Nu 325 Gu Prep U

Testicular cancer risk is highest for adolescents and men younger than age 35. To specifically address testicular cancer risk, a nurse should modify client teaching for male clients to include: a. physician visits. b. risk factors. c. testicular self-examination. d. family history.

c. testicular self-examination

A client reports urinary frequency, urgency, and dysuria. Which of the following would the nurse most likely suspect? a. Infection b. Nephrotic syndrome c. Acute renal failure d. Obstruction of the lower urinary tract

a. infection

The nurse is providing instructions to the client prior to an intravenous pyelogram. Which statement by the client indicates teaching was effective? a. "I will feel a warm sensation as the dye is injected." b. "I should let the staff know if I feel claustrophobic." c. "I should remove all jewelry before the test." d. "I will need to drink all of the dye as quickly as possible."

a. I will feel a warm sensation as the dye is injected

After undergoing renal arteriogram, in which the left groin was accessed, a client complains of left calf pain. Which intervention should the nurse perform first? a. Assess peripheral pulses in the left leg. b. Assess for anaphylaxis. c. Exercise the leg and foot. d. Place cool compresses on the calf.

a. assess peripheral pulses in the left leg

A patient is being seen in the clinic for possible kidney disease. What major sensitive indicator of kidney disease does the nurse anticipate the patient will be tested for? a. Creatinine clearance level b. Serum potassium level c. Blood urea nitrogen level d. Uric acid level

a. creatine clearance level

The nurse is educating a patient with urolithiasis about preventive measures to avoid another occurrence. What should the patient be encouraged to do? a. Limit voiding to every 6 to 8 hours so that increased volume can increase hydrostatic pressure, which will help push stones along the urinary system. b. Increase fluid intake so that the patient can excrete 2,500 to 4,000 mL every day, which will help prevent additional stone formation. c. Participate in strenuous exercises so that the tone of smooth muscle in the urinary tract can be strengthened to help propel calculi. d. Add calcium supplements to the diet to replace losses to renal calculi.

a. increase fluid intake so that the patient can excrete 2,500 to 4,000 mL every day, which will help prevent additional stone formation

The nurse is caring for a client who has undergone creation of a urinary diversion. Forty-eight hours postoperatively, the nurse's assessment reveals that the stoma is a dark purplish color. What is the nurse's most appropriate response? a. Inform the primary provider that the vascular supply may be compromised. b. Assess the client for further signs and symptoms of infection. c. Liaise with the wound-ostomy-continence (WOC) nurse because the ostomy appliance around the stoma may be too loose. d. Document the presence of a healthy stoma.

a. inform the primary provider that the vascular supply may be compromised

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? a. Low purine b. Low oxalate c. High sodium d. High protein

a. low purine

Which is an age-related change affecting the male reproductive system? a. Plasma testosterone levels decrease. b. Testes become soft. c. Patency increases. d. Prostate secretion increases.

a. plasma testosterone levels decrease

A patient with a UTI is having burning and pain when urinating. What urinary analgesic is prescribed for relief of these symptoms? a. Pyridium b. Bactrim c. Levaquin d. Septra

a. pyridium

A client with a sacral pressure ulcer has had a urinary catheter inserted. As a result of this new intervention, the nurse should prioritize what nursing diagnosis in the client's plan of care? a. Risk for infection related to presence of an indwelling urinary catheter b. Impaired physical mobility related to presence of an indwelling urinary catheter c. Disturbed body image related to urinary catheterization d. Toileting self-care deficit related to urinary catheterization

a. risk of infection to presence of an indwelling catheter

A nurse's colleague has applied an incontinence pad to an older adult client who has experienced occasional episodes of functional incontinence. What principle should guide the nurse's management of urinary incontinence in older adults? a. Urinary incontinence is not considered a normal consequence of aging. b. Diuretics should be promptly discontinued when an older adult experiences incontinence. c. Restricting fluid intake is recommended for older adults experiencing incontinence. d. Urinary catheterization is a first-line treatment for incontinence in older adults with incontinence.

a. urinary incontinence is not considered a normal consequence of aging

The nurse working with a client after an ileal conduit notices that the pouching system is leaking small amounts of urine. What is the appropriate nursing intervention? a. Secure or patch it with tape. b. Change the wafer and pouch. c. Secure or patch it with barrier paste. d. Empty the pouch.

b. change the wafer and pouch

Which of the following would the nurse expect to be done to assess the size of the prostate? a. Bladder percussion b. Digital rectal examination c. Transillumination d. Pelvic examination

b. digital rectal examination

The nurse is caring for the client following surgery for a urinary diversion. The client refuses to look at the stoma or participate in its care. The nurse formulates a nursing diagnosis of: a. Situational low self esteem b. Disturbed body image c. Deficient knowledge: stoma care d. Anticipatory grieving

b. disturbed body image

The nurse is preparing a client for a nuclear scan of the kidneys. Following the procedure, the nurse instructs the client to a. maintain bed rest for 2 hours. b. drink liberal amounts of fluids. c. carefully handle urine because it is radioactive. d. notify the health care team if bloody urine is noted.

