Urinary Billings Questions

Because a client's renal stone was found to be composed of uric acid, a low-purine, alkaline-ash diet was prescribed. Incorporation of which of the following food items into the home diet would indicate that the client understands the necessary diet modifications? 1. Milk, apples, tomatoes, and corn 2. Eggs, spinach, dried peas, and gravy 3. Salmon, chicken, caviar, and asparagus 4. Grapes, corn, cereals, and liver

1. Milk, apples, tomatoes, and corn

A client has been prescribed allopurinol (Zyloprim) for renal calculi that are caused by high uric acid levels. Which of the following indicate the client is experiencing adverse effect(s) of this drug? Select all that apply 1. Nausea 2. Rash 3. Constipation 4. Flushed skin 5. Bone marrow depression

1. Nausea 2. Rash 5. Bone marrow depression

The nurse teaches the client with a urinary diversion to attach the appliance to a standard urine collection bag at night. The most important reason for doing this is to prevent: 1. Urine reflux into the stoma 2. Appliance separation 3. Urine leakage 4. The need to restrict fluids

1. Urine reflux into the stoma

A client has undergone a cystectomy and an ileal conduit diversion. What should the nurse incorporate into the discharge instructions? Select all that apply 1. Drink at least 3000 mL of fluid each day 2. Minimize daily activities 3. Keep urine alkaline to prevent urinary tract infections 4. Avoid odor-producing foods, such as onions, fish, eggs, and cheese 5. Wear snug clothing over the stoma to encourage urine flow into the drainage bag

1. Drink at least 3000 mL of fluid each day 4. Avoid odor-producing foods, such as onions, fish, eggs, and cheese

A client with a history of renal calculi formation is being discharge after a surgery to remove the calculus. What instructions should the nurse include in the client's discharge teaching plan? 1. Increase daily fluid intake to at least 2-3 L 2. Strain urine at home regularly 3. Eliminate dairy products from the diet 4. Follow measures to alkalinize the urine

1. Increase daily fluid intake to at least 2-3 L

A client is to have a cystoscopy. Which of the following indicate that the client has developed a complication after the cystoscopy? 1. Dizziness 2. Chills 3. Pink-tinged urine 4. Bladder spasms

2. Chills

A client is scheduled to undergo weekly intravesical chemotherapy for bladder cancer for the next 8 weeks. Which of the following indicates that the client understands how to manage the urine as a biohazard. The client will: 1. Void into a bedpan and then empty the urine into the toilet 2. Disinfect the urine and toilet with bleach for 6 hours following a treatment 3. Clean the bathroom daily with disinfectant wipes 4. Use a separate bathroom form the rest of the family for the next 8 weeks

2. Disinfect the urine and toilet with bleach for 6 hours following a treatment

Allopurinol (Zyloprim), 200mg/day, is prescribed for the client with renal calculi to take at home. The nurse should teach the client about which of the following adverse effects of this medication? 1. Retinopathy 2. Maculopapular rash 3. Nasal congestion 4. Dizziness

2. Maculopapular rash

The nurse is teaching the client with an ileal conduit how to prevent a UTI. Which of the following measures would be most effective? 1. Avoid people with respiratory tract infections 2. Maintain a daily fluid intake of 2-3 L 3. Use sterile technique to change the appliance 4. Irrigate the stoma daily

2. Maintain a daily fluid intake of 2-3 L

The client with an ileal conduit will be using a reusable appliance at home. The nurse should teach the client to clean the appliance routinely with which product? 1. Baking soda 2. Soap 3. Hydrogen peroxide 4. Alcohol

2. Soap

A client has an ileal conduit. Which of the following solutions will be useful to help control odor in the urine collecting bag after it has been cleaned? 1. Salt water 2. Vinegar 3. Ammonia 4. Bleach

2. Vinegar

The client is scheduled for an intravenous pyelogram (IVP) to determine the location of the renal calculi. Which of the following measures would be most important for the nurse to include in pretest preparation? 1. Ensuring adequate fluid intake on the day of the test 2. Preparing the client for the possibility of bladder spasms during the test 3. Checking the client's history for allergy to iodine 4. Determining when the client last had a bowel movement

3. Checking the client's history for allergy to iodine

A client who has been diagnosed with bladder cancer is scheduled for an ileal conduit. Preoperatively, the nurse reinforces the client's understanding of the surgical procedure by explaining that na ileal conduit: 1. Is a temporary procedure that can be reversed later 2. Diverts urine into the sigmoid colon, where it is expelled through the rectum 3. Conveys urine from the ureters to a stoma opening on the abdomen 4. Creates an opening in the bladder that allows urine to drain into an external pouch

