Medical-Surgical Nursing - Urinary/Reproductive Systems
What does the nurse determine is the most likely cause of renal calculi in clients with paraplegia?
Accelerated bone demineralization
To facilitate micturition in a male client, the nurse should instruct him to:
Assume standing position To facilitate micturition in a male client, the nurse should instruct him to: when voiding
A nurse is caring for a client with end-stage renal disease. Which clinical indicators of end-stage renal disease should the nurse expect? (Select all that apply.)
Azotemia Hypertension
A nurse is caring for a client who has a radium implant for cancer of the cervix. What is the priority nursing intervention?
Restrict visitors to a 10-minute stay
A nurse evaluates that a client understands the side effects of hydrochlorothiazide (HCTZ) therapy when the client states, "I should call my health care provider if I develop
Generalized weakness.
What should a nurse do when caring for a client with continuous bladder irrigation?
Subtract the amount of irrigant instilled from the output.
A nurse is caring for a client with complications associated with peritoneal dialysis. For which signs and symptoms should the nurse monitor the client? (Select all that apply.)
Tachycardia Cloudy outflow Abdominal pain
A client who has repeated episodes of cystitis is scheduled for a cystoscopy to determine the possibility of urinary tract abnormalities. The client asks the nurse to describe the procedure. The nurse's most appropriate response is, "This procedure is:
The visualization of the inside of the bladder with an instrument connected to a source of light."
When performing a peritoneal dialysis procedure, the nurse should:
Warm dialysate solution slightly before instillation
A nurse is caring for a client who reports urinary problems, and the health care provider prescribes a cholinergic medication. Which response is prevented that helps the nurse determine that the medication is effective?
bladder flaccidity
When receiving hemodialysis, the complication of the removal of too much sodium may occur. For which clinical findings associated with hyponatremia should the nurse assess the client? (Select all that apply.)
muscle cream Extreme fatigue
When a client returns from the postanesthesia care unit after a kidney transplant, the nurse should plan to measure the client's urinary output every:
one hour
A client just had a suprapubic prostatectomy. Which action should the nurse implement to prevent a secondary bladder infection?
Change the dressings frequently
A client with the diagnosis of chronic kidney disease develops hypocalcemia. Which clinical manifestations should the nurse expect the client with hypocalcemia to exhibit? (Select all that apply.)
Chvostek sign Muscle cramps
A client who had a transurethral resection of the prostate is transferred to the post-anesthesia care unit with an IV and a urinary retention catheter. For which major complication is it most important for the nurse to assess during the immediate postoperative period?
Hemorrhage
What are the clinical indicators that a nurse expects when an intravenous (IV) line has infiltrated? (Select all that apply.)
Pallor Edema Decreased flow rate
A nurse is providing postoperative care to a client who had a kidney transplant. What assessment is the best indicator of the functioning of the newly transplanted kidney?
Serum creatinine
A client is scheduled for an intravenous pyelogram (IVP). The nurse explains that on the day before the IVP the client must
Take a laxative before going to bed.
