med-surg 3
The client with chronic renal failure is exhibiting signs of anemia. Which is the best nursing rationale for this symptom? Azotemia Diminished erythropoietin production Impaired immunologic response Electrolyte imbalances
Diminished erythropoietin production
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 normal finding for this age-group? Dysuria Enuresis Hematuria Anuria
Enuresis
A 176-lb client with pyelonephritis has been instructed to drink at least 30 mL of water for each kilogram of body weight. The client prefers to drink bottled water and asks the nurse to calculate the number of 16-oz bottles needed to fulfill the daily intake required. Fill in the blank with the total number of 16-oz bottles of water that should be consumed each day. __________ bottles
5 bottles
When describing the functions of the kidney to a client, which of the following would the nurse include? Regulation of white blood cell production Synthesis of vitamin K Control of water balance Secretion of the enzyme renin
Control of water balance Secretion of the enzyme renin
A client is diagnosed with polycystic kidney disease and requires teaching on the management of the disorder. Which statement made by the client indicates a need for further teaching? "I inherited this disorder from one of my parents." "The cysts can get quite large in size." "As long as I have one normal kidney, I should be fine." "If renal failure develops, I may need to consider dialysis."
"As long as I have one normal kidney, I should be fine."
A client asks the nurse why a creatinine clearance test is accurate. The nurse is most correct to reply which of the following? "Creatinine is broken down at a constant rate, and the total amount is excreted by the kidney." "Creatinine is metabolized in the liver and excreted by the kidney at a regular rate." "Creatinine is a stress-related response that is excreted by the kidney." "Creatinine is found in the urine to make the urine acidic and can be measured."
"Creatinine is broken down at a constant rate, and the total amount is excreted by the kidney."
The nurse is caring for a 13-year-old female client diagnosed with urethritis. Which of the following assessment answers would indicate that further instruction is needed? Select all that apply. "I change my sanitary napkin when it is full." "My mom buys just regular toilet paper." "I take a bubble bath a couple of times per week." "I clean my private area with soap and water." "I drink fruit drinks because I do not like water."
"I change my sanitary napkin when it is full." "I take a bubble bath a couple of times per week." "I clean my private area with soap and water."
The nurse is caring for several older clients. Which client would the nurse be especially alert for signs and symptoms of pyelonephritis? A client with acute renal failure A client with a urinary tumor A female client with preexisting chronic glomerulonephritis A client with urinary obstruction
A client with urinary obstruction
The nurse is completing a full exam of the renal system. Which assessment finding best documents the need to offer the use of the bathroom? Tenderness over the kidneys Bruits noted over the abdominal area A dull sound when percussing over the bladder The ingestion of 8 oz of water
A dull sound when percussing over the bladder
A client is diagnosed with polycystic kidney disease. Which of the following would the nurse most likely assess? Hypertension Flank pain Fever Periorbital edema
Hypertension
As the home health nurse reviews medications taken by the client with polycystic kidney disease, which medication should be addressed first? Lovastin (Mevacor) Methylprednisolone (Depo-Medrol) Furosemide (Lasix) Ibuprofen (Motrin)
Ibuprofen (Motrin)
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? Use a 22 French catheter to remove urine from bladder. Teach the Credé's maneuver to remove urine from the bladder. Insert a coudé catheter to remove urine from the bladder. Use a straight-tipped catheter to remove urine from the bladder.
Insert a coudé catheter to remove urine from the bladder.
The nurse is caring for a client with a urinary tract infection and a urethral stricture. Which complication of the condition is the primary cause of infection? The bladder mucosa attracts bacteria. There is a backflow of urine causing a diverticulum. Urine leakage occurs as urine passes through the stricture. Urine production is limited due to the urine remaining in the bladder.
There is a backflow of urine causing a diverticulum.
A client with end-stage renal disease is scheduled to undergo a kidney transplant using a sibling donated kidney. The client asks if immunosuppressive drugs can be avoided. Which is the best response by the nurse? "Even a perfect match does not guarantee organ rejection." "Immunosuppressive drugs guarantee organ success." "The doctor may decide to delay the use of immunosuppressant drugs." "Let's wait until after the surgery to discuss your treatment plan."
"Even a perfect match does not guarantee organ rejection."
