Chapter 89 Urinary Disorders

An alkaline-ash diet is prescribed for a client with renal calculi. Which diet menu does the nurse advise the client to select?

a spinach salad, milk, and a banana

The nurse is instructing a client with diabetes mellitus about peritoneal dialysis. The nurse tells the client that it is important to maintain the prescribed dwell time for the dialysis because of the risk of which complications?

Hyperglycemia

A postoperative client is prescribed morphine to control pain related to knee replacement. The medication causes the client to be confused and agitated with attempts to get out of bed on her own. Restraints are ordered, which cause the client to be incontinent. What type of incontinence is this client experiencing?

latrogenic incontinence

The nurse is reinforcing dietary instructions to a client diagnosed with acute glomerulonephritis. The nurse determines that the client understands the information presented if the client states the intention to do which action?

limit protein intake

The client with chronic kidney disease who is scheduled for hemodialysis this morning due to receive a daily dose of enalapril. When should the nurse plan to administer this medication?

on return from dialysis

A nurse is reviewing the medical record of a client who has intrarenal acute kidney injury (AKI). Which of the following factors should the nurse identify as the cause of this form of AKI?

cocaine use disorder

A client is diagnosed with hydronephrosis. What occurs in this condition?

urine forms, but the flow of urine from the kidney is obstructed

A 60-year-old female client experiencing stress urinary incontinence is not considered a good candidate for surgical repair of the problem. Her healthcare provider recommends a pessary. Which describes this treatment?

A device is inserted into the vagina to support the organs of the pelvis.

A nurse is caring for a client who reports frequent urination. When assessing the urinalysis report, the nurse should look for what component to confirm a normal urinalysis?

Absence of glucose in the urine

The nurse is caring for the client with epididymitis. Which treatment modalities should be implemented? (Select all that apply).

Bed Rest Sitz bath Antibiotics

A nurse is reinforcing discharge teaching with a client who has spontaneously passed a calcium oxalate calculus. To decrease the chance of recurrence, the client should avoid which of the following foods? (Select all that apply)

Black tea Spinach

The nurse is assessing the urinary functioning of a client. Which conditions are most likely to result in alterations in kidney function? (Select all that apply).

Diabetes mellitus Uncontrolled HTN Collagen/vascular disease

A nurse is assisting with the admission assessment of a client who has a renal calculi. Which of the following findings should the nurse expect?

Diaphoresis

A client is scheduled for cystoscopy to determine which of her kidneys is diseased. Which should the nurse consider when caring for this client?

Help the client with sitz bath to ease voiding

A nurse is caring for a female client diagnosed with recurrent urinary tract infection(UTI). What intervention should the nurse implement with this client?

Instruct the client to void before and after intercourse

The nurse is assisting in planning a diet for a client with acute kidney injury (AKI). The nurse plans to restrict which dietary component from this client's diet?

Potassium

A client with the acute glomerulonephritis is admitting to the nursing unit. The nurse should plan to do which action immediately upon admission?

Remove the water pitcher from the bedside

A client is scheduled for a cystoscopy for removal of a kidney polyp. What nursing measure should the nurse undertake when caring for this client?

Report any darkening urine after the cystoscopy

Which is a function of the lower urinary tract?

Store urine until micturition occurs.

The nurse monitoring clients for symptoms of renal failure knows that oliguria is common in the early phases of renal failure. How would the nurse describe this condition?

Urinary output is <400 mL in a 24-hour period

A nurse is caring for a client with an ileal conduit for urinary diversion following bladder removal. What intervention should the nurse be prepared to implement when caring for this client?

Use a solvent to loosen the appliance during removal.

The nurse is caring for a client who diagnosed with renal failure. Which of the following is a characteristic of this disease?

abnormal levels of potassium, calcium, and phosphate are found in the blood

The nurse has reinforced instructions to the client with a cystocele about Kegel exercise. The nurse determines that the client has not fully understood the directions if the client makes which statement?

"begin voiding and then stop the stream, holding residual urine for an hour"

Which is an appropriate question to ask to determine the specific type of incontinence?

"have you been experiencing any urgency accompanied by dribbling or leaking urine?"

The nurse discusses the risk factors of bladder cancer with a client who is being tested for the disease. Which is one of these risk factors? (Select all that apply).

-history of smoking -exposure to UV rays -diagnosis of lung cancer -frequent urinary tract infections

A nurse is assisting in the planning of care for a client who has chronic kidney disease. Which of the following actions should the nurse include in the plan of care? (Select all that apply).

