Urinary-NCLEX

The nurse is caring for the client with epididymitis. Which treatment modalities should be implemented? SELECT ALL THAT APPLY 1. bed rest 2. sitz bath 3. antibiotics 4. heating pad 5. scrotal elevation

1. bed rest 2. sitz bath 3. antibiotics 5. scrotal elevation

After a renal biopsy , the client complains of pain at the biopsy site that radiates to the front of the abdomen. Which would this indicate? 1. bleeding 2. infection 3. renal colic 4. normal, expected pain

1. bleeding

A client with chronic kidney disease is receiving epoetin alfa. Which laboratory result would indicate a therapeutic effect of the medication? 1. hematocrit of 33% 2. platelet count of 400,000 3. WBC count of 6000 4. BUN level 15

1. hematocrit of 33%

The nurse is reviewing the clients record and notes that the PHCP has documented that the client has a renal disorder. Which laboratory results would indicate a decrease in renal function? SELECT ALL THAT APPLY 1.elevated serum creatinine level 2. elevated thrombocyte cell count 3. decreased RBC count 4. decreased WBC count 5. elevated BUN level

1.elevated serum creatinine level 3. decreased RBC count 5. elevated BUN level

A sulfonamide is prescribed for a client with a UTI. During review of the clients record, the nurse notes that the client is taking warfarin sodium daily. Which prescription should the nurse anticipate for this client? 1. discontinuation of warfarin sodium 2. a decrease in the warfarin sodium dosage 3. an increase in the warfarin sodium dosage 4. a decrease in the usual dose of the sulfonamide

2. a decrease in the warfarin sodium dosage

The nurse monitoring a client receiving peritoneal dialysis notes that the client's outflow is less than the inflow. The nurse should take which actions? Select all that apply. 1. contact the nephrologist 2. check the level of the drainage bag 3. reposition the client to his or her side 4. place the client in a good body alignment 5. check the peritoneal dialysis system for kinks 6.. increase the flow rate of the peritoneal dialysis solution

2. check the level of the drainage bag 3. reposition the client to his or her side 4. place the client in a good body alignment 5. check the peritoneal dialysis system for kinks

The nurse is reviewing the medical record of a client with a diagnosis of pyelinephritis. Which disorder noted on the clients record should the nurse identify as a risk factor of this diagnosis? 1. hypoglycemia 2. diabetes mellitus 3. coronary artery disease 4. orthostatic hypotension

2. diabetes mellitus

Following kidney transplantation, cyclosporine (Sandimmune) is prescribed for a client. Which laboratory result would indicate an adverse effect from the use of this medication? 1. hemoglobin level 14.0 2. reatinine level 0.6 3. BUN 25 4. fasting blood glucose level of 99

3. BUN 25

Phenazopyridine hydrochloride is prescribed for a client for symptomatic relief of pain resulting from a lower UTI. Which should the nurse reinforce to the client? 1. take the medication at bedtime 2. take the medication before meals 3. discontinue the medication if a headache occurs 4. a reddish-orange discoloration of the urine may occur

4. a reddish-orange discoloration of the urine may occur

A male client has a tentative diagnosis of urethritis. The nurse should assess the client for which manifestation of the disorder? 1. hematuria and pyuria 2. dysuria and proteinuria 3. hematuria and urgency 4. dysuria and penile discharge

4. dysuria and penile discharge

A hemodialysis client with a left arm fistula is at risk for arterial syndrome. The nurse monitors this client for which signs/symptoms of this disorder? 1. edema and purpura of the left arm 2. warmth, redness and pain in the left hand 3. aching pain, pallor, and edema of the left arm 4. pallor, diminished pulse, and pain in the left hand

4. pallor, diminished pulse, and pain in the left hand

A client with benign prostatic hypertrophy (BPH) undergoes a transurethral resection of the prostate (TURP) and is receiving continuous bladder irrigation's postoperatiely. Which are the sign/symptoms of TURP syndrome? 1. tachycardia and diarrhea 2. bradycardia and confusion 3. increased urinary output and anemia 4. decreased urinary output and bladder spasms