The client tells the nurse of the feeling of always needing to void. The nurse instructs on normal urine elimination. At which amount of urine accumulation in the bladder is the nerve reflex triggered to signal the need to void? 150 mL 300 mL 500 mL 750 mL
150 mL
The nurse is caring for a client with chronic bladder infections and inflammation. The physician has ruled out several medical diagnoses and is considering interstitial cystitis. The nurse is most correct to anticipate which diagnostic test to confirm the disorder? A cystoscopy A voiding cystourethrogram A bladder biopsy A potassium sensitivity test
A bladder biopsy
The nurse is reviewing urine tests to obtain client baseline information. Which of the following urine tests is preferred to identify characteristics of normal and abnormal urine? A 24-hour urine kept in the bathroom on ice A catheterized specimen obtained at no particular time A clean-catch midstream specimen from the first voiding of the morning A specimen obtained from an indwelling Foley catheter's bag
A clean-catch midstream specimen from the first voiding of the morning.
The nurse observes a client's uric acid level of 9.3 mg/dL. When teaching the client about ways to decrease the uric acid level, which diet would the nurse suggest? A low-sodium diet A low-purine diet A diet high in fruits and vegetables A diet high in calcium
A low-purine diet
A client comes to the clinic for a follow-up visit. During the interview, the client states, "Sometimes when I have to urinate, I can't control it and do not reach the bathroom in time." The nurse suspects that the client is experiencing which type of incontinence? Stress Urge Overflow Functional
Functional
The nurse is obtaining a health history from a client describing urinary complications. Which assessment finding is most suggestive of a malignant tumor of the bladder? Incontinence Dysuria Hematuria Frequency
Hematuria
A client in chronic renal failure becomes confused and complains of abdominal cramping, racing heart rate, and numbness of the extremities. The nurse relates these symptoms to which of the following lab values? Elevated urea levels Hyperkalemia Hypocalcemia Elevated white blood cells
Hyperkalemia
The nurse performs a physical examination on a client diagnosed with acute pyelonephritis to assist in determining which of the following? Abnormalities in urine Location of discomfort Elevated calcium levels Structural defects in the kidneys
Location of discomfort
Examination of a client's bladder stones reveal that they are primarily composed of uric acid. The nurse would expect to provide the client with which type of diet? Low oxalate Low purine High protein High sodium
Low purine
The nurse is assisting the physician in completing a cystoscopy. In which position would the nurse place the client when preparing for the procedure? On the client's back with knees to the side On the client's back with feet in the stirrups On the client's right side with a pillow behind the back On the client's left side with a pillow behind the back
On the client's back with feet in the stirrups
The office nurse is providing information to a client who has experienced recurrent renal calculi. Which of the following jobs would place a client at greatest risk for calculi formation? Over-the-road truck driver Mining engineer Nursing instructor Rumba instructor
Over-the-road truck driver
A nurse is reviewing the history and physical examination of a client with a suspected malignant tumor of the bladder. Which finding would the nurse identify as the most common initial symptom? Urinary retention Fever Frequency Painless hematuria
Painless hematuria
A client comes to the emergency department complaining of a sudden onset of sharp, severe flank pain. During the physical examination, the client indicates that the pain, which comes in waves, travels to the suprapubic region. He states, "I can even feel the pain at the tip of my penis." Which of the following would the nurse suspect? Acute glomerulonephritis Ureteral stricture Urinary calculi Renal cell carcinoma
Urinary calculi
The nurse is caring for a client prescribed gentamicin 110 mg every 8 hours for 10 days. Which laboratory study is anticipated to monitor medication side effects? Blood chemistry BUN and serum creatinine Creatinine clearance test Urine osmolality
BUN and serum creatinine
The nurse has received morning lab work on a client with chronic renal disease. Which finding indicates renal disease? Urine pH of 6.5 Urine nitrate: negative Protein level of 400 mg/dL Specific gravity: 1.002
Protein level of 400mg/dL
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? "The stent is coated with an antiinfective to promote healing." "The stent will catch any debris or blood clots left behind." "The stent will provide easier passing of future stones." "Inflammation from the stone can block the flow of urine."
"Inflammation from the stone can block the flow of urine."
Which of the following urine characteristics would the nurse anticipate when caring for a client whose lab work reveals a high urine specific gravity related to dehydration? Dark amber urine Clear or light yellow urine Red urine Turbid urine
Dark amber urine
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? Nephron Renal pelvis Parenchyma Glomerulus
Renal pelvis
After teaching a group of students about how to perform peritoneal dialysis, which statement would indicate to the instructor that the students need additional teaching? "It is important to use strict aseptic technique." "It is appropriate to warm the dialysate in a microwave." "The infusion clamp should be open during infusion." "The effluent should be allowed to drain by gravity."
