MedSurg URINARY SYSTEM TEST
What are common complications of varicocele? Select all that apply. 1 Infertility 2 Infection 3 Erectile dysfunction 4 Pain 5 Priapism 6 Cancer
1 & 4
Which of these is the nurse's priority during data collection for a patient with a vascular access? Select all that apply. 1 Listen for a bruit at the access. 2 Palpate the thrill at the access. 3 Document location of access. 4 Observe bruising at site. 5 Note tenderness at site.
1 & 2
A client asks the nurse what benign prostatic hyperplasia (BPH) is. Which of the following is an accurate description? 1 the prostate compresses the urethra 2 it is a malignant growth of the prostate 3 the urethra dilates and makes urinating difficult 4 clients with a history of cancer have BPH
1
A client with dehydration will have shich color of urine? 1 dark amber 2 green 3 orange 4 smoky
1
A nurse is reinforcing teaching with a client who is scheduled for a transurethral resection of the prostate (TURP) about postoperative care. Which of the following information should the nurse include? 1 "you might have a continuous sensation of needing to void even though you have a catheter" 2 "you will be on bed rest for the first 2 days after the procedure" 3 "you will be instructed to limit your fluid intake after the procedure" 4 "your urine should be clear yellow the evening after surgery"
1
The nurse is caring for a client with Peyronie's disease. Which of the following clinical manifestations should the nurse expect t find? 1 crooked penis when erect 2 erection lasting over 4 hours 3 foreskin that will not retract 4 collection of fluid in the scrotal sac
1
The nurse is caring for a client with glomerulonephritis. Which of the following interventions should the nurse expect to implement? 1 instruct the client to follow a low-sodium diet 2 encourage the client to drink plenty of fluids 3 inform the client they can stop antibiotics when they feel better 4 teach the client to avoid NSAIDs
1
The nurse is caring for a client with hyperkalemia. Which food choice made by the client requires correction by the nurse? 1 (1/2) cup of pinto beans 2 1 small apple 3 (1/4) cup of brown rice 4 1 cup of spaghetti noodles
1
The nurse is caring for a client with suspected prostate cancer. For which test should the nurse prepare the client? 1 Digital rectal exam (DRE) 2 computed tomography (CT) scan 3 magnetic resonance imaging (MRI) 4 colonoscopy
1
The nurse is caring for a patient admitted for complications of diabetes. The nurse asks if he is satisfied with his level of sexual functioning, and he becomes tearful. Which of the following is the best initial response by the nurse? 1 "You seem upset with my question. Are you having a problem you would like to talk about?" 2 "Impotence is common with diabetes. Don't let it worry you." 3 "What kind of sexual dysfunction are you experiencing?" 4 "I am sorry you are having problems with your sexual functioning. Would you like a referral to a sex therapist?"
1
The nurse is caring for a patient who is 1-day post-transurethral resection of the prostate. He says he is having pain in his bladder. The nurse notices urine leakage around his catheter. Which of the following would be the best response from the nurse? 1 "Bladder spasms are common after your surgery. Take some deep breaths while I get a belladonna and opium suppository." 2 "You should not be experiencing spasms. I will notify the registered nurse right away." 3 "Spasms can be very painful. Would you like an injection of morphine?" 4 "Your catheter is leaking. We will need to replace it right away."
1
The nurse is contributing to the plan of care for a patient with glomerulonephritis. Which of the following interventions would the nurse recommend be included in the patient's plan of care? 1 Increase fluid intake. 2 Decrease sodium intake. 3 Increase potassium intake. 4 Decrease carbohydrate intake
1
The nurse is obtaining a history on a patient with a diagnosis of bladder cancer. Which of the following would the nurse expect to find in the patient's history? 1 Tobacco use 2 Vegetarian diet 3 Caffeine use 4 Alcohol use
1
The nurse is providing teaching to a group of nurses about clients with an Arteriovenous (AV) graft. Which of the following should the nurse include in the teaching? 1 avoid blood draws on the affected side 2 take the blood pressure on the affected side 3 wear constrictive clothing covering the site 4 listen for a thrill to assess good blood flow
1
When the nurse is caring for a patient, what is the priority action to prevent acute kidney injury? 1 Check glomerular filtration rate (G F R) and creatinine prior to contrast media or nephrotoxic medications. 2 Read protocols to prevent contrast-induced nephropathy. 3 Hydrate before/after contrast media. 4 Monitor nephrotoxic drugs trough levels.
