Adult Health Exam VI

46. The nurse is assessing a client suspected of having developed acute glomerulonephritis. The nurse should expect to address what clinical manifestation that is characteristic of this health problem? a. Hematuria b. Precipitous decrease in serum creatinine levels c. Hypotension unresolved by fluid administration d.Glucosuria

a

50. A client is in end-stage chronic renal failure and is being added to the transplant list. The nurse explains to the client how donors are found for clients needing kidneys. Which statement is accurate? a. Donors are selected from compatible living donors b. Donors must be relatives c. Donors with hypertension may qualify d.The client is placed on a transplant list at the local hospital

a

53. During the diuresis period of acute kidney injury AKI, the nurse should observe the client closely for what complication? a. Dehydration b. Hypokalemia c. Oliguria d.Renal calculi

a

54. The nurse cares for a client after extensive abdominal surgery. The client develops an infection that is treated with IV gentamicin. After 4 days of treatment, the client develops oliguria, and laboratory results indicate azotemia. The client is diagnosed with acute tubular necrosis and transferred to the ICU. The client is hemodynamically stable. Which dialysis method would be most appropriate for the client? a. Hemodialysis b. Peritoneal dialysis c. Continuous arteriovenous hemofiltration CAVH d. Continuous venovenous hemofiltration CVVH

a

58. Which of the following is a priority nursing diagnosis for the client in the oliguric phase of acute renal failure? a. Fluid volume excess b. Urinary retention c. Activity intolerance d.Disturbed body image

a

6. A nursing student asks the nurse why older adults are at risk for renal disease. The best response by the nurse is: a. The glomerular filtration rate decreases as we age b. Contractility of the bladder will increase with age c. Urethral hypertrophy occurs following menopause d. Hypoplasia of the prostate occurs in older men

a

61. A client diagnosed with acute kidney injury AKI has developed congestive heart failure. The client has received 40 mg of IVP Lasix and 2 hours later, the nurse notes that there are 50 ml of urine in the Foley catheter bag. The client's vital signs are stable. Which health care order should the nurse anticipate? a. Lasix 80mg IVP b. Normal saline bolus of 500 ml c. Chest x-ray d.Mannitol 12.5g IVP

a

64. A client has pyelonephritis and is undergoing parenteral antibiotic treatment. What will be the effect of the infection on the client's kidneys? a. Renal scarring b. Renal failure c. No effect after infection is resolved d.Enlarged kidneys

a

65. A client with acute renal failure progresses through four phases. Which describes the onset phase? a. It is accompanied by reduced blood flow to the nephrons b. Fluid volume excess develops, which leads to edema, hypertension and c. The excretion of wastes and electrolytes continues to be impaired despite increased water content of the urine d. Normal glomerular filtration and tubular function are restored

a

70. An ileal conduit is created or a client after a radical cystectomy. Which of the following would the nurse expect to include in the client's plan of care? a. Application of ostomy pouch b. Intermittent catheterization c. Exercises to promote sphincter control d.Irrigating the urinary diversion

a

71. A client with urinary tract infection is prescribed phenazopyridine (Pyridium). Which of the following instructions would the nurse give the client? a. This medication will relieve your pain b. This medication should be taken at bedtime c. This medication will prevent re-infection d. This will kill the organism causing the infection

a

77. As a result of trauma, a client has developed urinary incontinence and is beginning bladder training to regain control over urine elimination. What is the initial step to being bladder training for a client with an indwelling catheter? a. Clamp the catheter b. Unclamp the catheter c. Remove the catheter d.Perform catheter care

a

78. The nurse is caring for a client diagnosed with bladder cancer and requiring cystectomy. The nurse overhears the physician instructing the client on the presence of stoma with a temporary pouch. In gathering information for the client, which urinary diversion would the nurse select? a. Ileal conduit b. Kock pouch c. Ureterosigmoidostomy d.Indiana pouch