-provide frequent mouth rinses -osculate lungs for pulmonary edema -monitor for weight gain trends -restrict fluids based on urinary output

A nurse is caring for a client who has a left renal calculus and an indwelling catheter. Which of the following findings is the priority for the nurse to report to the provider?

Absent urine output for 1 hr

______________incontinence refers to incon!nence that can be reversed with diagnosis and treatment of the precipita!ng cause. A voiding ________ is a fluoroscopic test performed to diagnose vesicoureteral reflux. Clients should be placed in a _______________ posi!on for 24 hours following a renal biopsy. _________________is the common early phase of acute renal failure characterized by urine produc!on of less than 400 mL in 24 hours. Daily assessment of the patency of a dialysis gra# or fistula by the client should include palpa!ng for a __________________.

Transient cystourethrogram supine Oliguria thrill

A 28-year-old female client presents at the emergency department with ai rapid onset of fever and chills, as well as flank pain, pyuria, nausea, vomiting, and headache. Laboratory results indicate bacteriuria, WBCs, and casts. These symptoms and lab results support which medical diagnosis?

acute pyelonephritis

A nurse is caring for a client who has urinary tract infection (UTI). Which of the following is the priority intervention by the nurse?

administer antibiotics

A client with chronic kidney disease has been on dialysis for 3 years. The client is receiving the usual combination of medications for the disease, including aluminum hydroxide as a phosphate binding agent. The client now has mental cloudiness, dementia, and complaints of bone pain. Which does this data include?

aluminum intoxication

A client with benign prostatic hypertrophy (BPH) undergoes a transurethral resection of the prostate (TURP) and is receiving continuous bladder irrigations postoperatively. Which are the signs and symptoms of transurethral resection (TUR) syndrome?

bradycardia and confusions

A client has epididymitis as a complication of a urinary tract infection on (UTI). The nurse is giving the client instructions to prevent recurrence. The nurse determines that the client needs further teaching if the client states the intention to do which action?

continues to take antibiotics until all symptoms are gone

A 48-year-old client is undergoing testing to confirm kidney disease. Which test uses a collected urine specimen to indicate glomerular filtration rate and renal insufficiency?

creatinine clearance test

A nurse is caring for a client during peritoneal dialysis as treatment for kidney failure. What measure should the nurse employ for this client?encour

encourage the client to breathe deep

The nurse is collecting data from a client with epididymitis. The nurse should expect which note which signs and symptoms of this problem?

fever, nausea and vomiting, and painful scrotal edema

A nurse is caring for a client who is receiving hemodialysis. During dialysis, what measure should the nurse be prepared to implement when caring for this client?

keep two clamps on the dressing over the cannula

A nurse is checking urinalysis results for four clients. Which of the following urinalysis results indicates a urinary tract infection?

positive for leukocytes esterase

A nurse is caring for a client who is receiving dialysis. An order on the client's chart reads "Guaiac all stools." What should the nurse be prepared to do?

send all stools for occult blood test

A nurse is caring for a client with renal calculi. What measure should the nurse employ for this client?

strain all urine through a piece of gauze, cheesecloth, or strainer.

Following identification of a mass by imaging studies, a client undergoes a needle biopsy of the kidney for a specific diagnosis. Which should the nurse consider for this procedure?

Apply pressure to the site to minimize bleeding.

The nurse is caring for a client who has a urinary diversion in which the ureters are brought to the abdominal wall as a stoma. This is known as what type of diversion?

cutaneous ureterostomy

A nurse is caring for a client experiencing urge incontinence. What should the nurse include in the client education?

Tell the client to perform Kegel exercises daily.

The nurse is caring for a hospitalized client following cystoscopy. Which discharge instructions are given to the client? (Select all that apply).

-take sitz baths for voiding discomfort -use antispasmodics for pain -report severe pain to health care provider

A client on the waiting list for a renal transplant, receives a hemodialysis treatment. Which findings indicate to the nurse that the hemodialysis treatment has been effective? (Select all that apply).

-the client states he is fatigued and wants to sleep -serum potassium level is within the normal range -the client's weight is 2 kilograms less than pre-dialysis weight -serum blood urea nitrogen (BUN) and creatine levels are lower than pre-dialysis -a thrill is palpabl in the arteriovenous fistula

The nurse is preparing a client for urodynamic tests. Which component of this series is a noninvasive assessment of the status of micturition and generally the first test done in a urodynamic evaluation?

Uroflowmetry