1
The nurse is checking patency of a new right arm arteriovenous fistula. What action does the nurse use to do this? Select all that apply. 1 Auscultate bruit over the right arm fistula. 2 Auscultate the right brachial pulse. 3 Auscultate the right radial pulse. 4 Measure blood pressure in the right arm. 5 Palpate the right radial pulse. 6 Palpate for thrill over the right arm fistula
1 & 6
A nurse at a provider's office is caring for an older adult client who is having an annual physical exam. Which of the following findings indicates additional follow-up is needed in regard to the prostate gland? Select all that apply 1 prostate-specific antigen (PSA) is 7.1 ng/mL 2 a digital rectal exam (DRE) reveals an enlarged and nodular prostate 3 the client reports a weak urine stream. 4 the client reports urinating once during the night 5 smegma is present below the glans of the penis
1, 2, & 3
A nurse is contributing to the plan of care for a client who has postrenal AKI due to metastatic cancer. The client has a blood creatinine of 5 mg/dL. Which of the following interventions should the nurse recommend to include in the plan? Select all that apply 1 provide a high-protein diet 2 monitor the urine for blood 3 monitor for intermittent anuria 4 weight the client once per week 5 provide NSAIDs for pain
1, 2, & 3
The nurse is collecting data on a patient who has presented to the health care provider's office with a fever. Which of these findings are signs or symptoms of a UTI? Select all that apply 1 Dysuria 2 Urgency 3 Frequency 4 Amber urine 5 Ammonia-smelling urine
1, 2, & 3
A nurse is contributing to the plan of care for a client who will undergo peritoneal dialysis. Which of the following actions should the nurse take? Select all that apply 1 monitor blood glucose levels 2 report cloudy dialysate return 3 warm the dialystate in the microwave oven 4 monitor for shortness of breath 5 maintain medical asepsis when accessing the catheter insertion site
1, 2, & 4
Which of these actions should the nurse include in a teaching plan to help prevent or slow progression of diabetic nephropathy? Select all that apply. 1 Control blood glucose. 2 Control blood pressure. 3 Limit fluids. 4 Restrict protein in diet. 5 Increase insulin dose.
1, 2, & 4
A nurse is contributing to the plan of care for a client who received hemodialysis. Which of the following interventions should the nurse suggest to include in the the plan of care? Select all that apply 1 check BUN and blood creatinine 2 administer medications the nurse withheld prior to dialysis 3 observe for findings of hypovolemia 4 monitor the access site for bleeding 5 obtain blood pressure on the arm with AV access
1, 2, 3, & 4
Which of the following are post-procedure care for renal biopsy? Select all that apply 1 Monitor vital signs 2 Observe for bleeding 3 Monitor biopsy site 4 Monitor urine output 5 Maintain nothing by mouth (NPO)
1, 2, 3, & 4
A nurse is caring for a client who has type 2 diabetes mellitus and will have excretory urograpgy. Prior to the procedure, which of the following actions should the nurse take? Select all that apply 1 identify an allergy to seafood 2 withhold metformin for 24 hours 3 administer an enema 4 obtain a blood coagulation profile 5 monitor for asthma
1, 2, 3, & 5
A nurse is contributing to the plan of care for a client who has chronic kidney disease. Which of the following actions should the nurse recommend to include in the plan of care? Select all that apply 1 monitor for pulmonary edema 2 provide frequent mouth rinses 3 restrict fluids based on urinary output 4 provide a high- sodium diet 5 monitor for weigh gain trends
1, 2, 3, & 5
The nurse is caring for a client with chronic kidney disease (CKD). Which of the following can the nurse expect to find? Select all that apply 1 fatigue 2 pruritis 3 edema 4 hypotension 5 anemia
1, 2, 3, & 5
A nurse is caring for a client who has acute kidney injury and is scheduled for a hemodialysis. Which of the following actions should the nurse take? Select all that apply 1 review the medications the client currently takes 2 check the AV fistula for a bruit 3 calculate the client's hourly urine output 4 measure the client's weight 5 check serum electrolytes 6 use the access site area for venipucture
1, 2, 4, & 5
A nurse is reinforcing discharge instructions with a client who had spontaneous passage of a calcium phosphate renal calculus. Which of the following instructions should the nurse include? Select all that apply 1 linit intake of food high in animal protein 2 reduce sodium intake. 3 strain urine for 48 hr 4 report burning with urination to the provider 5 increase fluid intake to 3 L/day
1, 2, 4, & 5
A nurse is caring for a client who has glomerulonephritis. Which of the following manifestations should the nurse expect? Select all that apply 1 smoky-colored urine 2 weight loss 3 flank pain 4 visual disurbances 5 headache
1, 3, & 4
A nurse is reviewing information with a female client who has frequent UTIs. Which of the following information should the nurse include? Select all that apply 1 avoid sitting in a wet bathing suit 2 wipe the perineal area back to front following eliminations 3 empty the bladder when there is an urge to void 4 wear synthetic fabric underwear 5 take a shower instead of bath
1, 3, & 5
A nurse is contributing to the plan of care for a client who has chronic pyelonephritis. Which of the following actions should the nurse plan to include. Select all that apply 1 recommend a referral for nutrition counseling 2 encourage daily fluid intake of 1 L 3 palpate the costovertebral angle 4 monitor urinary output 5 administer antibiotics
1, 3, 4, & 5
The nurse is planning a patient teaching session on preventing urinary tract infections. Which of the following information should the nurse include in the teaching plan? Select all that apply. 1 Void frequently. 2 Drink large amounts of citrus juices. 3 Avoid bubble baths. 4 Wash the perineum every 8 hours. 5 Void after sexual intercourse. 6 Drink cranberry juice.
