GU- (in class) NCLEX

When admitting a client with benign prostatic hyperplasia, the most relevant assessment made by the nurse is: a. Perineal edema b. Urethral discharge c. Flank pain radiating to the groin d. Distention of the lower abdomen

d. Distention of the lower abdomen

The nurse is developing a postprocedure plan of care for a client with a continuous bladder irrigation following a transurethral vaporization of the prostate. What should the nurse include in the plan?

Exclude the amount of irrigant instilled from the output

When teaching a community health class the nurse informs the group that the person at highest risk of developing prostate cancer is: a) 55 yo Black male b) 45 yo white male c) 55 yo Asian male d) 45 yo Hispanic mal

a) 55 yo Black male Rationale: Cancer of the prostate is rare before age 50 but increases with each decade; black men develop cancer of the prostate twice as often and at an earlier age than white men.

A client is admitted to the hospital with severe renal colic caused by a ureteral calculus. Later that evening the client's urinary output is much less than the intake. When it is confirmed that the bladder is not distended, what should the nurse suspect developed? a. Oliguria b. Hydroureter c. Renal shutdown d. Urethral obstruction

b. Hydroureter Rational: Calculi may obstruct the flow of urine to the bladder, allowing the urine to distend the ureter, causing hydroureter. There is insufficient information to come to the conclusion of oliguria, even though output is less than intake; oliguria is present when the output is less than 400 mL in a 24-hour period. Calculi do not cause renal shutdown directly; they may obstruct the urinary tract and cause damage indirectly as a result of pressure from urine buildup. If the urethra is obstructed, the bladder will be distended.

A client is scheduled for a transurethral prostatectomy. He is concerned about the operations effect on his sexual ability. The nurse should reply that he may:

Experience retrograde ejaculations

A client who had a lithotripsy for renal calculus is to be discharged from the hospital. What should the nurse include in the home care instructions? A. Drink at least 3 L of fluid daily for four weeks B. Eliminate organ meats from the diet for six weeks C. Increase the intake of dairy products for five days D. Restrict movement for three days before resuming usual activities

A. Drink at least 3 L of fluid daily for four weeks Increasing fluid intake aids in the passage of fragments of the calculus that remain after the lithotripsy.

After a transurethral vaporizaiton of the prostate, the client returns to the unit with a urinary retention catheter and continuous bladder irrigation, what should the nurse do first when the client indicates the need to urinate?

Assess that the tubing attached to the collection bag is patent

A client is diagnosed as having phosphatic calculi. The nurse teaches the client that his diet may include:

Apples Rational: Apples are low in phosphate; fresh fruit is low in phosphorus.

A client who had a prostatecomy complains of painfull bladder spasm, To limit these spasms the nurse should:

Encourage the client to avoid contracting his muscles as if he were voiding

The most essential nursing care for a client with a nephrostomy tube is

Ensuring free drainage if urine

A nurse is obtaining a health history from a client with the diagnosis of renal calculi. Which factor in the client's history most likely contributed to the development?

Excess ingestion of antacids Rational: Antacids are vitamin C

When planning care for a client with ureteral colic, the goal of preventing future calculi is based on the knowledge that most factors contributing to the development of renal stones can be overcome by:

Drinking 8 to 10 glasses of water daily

After prostate surgery a clients indwelling catheter and continuous bladder irrigation (CBI) are to be removed. The nurse discusses the procedure with the client The nurse evaluate that the teaching is understands when the client states, "after the catheter is removed I probably will:

Experience some burning on urination. Because of the trauma to the mucous membranes of the urinary tract, burning on urination is an expected response that should subside gradually.

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?

Flank discomfort

A client is admitted to the hospital with a urethral calculus. What clinical findings should the nurse expect when the client voids?

Hematuria with sharp pain

In the early postoperative period after a transuretheral resection of the prostate, the most common complication the nurse should monitor for is:

Hemorrage

The nurse is caring for a client in the postanesthesia care unit. The client had a suprapubic prostatectomy for cancer of the prostate and has a continuous bladder irrigation (CBI) in place. Which primary goal is the nurse trying to achieve with the CBI?

Prevent the development of clots in the bladder.

A client is transferred to the postanesthesia care unit after undergoing a pyelolithotomy. The client's urinary output is 50 mL/hr. What should the nurse do?

Record the output as an expected finding.

The nurse evaluates that a client who had a transurethral vaporization of the prostates understand the discharge teaching when he says, "I should:

Report if my urinary stream decreases

A nurse is obtaining the health history of a client with a left ureteral calculus who is scheduled for a transurethreral ureterolithotomy. a) Boring pain in the left flank b) Pain that intensifies on urination c) Dull paint that is constant in the costovertebral angle d) Spasmodic pain on the left side that radiates to the suprapubic area.

That is spasmodic and located in the left side and radiating to the suprapubic area Rationale: Pain with ureteral stones is caused by spasm and is excruciating and intermittent; it follows the path of the ureter to the bladder.

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:

Urgency or frequency of urination

The laboratory values of a client with renal calculi reveal a serum calcium within expected limits and an elevated serum purine. The nurse concludes that the stone probably is composed of:

Uric Acid

A client who has had a transurethral prostatectomy (TURP) experiences dribbling after the indwelling catheter is removed. To address this problem, an appropriate nursing response is: a. "Increase your fluid intake and urinate at regular intervals." b. "I know you're worried, but it will go away in a few days." c. "Limit your fluid intake and urinate when you first feel the urge." d. "The catheter will have to be reinserted until your bladder regains its tone."

a. "Increase your fluid intake and urinate at regular intervals." Increasing fluid intake and urinating at regular intervals will improve bladder tone, which should alleviate dribbling.

After a suprapubic prostatectomy, a client's plan of care will include the prevention of postoperative deep vein thrombosis. The nurse recalls that this can be achieved best by increasing the: a. Coagulability of the blood b. Velocity of the venous return c. Effectiveness of internal respiration d. Oxygen-carrying capacity of the blood

b. Velocity of the venous return Because venous stasis is the major predisposing factor of pulmonary emboli, venous flow velocity should be increased through activity.

A 72 year old male client reports dysuria, nocturia, and difficulty starting the urinary stream. A cystoscopy and biopsy of the prostate gland have been scheduled. After the procedure, the client reports an inability to void. The nurse should: a. Limit oral fluids until the client voids b. Assure the client that this is expected c. Insert a urinary retention catheter d. Palpate above the pubic symphysis

d. Palpate above the pubic symphysis A full bladder is palpable with urinary retention and distention, which are common problems after a cystoscopy because of urethral edema.