2. bradycardia and confusion

The nurse is instructing a client with diabetes mellitus about peritoneal dialysis. The nurse tells the client that it is important to maintain the prescribed dwell time for the dialysis because of the risk of which complication? 1. peritonitis 2. hyperglycemia 3. hyperphosphatemia 4. disequilibrium syndrome

2. hyperglycemia

The nurse is reinforcing discharge instructions to a client receiving sulfadiazine. Which should be included in the list of instructions? 1. restrict fluid intake 2. maintain a high fluid intake 3. decrease the dosage when symptoms are improving to prevent an allergic response 4. if the urine is dark brown, call the PHCP immediately

2. maintain a high fluid intake

Bethanechol chloride is prescribed for a client with urinary retention. Which disorder should be a contraindication to the administration of this medication? 1. gastric atony 2. urinary strictures 3. neurogenic atony

2. urinary strictures

A client with prostatitis resulting from kidney infection has received instructions on management of the condition at home and prevention on recurrence. Which statement indicates that the client understood the instructions? 1. stop antibiotic therapy when pain subsides 2. exercise as much as possible to stimulate circulation 3. use warm sitz baths and analegesics to increase comfort 4. keep fluid intake to a minimum ti decrease the need to void

3. use warm sitz baths and analegesics to increase comfort

The nurse who is administering bethanechol chloride is monitoring for acute toxicity associated medication. The nurse should check for which sign of toxicity? 1. dry skin 2. dry mouth 3. bradycardia 4. signs of dehydration

3. bradycardia

The nurse is monitoring an older client suspected of having a UTI for signs of infection. Which signs/symptom is likely to present first? 1. fever 2. urgency 3. confusion 4. frequency

3. confusion

A client has epididymitis as a complication of a UTI . The nurse is giving the client instructions to prevent recurrence. The nurse determines that the client needs FURTHER teaching if the client states the intention to do which action? 1. drink an increased amount of fluids 2. limit the force of the stream during voiding 3. continue to take antibiotics until all symptoms are gone

3. continue to take antibiotics until all symptoms are gone

A client is scheduled for intravenous pyelography. Which PRIORITY nursing action should the nurse take? 1. restrict fluids 2. administer a sedative 3. determine if there is a history of allergies 4. administer an oral preparation of radiopaque dye

3. determine if there is a history of allergies

A client with chronic kidney disease has been on dialysis for 3 years. The client is receiving the usual combination of medications for the disease, including aluminum hydroxide as a phosphate-binding agent. The client now has mental cloudiness, dementia, and complains of bone pain. Which does this data indicate? 1. advancing uremia 2. phosphate overdose 3. folic acid deficiency 4. aluminum intoxication

4. aluminum intoxication

The client who has a cold is seen in the ER with an inability to void. Because the client has a history of benign prostatic hyperplasia, the nurse determines that the client should be questioned about the use of which class of medication? 1. diuretics 2. antibiotics 3. antitussives 4. decongestants

4. decongestants

The nurse is collecting data from a client who has had benign prostatic hyperplasia (BPH) in the past. To determine whether the client is currently experiencing exacerbation of BP, the nurse should ask the client about the presence of which early symptom? 1. nocturia 2. urinary retention 3. urge incontinence 4. decreased force in the stream of urine

4. decreased force in the stream of urine

Oxybutynin chloride is prescribed for a client with neurogenic bladder. Which sign would indicate a possible toxic effect related to this medication? 1. pallor 2. drowsiness 3. bradycardia 4. restlessness

4. restlessness

Trimethoprim/Sulfamethoxazole is prescribed for a client. The nurse should instruct the client to report which symptom if it developed during the course of this medication therapy? 1. nausea 2. diarrhea 3. headache 4. sore throat

4. sore throat