a

8. Which of the following urine characteristics would the nurse anticipate when caring for a client whose lab work reveals a high urine specific gravity? a. Dark amber urine b. Clear or light yellow urine c. Red urine d. Turbid urine

a

80. Which type of voiding dysfunction is seen in clients diagnosed with Parkinson disease? a. Incontinence b. Urinary retention c. Urgency d.Incomplete bladder emptying

a

82. The nurse and urologist have both been unsuccessful in catheterizing a client with prostatic obstruction and a full bladder. What approach does the nurse anticipate the health care provider to use to drain the client's bladder? a. Insertion of a suprapubic catheter b. Scheduling the client immediately for prostatectomy c. Application of warm compress to the perineum to assist with relaxation d. Medication administration to relax the ladder muscles and reattempting catheterization in 6 hours

a

93. A client is undergoing diagnostic testing for a suspected urinary obstruction. The nurse should know that incomplete emptying of the bladder due to bladder outlet obstruction can cause what? a. Hydronephrosis b. Nephritic syndrome c. Pyelonephritis d.Nephrotoxicity

a

97. The nurse is caring for a patient with dementia in the long-term care facility when the patient has a change in cognitive function. What should the nurse suspect this patient may be experiencing? a. A UTI b. A stroke c. An aneurysm d.Fecal impaction

a

37. An investment banker with chronic renal failure informs the nurse of the choice for continuous cyclic peritoneal dialysis. Which is the best response by the nurse? a. The risk of peritonitis is greater with this type of dialysis b. This type of dialysis will provide more independence c. Peritoneal dialysis will require more work for you d.Peritoneal dialysis does not work well for every client

b

40. Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia. Which finding during this procedure signals a significant problem a. Blood glucose 200mg/dl b. White blood cell count of 20,000/mm3 c. Potassium level of 3.5 mEq/L d.Hematocrit of 35%

b

41. A nephrostomy tube is inserted in a client with a large ureteral calculus. Which is the most important consideration in providing nursing care for this client? a. Clamp the tube for no longer than 2 hrs at a time b. Maintain free, continuous urine drainage c. Leave nephrostomy site open to the air d. Use only sterile NS to irrigate the tube

b

49. Which term is used to describe the concentration of urea and other nitrogenous wastes in the blood? a. Uremia b. Azotemia c. Hematuria d.Proteinuria

b

5. A client who is suspected of urinary tract infection is asked to collect a 24-hour urine specimen for culture. Which of the following measures can the nurse suggest to the client that may help prevent the entire urine specimen from becoming contaminated? a. Collect the voided urine sample primarily before 5 AM b. Refrigerate the specimen unit is taken to the laboratory c. Use the same receptacle for voiding and defecation d.Store the collected urine away from sunlight.

b

51. The nurse coming on shift on the medical unit is taking a report on four clients. What client does the nurse know is at the greatest risk of developing ESKD? a. A client with a history of polycystic kidney disease b. A client with diabetes mellitus and poorly controlled hypertension c. A client who is morbidly obese with a history of vascular disorders d.A client with severe chronic obstructive pulmonary disease

b

55. The nurse performs acute intermittent peritoneal dialysis (PD) on a client who is experiencing uremic signs and symptoms. The peritoneal fluid is not draining as expected. What is the best response by the nurse? a. Notify the health provider b. Turn the client from side to side c. Lower the head of the bed D. Push the catheter further into the abdomen

b

59. A client who has a history of chronic renal failure is in stage 4 for CRF. What is the appropriate levels of nephron function loss? a. 75-90% b. >90% c. 40-75% d.25-40%

b

60. The nurse cares for a client diagnosed with chronic glomerulonephritis. The nurse will observe the client for the development of a. Hypokalemia b. Anemia c. Metabolic alkalosis d.Hypophosphatemia

b

63. Acute dialysis is indicated during which situation? a. Dehydration b. Impending pulmonary edema c. Metabolic alkalosis d. Hypokalemia

b

66.A client on the medical unit has a documented history of polycystic kidney disease (PKD). What principle should guide the nurses' care of this client? A. The disease is self-limiting and cysts usually resolve spontaneously in the fifth or sixth decade of life. B. The clients disease is incurable and the nurse's interventions will be supportive C. the client will eventually require surgical removal of his or her renal cysts D. the client is likely to respond favorably to lithotripsy treatment of the cysts.

