Genitourinary Disorders

The nurse should tell a client who is to obtain a midstream urine specimen to:

Void directly into the sterile specimen container after voiding a small amount into the toilet.

An 18-year-old female is to have a pelvic exam. Which response by the nurse would be best when the client says that she is nervous about the upcoming pelvic examination?

"Can you tell me more about how you are feeling?"

A nurse is teaching a female client with a history of multiple urinary tract infections (UTIs). Which statement indicates the client understands the teaching about preventing UTIs?

"I should take at least 1,000 mg of vitamin C each day."

A client is admitted for a transurethral resection of the prostate (TURP). Preoperative teaching will include which of the following information?

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

A 176-lb client with minimal urine output has been prescribed dopamine at 5 µg/kg/minute. The premixed medication bag contains 800 mg of dopamine in 500 ml dextrose 5% in water. How many milliliters of solution would the nurse administer each hour? Record your answer using a whole number.

15

Which client is at highest risk for developing a hospital-acquired infection?

A client with an indwelling urinary catheter

1m 52s A client is admitted to the hospital with a diagnosis of renal calculi. The client is experiencing severe flank pain and nausea; the temperature is 100.6° F (38.1° C). Which outcome would be a priority for this client?

Alleviation of pain

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:

Assess color and temperature of the left leg.

After an intravenous pyelogram (IVP), the nurse should include which measure in the client's plan of care?

Encourage adequate fluid intake.

A client in a short-procedure unit is recovering from renal angiography in which a femoral puncture site was used. When providing postprocedure care, the nurse should:

Check the client's pedal pulses frequently.

The nurse is teaching an older adult with a urinary tract infection about the importance of increasing fluids in the diet. What puts this client at a risk for not obtaining sufficient fluids?

Decreased ability to detect thirst

A nulliparous client tells the nurse that during her last pelvic examination, the health care provider (HCP) said that her uterus was in a severe retroverted position. The nurse determines that the client may experience:

Difficulty conceiving a child.

The nurse should specifically assess a client with prostatic hypertrophy for:

Difficulty starting the flow of urine.

A client receiving total parenteral nutrition (TPN) is ordered to undergo a 24-hour urine test for creatinine clearance. Which of the following actions should the client take to initiate this collection?

Discard the first morning void, then continue the collection for exactly 24 hours.

A client with chronic renal failure who receives hemodialysis three times weekly has a hemoglobin (Hb) level of 7 g/dl (70mmol/L). The most therapeutic pharmacologic intervention would be to administer:

Epoetin alfa.

A client undergoes extracorporeal shock wave lithotripsy (ESWL) to break up and remove renal calculi. Which nursing measure is appropriate for the postoperative care of this client?

Instruct the client to anticipate hematuria for about 24 hours after the procedure.

A nurse is assessing a client with nephrotic syndrome. The nurse should assess the client for which condition?

Massive proteinuria

A 39-year-old multigravid client asks the nurse for information about female sterilization with a tubal ligation. Which client statement indicates effective teaching?

My fallopian tubes will be tied off through a small abdominal incision."

The nurse teaches the client how to recognize an infection in the shunt by telling the client to assess the shunt each day for:

Swelling at the shunt site.

A nurse is preparing the plan of care for a client with neurogenic flaccid bladder. Which outcome is appropriate for this client?

The client's bladder does not become over distended.

When instructing a client about the proper use of condoms for pregnancy prevention, the nurse should include which instructions to ensure maximum effectiveness?

When instructing a client about the proper use of condoms for pregnancy prevention, the nurse should include which instructions to ensure maximum effectiveness?

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?

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

The nurse is collecting data on a client with a urinary tract infection (UTI). Which statements should the nurse expect the client to make? Select all that apply.

-"I need to urinate frequently." -"It burns when I urinate." -"I need to urinate urgently."

A client with end-stage renal failure has an internal arteriovenous fistula in the left arm for vascular access during hemodialysis. What should the nurse instruct the client to do? Select all that apply.

-Avoid sleeping on the left arm. -Wear wrist watch on the right arm. -Assess fingers on the left arm for warmth.

A client is experiencing hypovolemic shock. Which of the following assessments best assists in evaluating the client's fluid status? Select all that apply.

-Blood pressure -Heart rate -Respiratory rate -Skin turgor -Daily weight

A client with chronic renal failure who receives hemodialysis three times a week is experiencing severe nausea. What should the nurse advise the client to do to manage the nausea? Select all that apply.

-Have limited amounts of fluids only when thirsty. -Keep all dialysis appointments. -Eat smaller, more frequent meals.

When developing a teaching plan about contraception with a 37-year-old woman during her annual gynecologic examination, which should the nurse identify as contraindications to combined oral contraceptive use? Select all that apply

-Smoking 1 pack of cigarettes per day -Healing of a currently casted fractured femur. -Use of phenytoin for a seizure disorder

A charge nurse is completing day-shift client care assignments on the genitourinary floor. A new graduate is present for the first day on the unit. An agency nurse and an experienced nurse are also present. The charge nurse should assign the new graduate nurse to the care of which of the following clients?

Middle-aged stable client with bladder cancer awaiting surgery

A nurse is caring for a client diagnosed with a chlamydia infection. The nurse teaches the client about disease transmission and advises the client to inform his sexual partners of the infection. The client refuses, stating, "This is my business and I'm not telling anyone. Beside, chlamydia doesn't cause any harm like the other STDs." How should the nurse proceed?

Educate the client about why it's important to inform sexual contacts so they can receive treatment.

The client receiving furosemide should be monitored for what potential complication?

Electrolyte imbalance