Prep U Genitourinary

A menopausal woman is taking hormone replacement therapy. The nurse teaches the client that a warning sign for endometrial cancer that needs to be reported is: a) irregular vaginal bleeding. b) urinary urgency. c) hot flashes. d) dyspareunia.

a) irregular vaginal bleeding.

The nurse is caring for a client diagnosed with genitourinary tuberculosis (TB). Which statement, made by the client, about genitourinary TB demonstrates an understanding? a) "It's a late manifestation of respiratory tuberculosis." b) "I can't pass it sexually to my partner." c) "It's an early manifestation of an autoimmune disorder." d) "It isn't infectious, and I can't pass it from one person to another."

a) "It's a late manifestation of respiratory tuberculosis."

A client is voiding small amounts of urine every 30 to 60 minutes. What should the nurse do first? a) Palpate for a distended bladder. b) Encourage an increased fluid intake. c) Obtain a urine specimen for culture. d) Catheterize the client for residual urine.

a) Palpate for a distended bladder.

What is most important for the nurse to teach a client newly diagnosed with genital herpes? a) Use condoms at all times during sexual intercourse. b) A urologist should be seen only when lesions occur. c) Oral sex is permissible without a barrier. d) Determine if your partner has received a vaccine against herpes.

a) Use condoms at all times during sexual intercourse.

A client who is recovering from transurethral resection of the prostate (TURP) experiences urinary incontinence and has decreased the fluid intake because of the incontinence. What would be the nurse's best response to the client? a) "Drink eight glasses of water a day and urinate every 2 hours." b) "If your incontinence continues, we will reinsert your catheter." c) "Yes, limiting your fluids can decrease your incontinence." d) "Limiting your fluids will cause kidney stones."

a) "Drink eight glasses of water a day and urinate every 2 hours."

A client who has cervical cancer is scheduled to undergo internal radiation. In teaching the client about the procedure, the nurse should tell the client that: a) a bowel-cleansing procedure will precede radioactive implantation. b) the preferred position in bed will be semi-Fowler's. c) she will be in a private room with unrestricted activities. d) she will be expected to use a bedpan for urination.

a) a bowel-cleansing procedure will precede radioactive implantation.

A nurse is caring for a client diagnosed with ovarian cancer. Diagnostic testing reveals that the cancer has spread outside the pelvis. The client has previously undergone a right oophorectomy and received chemotherapy. The client now wants palliative care instead of aggressive therapy. The nurse determines that the care plan's priority nursing diagnosis should be: a) Impaired home maintenance. b) Knowledge deficit: Chemotherapy. c) Noncompliance. d) Acute pain.

d) Acute pain.

A nurse is reviewing a client's fluid intake and output record. Fluid intake and urine output should relate in which way? a) Fluid intake should be about equal to the urine output. b) Fluid intake should be double the urine output. c) Fluid intake should be inversely proportional to the urine output. d) Fluid intake should be half the urine output.

a) Fluid intake should be about equal to the urine output.

A client is prescribed alfuzosin for benign prostatic hyperplasia (BPH). What should the nurse teach the client? a) Rise slowly from a supine position. b) Restrict fluid intake while taking this medication. c) Contact the healthcare provider if pulse rate falls below 70/bpm. d) A dry cough is an expected side effect.

a) Rise slowly from a supine position.

A client is diagnosed with pyelonephritis. Which nursing action is a priority for care now? a) Monitor hemoglobin levels. b) Ensure sufficient hydration. c) Stress the importance of the use of long-term antibiotics. d) Insert a urinary catheter.

b) Ensure sufficient hydration.

Six hours after undergoing an abdominal hysterectomy, a client has a strong urge to void and voids 25 mL into the bedpan. Based on these data, the nurse determines that the client: a) is probably dehydrated and needs additional intravenous fluids. b) is experiencing urine retention and needs to be catheterized. c) has developed a urinary tract infection and needs antibiotics. d) needs more time to try to void and tells the client to try again in 1 hour.

b) is experiencing urine retention and needs to be catheterized.

A menopausal woman is taking hormone replacement therapy. The nurse teaches the client that a warning sign for endometrial cancer that needs to be reported is: a) dyspareunia. b) hot flashes. c) irregular vaginal bleeding. d) urinary urgency.

c) irregular vaginal bleeding.

A client who is 70 years of age and lives alone has stress incontinence. To prevent incontinence, the nurse advises the client to: a) apply estrogen vaginal cream to the urinary meatus after each intentional voiding. b) wear disposable protective underwear. c) ask someone else to lift heavy objects. d) perform perineal muscle exercises (i.e., Kegel exercises).

d) perform perineal muscle exercises (i.e., Kegel exercises).

A 30-year-old client is being treated for epididymitis. Teaching for this client should include the fact that epididymitis is commonly a result of a: a) virus. b) parasite. c) protozoon. d) sexually transmitted infection.

d) sexually transmitted infection.

