6.8 mg/dL 2.5 – 4.5 mg/dL Prescribed Medications Medication Dose Lisinopril 10 mg PO daily Furosemide 40 mg PO BID Epoetin alfa 5,000 units SQ 3x/week Calcium acetate 667 mg PO TID Sodium polystyrene sulfonate 30 g PO PRN  

A 72-year-old male client with a history of benign prostatic hyperplasia is admitted for urinary retention.  During initial assessment, the nurse notes a firm, distended bladder.  Upon returning to the client’s room with a bladder scan the client complains of intense flank pain.  Which potential complication would the nurse suspect?  

A client diagnosed with chronic renal failure is placed on a fluid restriction of 1200mL per day. On the 0700-1900 shift, the client drank 6 ounces of coffee, 6 ounces of soda, 8 ounces of tea, and 3 ounces of water with medication.  The client will be restricted to _____________ ml(s) from 1900-0700.  

A 55-year-old male presents to the emergency department with severe flank pain, nausea, and decreased urine output over the past 24 hours. He has a history of nephrolithiasis but denies recent stone passage. Vital signs: BP 148/90 mmHg, HR 92 bpm, RR 18 breaths/min, Temp 98.6°F (37°C). A bedside ultrasound reveals hydronephrosis of the right kidney with evidence of ureteral obstruction. The healthcare provider prescribes the following orders. Which order should the nurse question?

A(n) ___ pressure cell is a transducer that converts a differential pressure to an output signal.

A nurse is reviewing the history of a 42-year-old patient with type 2 diabetes, hypertension, and depression. The patient reports experiencing physical abuse and parental substance use as a child. Which statement best explains the relationship between the patient’s Adverse Childhood Experiences (ACEs) and their current health conditions?

What should be the priority nursing action for a client, who has had a cystectomy with a urinary diversion, requesting more information about post-operative care?

An electrical pressure transducer is a device that converts input energy from pressure into output electrical energy.

A(n) ___ pressure transducer is a diaphragm or bellows pressure sensor with electrical coils and a movable ferrite (iron) core as the electrical element.