"It is appropriate to warm the dialysate in a microwave."
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? "The risk of peritonitis is greater with this type of dialysis." "This type of dialysis will provide more independence." "Peritoneal dialysis will require more work for you." "Peritoneal dialysis does not work well for every client."
"This type of dialysis will provide more independence."
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? "Have you noted any unusual vaginal drainage?" "Have you experienced hematuria with cramping?" "When was your last menstrual period?" "Do you drink alcoholic beverages on a frequent basis?"
"When was your last menstrual period?"
A client has a full bladder. Which sound would the nurse expect to hear on percussion? Tympany Dullness Resonance Flatness
Dullness
The nurse is caring for a client diagnosed with bladder cancer and requiring a cystectomy. The nurse overhears the physician instructing the client on the presence of a stoma with temporary pouch. In gathering information for the client, which urinary diversion would the nurse select? Ileal conduit Kock Pouch Ureterosigmoidostomy Indiana Pouch
Ileal conduit
A client has undergone a renal transplant and returns to the healthcare agency for a follow-up evaluation. Which finding would lead to the suspicion that the client is experiencing rejection? Hypotension Weight loss Polyuria Abdominal pain
Abdominal pain
When assessing a client with chronic glomerulonephritis, the nurse notes that the client has generalized edema. The nurse documents this as which of the following? Periorbital edema Anasarca Uremic frost Hydronephrosis
Anasarca
Which of the following diagnostic tests would the nurse expect to be ordered to determine the details of the arterial supply to the kidneys? Radiography Angiography Computed tomography (CT scan) Cystoscopy
Angiography
The nurse is employed in an urologist office. Which classification of medication is anticipated for clients having difficulty with urinary incontinence? Anticholinergic Diuretics Anticonvulsant Cholinergic
Anticholinergic
An ileal conduit is created for a client after a radical cystectomy. Which of the following would the nurse expect to include in the client's plan of care? Application of an ostomy pouch Intermittent catheterizations Exercises to promote sphincter control Irrigating the urinary diversion
Application of an ostomy pouch
The nurse is providing care to a client who has had a renal biopsy. The nurse would need to be alert for signs and symptoms of which of the following? Bleeding Infection Dehydration Allergic reaction
Bleeding
The nurse is to check residual urine amounts for a client experiencing urinary retention. Which of the following would be most important? Set up a routine schedule of every 4 hours to check for residual urine. Check for residual after the client reports the urge to void. Record the volume of urine obtained. Catheterize the client immediately after the client voids.
Catheterize the client immediately after the client voids.
When preparing a client for hemodialysis, which of the following would be most important for the nurse to do? Check for thrill or bruit over the access site. Inspect the catheter insertion site for infection. Add the prescribed drug to the dialysate. Warm the solution to body temperature.
Check for thrill or bruit over the access site.
A client, who has suffered with recurrent renal calculi, has learned that the stones were composed of calcium oxalate. In providing dietary education to this client, which food contains the highest levels of oxalate and should be limited? Bananas Chocolate Herbal teas Beef
Chocolate
As the nurse comes from morning report, the nurse is instructed to use a bladder scanner on a client following a client's attempt at urination. The client is able to void 300 mL. The client denies any pain on urination. The nurse scans 250 mL of remaining urine in the bladder. Which entry is most correct when documenting the intervention? Client voided 300 mL without dysuria Client voided 550 mL of urine for the daylight shift Client voided 300 mL with 250 mL residual volume Bladder scanning resulted in 250 mL
Client voided 300 mL with 250 mL residual volume
A female client who is diagnosed with a malignant tumor in her bladder is advised to undergo cystectomy followed by a urinary diversion procedure. Which of the following would be most important for the nurse to assess preoperatively? Client's manual dexterity and vision History of allergy to iodine and seafood Dietary habits involving cholesterol-laden food Menstrual history
Client's manual dexterity and vision
A child is brought into the clinic with symptoms of periorbital edema and dark brown rusty urine. Which nursing assessment finding would best assist in determining the cause of this problem? Sore throat 2 weeks ago Red blood cells in the urine Elevation of blood pressure Protein elevation in the urine
Sore throat 2 weeks ago
The nurse is caring for a client who has presented to the walk-in clinic. The client verbalizes pain on urination, feelings of fatigue, and diffuse back pain. When completing a head-to-toe assessment, at which specific location would the nurse assess the client's kidneys for tenderness? The upper abdominal quadrants on the left and right side The costovertebral angle Above the symphysis pubis Around the umbilicus
The costovertebral angle
Which assessment finding is most important in determining nursing care for a client with acute glomerulonephritis? Presence of albumin in the urine Dark smoky colored urine Blurred vision Peripheral edema
Blurred vision
The client with chronic renal failure complains of intense itching. Which assessment finding would indicate the need for further nursing education? Pats skin dry after bathing Uses moisturizing creams Keeps nails trimmed short Brief, hot daily showers
Brief, hot daily showers
The nurse caring for a client is providing instructions for an upcoming renal angiography. Which nursing action, explained in the preoperative instructions, is essential in the postprocedure period? Encourage voiding following the procedure. Assess renal blood work. Assess cognitive status. Complete a pulse assessment of the legs and feet.