Question: The nurse is caring for a client with acute renal failure. Rank in chronological order the phases of acute renal failure. Use all the options. 1. Diuretic phase 2. Recovery phase 3. Initial insult 4. Oliguric phase

3 4 1 2

The nurse is completing an intake and output record for a client who is receiving continuous bladder irrigation after transurethral resection of the prostate. How many milliliters of urine should the nurse record as output for her shift if the client received 1,800 ml of normal saline irrigating solution and the output in the urine drainage bag is 2,400 ml? Record your answer using a whole number.

600

A client with chronic renal failure is experiencing central nervous system (CNS) changes caused by uremic toxins. Which nursing approach would be most appropriate for addressing the changes? a) Assess the client's mental status regularly. b) Restrict fluid intake to 1,000 mL/day. c) Allow the client to grieve for body image changes. d) Restrict foods that are high in potassium.

a) Assess the client's mental status regularly.

On the second day following an abdominal hysterectomy, a client reports she has had three brown, loose stools in moderate amount. The morning medications include an order for 100 mg of docusate sodium daily or as needed. What should the nurse do next? a) Withhold the medication, and document the client's report of loose stools. b) Administer the docusate sodium according to the prescription. c) Ask the client if she is having gas pains or hunger. d) Administer the docusate sodium, and instruct the client to avoid high-fiber foods.

a) Withhold the medication, and document the client's report of loose stools.

A client with an indwelling urinary catheter is suspected of having a urinary tract infection. The nurse should collect a urine specimen for culture and sensitivity by: a) wiping the self-sealing aspiration port with antiseptic solution and aspirating urine with a sterile needle. b) clamping the tubing for 60 minutes and inserting a sterile needle into the tubing above the clamp to aspirate urine. c) disconnecting the tubing from the urinary catheter and letting the urine flow into a sterile container. d) draining urine from the drainage bag into a sterile container.

a) wiping the self-sealing aspiration port with antiseptic solution and aspirating urine with a sterile needle

A client was treated for a streptococcal throat infection 2 weeks ago. The client now has been diagnosed with acute poststreptococcal glomerulonephritis. The client asks the nurse how he could have prevented this condition. What should the nurse tell the client? a) "Unscented bar soap may be used in showers." b) "See your health care provider (HCP) for an early diagnosis and treatment of a sore throat." c) "You may continue to utilize the previously prescribed antibiotics until they are gone." d) "As long as you do not have a fever, it is sufficient to gargle daily with an antibacterial mouthwash."

b) "See your health care provider (HCP) for an early diagnosis and treatment of a sore throat."

A couple has completed testing and is a candidate for in vitro fertilization. The nurse is reviewing the procedure with them and realizes that further instruction is needed when the woman states: a) "I will need to redefine how I view my job if I do become pregnant." b) "The fertilization procedure can be done anytime during my cycle." c) "We can use our own eggs and sperm or someone else's." d) "One of the greatest risks is multiple pregnancies."

b) "The fertilization procedure can be done anytime during my cycle."

A woman is using progestin injections for contraception. The nurse instructs the client to return for an appointment in: a) 1 month. b) 3 months. c) 6 months. d) 4 months.

b) 3 months.

A nurse is discharging a client diagnosed with a urinary tract infection. Which information should the nurse include in the discharge teaching? Select all that apply. a) Wipe from back to front b) Avoid coffee, tea, and alcohol c) Strain all urine d) Limit fluid intake e) Take all antibiotics as prescribed

b) Avoid coffee, tea, and alcohol e) Take all antibiotics as prescribed

The nurse is assessing a client who has benign prostatic hypertrophy (BPH). The nurse should ask the client if he has: a) hematuria. b) difficulty starting the urinary stream. c) flank pain. d) impotence.

b) difficulty starting the urinary stream

A nurse is assessing a client with nephrotic syndrome. The nurse should assess the client for which condition? a) hematuria b) massive proteinuria c) increased serum albumin level d) weight loss

b) massive proteinuria

Which initial manifestation of acute renal failure is the most common? a) anuria b) oliguria c) hematuria d) dysuria

b) oliguria

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) renal calculi. c) acute prostatitis. d) an overdistended bladder.

b) renal calculi.

A client is admitted for a transurethral resection of the prostate (TURP). Preoperative teaching will include which of the following information? a) "You will need to keep your abdominal incision clean and dry and cannot shower until the sutures are removed." b) "You will return from surgery and have a suprapubic catheter for 48 hours." c) "You will return from surgery with a catheter in your bladder and fluid flowing into and out of it continuously." d) "You will need to use a urinal and remain on bed rest for 24 hours after surgery."

c) "You will return from surgery with a catheter in your bladder and fluid flowing into and out of it continuously."