3. Conveys urine from the ureters to a stoma opening on the abdomen

If the client develops lower abdominal pain after a cystoscopy, the nurse should instruct the client to do which of the following? 1. Apply an ice pack to the pubic area 2. Massage the abdomen gently 3. Ambulate as much as possible 4. Sit in a tub of warm water

4. Sit in a tub of warm water

The nurse should assess the client with bladder cancer for which of the following? 1. Suprapubic pain 2. Dysuria 3. Painless hematuria 4. Urine retention

3. Painless hematuria

The nurse evaluates the effectiveness of the client's postoperative plan of care. Which of the following would be an expected outcome for a client with an ileal conduit? 1. The client verbalizes the understanding that physical activity must be curtailed 2. The client will place an aspirin in the drainage pouch to help control odor 3. The client demonstrates how to catheterize the stoma 4. The client will empty the drainage pouch frequently throughout the day

4. The client will empty the drainage pouch frequently throughout the day

A client has renal colic due to renal lithiasis. What is the nurse's first priority in managing care for this client? 1. Do not allow the client to ingest fluids 2. Encourage the client to drink at least 500 mL of water each hour 3. Request the central supply department to send supplies for straining urine 4. Administer an opioid analgesic as prescribed

4. Administer an opioid analgesic as prescribed

The nurse is reviewing laboratory reports for a client who is taking allopurinol (Zyloprim). Which of the following indicate that the drug has had a therapeutic effect> 1. Decreased urine alkaline phosphatase level 2. Increased urine calcium excretion 3. Increased serum calcium level 4. Decreased serum uric acid level

4. Decreased serum uric acid level

The nurse is assessing the urine of a client who has had an ileal conduit and notes that the urine is yellow with a moderate amount of mucus. Based on these data, the nurse should: 1. Change the appliance bag 2. Notify the physician 3. Obtain a urine specimen for culture 4. Encourage a high fluid intake

4. Encourage a high fluid intake

The client is scheduled to have a kidney, ureter, and bladder (KUB) radiograph. To prepare the client for this procedure, the nurse should explain to the client that: 1. Fluid and food will be withheld the morning of the examination 2. A tranquilizer will be given before the examination 3. An enema will be given before the examination 4. No special preparation is required for the examination

4. No special preparation is required for the examination

The nurse should teach the client with an ileal conduit to prevent urine leakage when changing the appliance by using which of the following procedures? 1. Insert a gauze wick into the stoma 2. Close the opening temporarily with a cellophane seal 3. Suction the stoma before changing the appliance 4. Avoid oral fluids for several hours before changing the appliance

1. Insert a gauze wick into the stoma

After an intravenous pyelogram (IVP), the nurse should anticipate incorporating which of the following measures into the client's plan of care? 1. Maintaining bed rest 2. Encouraging adequate fluid intake 3. Assessing for hematuria 4. Administering a laxative

2. Encouraging adequate fluid intake

A client has a ureteral catheter in place after renal surgery. A priority nursing action for care of the ureteral catheter is to: 1. Irrigate the catheter with 30 mL of normal saline every 8 hours 2. Ensure that the catheter is draining freely 3. Clamp the catheter every 2 hours for 30 minutes 4. Ensure that the catheter drains at least 30 mL/h

2. Ensure that the catheter is draining freely

The nurse is evaluating the discharge teaching for a client who has an ileal conduit. Which of the following statements indicates that the client has correctly understood teaching? Select all that apply 1. "If I limit my fluid intake, I will not have to empty my ostomy pouch as often" 2. "I can place an aspirin tablet in my pouch to decrease odor" 3. "I can usually keep my ostomy pouch on for 3-7 days before changing it" 4. "I must use a skin barrier to protect my skin form urine" 5. "I should empty my ostomy pouch of urine when it is full"

3. "I can usually keep my ostomy pouch on for 3-7 days before changing it" 4. "I must use a skin barrier to protect my skin form urine"

A client is admitted to the hospital with a diagnosis of renal calculi. The client is experiencing severe flank pain and nausea; the temperature is 100.6. Which of the following would be a priority outcome for this client? 1. Prevention of urinary tract complications 2. Alleviation of nausea 3. Alleviation of pain 4. Maintenance of fluid and electrolyte balance

3. Alleviation of pain