GU questions Chapter 55 and 59

A nurse is teaching a female client with a history of multiple urinary tract infections (UTIs). Which statement indicates the client understands the teaching about preventing UTIs? "I should take a tub bath at least 3 times per week." "I should wipe from back to front." "I should limit my fluid intake to limit my trips to the bathroom." "I should take at least 1,000 mg of vitamin C each day."

"I should take at least 1,000 mg of vitamin C each day."

The nurse is participating in a bladder retraining program for a patient who had an indwelling catheter for 2 weeks. The nurse knows that, during this process, straight catheterization, after catheter-free intervals, can be discontinued when residual urine is: 200 mL <100 mL 400 mL 500 mL

<100 mL

What is the most common presenting objective symptom of a urinary tract infection in older adults, especially in those with dementia? Incontinence Hematuria Back pain Change in cognitive functioning

Change in cognitive functioning

An ileal conduit is created for a client after a radical cystectomy. Which of the following would the nurse expect to include in the client's plan of care? Exercises to promote sphincter control Intermittent catheterizations Application of an ostomy pouch Irrigating the urinary diversion

Application of an ostomy pouch

A patient comes to the clinic suspecting a possible UTI. What symptoms of a UTI would the nurse recognize from the assessment data gathered? Cloudy urine An output of 200mL with each voiding Rebound tenderness at McBurney's point Urine with a specific gravity of 1.005-1.022

Cloudy urine

After teaching a group of students about the types of urinary incontinence and possible causes, the instructor determines that the student have understood the material when they identify which of the following as a cause of stress incontinence? Increased urine production due to metabolic conditions Decreased pelvic muscle tone due to multiple pregnancies Bladder irritation related to urinary tract infections Obstruction due to fecal impaction or enlarged prostate

Decreased pelvic muscle tone due to multiple pregnancies

The nurse is assisting in the development of a protocol for bladder retraining following removal of an indwelling catheter. Which item should the nurse include? Perform straight catheterization every 4 hours Encourage voiding immediately after catheter removal Implement a 2- to 3-hour voiding schedule Avoid drinking fluids for 6 hours

Implement a 2- to 3-hour voiding schedule

Patients with urolithiasis need to be encouraged to: Limit their voiding to every 6 to 8 hours so that increased volume can increase hydrostatic pressure, which will help push stones along the urinary system. Increase their fluid intake so that they can excrete 2.5 to 4 liters every day. Participate in strenuous exercises so that the tone of smooth muscle in the urinary tract can be strengthened to help propel calculi. Supplement their diet with calcium needed to replace losses to renal calculi.

Increase their fluid intake so that they can excrete 2.5 to 4 liters every day.

After undergoing retropubic prostatectomy, a client returns to his room. The client is on nothing-by-mouth status and has an I.V. infusing in his right forearm at a rate of 100 ml/hour. The client also has an indwelling urinary catheter that's draining light pink urine. While assessing the client, the nurse notes that his urine output is red and has dropped to 15 ml and 10 ml for the last 2 consecutive hours. How can the nurse best explain this drop in urine output? It's an abnormal finding that requires further assessment. It's an abnormal finding that will correct itself when the client ambulates. It's a normal finding associated with the client's nothing-by-mouth status. It's a normal finding caused by blood loss during surgery.

It's an abnormal finding that requires further assessment.

A client undergoes surgery to remove a malignant tumor, followed by a urinary diversion procedure. The nurse's postoperative plan of care should include which action? Determine the client's ability to manage stoma care. Suggest a visit to a local ostomy group. Maintain skin and stomal integrity. Show pictures and drawings of placement of the stoma.

Maintain skin and stomal integrity

A patient has had surgery to create an ileal conduit for urinary diversion. What is a priority intervention by the nurse in the postoperative phase of care? Monitor urine output hourly and report output less than 30 mL/hr. Clean the stoma with soap and water after the patient voids. Turn the patient every 2 hours around the clock. Administer pain medication every 2 hours

Monitor urine output hourly and report output less than 30 mL/hr

Which of the following is the most common symptom of bladder cancer? Back pain Painless gross hematuria Altered voiding Pelvic pain

Painless gross hematuria

Which finding is an early indicator of bladder cancer? Nocturia Occasional polyuria Dysuria Painless hematuria

Painless hematuria

Which term refers to inflammation of the renal pelvis? Urethritis Interstitial nephritis Pyelonephritis Cystitis

Pyelonephritis

A patient with a UTI is having burning and pain when urinating. What urinary analgesic is prescribed for relief of these symptoms? Bactrim Septra Pyridium Levaquin

Pyridium

One of the potential problems for a client with a urinary diversion is disturbed body image related to change in appearance and function. The expected outcome is that the client will accept the altered appearance and perform self-care. Which activities would help in achieving that expected outcome? Select all that apply. Reassure the client that nursing staff will provide care until he or she is ready. Help the client gain independence by reinforcing that self-care is quite manageable and providing time for practice. Discuss the change in function and let the client know what to expect when recovery from surgery is complete. Begin exposure to the stoma immediately to help the client adapt properly.

