Renal Test Yourself
A female adult client admitted with a gunshot wound to the abdomen is transferred to the intensive care unit after an exploratory laparotomy. Which assessment finding suggests that the client is experiencing acute renal failure (ARF)? a. Blood urea nitrogen (BUN) level of 22 mg/dl b. Serum creatinine level of 1.2 mg/dl c. Serum creatinine level of 1.2 mg/dl d. Urine output of 400 ml/24 hours
D
Data must be collected to evaluate the effectiveness of a plan to reduce urinary incontinence and a older adult patient. Of the information below, which is the least important for the evaluation process? A) The incontinence pattern B) State of physical mobility C) Medications being taken D) Age of patient
D
Mr.Chang, a hospitalized "PT" with diabetes mellitus, has developed a UTI. He is 80 years old and has an indwelling catheter in place. Which factor is most likely the cause of the UTI? A)The close proximity of the male genitalia to the rectum B)Decreased immunity C)A high urine glucose level D)The indwelling urinary catheter
D
Nurse Grace is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention? a. Rashes on the palms of the hands and soles of the feet b. Cauliflower-like warts on the penis c. Painful red papules on the shaft of the penis d. Foul-smelling discharge from the penis
D
The client underwent a transurethral resection of the prostate gland 24 hours ago and is on continuous bladder irrigation. Nurse Yoly is aware that the following nursing interventions is appropriate? a. Tell the client to try to urinate around the catheter to remove blood clots. b. Restrict fluids to prevent the client's bladder from becoming distended. c. Prepare to remove the catheter. d. Use aseptic technique when irrigating the catheter
D
When performing a scrotal examination, nurse Paul finds a nodule. What should the nurse do next? a. Notify the physician. b. Change the client's position and repeat the examination. c. Perform a rectal examination. d. Transilluminate the scrotum
D
Which of the following would the nurse incorporate into the teaching plan for a "PT" to promote healthy urinary function? A)Drinking more then 2,000mL per day will cause fluid retention B)The healthy adult should drink four to six 8oz glasses of water per day C)Children need fewer reminds to drink because of a greater thirst sensitivity D)Caffeine-containing beverages should be monitored to prevent excess intake
D
Which of the following is a nursing priority when caring for a male patient with a condom catheter? A) Preventing the tubing from kinking to maintain free urinary drainage B) Not removing the catheter for any reason C) Fastening the condom tightly to prevent the possible ability of leakage D) Maintaining bed rest at all times to prevent the catheter from slipping off
A
A female client with suspected renal dysfunction is scheduled for excretory urography. Nurse July reviews the history for conditions that may warrant changes in client preparation. Normally, a client should be mildly hypovolemic (fluid depleted) before excretory urography. Which history finding would call for the client to be well hydrated instead? a. Cystic fibrosis b. Multiple myeloma c. Gout d. Myasthenia gravis
B
A nurse is caring for a client receiving hemodialysis who has an internal arteriovenous (AV) fistula. Which assessment finding would indicate to the nurse that the fistula is patent? a) white fibrin specks noted in the fistula b) palpation of a thrill over the site of the fistula c) lack of bruit over the site of the fistula d) a feeling of warmth at the site of the fistula
B
A female client with a urinary tract infection is prescribed co-trimoxazole (trimethoprim-sulfamethoxazole). Nurse Don should provide which medication instruction? a. "Take the medication with food." b. "Drink at least eight 8-oz glasses of fluid daily." c. "Avoid taking antacids during co-trimoxazole therapy." d. "Don't be afraid to go out in the sun."
B
A patient has a nursing diagnoses of in paired urinary illumination related to maturational enuresis. You recognize that your patient Is which of the following? A) An older adult that is 65 years of age is incontinent B) a child older than four years of age who has an voluntary urination C) A 12-month-old child who is in voluntary urination D) A patient with Neurological damage resulting in bladder dysfunction
B
After having transurethral resection of the prostate (TURP), a Mr. Locke returns to the unit with a three-way 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 irrigant 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
After surgery, Ms.Young is having difficultly voiding. Which nursing action would most likely lead to an increased difficulty with voiding? A)Pouring warm water over Ms.Young's fingers B)Having Ms.Young ignore the urge to void until her bladder is full C)Using a warm bedpan when MS.Young feels the urge to void D)Stroking Ms.Young's leg or thigh
B
Nurse Myrna is inserting a urinary catheter into a client who is extremely anxious about the procedure. The nurse can facilitate the insertion by asking the client to: a. initiate a stream of urine. b. breathe deeply. c. turn to the side. d. hold the labia or shaft of penis.