Complete a pulse assessment of the legs and feet
The nurse is assessing a client at the diagnostic imaging center. For which diagnostic test would the client assess for an allergy to shellfish? Radiography Computed tomography with contrast Cystoscopy Bladder ultrasonography
Computed tomography with contrast
The nurse is caring for a client diagnosed with bladder stones. The client is scheduled for a litholapaxy. Which nursing action is most important to complete prior to the procedure? Strain all urine Maintain the intake and output Maintain 12 hours of nothing by mouth Make sure that the nurse has the consent signed
Strain all urine
The nurse is caring for a client with recurrent urinary tract infections. Which of the following body structures would the nurse instruct as the most frequent cause of women's urinary tract infections? The urethra The bladder The rectum The ureters
The urethra
A client who suffered hypovolemic shock during a cardiac incident has developed acute renal failure. Which is the best nursing rationale for this complication? Decrease in the blood flow through the kidneys Obstruction of urine flow from the kidneys Blood clot formed in the kidneys interfered with the flow Structural damage occurred in the nephrons of the kidneys
Decrease in the blood flow through the kidneys
The nurse is caring for clients at a long-term care facility. When considering activities in the summer heat, which physiologic change of renal aging can also result in geriatric dehydration? Decreased ability to concentrate urine Decreased renal blood flow Thickening of the renal tubules Double voiding
Decreased ability to concentrate urine
An elderly client is being evaluated for suspected pyelonephritis and is ordered kidney, ureter, and bladder (KUB) x-ray. The nurse understands the significance of this order is related to which rationale? Shows damage to the kidneys If risk for chronic pyelonephritis is likely Reveals causative microorganisms Detects calculi, cysts, or tumors
Detects calculi, cysts, or tumors
The client with glomerulonephritis is exhibiting gross periorbital edema. Which is the best nursing intervention to relieve this symptom? Administer diuretics. Apply warm compresses. Elevate the head of the bed. Monitor intake and output.
Elevate the head of the bed.
A chronic renal failure client complains of generalized bone pain and tenderness. Which assessment finding would alert the nurse to an increased potential for the development of spontaneous bone fractures? Elevated serum creatinine Hyperkalemia Hyperphosphatemia Elevated urea and nitrogen
Hyperphosphatemia
A client is prescribed amitriptyline, an antidepressant for incontinence. The nurse understands which of the following reasons that this drug is an effective treatment? Increases contraction of the detrusor muscle Increases bladder neck resistance Reduces bladder spasticity Decreases involuntary bladder contractions
Increases bladder neck resistance Decreases involuntary bladder contractions
The nurse discontinues a client's Foley catheter following diagnostic procedure. When assessing the client's voided urine, it is noted to be concentrated with red strings. Which nursing action is best? Ambulate the client in the hall. Instruct the client to increase fluid intake. Call the physician for further instructions. Wait to see the next voided specimen.
Instruct the client to increase fluid intake.
When teaching a client about a diagnostic procedure, which teaching philosophy provides the best manner to present the information to the client? Stand beside the client and direct all information in the client's direction. Begin with the information most difficult to understand. Include humorous pictures to lighten the mood. Move from general details of the procedure to specifics.
Move from general details of the procedure to specifics.
