GU PU (1-5)
at least 3,000 mL of fluids daily
The nurse explains to the client the importance of drinking large quantities of fluid to prevent cystitis. How much fluid should the nurse tell the client to drink?
urine output less than 20 ml/hr
The nurse is conducting a postoperative assessment of a client on the first day after renal surgery. The nurse should report which finding to the health care provider (HCP)?
"It will extract the client's red blood cells."
The nurse is explaining hemodialysis to a student nurse. What statement leads the nurse to determine that additional teaching is needed?
a hard prostate, localized or diffuse
The nurse is performing a digital rectal examination. Which finding is a key sign for prostate cancer?
"Expect blood in your urine in the first couple of days following the procedure."
The nurse is providing preoperative instructions to a client who is having a transurethral resection of the prostate. What should the nurse tell the client?
with infection (e.g., acute or chronic prostatitis)
A boggy, tender prostate is found
renal colic
Waves of sharp, intense pain caused by kidney dysfunction.
Cystitis
is an inflammation of the bladder. Inflammation is where part of your body becomes irritated, red, or swollen. In most cases, the cause of cystitis is a urinary tract infection (UTI). A UTI happens when bacteria enter the bladder or urethra and begin to multiply.
uremia
urine in the blood
decreased ability to detect thirst
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?
"See your health care provider (HCP) for an early diagnosis and treatment of a sore throat."
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?
difficulty conceiving a child
A nulliparous client tells the nurse that during her last pelvic examination, the health care provider said that her uterus was in a severe retroverted position. The nurse determines that the client may experience which complication?
"Take the prescribed dose as soon as you remember it, and if it is very close to the time for the next dose, delay that next dose."
A client with a urinary tract infection is to take nitrofurantoin four times each day. The client asks the nurse, "What should I do if I forget a dose?" What should the nurse tell the client?
wiping the self-sealing aspiration port with antiseptic solution and aspirating urine with a sterile needle.
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
cardiac rhythm
A client with chronic kidney disease (CKD) has a blood urea nitrogen (BUN) of 100 mg/dL, serum creatinine of 6.5 mg/dL, potassium of 6.1 mEq/L, and lethargy. What is the priority nursing assessment?
weight loss
A client with chronic renal failure (CRF) is receiving a hemodialysis treatment. After hemodialysis, the nurse knows that the client is most likely to experience:
Report the loss of a thrill or bruit on the arm with the fistula.
A client with chronic renal failure is receiving hemodialysis three times a week. What should the nurse do to protect the fistula?
Auscultate the AV fistula for a bruit.
A client with chronic renal failure receives hemodialysis treatments through a mature arteriovenous (AV) fistula. What intervention will the nurse include in the care plan?
Epoitin alfa (Procrit®, Epogen®)
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 administe
"It is not possible to be contagious as long as I take all of my antibiotics as prescribed."
A nurse is caring for a male client who has gonorrhea. Which statement indicates that the client needs additional instruction?
ensuring that the metformin has been withheld for 48 hours prior to the scan
A client with type 2 diabetes mellitus who is taking metformin is scheduled for a computed tomography (CT) with contrast of the abdomen tomorrow. Which priority nursing assessment is done before the procedure?
dysuria
A female client with gonorrhea informs the nurse that she has had sexual intercourse with her boyfriend and asks the nurse, "Would he have any symptoms?" The nurse can tell the client which symptoms of gonorrhea occur in men?
"Do you have a digital rectal examination and prostate-specific antigen tests yearly?"
A middle-aged male client comes to the clinic for an evaluation of difficulty urinating and nocturia. 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?
phenazopyridine
A client is started on sulfamethoxazole-trimethoprim for reports of severe burning on urination and frequent, urgent voiding of small amounts of urine. As the nurse explains the medication, the client requests something to relieve the painful urination. Which treatment order would the nurse anticipate for the client's discomfort?
"You can safely have unprotected intercourse when your sperm count indicates sterilization."
A client scheduled for a vasectomy asks the nurse how soon after the procedure he can have sexual intercourse without using an alternative birth control method. How should the nurse respond?
vaginismus
A 20-year-old female client says, "I feel that my vaginal opening constricts whenever I am about to have intercourse. I seem to have no control over it." Which term should the nurse use to document the client's condition?
sexually transmitted infection
A 30-year-old client is being treated for epididymitis. What information should the nurse include in the teaching plan about the likely cause of epididymitis?
"More than 50% of the cases are attributed to organic causes."
A 65-year-old male client with erectile dysfunction (ED) asks the nurse, "Is all this just in my head? Am I crazy?" What should the nurse tell the client?