b. drink liberal amounts of fluids

The nurse who is leading a wellness workshop has been asked about actions to reduce the risk of bladder cancer. What health promotion action most directly addresses a major risk factor for bladder cancer? a. Vitamin D supplementation b. Smoking cessation c. Maintenance of a diet high in vitamins and nutrients d. Reduction of alcohol intake

b. smoking cessation

Which of the following is the most common site of a nosocomial infection? a. Respiratory tract b. Gastrointestinal tract c. Skin d. Urinary tract

b. urinary tract

The nurse is employed in a urologist's office. Which classification of medication is anticipated for clients having difficulty with urinary incontinence? a. Cholinergic b. Diuretics c. Anticholinergic d. Anticonvulsant

c. anticholinergic

Which type of medication may be used to inhibit bladder contraction in a client with incontinence? a. Tricyclic antidepressants b. Over-the-counter decongestant c. Anticholinergic agent d. Estrogen hormone

c. anticholinergic agent

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

c. decreased fluid intake

The nurse is conducting a history and assessment related to a client's incontinence. Which element should the nurse include in the assessment before beginning a bladder training program? a. Occupational history b. History of allergies c. Medication usage d. Smoking habits

c. medication usage

Which finding is an early indicator of bladder cancer? a. Dysuria b. Occasional polyuria c. Painless hematuria d. Nocturia

c. painless hematuria

Which characteristic is seen with a healthy stoma? a. No bleeding when cleansing the stoma b. Dry in appearance c. Pink color d. Painful

c. pink color

A client presents to the emergency department complaining of a dull, constant ache along the right costovertebral angle along with nausea and vomiting. The most likely cause of the client's symptoms is: a. interstitial cystitis. b. an overdistended bladder. c. renal calculi. d. acute prostatitis.

c. renal calculi

A client with kidney stones is scheduled for extracorporeal shock wave lithotripsy (ESWL). What should the nurse include in the client's postprocedure care? a. Monitor the client for fluid overload following the procedure. b. Administer a bolus of 500 mL normal saline following the procedure. c. Strain the client's urine following the procedure. d. Insert a urinary catheter for 24 to 48 hours after the procedure.

c. strain the client's urine following the procedure

After having transurethral resection of the prostate (TURP), a client returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client's catheter is occluded? a. About 1,000 ml of irrigant have been instilled; 1,200 ml of drainage have been returned. b. The normal saline irrigant is infusing at a rate of 50 drops/minute. c. The client reports bladder spasms and the urge to void. d. The urine in the drainage bag appears red to pink.

c. the client reports bladder spasms and the urge to void

A client with cancer of the bladder has just returned to the unit from the PACU after surgery to create an ileal conduit. The client weighs 60 kg. The nurse is monitoring the client's urine output hourly and notifies the health care provider when the hourly output is less than what? a. 50 mL b. 100 mL c. 125 mL d. 30 mL

d. 30 mL

Which type of incontinence refers to the involuntary loss of urine due to extrinsic medical factors, particularly medications? a. Overflow b. Reflex c. Urge d. Iatrogenic

d. Iatrogenic

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? a. Allergic reaction b. Dehydration c. Infection d. Bleeding

d. bleeding

Which component of client teaching helps the nurse assist a client following treatment for cancer of the prostate gland to manage and minimize the possibility of a recurrence of the primary cancer or metastasis? a. Avoid strenuous exercises, especially lifting. b. Avoid sexual intercourse for at least 2 years. c. Undertake pelvic floor retraining exercises. d. Have regular prostate-specific antigen (PSA) levels tested and repeat lymph node biopsies.

d. have regular prostate specific antigen (PSA) levels tested and repeat lymph node biopsies

The nurse is assisting in the development of a protocol for bladder retraining following removal of an indwelling catheter. Which item should the nurse include? a. Perform straight catheterization every 4 hours b. Encourage voiding immediately after catheter removal c. Avoid drinking fluids for 6 hours d. Implement a 2- to 3-hour voiding schedule

d. implement a 2- to 3-hour voiding schedule

A patient has had surgery to create an ileal conduit for urinary diversion. What is a priority intervention by the nurse in the postoperative phase of care? a. Clean the stoma with soap and water after the patient voids. b. Turn the patient every 2 hours around the clock. c. Administer pain medication every 2 hours. d. Monitor urine output hourly and report output less than 30 mL/hr.

d. monitor urine output hourly and report output less than 30 mL/hr

Which term refers to inflammation of the renal pelvis? a. Interstitial nephritis b. Cystitis c. Urethritis d. Pyelonephritis

d. pyelonephritis

A patient informs the nurse that every time she sneezes or coughs, she urinates in her pants. What type of incontinence does the nurse recognize the patient is experiencing? a. Functional incontinence b. Iatrogenic incontinence c. Urge incontinence d. Stress incontinence

d. stress incontinence

The nurse is educating a female patient with a UTI on the pharmacologic regimen for treatment. What is important for the nurse to instruct the patient to do? a. Take the antibiotic as well as an antifungal for the yeast infection she will probably have. b. Understand that if the infection reoccurs, the dose will be higher next time. c. Be sure to take the medication with grapefruit juice. d. Take the antibiotic for 3 days as prescribed.

d. take the antibiotic for 3 days as prescribed

Which of the following is the only definitive way to diagnose testicular cancer? a. Lactate dehydrogenase levels b. Ultrasound c. Computed tomography of abdomen d. Tissue biopsy

d. tissue biopsy

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? a. Ureteral stricture b. Renal cell carcinoma c. Acute glomerulonephritis d. Urinary calculi

d. urinary calculi

Which of the following is a strategy to promote urinary continence? a. Implement a low fiber diet b. Take diuretics after 4 PM c. Use caffeine in moderation d. Void regularly, 5 to 8 times a day

d. void regularly, 5 to 8 times a day

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? a. Urinary incontinence b. Urinary frequency c. Urinary stasis d. Urinary urgency

urinary urgency