Urinary/Reproductive Systems
A client is scheduled for a transurethral resection of the prostate. What should the nurse tell the client to expect after surgery?
"An indwelling urinary catheter is required for at least a day."
A diet that contains restricted amounts of protein, sodium, and potassium has been prescribed for a client with end-stage renal disease who is receiving dialysis. The nurse is providing dietary instructions and evaluates that the teaching is effective when the client makes which statement?
"I should avoid using salt substitutes."
A client who is diagnosed with sexual dysfunction makes a comment to the nurse, "Well, I guess my sex life is over." What is the most appropriate response by the nurse?
"You are concerned about your sex life?"
A client is taught how to change the dressing and how to care for a recently inserted nephrostomy tube. On the day of discharge the client states, "I hope I can handle all this at home; it's a lot to remember." What is the best response by the nurse?
"You seem to be nervous about going home."
The nurse reviews the medical records of four male clients and concludes that which client is at highest risk of developing prostate cancer?
A black 55-year-old
Which client's urine specific gravity level is abnormal?
Client D: 1.041
A client arrives at a health clinic reporting hematuria, frequency, urgency, and pain on urination. What does the nurse suspect is the cause of these signs and symptoms?
Cystitis
A client is receiving furosemide (Lasix) to relieve edema. The nurse should monitor the client for which response to the medication?
Excessive loss of potassium ions
A client with acute glomerulonephritis reports feeling thirsty. What should the nurse offer the client?
Hard Candy.
Which is the most serious complication for which the nurse must monitor a client with kidney failure?
Hyperkalemia.
Monitoring vital signs, particularly the blood pressure and the rate and quality of the pulse, is essential in detecting physiologic adaptations in a preschool child with nephrotic syndrome. Which clinical manifestation should the nurse be able to detect from these vital signs?
Hypovolemia
Which structure extends from the mons pubis to the perineal floor?
Labia majora
A pathology report states that a client's urinary calculus is composed of uric acid. Which should the nurse instruct the client to avoid?
Liver
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?
Offering the urinal regularly.
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. What should this should be documented in the medical record as?
Overflow incontinence.
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?
Pain
A female client has a history of recurrent urinary tract infections. What should the nurse include in the teaching plan when teaching the client about health practices that may help decrease future urinary tract infections?
Wear cotton underpants.
A nurse administers trimethoprim-sulfamethoxazole (Bactrim) to a client diagnosed with a urinary tract infection. What should the nurse monitor to determine the therapeutic effectiveness of the drug?
White blood cell (WBC) count.