b

68. Which medication may be ordered to relieve discomfort associated with a UTI? a. Nitrofurantoin b. Phenazopyridine c. Ciprofloxacin d.Levofloxacin

b

69. The following catheterization procedures are used to treat clients with urinary retention. Which procedure would the nurse identify as carrying the greatest risk to the client? a. Suprapubic cystostomy tube b. Permanent drainage with a urethral catheter c. Clean intermittent catheterization d. Crede voiding procedure

b

7. A patient is scheduled for a test with contrast to determine kidney function. What statement made by the patient should the nurse inform the physician about prior to testing? a. "I don't like needles" b. "I'm allergic to shrimp" c. "I take medications to help me sleep at night" d. "I have had a similar test in the past"

b

72. A nurse on a busy medical unit provides care for many clients who require indwelling urinary catheters at some point during their hospital care. The nurse should recognize a heightened risk of injury associated with indwelling catheter use in which client? a. A client whose diagnosis of chronic kidney disease requires a fluid restriction b. A client who has Alzheimer disease and who is acutely agitated c. A client who is on bed rest following a recent episode of venous thromboembolism d. A client who has decreased mobility following a transmetatarsal amputation

b

73. The nurse performs a physical examination on a client diagnosed with acute pyelonephritis to assist in the determining which of the following? a. Abnormalities in urine b. Location of discomfort c. Elevated calcium levels d.Structural defects in the kidneys

b

76. A patient has been diagnosed with a UTI and is prescribed an antibiotic. What first-line fluoroquinolone antibacterial agent for UTI's has been found to be significantly effective? a. Bactrim b. Cipro c. Macrodantin d. Septra

b

79. A nurse who provides care in a long-term facility is aware of the high incidence and prevalence of ordinary tract infections among older adults. What action has the greatest potential to prevent UTIs in the population? a. Administer prophylactic antibiotics as prescribed b. Limit the use of indwelling urinary catheters c. Encourage frequent mobility and repositioning d.Toilet residents who are immobile on a schedule basis

b

81. The nurse is caring for several clients on a urinary medical unit. Which client is at increased risk for bladder stones? a. The client with frequent urinary tract infections b. The client who is paraplegic c. The client with difficulty ambulating d.The client with abdominal surgery

b

87. Which information is important when teaching a client how to perform self-catheterization? a. Peroxide is recommended for cleaning the urinary catheter b. Catheterization should occur every 4 to 6 hours and before bedtime c. The nurse uses non sterile technique in the hospital setting d. The catheter is rinsed with sterile normal saline after being soaked in a cleaning solution

b

94. The nurse is preparing to assess a client's new stoma. Which of the findings would the nurse include in the documentation of a healthy stoma? a. Pain b. Pink color c. Black color d.Dry in appearance

b

96. The nurse who teaches a client about preventing recurrent urinary tract infections would include which statement? a. Take tub baths instead of showers b. Void immediately after sexual intercourse c. Increase intake of coffee, tea, and colas d.Void every 5 hours during the day

b

99. When a client with an indwelling urinary catheter wants to walk to the hospital lobby to visit with family members, the nurse teaches him how to do this without compromising the catheter. Which client action indicates an accurate understanding of this information? a. The client sets the drainage bag on the floor while sitting down b. The client keeps the drainage bag below the bladder at all times c. The client clamps the catheter drainage tubing while visiting with the family d. The client loops the drainage tubing below its point of entry into the drainage bag