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? Diagnostic studies reporting bladder stones Crusted drainage around the cystoscopy tube A white blood count of 12,000 cells/mm3 New diagnosis of urosepsis
New diagnosis of urosepsis
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? Collect the voided urine sample primarily before 5 AM. Refrigerate the specimen until it is taken to the laboratory. Use the same receptacle for voiding and defecation. Store the collected urine away from sunlight.
Refrigerate the specimen until it is taken to the laboratory.
The hemodialysis client is scheduled to receive weekly injections of epoetin (Epogen). Which is the most important consideration to be taken by the nurse in the administration of this medication? Schedule injection on nondialysis day. Administer immediately after dialysis. Monitor complete blood count prior to dose. Administer with low-dose aspirin to prevent clot formation.
Schedule injection on nondialysis day.
The nurse evaluates the client as experiencing symptoms of disequilibrium syndrome, following an initial hemodialysis treatment. Which is the best action to be taken by the nurse? No action is needed. Hold the next scheduled treatment. Slow the dialysis process during future treatment. Notify the physician and manage the symptoms.
Slow the dialysis process during future treatment.
The nurse is caring for a client who is following a treatment plan to decrease urinary tract infections. Which of the following indicates the need to change the treatment plan? The client has history of repeated antibiotic therapy. The client has improved personal hygiene methods. The client exhibits continued symptoms. The client has diluted urine.
The client exhibits continued symptoms.
The nurse is caring for four clients on a urinary medical unit. For which client does the nurse need no further medical interventions? The client has pain of 7 out of 10 in the mid-abdomen. The client has a residual urine of 90 mL on a bedside ultrasound bladder scan. The client has a WBC count of 15,000 on recent lab reports. The client is unable to void in the morning hours.
The client has a residual urine of 90 mL on a bedside ultrasound bladder scan.
A group of students is reviewing for a test on the urinary and renal system. The students demonstrate understanding of the information when they identify which of the following as part of the upper urinary tract? Bladder Urethra Ureters Pelvic floor muscles
Ureters
The nurse is caring for a client who is describing urinary symptoms of needing to go to the bathroom with little notice. When the nurse is documenting these symptoms, which medical term will the nurse document? Urinary frequency Urinary urgency Urinary incontinence Urinary stasis
Urinary urgency
The nurse is caring for a client who has chronic urinary retention and discussing the options. When discussing care, which intervention is considered first? Completing clean intermittent catheterization Inserting a cystostomy tube Applying a condom catheter Using the Credé's maneuver
Using the Credé's maneuver
A client with newly diagnosed renal cancer is questioning why detection was delayed. Which is the best response by the nurse? "Squamous cell carcinomas do not present with detectable symptoms." "You should have sought treatment earlier." "Very few symptoms are associated with renal cancer." "Painless gross hematuria is the first symptom in renal cancer."
Very few symptoms are associated with renal cancer."
A client is scheduled for a renal angiography. Which of the following would be appropriate before the test? Monitor the client for signs of electrolyte and water imbalance. Monitor the client for an allergy to iodine contrast material. Assess the client's mental changes. Evaluate the client for periorbital edema.
Monitor the client for an allergy to iodine contrast material.
The nurse is caring for a client with cystitis. Which adjunct therapy is the nurse most correct to suggest to keep bacteria from adhering to the wall of the bladder? Douching with a vinegar solution Drinking cranberry juice Flushing the system with water Wiping from the urethra to rectum
Drinking cranberry juice
A nurse identifies a nursing diagnosis of Risk for Ineffective Breathing Pattern related to incisional pain and restricted positioning for a client who has had a nephrectomy. Which of the following would be most appropriate for the nurse to include in the client's plan of care? Administer isotonic fluid therapy as ordered. Keep the drainage catheter below the level of insertion. Encourage use of incentive spirometer every 2 hours. Monitor temperature every 4 hours.
Encourage use of incentive spirometer every 2 hours.
The nurse is caring for an 84-year-old client who is being admitted for diagnostic studies for a potential renal disorder. The nurse planning care has initiated a care plan of "Knowledge Deficit related to poor understanding of diagnostic studies as manifested by client statements of not understanding diagnostic procedures and elevated anxiety." Which nursing interventions does the nurse include in the plan of care? Select all that apply. Assess client's level of understanding. Provide written reading material. Remain with client and answer questions. Administer an ordered sedative. Use simple language. Direct instruction to family.