The nurse is caring for a client with polydipsia and large amounts of urine with a specific gravity of 1.003. Which disorder is anticipated? a) Diabetic ketoacidosis b) SIADH secretion c) Diabetes insipidus d) Diabetes mellitus

c) Diabetes insipidus

A nurse is caring for a client with acute pyelonephritis. Which nursing intervention is the most important? a) Encouraging the client to drink cranberry juice to acidify the urine b) Using an indwelling urinary catheter to measure urine output accurately c) Increasing fluid intake to 3 L/day d) Administering a sitz bath twice per day

c) Increasing fluid intake to 3 L/day

A nurse is obtaining assessment data on a client diagnosed with acute renal failure. Which finding warrants calling the healthcare provider? a) Blood urea nitrogen (BUN) 25 mg/dl b) Sodium level 145 mEq/L c) Peaked T waves on electrocardiogram d) Respiratory rate of 16 breaths per minute

c) Peaked T waves on electrocardiogram

A client is scheduled for a renal arteriogram. No allergies are recorded in the client's medical record, and the client is unable to provide allergy information. During the arteriogram, the nurse should be alert for which assessment finding that may indicate an allergic reaction to the dye used? a) Nausea b) Hypoventilation c) Pruritus d) Psoriasis

c) Pruritus

A 45-year-old client had a complete abdominal hysterectomy with bilateral salpingo-oophorectomy 2 days ago. The client's abdominal dressing is dry and intact. While sitting up in the chair, the client has severe pain and numbness in her left leg. The nurse should first: a) administer pain medication. b) assess for edema in the left leg. c) assess color and temperature of the left leg. d) encourage the client to change her position.

c) assess color and temperature of the left leg.

A child who is 15 years of age is hospitalized with acute glomerulonephritis. The nurse is reviewing the client's urine chemistry laboratory reports as noted. Which finding does the nurse draw to the attention of the health care provider (HCP)? a) creatinine b) potassium c) urine specific gravity d) protein

c) urine specific gravity

Which statements by a female client would indicate that she is at high risk for a recurrence of cystitis? a) "I work out by lifting weights 3 times a week." b) "I wipe from front to back after voiding." c) "I take a tub bath every evening." d) "I can usually go 8 to 10 hours without needing to empty my bladder."

d) "I can usually go 8 to 10 hours without needing to empty my bladder."

A nurse correctly identifies a urine specimen with a pH of 4.3 as being which type of solution? a) Basic b) Neutral c) Alkaline d) Acidic

d) Acidic

During a routine physical examination, a male client informs the nurse that he frequently participates in anal intercourse with his girlfriend. The nurse informs the client that: a) Lubricants should be avoided during anal intercourse. b) Anal intercourse should be avoided. c) The rectal mucosa is thick and can withstand vigorous activity. d) Condoms are recommended for anal intercourse.

d) Condoms are recommended for anal intercourse.

A client develops decreased renal function and requires a change in antibiotic dosage. On which factor should the physician base the dosage change? a) GI absorption rate b) Liver function studies c) Therapeutic index d) Creatinine clearance

d) Creatinine clearance

An elderly male client has been taking doxazosin 2 mg daily for 4 weeks for treatment of benign prostatic hypertrophy. The client reports feeling dizzy. The nurse should first a) report the symptoms to the health care provider. b) test his urine for ketones. c) review his other medications. d) take his blood pressure lying, standing, and sitting.

d) take his blood pressure lying, standing, and sitting.

The nurse should tell a client who is to obtain a midstream urine specimen to: a) cleanse the urethral meatus after obtaining the specimen. b) stop collecting urine after the bladder is empty. c) void into a sterile specimen container and save all of the urine. d) void directly into the sterile specimen container after voiding a small amount into the toilet.

d) void directly into the sterile specimen container after voiding a small amount into the toilet.

A client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the nurse assess first? a) Respirations b) Temperature c) Pulse d) Blood pressure

c) Pulse

A school nurse is teaching a class about sexually transmitted infections (STIs). Which statement is correct regarding STIs? a) STIs disproportionately affect people with a lower socioeconomic status and education. b) The signs and symptoms of an STI are obvious. c) The incidence of STIs is decreasing due to limited sex partners. d) STIs are most prevalent among teenagers and young adults.

d) STIs are most prevalent among teenagers and young adults.

The nurse is observing an unlicensed assistive personnel (UAP) give care to a client after gynecologic surgery. The nurse should intervene if the UAP: a) ambulates the client. b) has client wear elasticized stockings. c) assists the client perform range-of-motion exercises in bed. d) massages the client's legs.

d) massages the client's legs.

A client diagnosed with cancer of the cervix in situ is scheduled to have a conization. Which is a priority during the first 24 postoperative hours? a) maintaining electrolyte balance b) monitoring vital signs hourly c) maintaining strict bed rest d) monitoring vaginal bleeding

d) monitoring vaginal bleeding