Reassure the client that nursing staff will provide care until he or she is ready. Help the client gain independence by reinforcing that self-care is quite manageable and providing time for practice. Discuss the change in function and let the client know what to expect when recovery from surgery is complete.

Which type of incontinence is the involuntary loss of urine through an intact urethra as a result of coughing? Reflex Stress Overflow Urge

Stress

A patient informs the nurse that every time she sneezes or coughs, she urinates in her pants. What type of incontinence does the nurse recognize the patient is experiencing? Urge incontinence Stress incontinence Iatrogenic incontinence Functional incontinence

Stress incontinence

The nurse is assisting in the transport of a client with an indwelling catheter to the diagnostic studies unit. Which action, made by the nursing assistant, would require instruction? The nursing assistant holds the drainage bag while the client moves to the wheelchair. The nursing assistant places the drainage bag on the client's abdomen for transport. The nursing assistant places the drainage bag on the lower area of the wheelchair for transport. The nursing assistant keeps the catheter and drainage bag together when moving the client.

The nursing assistant places the drainage bag on the client's abdomen for transport.

Which of the following is the procedure of choice for men with recurrent or complicated urinary tract infections (UTIs)? IV urogram Transrectal ultrasonography Computed tomography (CT) scan Magnetic resonance imaging (MRI)

Transrectal ultrasonography

A client comes to the clinic for a follow-up visit. During the interview, the client states, "Sometimes when I have to urinate I can't control it, and do not reach the bathroom in time." The nurse suspects that the client is experiencing which type of incontinence? Functional Stress Overflow Urge

Urge

A client is scheduled to undergo surgical creation of an ileal conduit. The primary nurse educates the client about surgery and the postoperative period. The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. A mental health practitioner should be involved in the client's care to: evaluate the client's need for mental health intervention. assess whether the client is a good candidate for surgery. assess suicidal risk postoperatively. help the client cope with the anxiety associated with changes in body image.

help the client cope with the anxiety associated with changes in body image.

Nursing management of the client with a urinary tract infection should include: Instructing the client to limit fluid intake Administering morphine sulfate Teaching the client to douche daily Discouraging caffeine intake

Discouraging caffeine intake

Which instruction would be included in a teaching plan for a client diagnosed with a urinary tract infection? Void every 4 to 6 hours. Drink liberal amount of fluids. Use tub baths as opposed to showers. Drink coffee or tea to increase diuresis

Drink liberal amount of fluids.

The clinic nurse is teaching a young woman about preventing recurrent urinary tract infections. What information should the nurse include? Void every 6 to 8 hours. Avoid voiding immediately after sexual intercourse. Bathe daily. Drink liberal amounts of fluids.

Drink liberal amounts of fluids.

The nurse is caring for a client diagnosed with bladder cancer and requiring a cystectomy. The nurse overhears the physician instructing the client on the presence of a stoma with temporary pouch. In gathering information for the client, which urinary diversion would the nurse select? Ureterosigmoidostomy Ileal conduit Kock Pouch Indiana Pouch

Ileal conduit

A client undergoes surgery to remove a malignant tumor, followed by a urinary diversion procedure. Which postoperative procedure should the nurse perform? Show photographs and drawings of the placement of the stoma Suggest a visit to a local ostomy group Maintain skin and stoma integrity Determine the client's ability to manage stoma care

Maintain skin and stoma integrity

Examination of a client's bladder stones reveal that they are primarily composed of uric acid. The nurse would expect to provide the client with which type of diet? Low oxalate High protein Low purine High sodium

Low purine

A 64-year-old man is seeing his urologist for an annual check-up, post prostatectomy. The health care provider is concerned with the symptom he finds because it is considered diagnostic for bladder cancer. Which of the following signs/symptoms is diagnostic for bladder cancer? Painless, gross hematuria Muscle spasm and abdominal rigidity over the flank Deep flank and abdominal pain Decreasing kidney function associated with fever and hematuria

Painless, gross hematuria

Sympathomimetics have which of the following effects on the body? Constriction of bronchioles Constriction of pupils Relaxation of bladder wall Decrease of heart rate

Relaxation of bladder wall