Urinary/Reproductive Systems

A nurse administers trimethoprim-sulfamethoxazole (Bactrim) to a client diagnosed with a urinary tract infection. What should the nurse monitor to determine the therapeutic effectiveness of the drug? 1.Breath sounds 2.Hemoglobin level 3.Consistency of stool 4.White blood cell (WBC) count

4.White blood cell (WBC) count

A client with urge incontinence is receiving oxybutynin (Ditropan XL) 30 mg orally. Each tablet contains 5 mg. How many tablets should the nurse administer? Record your answer using a whole number. _____ tablets

6 tabs

LAB RESULTS: SERUM ELECTROLYTES Potassium: 5.8 mEq/L Sodium: 140 mEq/L Calcium: 9.0 mg/dL A client is admitted to a medical unit with the diagnosis of acute kidney failure. The nurse reviews the client's laboratory data, performs a physical assessment, and obtains the client's vital signs. What should the nurse conclude the client is most likely experiencing? 1.Hyperkalemia 2.Hyponatremia 3.Hypouricemia 4.Hypercalcemia

1.Hyperkalemia

A client has undergone surgery with general anesthesia. Within how many hours after surgery should the nurse notify the health care provider if the client does not void? 1. 4 hours 2. 8 hours 3. 12 hours 4. 16 hours

2. 8 hours

A client is receiving furosemide (Lasix) to relieve edema. The nurse should monitor the client for which response to the medication? 1.Retention of sodium ions 2.Negative nitrogen balance 3.Excessive loss of potassium ions 4.Increase in the urine specific gravity

3.Excessive loss of potassium ions

A diet that contains restricted amounts of protein, sodium, and potassium has been prescribed for a client with end-stage renal disease who is receiving dialysis. The nurse is providing dietary instructions and evaluates that the teaching is effective when the client says: 1."I should avoid using salt substitutes." 2."I should exclude meat from my diet." 3."I may not add seasoning to my food." 4."I may eat low-sodium canned vegetables."

1."I should avoid using salt substitutes."

A nurse is caring for a client who is experiencing urinary incontinence. The client has an involuntary loss of small amounts (25 to 35 mL) of urine from an overdistended bladder. This should be documented in the medical record as: 1.Urge incontinence 2.Stress incontinence 3.Reflex incontinence 4.Overflow incontinence

4.Overflow incontinence

A client who is recovering from deep partial-thickness burns develops chills, fever, flank pain, and malaise. The health care provider makes a tentative diagnosis of urinary tract infection. Which diagnostic tests should the nurse expect the health care provider to prescribe to confirm this diagnosis? 1.Urinalysis and urine culture and sensitivity 2.Cystoscopy and bilirubin level 3.Creatinine clearance and albumin/globulin (A/G) ratio 4.Specific gravity and pH of the urine

1.Urinalysis and urine culture and sensitivity

A nurse is caring for an older bedridden male client who is incontinent of urine. What nursing intervention is the most satisfactory initial approach to managing urinary incontinence? 1.Restricting fluid intake 2.Offering the urinal regularly 3.Applying incontinence pants 4.Inserting an indwelling urinary catheter

2.Offering the urinal regularly

A client with chronic kidney disease has been on hemodialysis for two years. The client relates to a nurse in the dialysis unit in an angry, critical manner and frequently does not follow the prescribed diet or take prescribed medications. What does the nurse identify as the most likely underlying cause of this behavior? 1.A constructive method of accepting reality 2.A defense against underlying depression and fear 3.An attempt to punish the nurse and the members of the staff 4.An effort to maintain the previous lifestyle as much as possible

2.A defense against underlying depression and fear

A client who has been told she needs a hysterectomy for cervical cancer is upset about being unable to have a third child. What is the next nursing action? 1.Evaluate her willingness to pursue adoption. 2.Encourage her to focus on her own recovery. 3.Emphasize that she does have two children already. 4.Ensure that other treatment options for her will be explored

4.Ensure that other treatment options for her will be explored

For which clinical indicator should a nurse monitor a client with end-stage renal disease? 1.Polyuria 2.Jaundice 3.Azotemia 4.Hypotension

3.Azotemia

A client with a urinary retention catheter reports discomfort in the bladder and urethra. What should the nurse do first? 1.Milk the tubing gently. 2.Notify the health care provider. 3.Check the patency of the catheter. 4.Irrigate the catheter with prescribed solutions

3.Check the patency of the catheter

A client arrives at a health clinic reporting hematuria, frequency, urgency, and pain on urination. What does the nurse suspect is the cause of these signs and symptoms? 1.Chronic glomerulonephritis 2.Cystitis 3.Nephrotic syndrome 4.Pyelonephritis

