GU Quiz Prep 1

An older adult client is being evaluated for suspected pyelonephritis and is ordered kidney, ureter, and bladder (KUB) x-ray. The nurse understands the significance of this order is related to which rationale?

Detects calculi, cysts, or tumors

A nurse is planning a group teaching session on the topic of urinary tract infection (UTI) prevention. Which point should the nurse include?

Notify the physician if urinary urgency, burning, frequency, or difficulty occurs.

A client undergoes extracorporeal shock wave lithotripsy. Before discharge, the nurse should provide which instruction?

"Increase your fluid intake to 2 to 3 L per day."

A history of infection specifically caused by group A beta-hemolytic streptococci is associated with which disorder?

Acute glomerulonephritis

A client undergoes renal angiography. Which postprocedure care intervention should the nurse provide to the client?

Palpate the pulses in the legs and feet.

The nurse is caring for a client who describes changes in his voiding patterns. The client states, "I feel the urge to empty my bladder several times an hour and when the urge hits me I have to get to the restroom quickly. But when I empty my bladder, there doesn't seem to be much urine flow." What would the nurse expect this client's physical assessment to reveal?

Urine retention

The nurse is teaching a client with recurrent urinary tract infections (UTIs) ways to decrease risk for additional UTIs. The nurse includes which information?

Void immediately after sexual intercourse.

A client comes to the emergency department complaining of severe pain in the right flank, nausea, and vomiting. The physician tentatively diagnoses right ureterolithiasis (renal calculi). When planning this client's care, the nurse should assign the highest priority to which nursing diagnosis?

acute pain

Which of the following is a term used to describe excessive nitrogenous waste in the blood, as seen in acute glomerulonephritis?

azotemia

The nurse is caring for an 83-year-old client admitted to the health-care facility with a new onset of confusion and a low-grade fever. Which of the following age-related changes might contribute to decreased functioning of the immune system?

decreased kidney function

Nursing management of the client with a urinary tract infection should include:

discouraging caffeine intake.

A client is diagnosed with polycystic kidney disease. Which of the following would the nurse most likely assess?

hypertension

A client is treated for renal calculi and suspected hydronephrosis. Therefore, the nurse should maintain a record of the kidney's function. Which measure can the nurse take to help achieve the objective?

Monitor the patient's intake and output

An older adult male patient tells the nurse that he wakes several times a night to pass his urine but never feels as though he fully empties his bladder. What suggestion can the nurse make to help control this in the evening?

Limit drinking a lot of fluid in the evening, especially caffeinated beverages.

A nurse is reviewing the history of a client who is suspected of having glomerulonephritis. Which of the following would the nurse consider significant?

Recent history of streptococcal infection

When caring for the patient with acute glomerulonephritis, which of the following assessment findings should the nurse anticipate?

Tea-colored urine

A nurse is providing postprocedure care for a client who underwent percutaneous lithotripsy. In this procedure, an ultrasonic probe inserted through a nephrostomy tube into the renal pelvis generates ultra-high-frequency sound waves to shatter renal calculi. The nurse should instruct the client to:

notify the physician about cloudy or foul-smelling urine.

Which term refers to inflammation of the renal pelvis?

pyelonephritis

Which laboratory value supports a diagnosis of pyelonephritis?

pyuria

Following percutaneous nephrolithotomy, the client is at greatest risk for which nursing diagnosis?

risk for infection