b

31. A nurse is aware of the high incidence and prevalence of fluid volume deficit among older adults. What related health education should the nurse provide to an older adult? a. If possible, try to drink at least 4 liters of fluid daily b. Ensure that you avoid replacing water with other beverages c. Remember to drink frequently, even if you don't feel thirsty d.Make sure you eat plenty of salt in order to stimulate thirst

c

39. The nurse is caring for a patient in the oliguric phase of acute kidney injury AKI. What does the nurse know would be the daily urine output? a. 1.5 L b. 1.0 L c. Less than 400 ml d.Less than 50 ml

c

42. The nurse is caring for an acutely ill client. What assessment finding should prompt the nurse to inform the physician that the client may be exhibiting signs of acute kidney injury (AKI)? a. The client reports an inability to initiate voiding b. The client's urine is cloudy with a foul odor c. The clients average urine output had been 10ml/hr for several hours d. The client complains of acute flank pain

c

47. The nurse is providing a health education workshop to a group of adults focusing on cancer prevention. The nurse should emphasize what action in order to reduce participants' risks of renal carcinoma? a. Avoiding heavy alcohol use b. Control of sodium intake c. Smoking cessation d. Adherence to recommended immunization schedule

c

48. A client with newly diagnosed renal cancer is questioning why detection was delayed. Which is the best response by the nurse? a. Squamous cell carcinoma does not present with detectable symptoms b. You should have sought treatment earlier c. Very few symptoms are associated with renal cancer d.Painless Gross hematuria is the first symptom in renal cancer

c

52. For a client in the oliguric phase of acute renal failure (ARF), which nursing intervention is the most important? a. Encouraging coughing and deep breathing b. Promoting carbohydrate intake c. Limiting fluid intake d. Providing pain relief measures

c

62. A patient undergoing a CT scan with contrast has a baseline creatinine level of 3 ml/dl, identifying the patient as at a high risk for developing kidney failure. What is the most effective intervention to reduce the risk of developing radiocontrast-induced nephropathy CIN? a. Performing the test without contrast b. Administering Garamycin (gentamicin) prophylactically c. Hydration with saline intravenously before the test d.Administering sodium bicarbonate after the procedure

c

67. A client with several calculi in the ureter is scheduled for extracorporeal shock wave lithotripsy ESWL. Which teaching statement by the nurse best describes the procedure? a. A scope is passed through the urethra to visualize and destroy the stones with a laser b. After locating the calculi, a small incision is made to remove the stones c. The stone is identified via fluoroscopy and then shock waves are used to shatter the stone d.One the calculi are located; a fine wire delivers shock waves pulverize the stones

c

85. The nurse is caring for a patient with severe pain related to ureteral colic. What medication can the nurse administer with a physician's order that will inhibit the synthesis of prostaglandin E, thereby reducing swelling and facilitating passage of the stone? a. Morphine sulfate b. Aspirin c. Ketorolac (Toradol) d.Meperidine (Demerol)

c

89. The nurse is caring for a male client who has a significant urinary narrowing secondary to an enlarged prostate. Which nursing action is best to relieve his urinary retention? a. Use a 22-french catheter to remove urine from bladder b. Teach the Crede's maneuver to remove urine from the bladder c. Insert a coude catheter to remove urine from the bladder d. Use a straight-catheter to remove urine from the bladder

c

90.The nurse is caring for a 37-year-old female client with potential interstitial cystitis. Which question asked by the nurse is helpful in suggesting the disease? a. Have you noted any unusual vaginal drainage? b. Have you experienced hematuria with cramping? c. When was your last menstrual period? d. Do you drink alcoholic beverages on a frequent basis?

c

91. A client has had her indwelling urinary catheter removed after having it in place for 10 days during recovery from an acute illness. Two-hours after removal of the catheter, the client informs the nurse that she is experiencing urinary urgency resulting in several smaller volume voids. What is the nurse's best response? a. Inform the client that urgency and occasional incontinence are expected for the first few weeks post removal. b. Obtain an order for a loop diuretic in order to enhance urine output and bladder function. c. Inform the client that this is not unexpected in the short term and scan the clients bladder following each void. d. Obtain an order to reinsert the client's urinary catheter and attempt removal in 24-48hours.