Assess client's level of understanding. Remain with client and answer questions. Administer an ordered sedative. Use simple language.
The nurse at the diabetes clinic is instructing a client who is struggling with compliance to the diabetic diet. When discussing disease progression, which manifestation of the disease process on the urinary system is most notable? Clients have frequent urinary tract infections. Clients develop a neurogenic bladder. Clients have urinary frequency. Clients have chronic renal failure.
Clients have chronic renal failure.
The nurse is encouraging the client with recurrent urinary tract infections to increase his fluid intake to 8 large glasses of fluids daily. The client states he frequently drinks water and all of the following. Which of the following would the nurse discourage for this client? Coffee in the morning Fruit juice midmorning Milk at lunch Ginger ale at dinner time
Coffee in the morning
The nurse is instructing a senior high health class on the function of the kidney. The nurse is correct to highlight which information? Select all that apply. Regulates estrogen and progesterone Excretes waste products Controls blood pressure Regulate calcium and the synthesis of vitamin D Activates growth hormone Regulates red blood cell production
Excretes waste products Controls blood pressure Regulate calcium and the synthesis of vitamin D Activates growth hormone Regulates red blood cell production
An older adult male client is participating in a bladder retraining program as part of the treatment for urinary incontinence. The nurse advises him to wear barrier garments such as liners and protective pants. Which suggestion would be most appropriate to help the client maintain skin integrity? Avoiding the application of moisture sealant Exposing the affected area to air Using scented sprays or perfumes Avoiding using an electric room deodorizer
Exposing the affected area to air
A client with chronic glomerulonephritis has generalized edema. Which response by the nurse best describes why anasarca occurs with this disorder? Fluid shifting occurs due to loss of serum protein. Albumin levels increase in the blood dragging fluid inside the vessels. Increased intake of sodium in the diet results in anasarca. Urinary retention promotes the absorption of fluid into tissue spaces.
Fluid shifting occurs due to loss of serum protein
A client is administered dialysate solution through an abdominal catheter. The nurse notices that the return flow rate is slow, so the nurse advises the client to move to the other side. However, even after changing the client's position, the nurse does not observe an increase in return flow. Which of the following actions should the nurse perform to help accelerate the return flow rate? Disconnect the catheter and reapply. Loosen the tubing clamp. Inform the physician that catheter may need repositioning. Stop the process for 5 minutes and resume later.
Inform the physician that catheter may need repositioning.
The nurse reviews a client's history and notes that the client has a history of hyperparathyroidism. The nurse would identify that this client most likely would be at risk for which of the following? Kidney stones Neurogenic bladder Chronic renal failure Fistula
Kidney stones
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? Clamp the tube for no longer than 2 hours at a time. Maintain free, continuous urine drainage. Leave nephrostomy site open to the air. Use only sterile NSS to irrigate the tube.
Maintain free, continuous urine drainage.
The client is admitted to the nursing unit for a biopsy of the urinary tract tissue. When planning nursing care for the postoperative period, which nursing intervention documents the prescribed activity level? Maintain the client on bedrest Assist the client for bathroom privileges Ambulate the client in the hall Activity as tolerated
Maintain the client on bedrest
A nurse has been asked to speak to a local women's group about preventing cystitis. Which of the following would the nurse include in the presentation? Need to wear underwear made from synthetic material Importance of urinating every 4 to 6 hours while awake Suggestion to take tub baths instead of showers Need to urinate after engaging in sexual intercourse
Need to urinate after engaging in sexual intercourse
The licensed practical nurse is employed as a charge nurse at a long-term care facility. A resident is ordered a catheterization schedule of every 6 hours due to chronic urinary retention. The LPN reports daily catheterization amounts from the previous day ranging from 450 mL to 800 mL. Which nursing action is most correct? Continue the same order. Obtain an order to decrease the frequency of the catheterizations. Obtain an order to increase the frequency of the catheterizations. Leave the catheter in if obtaining a urine amount over 500 mL.
Obtain an order to increase the frequency of the catheterizations.
The nurse is caring for a client who has a history of urine reflux. To assess the client for this urinary complication, which nursing action is best? Ask the client if voiding sufficient quantities has been a problem. Monitor the client's intake and output for inconsistency. Have the client void into a collection device. Palpate the client's bladder for distension.