2.Cystitis

The nurse recalls that what scientific principle is basic to caring for a client with an indwelling urinary catheter? 1.Inertia 2.Gravity 3.Osmosis 4.Diffusion

2.Gravity

A pathology report states that a client's urinary calculus is composed of uric acid. Which should the nurse instruct the client to avoid? 1.Milk 2.Liver 3.Cheese 4.Vegetables

2.Liver

A client is scheduled to have an indwelling urinary catheter inserted before abdominal surgery. The nurse should insert the catheter in what location in the illustration? 1.a (clitoris) 2.b (urethra) 3.c (vagina) 4.d (anal)

2.b (urethra)

A nurse is notified that the latest potassium level for a client in acute renal failure is 6.2 mEq. What action should the nurse take? 1.Alert the cardiac arrest team 2.Call the laboratory to repeat the test 3.Take vital signs and notify the primary health care provider 4.Obtain an ECG strip and obtain an antiarrhythmic medication

3.Take vital signs and notify the primary health care provider

To help prevent a cycle of recurring urinary tract infections, the nurse should plan to instruct a female client to: 1.Increase the daily intake of citrus juice 2.Douche regularly with alkaline agents 3.Urinate as soon as possible after intercourse 4.Wipe carefully from back to front

3.Urinate as soon as possible after intercourse

A female client has a history of frequent urinary tract infections (UTIs). To decrease the incidence of the infections, the nurse instructs the client to increase fluid intake and: 1.Empty the bladder every three hours 2.Take warm bubble baths 3.Wipe from back to front 4.Take a prophylactic antibiotic after sexual intercourse

1.Empty the bladder every three hours

A nurse is caring for a client who had a kidney transplant. What sign indicates that the client may be rejecting the transplanted kidney? 1.Fever 2.Hematuria 3.Moon face 4.Yellow sclera

1.Fever

The nurse reviews the medical records of four male clients and concludes that the client that is at highest risk of developing prostate cancer is the: 1.Black 55-year-old 2.White 45-year-old 3.Asian 55-year-old 4.Hispanic 45-year-old

1.Black 55-year-old

A nurse instructs a client with a history of frequent urinary tract infections to drink cranberry juice to: 1.Decrease the urinary pH 2.Exert a bactericidal effect 3.Improve glomerular filtration 4.Relieve the symptoms of dysuria

1.Decrease the urinary pH

Trimethoprim-sulfamethoxazole (Septra) is prescribed for a client with cystitis. When teaching about the medication, the nurse instructs the client to: 1.Drink 8 to 10 glasses of water daily 2.Drink two glasses of orange juice daily 3.Take the medication with meals 4.Take the medication until symptoms subside

1.Drink 8 to 10 glasses of water daily

The nurse provides discharge instructions to a male client that had a ureterolithotomy. The client has a history of recurrent urinary tract infections (UTIs). The teaching should include that indicators of a UTI are: 1.Urgency or frequency of urination 2.The inability to maintain an erection 3.Pain radiating to the external genitalia 4.An increase in the alkalinity of the urine

1.Urgency or frequency of urination

A client with chronic renal failure has been on hemodialysis for two years. The client communicates with the nurse in the dialysis unit in an angry, critical manner and is frequently noncompliant with medications and diet. The nurse can best intervene by first considering that the client's behavior is most likely: 1.An attempt to punish the nursing staff 2.A constructive method of accepting reality 3.A defense against underlying depression and fear 4.An effort to maintain life and to live it as fully as possible

3.A defense against underlying depression and fear

A client with acute glomerulonephritis reports feeling thirsty. What should the nurse offer the client? 1.Ginger ale 2.Milkshake 3.Hard candy 4.Chicken broth

3.Hard candy

A client is injured in a motor vehicle accident and admitted for observation. Damage to the bladder is evident. The nurse takes the client's history and concludes that the client is at increased risk of bladder rupture based on the history of: 1.Multiple bouts of cystitis 2.Familial history of bladder cancer 3.Not having voided for six hours 4.Drinking two 8-oz. cups of coffee during the six-hour trip

3.Not having voided for six hours

A client with cancer of the prostate requests the urinal at frequent intervals but either does not void or voids in very small amounts. What does the nurse conclude is most likely the causative factor? 1.Edema 2.Dysuria 3.Retention 4.Suppression

3.Retention

What is the most basic method the nurse can use when encouraging hospitalized clients to void? 1.Providing privacy 2.Warming a bedpan 3.Having the client listen to running water 4.Placing the client's hands in warm water

1.Providing privacy