B
Nurse Wayne is aware that the following statements describing urinary incontinence in the elderly is true? a. Urinary incontinence is a normal part of aging. b. Urinary incontinence isn't a disease. c. Urinary incontinence in the elderly can't be treated. d. Urinary incontinence is a disease
B
When collecting a urine specimen for routine urinalysis from a "PT", the nurse must keep in mind which of the following? A)A sterile specimen is required for collection B)Results may be altered of a sample if left standing at room temperature for a long time C)The external meatus requires cleaning with antiseptic soap and water before voiding D)A clean-catch midstream specimen is necessary
B
When examining a female client's genitourinary system, nurse Sally assesses for tenderness at the costovertebral angle by placing the left hand over this area and striking it with the right fist. Normally, this percussion technique produces which sound? a. A flat sound b. A dull sound c. Hyperresonance d. Tympany
B
Which of the following terms did note a patient's inability to void even though the kidneys are producing urine that enters the bladder? A) Urgency B) Retention C)Oliguria D)Dysuria
B
A male client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should nurse Olivia assess first? a. Blood pressure b. Respirations c. Temperature d. Pulse
D
A 24-year old female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client? a. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually. b. The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to 10 days. c. The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse. d. The human papillomavirus (HPV), which causes condylomata acuminata, can't be transmitted during oral sex.
A
A 55-year old client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. Before providing preoperative and postoperative instructions to the client, nurse Gail asks the surgeon which prostatectomy procedure will be done. What is the most widely used procedure for prostate gland removal? a. Transurethral resection of the prostate (TURP) b. Suprapubic prostatectomy c. Retropubic prostatectomy d. Transurethral laser incision of the prostate
A
A client reports experiencing vulvar pruritus. Which assessment factor may indicate that the client has an infection caused by Candida albicans? a. Cottage cheese-like discharge b. Yellow-green discharge c. Gray-white discharge d. Discharge with a fishy odor
A
A client with renal malignancy is admitted to the hospital for a diagnostic workup and probable surgery. During the admission assessment the nurse inquires about the presence of which common symptom related to this problem? a) flank pain and intermittent hematuria b) suprapubic pain and constant slight hematuria c) flank pain and foul-smelling urine d) abdominal pain and decreased urine output
A
A male client develops acute renal failure (ARF) after receiving I.V. therapy with a nephrotoxic antibiotic. Because the client's 24-hour urine output totals 240 ml, nurse Andy suspects that the client is at risk for: a. cardiac arrhythmia. b. paresthesia. c. dehydration. d. pruritus.
A
A male client is admitted for treatment of glomerulonephritis. On initial assessment, Nurse Rose detects one of the classic signs of acute glomerulonephritis of sudden onset. Such signs include: a. generalized edema, especially of the face and periorbital area. b. green-tinged urine. c. moderate to severe hypotension. d. polyuria.
A
Nurse Ethel is planning to administer a sodium polystyrene sulfonate (Kayexalate) enema to a client with a potassium level of 5.9 mEq/L. Correct administration and the effects of this enema would include having the client: a. retain the enema for 30 minutes to allow for sodium exchange; afterward, the client should have diarrhea. b. retain the enema for 30 minutes to allow for glucose exchange; afterward, the client should have diarrhea. c. retain the enema for 60 minutes to allow for sodium exchange; diarrhea isn't necessary to reduce the potassium level. d. retain the enema for 60 minutes to allow for glucose exchange; diarrhea isn't necessary to reduce the potassium level
A
Nurse Eve is caring for a client who had a cerebrovascular accident (CVA). Which nursing intervention promotes urinary continence? a. Encouraging intake of at least 2 L of fluid daily b. Giving the client a glass of soda before bedtime c. Taking the client to the bathroom twice per day d. Consulting with a dietitian
A
Nurse Kim is caring for a client who had a cerebrovascular accident (CVA). Which nursing intervention promotes urinary continence? a. Encouraging intake of at least 2 L of fluid daily b. Giving the client a glass of soda before bedtime c. Taking the client to the bathroom twice per day d. Consulting with a dietitian
A
Nurse Vic is monitoring the fluid intake and output of a female client recovering from an exploratory laparotomy. Which nursing intervention would help the client avoid a urinary tract infection (UTI)? a. Maintaining a closed indwelling urinary catheter system and securing the catheter to the leg b. Limiting fluid intake to 1 L/day c. Encouraging the client to use a feminine deodorant after bathing d. Encouraging the client to douche once a day after removal of the indwelling urinary catheter
