GU Exam

A middle aged male client goes to the clinic for an evaluation of difficulty urinating and noctuia. His father died from prostate cancer. He asks the nurse what he can do to ensure early detection of this disease. What question will the nurse ask next? a)do you perform monthly testicular self-exams? b)do you have a digital rectal examination and prostate specific antigen tests yearly? c)have you had a transrectal ultrasound within the last 10years? d)how many times a night do you get up to void?

B. "do you have a digital rectal examination and prostate specific antigen tests yearly

A client is admitted with a diagnosis of chronic hydronephrosis. Which assessment finding requires immediate action or will assist the nurse in planning care? a) clients calcium level is 9.2 mg/dL b) clients blood urea nitrogen (BUN) is 32 mg/dL c)clients potassium level is 4.9 mEq/L d) clients urinary output is 40 mL/hour

B. Clients blood urea nitrogen (BUN) is 32 mg/dL

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 a) I urinate large amounts b)I need to urinate frequently c) It burns when I urinate d)My urine smells sweet e) I need to urinate urgently

BCE

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

D ensure sufficient hydration

intrinsic causes of ureter obstruction include all of the following EXCEPT: Calculi Pregnancy Tumor Clot

Pregnancy

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. Which outcome would be a priority for the client? a)alleviation of pain b)prevention of urinary tract complications c)alleviation of nausea d)maintenance of fluid and electrolyte balance

A. alleviation of pain

Which nursing action is most appropriate for client who has urge incontinence? a) have a client urinate on a timed schedule b)provide a bedside commode c) administer prophylactic antibiotic d) teach the client intermittent self-catheterization technique

A. have a client urinate on a timed schedule

Which instruction would a nurse include in the discharge teaching for a client who has an ileal conduit a) "decrease your fluid intake" b)"mucous in the pouch is expected" c) "it is only necessary to wear the appliance pouch at bedtime." d)"you can decrease fecal collection in the pouch by watching your diet."

B "mucous in the pouch is expected"

After having a transurethral resection of the prostate(TURP) a client returns to the unit with a 3way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client's catheter is occluded? a)the urine in the drainage bag appears red to pink b)the client reports bladder spasms and the urge to void c)the normal saline irrigants is infusing at a rate of 50 drops/minute d)about 1,000 mL of irrigant have been instilled; 1,200 mL of drainage have been returned

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

The nurse is instructing the unlicensed assistive personnel (UAP) about the correct technique for obtaining a clean-catch urine culture from a female client. Which statement indicates that the teaching was successful? a)I will have the client completely empty her bladder into the specimen cup b)I will need to catheterize the client to get the urine specimen c)I will ask the client to clean her labia, void into the toilet, and then into the specimen cup d) I will obtain the specimen in the afternoon after the client has had plenty of fluids

C. "I will ask the client to clean her labia, void into te toilet, and then into the specimen cup."

The client with pyelonephritis asks the nurse, "How will I know whether the antibiotic are treating my infection?" What should the nurse tell the client? a) "After you take the antibiotics for 2 weeks, you won't have any infection." b)your health care provider can tell by the color and odor of your urine." c)"your health care provider will take a urine culture" d)"when your symptoms disappear, you'll know that your infection is gone"

C. "Your health care provider will take a urine culture"

a registered nurse and unlicensed assistive personnel (UAP) are caring for a group of clients. Which client's care will the nurse safely delegate to the UAP? a) a client with a subrapubic catheter that is draining burgundy-colored urine b) a client returning from the post-anesthesia unit after radical suprapubic prostatectomy c)a client diagnosed with renal calculi who is encouraged to ambulate four times daily d)client with mild hematuria who requires bladder irrigation via urinary catheter

C. a client diagnosed with renal calculi who is encouraged to ambulate four times daily

A female client reports to a nurse that she experiences a loss of urine when she jogs. The nurse's assessment reveals no nocturia, burning, discomfort when voiding, or urine leakage before reaching the bathroom. The nurse explains to the client that this type of problem is called: a)functional incontinence b)reflex incontinence c)stress incontinence d)total incontinence

C. stress in continence

The nurse is instructing an unlicensed assistive personnel (UAP) to collect a urine specimen from an indwelling catheter. Which statement indicates that the UAP understands the instructions? a)"I should collect urine from the catheter drainage bag b)"I'll disconnect the drainage tube from the catheter and let urine run from the catheter into the specimen cup c)"I'll empty the catheter drainage bag, have the client drink some water, and an hour later collect the urine that drains into the bag." d)"I'll get a sterile syringe and remove urine from the catheter through the collection port to place in the specimen container."

D. "I'll get a sterile syringe and remove urine from the catheter through the collection port to place in the specimen container."

A client is frustrated and embarrassed by urinary incontinence. Which measure should the nurse include in a bladder retraining program? a) Restricting fluid intake to reduce the need to void b) Establishing a predetermined fluid intake pattern for the client c) Encouraging the client to increase the time between voiding d) Assessing present voiding patterns

D. assessing present voiding patterns

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? a)maintain the client on a strict bedrest for 48hours after the procedure b)instruct the client to anticipate a decrease in urine output c)limit fluid intake to 1,000 mL/day until all stone fragments have been passed d)instruct the client to anticipate hematuria for about 24 hours after the procedure

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

A nurse us providing post procedure care for a client who underwent percutaneous lithripsy. The nurse should instruct the client to: a)limit oral fluid intake to 1-2 weeks b)reports the presence of fine, sandlike particles through the nephrostomy tube c)report bright pink urine within 24 hours after the procedure d)notify the physician about cloudy or foul-smelling urine

D. notify the physician about cloudy or foul-smelling urine

A client with renal calculi could expect all of the following clinical manifestations EXCEPT: Hematuria Nausea/Vomiting Fever/Chills Oliguria

Fever/Chills

What clinical manifestation would you expect in a client diagnosed with glomerulonephritis? Proteinuria Pyuria Polyuria Glucosuria

Proteinuria

Which of the following instructions would the nurse give the client prescribed Pyridium? The medication will relieve your pain This medication should be taken at bedtime This will kill the organism causing the infection This medication will prevent re-infection

The medication will relieve your pain

The nurse recognizes that urinalysis results most likely to indicate a UTI include: Proteinuria Urine WBC 50 Urine RBC 3 Trace urine glucose

Urine WBC 50

For a renal angiography, which nursing action completed pre-op is essential post-procedure? encourage voiding following procedure asses renal blood work assess cognitive status assess pulses of legs and feet

asses pulse of legs and feet

In caring for a client with bilateral nephrostomy tubes, avoid which of the following? Reporting a dislodged tube immediately Clamping each tube when the patient is moved Irrigating the the tube with normal saline Measuring urine output from each tube separately

clamping each tube when the patient is moved

Which client has the greatest risk factor for having malignant bladder tumors? history of untreated gonorrhea history of cigarette smoking history of bladder inflammation history of urinary incontinence

history of cigarette smoking

Which position should the client be placed in for kidney biopsy? semi-fowlers with sandbag under the back flat with a sandbag under the hips high-fowlers leaning over a bedside table prone with a sandbag under the abdomen

prone with a sandbag under the abdomen