c

92. The nurse caring for a client diagnosed with bladder stones. The client is scheduled for litholapaxy. Which nursing action is most important to complete prior to the procedure? a. Strain all urine b. Maintain the intake and output c. Maintain 12 hours of nothing by mouth d. Make sure that the nurse has the consent signed

c

95. Which client has the highest risk of developing a hospital acquired infection? a. A client with laceration to the left hand b. A client who's taking prednisone c. A client with an indwelling urinary catheter d.A client with Crohn's disease

c

10. Which substance stimulates the bone marrow to produce red blood cells? a. Erythropoietin b. Prostaglandin E c. Prostacyclin d.Renin

a

100. A client who has a history of neurogenic bladder uses a permanent, indwelling catheter to facilitate urine elimination. What can this client consume to decrease the likelihood of bladder infection? a. Cranberry juice b. Increased protein c. Red meat d.Prune juice

a

12. The nurse is caring for a client with a nursing diagnosis of deficient fluid volume. The nurse's assessment reveals a BP of 98/52 mmg Hg. The nurse should recognize that the clients kidneys will compensate by secreting what substance? a. Antidiuretic hormone ADH b. Aldosterone c. Renin d. Angiotensin

a

13. A creatinine clearance test has been ordered. The nurse prepares to: a. Collect the clients urine for 24 hours b. Obtain a clean catch urine c. Obtain a blood specimen d. Insert a Straight Catheter for a specimen

a

15. A nurse is preparing a client diagnosed with BPH (benign prostatic hyperplasia) for a lower urinary tract cystoscopic examination. The nurse should caution the client about what common temporary complication of this procedure? a. Urinary retention b. Bladder perforation c. Hemorrhage d. Nausea

a

16. The nurse is completing a routine urinalysis using a dipstick. The test reveals an increased specific gravity. The nurse should suspect what condition? a. Decreased fluid intake b. Increased fluid intake c. Glomerulonephritis d.Diabetes insipidus

a

19. The nurse is working with a client who will undergo invasive urologic testing. The nurse has informed the client that hematuria may occur after the testing is complete. The nurse should recommend what action to help resolve the hematuria? a. Increased fluid intake following the test b. Use of an over-the-counter (OTC) diuretic after the test c. Gentle massage of the lower abdomen d. Activity limitation for the first 12 hours after the test

a

20. The nurse reviews a client's history and notes that the client has a history of hyperparathyroidism. The nurse would identify that this most likely would be a risk for which of the following? a. Kidney stones b. Neurogenic bladder c. Chronic renal failure d. Fistula

a

22. The nurse is reviewing the client's urinalysis results. The finding that is most suggestive of dehydration of the client is: a. Specific gravity 1.035 b. Creatinine 0.7 mg/dl c. Protein 15 mg/dl d.Bright yellow urine

a

23. The nurse is assigned to care for a patient in the oliguric phase of kidney failure. When does the nurse understand that oliguria is said to be present? a. When the urine output is less than 30 ml/hr b. When the urine output is about 100 ml/hr c. When the urine output is between 300-500 ml/hr d.When the urine output is between 500-1,000 ml/hr

a

34. A client is having a blood urea nitrogen BUN test. BUN level is: a. Increased in renal disease and urinary obstruction b. Decreased in nephrotic syndrome c. Decreased in renal disease and urinary obstruction d.Unchanged and renal disease

a

35. A nurse is caring for a 73-year-old client with a urethral obstruction related to prostatic enlargement. When planning this client's care, the nurse should be aware of the risk of what complication? a. Urinary tract infection b. Enuresis c. Polyuria d.Proteinuria