Palpate the clients bladder for distension
During the physical examination of a client, the nurse monitors for signs that may indicate a urinary tract disorder. Which of the following would suggest that the client may have a urinary tract disorder? Light-headedness Malaise Periorbital edema Flank pain
Periorbital edema Flank pain
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? Suprapubic cystostomy tube Permanent drainage with a urethral catheter Clean intermittent catheterization Credé voiding procedure
Permanent drainage with a urethral catheter
The nurse is caring for a client with oliguria. When instructing the client on the process of urine formation, place the following in correct sequence. Use all options. Products enter the Bowman's capsule Drains from the collecting tubules Filtration of plasma by glomerulus Moves through the nephrons and is absorbed or excreted Flows into the renal pelvis and down the ureter Drains into the bladder then out the urethra
Products enter the Bowman's capsule Drains from the collecting tubules Filtration of plasma by glomerulus Moves through the nephrons and is absorbed or excreted Flows into the renal pelvis and down the ureter Drains into the bladder then out the urethra
Which nursing action is best to comfort the client prior to urologic testing? Reassure the client the nurses are here to help and all will be fine. Allow for client's family to be present during testing. Provide for privacy and allow verbalization of concerns. Allow the client to determine the care to be provided.
Provide for privacy and allow verbalization of concerns.
Following a nephrectomy, which assessment finding is most important in determining nursing care for the client? Urine output of 35 to 40 mL/hour Pain of 3 out of 10, 1 hour after analgesic administration SpO2 at 90% with fine crackles in the lung bases Blood tinged drainage in Jackson-Pratt drainage tube
SpO2 at 90% with fine crackles in the lung bases
The nurse is caring for clients on a medical urinary unit. Which client, scheduled for a urinary procedure, will be prescribed antibiotics following the procedure? The client scheduled for a voiding cystourethrography The client scheduled for a cystoscopy The client scheduled for a retrograde pyelography The client scheduled for a cystometrography
The client scheduled for a cystometrography
The nurse is obtaining a history on a client stating nocturia. When evaluating the client's evening behaviors, which may be the cause of the problem? The client takes 8 oz of water after dinner with her evening medications. The client urinates for the evening while getting ready for bed. The client takes a furosemide (Lasix) with the evening medications. The client uses the Credé's maneuver when urinating at bedtime.
The client takes a furosemide (Lasix) with the evening medications.
The nurse is caring for several clients on a urinary medical unit. Which client is at an increased risk for bladder stones? The client with frequent urinary tract infections The client who is paraplegic The client with difficulty ambulating The client with abdominal surgery
The client who is paraplegic
The nurse is completing a plan of care for a client with chronic urinary incontinence. Which of the following outcomes is a priority? The client will decrease fluid intake to 1000 mL/day. The client will use the bathroom every 30 minutes while awake. The client will maintain perineal skin integrity. The client will express feelings of acceptance related to condition.
The client will maintain perineal skin integrity.
The nurse is providing supportive care to a client receiving hemodialysis in the management of acute renal failure. Which statement from the nurse best reflects the ability of the kidneys to recover from acute renal failure? The kidneys can improve over a period of months. Once on dialysis, the need will be permanent. Kidney function will improve with transplant. Acute renal failure tends to turn to end-stage failure.
The kidneys can improve over a period of months.
The nurse is assisting in the transport of a client with an indwelling catheter to the diagnostic studies unit. Which action, made by the nursing assistant, would require instruction? The nursing assistant keeps the catheter and drainage bag together when moving the client. The nursing assistant places the drainage bag on the client's abdomen for transport. The nursing assistant places the drainage bag on the lower area of the wheelchair for transport. The nursing assistant holds the drainage bag while the client moves to the wheelchair.
The nursing assistant places the drainage bag on the client's abdomen for transport.
The nurse is caring for a client who is brought to the emergency department after being found unconscious outside in hot weather. Dehydration is suspected. Baseline lab work including a urine specific gravity is ordered. Which relation between the client's symptoms and urine specific gravity is anticipated? The specific gravity will be inversely proportional. The specific gravity will equal to one. The specific gravity will be high. The specific gravity will be low.
The specific gravity will be high
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 scope is passed through the urethra to visualize and destroy the stones with a laser. After locating the calculi, a small incision is made to remove the stones. The stone is identified via fluoroscopy and then shock waves are used to shatter the stones. Once the calculi are located, a fine wire delivers shock waves to pulverize the stones.
The stone is identified via fluoroscopy and then shock waves are used to shatter the stones.
