Urinary week 1

A client with end-stage renal disease is hospitalized. For what signs and symptoms of complications should the nurse monitor the client? (Select all that apply.) 1.Anemia 2.Dyspnea 3.Jaundice 4.Anasarca 5.Hyperexcitability

1.Anemia 2.Dyspnea 4.Anasarca

After a transurethral vaporization of the prostate, the client returns to the unit with an indwelling urinary catheter and a continuous bladder irrigation. The client puts the call light on to report the need to urinate. What should the nurse do first? 1.Assess that the tubing attached to the collection bag is patent 2.Obtain the client's vital signs 3.Explain that the balloon inflated in the bladder causes this feeling 4.Review the client's intake and output

1.Assess that the tubing attached to the collection bag is patent

The nurse reviews the medical records of four male clients and concludes that the client that is at highest risk of developing prostate cancer is the: 1.Black 55-year-old 2.White 45-year-old 3.Asian 55-year-old 4.Hispanic 45-year-old

1.Black 55-year-old

A client has a kidney transplant. The nurse should monitor for which signs associated with rejection of the transplant? (Select all that apply.) 1.Fever 2.Oliguria 3.Jaundice 4.Moon face 5.Weight gain

1.Fever 2.Oliguria 5.Weight gain

A nurse is caring for a client who had a nephrectomy because of cancer of the kidney. Which factor will influence the client's ability to deep breathe and cough postoperatively? 1.Location of the surgical incision 2.Increased anxiety about the prognosis 3.Inflammatory process associated with surgery 4.Pulmonary congestion from preoperative medications

1.Location of the surgical incision

An obese client who is mildly hypertensive is hospitalized with a diagnosis of ureteral colic and hematuria. What is the immediate focus of nursing care for this client? 1.Pain 2.Weight 3.Hematuria 4.Hypertension

1.Pain

The nurse is caring for a client four days after the client had a cystectomy and formation of a continent diversion. After observing mucous threads in the client's urine, the nurse should: 1.Recognize that this is an expected response 2.Report this to the health care provider immediately 3.Obtain a specimen for culture and sensitivity 4.Increase the client's fluid intake for the next 12 hours

1.Recognize that this is an expected response

The nurse provides discharge instructions to a male client that had a ureterolithotomy. The client has a history of recurrent urinary tract infections (UTIs). The teaching should include that indicators of a UTI are: 1.Urgency or frequency of urination 2.The inability to maintain an erection 3.Pain radiating to the external genitalia 4.An increase in the alkalinity of the urine

1.Urgency or frequency of urination

A client is receiving furosemide (Lasix) to relieve edema. The nurse should monitor the client for which responses? (Select all that apply.) 1.Weight loss 2.Negative nitrogen balance 3.Increased urine specific gravity 4.Excessive loss of potassium ions 5.Pronounced retention of sodium ions

1.Weight loss 4.Excessive loss of potassium ions

The nurse is providing postoperative care eight hours after a client had a total cystectomy and the formation of an ileal conduit. What assessment finding should be reported immediately? 1.Edematous stoma 2.Dusky-colored stoma 3.Absence of bowel sounds 4.Pink-tinged urinary drainage

2.Dusky-colored stoma

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.) 1.Chvostek sign 2.Muscle cramps 3.Extreme fatigue 4.Cardiac dysrhythmias 5.Increased temperature

2.Muscle cramps 3.Extreme fatigue Chvostek 征被描述为面部肌肉在轻敲面部神经区域时出现抽搐（视频 1）。Trousseau 的征象是由缺血引起的腕足痉挛，例如由膨胀的血压计袖带施加到上臂的压力引起的

A nurse is caring for an older bedridden male client who is incontinent of urine. What nursing intervention is the most satisfactory initial approach to managing urinary incontinence? 1.Restricting fluid intake 2.Offering the urinal regularly 3.Applying incontinence pants 4.Inserting an indwelling urinary catheter

2.Offering the urinal regularly

A nurse is caring for a client who just had surgery to repair an inguinal hernia. To limit a common complication associated with this surgery, the nurse should: 1.Apply an abdominal binder 2.Place a support under the scrotum 3.Teach the client to cough several times an hour 4.Encourage the client to eat a high carbohydrate diet

2.Place a support under the scrotum

The nurse is providing care to a client who is being treated for bacterial cystitis. Before discharge, it is most important for the client to: 1.Understand the need to drink 4 L of water per day, an essential measure to prevent dehydration 2.Be able to identify dietary restrictions and plan menus 3.Achieve relief of symptoms and to maintain kidney function 4.Recognize signs of bleeding, a complication associated with this type of procedure