a

38. The nurse has identified the nursing diagnosis of "Risk for Infection" In a client who undergoes peritoneal dialysis. Which nursing action best addresses this risk? a. Maintain aseptic technique when administering dialysate b. Wash the skin surrounding the catheter site with soap and water prior to each exchange c. Add antibiotics to the dialysate as prescribed d. Administer prophylactic antibiotics by mouth or IV as prescribed

a

43. When caring for the patient with acute glomerulonephritis. Which of the following assessment findings should the nurse anticipate? a. Tea- colored urine b. Left upper quadrant pain c. Pyuria d. Low blood pressure

a

44. The nurse is caring for a client postoperative day 4 following a kidney transplant. When assessing for potential signs and symptoms of rejection, what assessment should the nurse prioritize? a. Assessment of the quantity of client's urine output b. Assessment of the client's incision c. Assessment of the client's abdominal girth d. Assessment for flank or abdominal pain

a

45. A client with chronic glomerulonephritis has generalized edema. Which response by the nurse best describes why anasarca occurs with this disorder? a. Fluid shifting occurs due to loss of serum protein b. Albumin levels increase in the blood dragging fluid inside the vessels c. Increased intake of sodium in the diet results in anasarca d. Urinary retention promotes the absorption of fluid into tissue spaces

a

3. A nurse is caring for a client who has type 2 diabetes mellitus and will have excretory urography. Prior to the procedure, which of the following actions should the nurse take? Select all that apply. a. Identify an allergy to seafood b. Withhold metformin 24 hours to 48 hours after test c. Administer an enema or bowel prep d. Obtain a serum coagulation profile e.Check for asthma

a, b, c, e

11. A client asks the nurse about the functions of the kidney. Which should the nurse include when responding to the client? Select all that apply. a. Secretion of prostaglandins b. Vitamin B production c. Regulation of blood pressure d. Vitamin D synthesis e.Secretion of insulin

a, c, d

2. A nurse is monitoring a client who had a kidney biopsy for postoperative complications. Which of the following complications should the nurse identify as causing the greatest risk to the client? a. Infection b. Hemorrhage c. Hematuria d. Pain

b

24. A client with kidney injury secondary to diabetic nephropathy has been admitted to the medical unit. What is the most life-threatening effect of kidney injury for which the nurse should monitor the client? a. Accumulation of wastes b. Retention of potassium c. Depletion of calcium d.Lack of BP control

b

25. A client with a diagnosis of respiratory acidosis is experiencing renal compensation. What function does the kidney perform to assist in restoring acid-base balance? a. Sequestering free hydrogen ions and nephrons b. Returning bicarbonate to the body's circulation c. Returning acid to the body's circulation d.Excreting bicarbonate in the urine

b

26. The nurse is assisting the physician in completing a cystoscopy. In which position would the nurse place the client when preparing for the procedure? a. On the client's back with knees to the side b. On the client's back with feet in the stirrups c. On the client's right side with a pillow behind the back d. On the clients left side with a pillow behind the back

b

28. Which of the following diagnostic tests would the nurse expect to be ordered to determine the details of the arterial supply to the kidneys? a. Radiography b. Angiography c. Computed tomography (CT) d. Cystoscopy

b

29. A nurse is describing the renal system to a client with a kidney disorder. Which structure would the nurse identify as emptying into the ureters? a. Nephron b. Renal pelvis c. Parenchyma d. Glomerulus

b

30. The nurse is caring for a client who describes changes in his voiding patterns. The client states, "I feel the urge to empty my ladder several times an hour and when the urge hits me, I have to go to the restroom quickly. But when I empty my bladder, there doesn't seem to be much urine flow." What would the nurse expect this client's physical assessment to repeal? a. Hematuria b. Urine retention c. Dehydration d.Kidney injury

b

33. The nurse is instructing a 3-year-old's mother regarding abnormal findings within the urinary system. Which assessment finding would the nurse document as a normal finding for this age group? a. Dysuria b. Enuresis c. Hematuria d. Anuria

b

14. The nurse is caring for a client with a history of sickle cell anemia. The nurse understands that this predisposes the client to which renal or urologic disorder? a. Kidney stone formation b. Proteinuria c. Chronic Kidney Disease d. Neurogenic Bladder

