NUR 325 Renal adaptive quizing

1 5

8)After reviewing the urinalysis reports of a client with a renal disorder, the nurse concludes that the client may have a urinary tract infection. Which urinary laboratory findings enabled the nurse to make this conclusion? Select all that apply. 1 pH: 8.5 2 Specific gravity: 1.010 3 Red blood cells: 3/hpf 4 Osmolality: 1500 mOsm/kg (1500 mmol/kg) 5 White blood cells: 6/hpf

2

A client seeks help for dealing with incontinence. A nursing intervention is to teach Kegel exercises. Which type of incontinence is the client most likely experiencing? 1 Reflex incontinence 2 Stress incontinence 3 Overflow incontinence 4 Functional incontinence

2

20 A nurse is caring for a client with a diagnosis of renal calculi secondary to hyperparathyroidism. Which type of diet should the nurse explore with the client when providing discharge information? 1 Low purine 2 Low calcium 3 High phosphorus 4 High alkaline ash

1 2 4

A client is admitted with renal calculi. Which clinical manifestations does a nurse expect the client to report? Select all that apply. 1 Blood in the urine 2 Irritability and twitching 3 Dry, itchy skin and pyuria 4 Frequency and urgency of urination 5 Pain radiating from the kidney to a shoulder

2

A client who was admitted to the hospital with a diagnosis of a renal calculus is successful in passing the stone. The nurse is preparing the client for discharge and should include what in the client's instructions? 1 "Strain all urine." 2 "Increase fluid intake." 3 "Limit dietary potassium." 4 "Maintain bed rest for 24 hours."

4

A nurse in a long-term care facility is caring for a bedridden client with multiple chronic illnesses. Although usually continent, the client expresses anger through urinary incontinence. What should the nurse do to best address this situation? 1 Offer the client a bedpan every 2 hours. 2 Encourage the client to watch more television. 3 Decrease the client's fluid intake in the evening. 4 Assist the client in setting realistic short-term goals.

3

13) After a transurethral prostatectomy, a client returns to the postanesthesia care unit with a three-way indwelling catheter with continuous bladder irrigation. Which nursing action is the priority? 1 Observing the suprapubic dressing for drainage 2 Maintaining the client in the semi-Fowler position 3 Monitoring for bright red blood in the drainage bag 4 Encouraging fluids by mouth as soon as the gag reflex returns

2

14) A nurse is providing preoperative teaching for a client who is scheduled for a transurethral resection of the prostate. To prepare the client what to expect postoperatively, which instructions should the nurse include in the teaching session? 1 The urine will be bright red for 24 to 48 hours. 2 Spasms of the bladder occur during the first 24 to 48 hours. 3 To decrease bladder contractions, the Valsalva maneuver and Kegel exercises will be encouraged. 4 To maintain proper fluid balance, oral fluids are restricted during continuous urinary bladder irrigations.

3

15) A client with cancer of the prostate requests the urinal at frequent intervals but either does not void or voids in very small amounts. Which does the nurse conclude is most likely the causative factor? 1 Edema 2 Dysuria 3 Retention 4 Suppression

1

18 A client with limited mobility is being discharged. To prevent urinary stasis and formation of renal calculi, what should the nurse instruct the client to do? 1 Increase oral fluid intake to 2 to 3 L/day. 2 Maintain bed rest after discharge. 3 Limit fluid intake to 1 L/day. 4 Void at least every hour.

3

An older client with the diagnosis of dementia, Alzheimer type, is admitted to a nursing home. The client is confused and forgetful, wanders, and has intermittent episodes of urinary incontinence. How should the nurse plan to meet this client's elimination needs? 1 By pointing out the behavior to the client 2 By obtaining incontinence pads for the client 3 By taking the client to the bathroom at regular intervals 4 By encouraging the client to call for help when there is an urge to urinate

2

12) A client who just had a transurethral resection of the prostate reports pain in the operative area. What should the nurse do first? 1 Administer the prescribed analgesic. 2 Inspect the drainage tubing for occlusion. 3 Encourage intake of fluids to dilute urine. 4 Assess vital signs before administering an analgesic.

1

After assessing a client with an involuntary loss of urine, the nurse suspects overflow incontinence. Which symptom supports the nurse's suspicion? 1 Constant dribbling of urine 2 Abrupt and strong urge to void 3 Loss of urine with physical exertion 4 Large amount of urine loss with each occurrence

2 3 5

An older adult in an acute care setting is having urinary incontinence. Which interventions would help the client? Select all that apply. 1 Provide nutritional support 2 Provide voiding opportunities 3 Avoid indwelling catheterization 4 Provide beverages and snacks frequently 5 Promote measures to prevent skin breakdown

4

Before a transurethral resection of the prostate (TURP), a client asks about what to expect postoperatively. Which response by the nurse is most appropriate? 1 "Your urine will be pink and free of clots." 2 "You will have an abdominal incision and a dressing." 3 "There will be an incision between your scrotum and rectum." 4 "There will be an indwelling urinary catheter and a continuous bladder irrigation in place."

2

The student nurse is collecting a clean-catch midstream urine specimen from a client suspected of urinary tract infection. After reviewing the results, the head nurse instructs the student nurse to repeat the procedure. Which finding in the urinalysis report supports the head nurse's instruction? 1 102 organisms/mL 2 104 organisms/mL 3 106 organisms/mL 4 108 organisms/mL

3 4 5

Which findings in the older client are associated with a urinary tract infection (UTI)? Select all that apply. 1 Fever 2 Urgency 3 Confusion 4 Incontinence 5 Slight rise in temperature

4

Which urinalysis finding indicates a urinary tract infection? 1 Presence of crystals 2 Presence of bilirubin 3 Presence of ketones 4 Presence of leukoesterase

1

While reviewing the result of an intravenous pyelogram, the nurse discovers that the client has a shortened urethra. The client also complains of urinary incontinence. Which nursing intervention is beneficial for the client? 1 Providing thorough perineal care after each voiding 2 Encouraging the client to use the toilet or bedpan every 2 hours 3 Responding quickly to the client's indication of the need to void 4 Providing privacy, assistance, and voiding stimulants over the perineum