11.3
A child with nephrosis is placed on prednisone. The dose is 2 mg/kg per day to be administered in two divided doses. The child weighs 25 lb (11.3 kg). How many milligrams will the child receive at each dose? Record your answer using one decimal place.
kidney
A client comes to the emergency department reporting sudden onset of sharp, severe pain in the lumbar region that radiates around the side and toward the bladder. The client also reports nausea and vomiting and appears pale, diaphoretic, and anxious. The physician tentatively diagnoses renal calculi and orders flat-plate abdominal X-rays. Renal calculi can form anywhere in the urinary tract. What is their most common formation site?
creatinine clearance
A client develops decreased renal function and requires a change in antibiotic dosage. On which factor should the physician base the dosage change?
difficulty starting the flow of urine
A client has prostatic hypertrophy. What should the nurse assess when conducting a focused assessment of the client's ability to urinate?
Administer an opioid analgesic as prescribed.
A client has renal colic due to renal lithiasis. What is the nurse's first priority in managing care for this client?
"You will return from surgery with a catheter in your bladder and fluid flowing into and out of it continuously."
A client is admitted for a transurethral resection of the prostate (TURP). Preoperative teaching will include which information?
emptied the bladder.
A client is admitted to the recovery room after cystoscopy with biopsy. Before the nurse can discharge the client, what should the nurse assess?
help the client cope with the anxiety associated with changes in body image.
A client is scheduled to undergo surgical creation of an ileal conduit. The primary nurse educates the client about surgery and the postoperative period. The nurse states that many members of the health care team (including a mental health practitioner) will see the client. A mental health practitioner should be involved in the client's care to:
Assess urine for excessive bleeding.
A client undergoes cystoscopy with bladder biopsy. After the procedure, which assessment is most appropriate for the nurse to make?
"I should notify the physician if urinary urgency, burning, frequency, or difficulty urinating occurs."
A nurse is planning a group teaching session on the topic of urinary tract infection (UTI) prevention. Which statement, if made by a group member, would indicate understanding of the teaching?
retain the enema for 30 minutes to allow for sodium exchange; afterward, the client should have diarrhea.
A nurse is planning to administer a sodium polystyrene sulfonate enema to a client with a potassium level of 6.2 mEq/L. Correct administration and the effects of this enema should include having the client
urine Ph of 3
A nurse is reviewing a report of a client's routine urinalysis. Which value requires further investigation?
"As long as you are comfortable, you can have intercourse as often as you wish, but be sure to urinate within 15 minutes after intercourse."
A woman with cystitis is to take a 10 day prescription of an antibiotic. The client asks the nurse if she can continue to have sexual intercourse. The nurse should tell the client:
Keep partial side rails up. Restrict fluids to 800 mL in 24 hours. Prepare to insert a Foley catheter. Notify the health care provider (HCP)
An older adult admitted with new-onset confusion, headache, poor skin turgor, bounding pulse, and urinary incontinence has been drinking copious amounts of water. Upon reviewing the lab results, the nurse discovers a sodium level of 122 mEq/L (122 mmol/L). What actions should the nurse take? Select all that apply.
The client should wear a condom during anal intercourse.
During a routine physical examination, a male client informs the nurse that he frequently participates in anal intercourse with his sexual partner. What education is important for the nurse to include with health teaching?
is experiencing urine retention and needs to be catheterized.
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:
The health care provider (HCP) should be notified promptly if the client experiences sudden or diminished vision.
The client is taking sildenafil orally for erectile dysfunction. What instruction should the nurse give the client?
"You will continue to improve over a period of weeks."
The client with acute renal failure asks the nurse, "Will my kidneys ever function normally again?" What should the nurse tell the client?
"The client was catheterized, and 1,100 mL of urine was obtained. The urine appeared cloudy, and a specimen was sent to the laboratory."
The client with benign prostatic hypertrophy is being transferred from the emergency department to a surgery unit. Which information should be included in the report from the nurse in the emergency department to the nurse responsible for admitting the client?
chronic renal failure.
Uremia is the buildup of nitrogenous wastes in the blood, evidenced by an elevated blood urea nitrogen and creatine levels. Uremia, anemia, and acidosis are consistent clinical manifestations of
cervical cancer
What is a risk factor for women who have human papillomavirus (HPV)?
high purine
When providing discharge teaching for a client with uric acid calculi, the nurse would include an instruction to avoid which type of diet?
a client with an indwelling urinary catheter
Which client is at highest risk for developing a hospital-acquired infection?
uremia is
Which clinical finding should a nurse look for in a client with chronic renal failure?
acute pain
Which of the following is a priority nursing diagnosis for the client presenting with pelvic inflammatory disease?