c

17. Diagnostic testing of an adult client reveals renal glycosuria. The nurse should recognize the need for the client to be assessed for what health problem? a. Diabetes insipidus b. Syndrome of inappropriate antidiuretic hormone secretion SIADH c. Diabetes mellitus d. Renal carcinoma

c

18. The nurse is performing a focused genitourinary and renal assessment of a client. Where should the nurse assess for pain at the costovertebral angle? a. At the umbilicus and the right lower quadrant of the abdomen b. At the suprapubic region and the umbilicus c. At the lower border of the 12th rib and the spine d. At the 7th rib and the xiphoid process

c

21. The nurse is caring for a client suspected of having renal dysfunction. When reviewing laboratory results for this client, the nurse interprets the presence of which substances in the urine as most suggestive of pathology? a. Potassium and sodium b. Bicarbonate and area c. Glucose and protein d. Creatinine and chloride

c

27. __________ is a midstream specimen from the first voiding of the morning preferably. a. Post-void residual b. Urinalysis c. Clean catch d. 24 hr. Urine collection

c

1. A nurse is reinforcing teaching with a client who will have an x-ray of the kidneys, ureters, and ladder. Which of the following statements should the nurse include? a. You will receive contrast dye during the procedure. b. An enema is necessary before the procedure c. You will need to lie in a prone position during the procedure. d.The procedure determines whether you have a kidney stone.

d

32. A client with a history of incontinence will undergo urodynamic testing in the health care provider's office. Because voiding in the presence of others can cause situational anxiety, the nurse should perform what action? a. Administer diuretics as prescribed b. Push fluids for several hours prior to the test c. Discuss possible test results as the client voids d.Help the client to relax before and during the test

d

4. A nurse is collecting data from a client who has returned to the medical-surgical unit following a CT scan of the kidneys with IV contrast. Which of the following findings should the nurse identify as an indication the client is experiencing an allergic reaction to the contrast material? a, Bradycardia b. Pink-tinged urine c. Hyperprexia d. Pruruitus

d

56. Following ureteroscopy, for the removal of ureteral calculus a stent is temporarily left in place. The client asks what purpose the stent provides. Which is the best response from the nurse? a. The stent is coated with an antiinfective to promote healing b. The stent will catch and debris or blood clots left behind c. The stent will provide easier passing of future stones d. Inflammation from the stone can block the flow of urine.

d

57. A patient has been diagnosed with postrenal failure. The nurse reviews the patient's electronic health record and notes a possible cause. Which of the following is the possible cause? a. Acute pyelonephritis b. Osmotic diuresis c. Dysrhythmias d.Renal calculi

d

74. The nurse is caring for a client who has chronic urinary retention. They are discussing the client's options. When discussing care, which intervention is considered first? a. Completing clean intermittent catheterization b. Inserting a cystostomy tube c. Applying a condom catheter d. Using the Crede's maneuver

d

83. The nurse is caring for several older clients. For which client would the nurse be especially alert for signs and symptoms of pyelonephritis? a. A client with renal failure b. A client with urinary tumor c. A female client with preexisting chronic glomerulonephritis d.A client with urinary obstruction

d

86. The patient has been diagnosed with urge incontinence. What classification of medication does the nurse expect the patient will be placed on to help alleviate the symptoms? a. Antispasmodic agents b. Urinary analgesics c. Antibiotics d. Anticholinergic agents

d

88. The nurse is caring for a client with a cystoscopy tube draining urine from the bladder.When reviewing the client's history prior to administering care, which is of most concern? a. Diagnostic studies reporting bladder stones b. Crusted drainage around the cystoscopy tube c. A WBC of 12,000 cells/mm3 d. New diagnoses of urosepsis

d

9. Which term best describes painful or difficult urination? a. Oliguria b. Anuria c. Nocturia d. Dysuria

d