GU practice question

The client with pyelonephritis asks the nurse, "How will I know whether the antibiotics are treating my infection?" What should the nurse tell the client?

"Your health care provider will take a urine culture."

A client is admitted to the hospital with a diagnosis of renal calculi. The client is experiencing severe flank pain and nausea, the temperature is 100.6 which outcome would be a priority for thus client ?

Alleviation of pain

For a renal angiography, which nursing action completed preop is essential port procedure?

Assess pulses of legs and feet

A client is frustrated and embarrassed by urinary incontinence. Which measure should the nurse include in a bladder retraining program?

Assessing present voiding pattern

A client asks why the PSA level is drawn prior to a a DRE. The best response is..

A prostate exam can possibly increase the PSA

Which nursing action is most appropriate for a client who has urge incontinence?

Have the client urinate on a timed schedule

In caring for a client with bilateral nephrostomy tubes, avoid which of the following ?

Clamping each tube when patient is moved

A client is admitted with a diagnosis of chronic hydronephrosis. Which assessment finding requires immediate action or will assist the nurse in planning care?

Clients blood urea nitrogen BUN is 32 mg/dL

Which instruction would a nurse include in the discharge teaching for a client who has an ileal conduit

Mucous in the pouch is expected

A nurse is providing port procedure care for a client who underwent percutanous lithotripsy, the nurse should instruct the client to..

Notify the physician about cloudy or foul smelling urine

a registered nurse and an unlicensed personnel are caring for a group of clients. Which clients care will the nurse safely delegate to the UAP.

A client diagnosed with renal calculus who is encouraged to ambulate four times daily

Intrinsic causes of ureter obstruction include all of the following

Calculi, Clot, Tumor

A client is diagnosed with pyelonephritis, which nursing action is a priority for care now?

Ensure sufficient hydration.

A client with renal calculus could expect all of the following

Hematuria, Nausea, Vomiting, Oliguria

If a client is on a renal diet, it is important to stress to the client to avoid..

High potassium diet

Which client has the greatest risk factor for having malignant bladder tumors

History of cigarette smoking

Which electrolyte imbalance is the most serious adverse effect of diuretic use?

Hypokalemia

The nurse is collecting data on a client with a urinary tract infection, which statements should the nurse expect the client to make. SATA

I need to urinate frequently, it burns when I urinate, I need to urinate urgently

The nurse is instructing the unlicensed assistive personnel about the correct technique for obtaining a clean catch urine culture from a female client. Which statement indicates that the teaching was successful

I will ask the client to clean her labia, void into the toilet, and then into the specimen cup

The nurse is instructing an unlicensed assistive personnel to collect a urine specimen from an in dwelling catheter. Which statement indicates that the UAP understands the instructions?

I'll get a sterile syringe and remove urine from the catheter through the collection port to place in the specimen container

A client undergoes extracorporeal shock wave lithotripsy to break up and remove renal calculi. Which nursing measure is appropriate for the postoperative care of this client

Instruct the client to anticipate hematuria for about 24 hours after the procedure

Which type of diuretic is used for immediate dieresis

Loop diuretic

The client has a continuous bladder irrigation after a TURP. The major goal of irrigation is

Maintain catheter patency

What position should client be placed in for a kidney biopsy?

Prone with sandbag under the abdomen

What manifestation would you expect in a client diagnosed with glomerulonephritis?

Protienuria

When caring for a client with a history of benign prostatic hypertrophy what should the nurse do. SATA

Provide privacy and time for client to void, monitor intake and output, ask the client if he has urinary retention, test the urine for hematuria

A client from the nursing home is admitted with urosepsis, the doctor would immediately order ..

Removal of foley

Which lab value is considered the most sensitive indicator of renal function

Serum creatinine

A middle aged male client comes to the clinic for an evaluation of difficulty urinating and nocturia. His father died from prostate, he aka the nurse what can he do to ensure early detection of this disease. What question will the nurse ask next?

So you have a digital rectal examination and prostate specific antigen tests yearly?

Which diuretic may be ordered that spares potassium and prevents hypokalemia?

Spirinolactone (Aldactone)

When initiating a 24 hour urine specimen, the collection time should ..

Start after known voiding

To address testicular cancer risk, client teaching for male clients should include ..

Testicular self exam

After having transurethral resection of the prostate TURP, a client returns to the unit with a three way catheter and continuous closed bladder irrigation. Which finding suggests that the clients catheter is occluded?

The client reports bladder spasms and the urge to void

The nurse sees that the area around a patients stoma is red, weeping and painful. What does this mean?

The face plate doesn't fit the stoma

Which of the following instructions would be given to a client prescribed pyridium?

This medication will relieve your pain

The nurse recognizes that urinalysis results most likely to indicate a UTI include

Urine WBC 50

A female client reports to a nurse that she experiences a loss of urine when she jogs. The nurses assessment reveals no nocturia, burning, discomfort when voiding, or urine leakage before reaching the bathroom. The nurse explains to the client that this type of problem is called

stress incontinence