A
The Doctor has order an indwelling catheter inserted in a hospitalized male "PT". The nurse is aware of which of the following considerations? A)The male urethra is more vulnerable to injury during insertion B)In the hospital, a clean technique is used for catheter insertion C)The catheter is inserted 2" to 3" into the meatus D)Since it uses a closed system, the risk for urinary infection is absent
A
The priority treatment option for Miss Jones would most likely involve which of the following? A) Behavioral techniques B) Pharmacological measures C) Surgical intervention D) Use of absorbent products
A
When a person as a fever or diaphortesis, how would the urine output be described? A)Decreased and highly concentrated B)Decreased and highly dilute C)Increased and concentrated D)Increased and dilute
A
When caring for a male client with acute renal failure (ARF), Nurse Fatima expects to adjust the dosage or dosing schedule of certain drugs. Which of the following drugs would not require such adjustment? a. acetaminophen (Tylenol) b. gentamicin sulfate (Garamycin) c. cyclosporine (Sandimmune) d. ticarcillin disodium (Ticar)
A
A female client with an indwelling urinary catheter is suspected of having a urinary tract infection. Nurse Angel should collect a urine specimen for culture and sensitivity by: a. disconnecting the tubing from the urinary catheter and letting the urine flow into a sterile container. b. wiping the self-sealing aspiration port with antiseptic solution and aspirating urine with a sterile needle. c. draining urine from the drainage bag into a sterile container. d. clamping the tubing for 60 minutes and inserting a sterile needle into the tubing above the clamp to aspirate urine
B
A nurse is developing a plan of care for a client with nephrotic syndrome. The nurse documents that which important parameter needs to be assessed on a daily basis? a) total protein levels b) weight c) blood urea nitrogen (BUN) d) activity tolerance
B
A client has undergone urinary diversion after cystectomy for bladder cancer. The nurse assesses the urostomy stoma to ensure that it is: a) pale and pink b) pink and dry c) red and moist d) dusky to beefy colored
C
A male client who has been treated for chronic renal failure (CRF) is ready for discharge. Nurse Bea should reinforce which dietary instruction? a. "Be sure to eat meat at every meal." b. "Monitor your fruit intake, and eat plenty of bananas." c. "Increase your carbohydrate intake." d. "Drink plenty of fluids, and use a salt substitute."
C
A nurse is caring for a client following a cystoscopy. Which assessment finding requires physician notification? a) bladder spasm b) complaints of fullness and burning in the bladder c) clots in the urine d) back pain
C
A patient taking Phenazopyridine (pyridium, a urinary track analgesic) Should be cautioned that her year and may change to what color? A) Pale yellow B) Green C) Orange red D) Brown
C
After undergoing transurethral resection of the prostate to treat benign prostatic hyperplasia, a male client returns to the room with continuous bladder irrigation. On the first day after surgery, the client reports bladder pain. What should nurse Andrew do first? a. Increase the I.V. flow rate. b. Notify the physician immediately. c. Assess the irrigation catheter for patency and drainage. d. Administer meperidine (Demerol), 50 mg I.M., as prescribed.
C
Miss Jones is alert, ambulatory, older nursing home resident, who frequently has difficulty making it to the bathroom in time. The nurse planning her care is aware of the following? A) Incontinence is to be expected and a woman of Mrs Jones age. B)One of every 10 nursing home residents is incontinent C) Keagle exercises performed at regular intervals throughout the day maybe helpful D) An indwelling catheter should be inserted as soon as possible
C
Mr. Bales is 60 years old and alert. He is timid and reluctant to talk about his urinary retention problem. Which part of this plan could create stress for Mr. Bales and possibly increase his inability to urinate? A) Assisting him in assuming his normal voiding position B) Pulling curtains around him to provide privacy during voiding C) Staying with him while voiding D) Offering a urinal or a regular schedule
C
Nurse Hazel is ware that the following is an appropriate nursing diagnosis for a client with renal calculi? a. Ineffective tissue perfusion b. Functional urinary incontinence c. Risk for infection d. Decreased cardiac output
C
Nursing care for a "PT" with an indwelling catheter includes which of the following A)Irrigation of the catheter with a 30mL of normal saline solution every 4hours B)Disconnecting and reconnecting the drainage system quickly to obtain a urine sample C)Encourage a generous fluid intake of not contraindicate by the "PT" conduction. D)Telling the "PT" that burning and irritation are normal, subsiding within a few days
C