3.Achieve relief of symptoms and to maintain kidney function

A nurse plans to teach the signs of rejection to a client who just had a transplanted kidney. What sign of rejection should the nurse include? 1.Weight loss 2.Subnormal temperature 3.Elevated blood pressure 4.Increased urinary output

3.Elevated blood pressure

A nurse teaches the signs of organ rejection to a client who had a kidney transplant. What should be included in the education? 1.Weight loss 2.Subnormal temperature 3.Elevated blood pressure 4.Increased urinary output

3.Elevated blood pressure

A client with acute glomerulonephritis complains of thirst. The most appropriate item that the nurse can offer to relieve the client's thirst is: 1.Ginger ale 2.Milkshake 3.Hard candy 4.Cup of broth

3.Hard candy

A nurse is caring for a client receiving hemodialysis for chronic kidney disease. The nurse should monitor the client for what complication? 1.Peritonitis 2.Renal calculi 3.Hepatitis B 4.Bladder infection

3.Hepatitis B

A client who is to begin continuous ambulatory peritoneal dialysis (CAPD) asks the nurse what this treatment entails. What information should the nurse include in the explanation? 1.Peritoneal dialysis is done in an ambulatory care clinic. 2.Hemodialysis and peritoneal dialysis are provided continuously. 3.The peritoneal membrane allows passage of toxins into the dialysate. 4.A quarter of a liter of dialysate is maintained inter- and intraperitoneally

3.The peritoneal membrane allows passage of toxins into the dialysate.

A nurse is caring for a client with acute kidney failure who is receiving a protein-restricted diet. The client asks why this diet is necessary. What information should the nurse include in a response to the client's questions? 1.A high-protein intake ensures an adequate daily supply of amino acids to compensate for losses. 2.Essential and nonessential amino acids are necessary in the diet to supply materials for tissue protein synthesis. 3.This supplies only essential amino acids, reducing the amount of metabolic waste products, thus decreasing stress on the kidneys. 4.Urea nitrogen cannot be used to synthesize amino acids in the body, so the nitrogen for amino acid synthesis must come from the dietary protein

3.This supplies only essential amino acids, reducing the amount of metabolic waste products, thus decreasing stress on the kidneys.

The nurse provides education to a client about the side effects of furosemide (Lasix). Which client statements indicate that the teaching is understood? (Select all that apply.) 1."I must not eat citrus fruits." 2."I should wear dark glasses." 3."I should avoid lying flat in bed." 4."I should change my position slowly." 5."I must eat a food that contains potassium every day."

4."I should change my position slowly." 5."I must eat a food that contains potassium every day."

A client just had a suprapubic prostatectomy. Which action should the nurse implement to prevent a secondary bladder infection? 1.Observe for signs of uremia 2.Attach the catheter to suction 3.Clamp off the connecting tube 4.Change the dressings frequently

4.Change the dressings frequently

A nurse assesses a newly admitted client with renal colic to determine the signs and symptoms that are present. The nurse assesses the client for which primary subjective symptom? 1.Uremia 2.Nausea 3.Voiding at night 4.Flank discomfort

4.Flank discomfort

A nurse is developing a discharge plan for a client who was hospitalized with severe cirrhosis of the liver. The plan should include the: 1.Need for a high protein diet 2.Use of a sedative for relaxation 3.Need to increase fluids 4.Importance of reporting personality changes to the health care provider

4.Importance of reporting personality changes to the health care provider

The nurse providing postoperative care for a client who had kidney surgery reviews the client's urinalysis results. The nurse concludes that the presence of what substance in the urine needs to be reported to the health care provider? 1.Sodium 2.Potassium 3.Urea nitrogen 4.Large proteins

4.Large proteins

A nurse is caring for a client who is experiencing urinary incontinence. The client has an involuntary loss of small amounts (25 to 35 mL) of urine from an overdistended bladder. This should be documented in the medical record as: 1.Urge incontinence 2.Stress incontinence 3.Reflex incontinence 4.Overflow incontinence

4.Overflow incontinence

The nurse should ask the client with secondary syphilis about sexual contacts during the past: 1.21 days 2.30 days 3.Three months 4.Six months

4.Six months

A client is scheduled for an intravenous pyelogram (IVP). The nurse explains that on the day before the IVP the client must: 1.Avoid fats and proteins 2.Drink a large amount of fluids 3.Omit dinner and limit beverages 4.Take a laxative before going to bed

4.Take a laxative before going to bed

A lithotripsy to break up renal calculi is unsuccessful, and a nephrolithotomy is performed. Which postoperative clinical indicator should the nurse report to the health care provider? 1.Passage of pink-tinged urine 2.Pink drainage on the dressing 3.Intake of 1750 mL in 24 hours 4.Urine output of 20 to 30 mL/hr

4.Urine output of 20 to 30 mL/hr