1, 3, 5, &6
The nurse is reviewing the urinalysis of a patient. Which of the following are abnormal findings to report to the health care provider? Select all that apply. 1 Blood 7/hpf 2 Glucose none 3 Protein 4 mg/dL 4 White blood cells 11/hpf 5 Nitrites positive 6 pH 9.0
1, 4, 5, & 6
A client has a diagnosis of benign prostatic hyperplasia and asks what the doctor means by "watchful waiting." Which response by the nurse is best? 1 "The doctor will have you visit once a month to check out your prostate." 2 "The doctor will want you to report back on your symptoms regularly to monitor your condition." 3 "You don't have anything wrong with your prostate yet, but you will need to get it checked on often." 4 "I am not really sure what he means by that, but I will have him come back and talk to you."
2
A client has returned from a transurethral prostatectomy with a continuous bladder irrigation. Which of the following assessment findings should the licensed practical nurse/licensed vocational nurse report to the registered nurse? 1 Blood pressure is 135/80, pulse is 88, respirations are 20, and temperature is 98.0 degrees Fahrenheit. 2 Client states his pain is a level 6 out of 10. 3 The catheter bag contains bright cherry red urine. 4 The catheter tubing is secured to his abdomen.
2
A client reports difficulty maintaining an erection. Which question is most appropriate for the nurse to ask? 1 "do you use contraceptives" 2 "do you drink alcohol" 3 "do you perform monthly testicular exams" 4 "how many partners have you had"
2
A nurse is assisting with the admission data collection of a client who has renal calculi. Which of the following findings should the nurse expect? 1 bradycardia 2 diaphoresis 3 nocturia 4 bradyonea
2
A nurse is monitoring a client who had a kidney biopsy for postoperative complications. Which of the following complication should the nurse identify as causing the greatest risk to the client? 1 Infection 2 Hemorrhage 3 Hematuria 4 Pain
2
A nurse is preparing to begin a 24-hr urine collection for a client. Which of the following actions should the nurse take? 1 Store collected urine in a designated container at room temperature. 2 Discard the first voiding when beginning the test. 3 Post a notice on the client's door regarding the test. 4 Documented any urine collection that was missed during the 24 hr of the testing
2
A nurse is reviewing client laboratory data. Which of the following findings is expected for a client who has stage 4 chronic kidney disease? 1 blood urea nitrogen (BUN) 15 mg/dL 2 glomerular filtration rate (GFR) 20 mL/min 3 blood creatinine 1.1 mg/dL 4 blood potassium 5.0 mEq/L
2
A nurse is reviewing urinalysis resulats for four clients. Which of the following urinalysis results indicates a urinary tract infection? 1 positive for hyaline casts 2 positive for leukocyte esterase 3 positive for ketones 4 positive for crystals
2
A nurse working in a nursing home notes that it is difficult but not impossible to retract the foreskin for washing on an older gentleman. Which action is correct? 1 Avoid retracting the foreskin for cleaning to prevent paraphimosis. 2 Gently retract the foreskin for cleaning, and then replace it and notify the health care provider. 3 Retract the foreskin for cleaning, and leave it retracted to prevent infection. 4 Retract the foreskin and leave it retracted until the health care provider can evaluate it.
2
The nurse is caring for a client about to undergo a computed tomography (CT) scan with contrast media in 3 days. Which should the nurse hold 48 hours before the procedure? 1 Famotidine (Pepcid) 2 Metformin (Glucophage) 3 Bumetanide (Bumex) 4 Pantoprazole (Protonix)
2
The nurse is caring for a client who underwent surgery for urinary diversion. Which statement made by the client should concern the nurse? 1 "i need to get some stoma supplies before I leave" 2 "i will never look at this stoma" 3 "i need to clean around the stoma with water" 4 "i should snap the flange and pouch together"
2
The nurse is caring for a client with kidney stones. Which intervention should the nurse implement? 1 restrict fluids 2 strain all urine 3 apply ice to the painful area 4 encourage bedrest
2
The nurse is caring for a patient with acute kidney injury. Which of the following actions should the nurse take to obtain the most accurate assessment of fluid balance for the patient? 1 Document voiding pattern. 2 Obtain daily weight. 3 Review creatinine levels. 4 Observe skin turgor.
2
The nurse is discussing peritoneal dialysis with a client. Which statement made by the client requires correction? 1 "i can do peritoneal dialysis at home" 2 "i will have an arteriovenous (AV) graft in my arm" 3 "i repeat the treatment three to four times each day" 4 "I must use sterile technique when performing an exchange"
2
The nurse is providing teaching to a client about urethritis. Which statement made by the client indicates correct understanding? 1 "My partner may need to be treated too" 2 "i should avoid taking bubble baths" 3 "having a catheter may cause urethritis" 4 "i can still use spermicide"
3
The nurse is providing teaching to a client scheduled for a lithotripsy. Which statement made by the client indicates a need for further teaching? 1 "i may have some bruising on my back or abdomen" 2 "i will not have any discomfort after the procedure" 3 "i may have blood-tinged urine for a few days" 4 "i need to strain the urine to catch the stone"
2
The nurse is providing teaching to a client who underwent a transurethral resection of the prostate (TURP). Which of the following statements made by the client indicated a need for further teaching? 1 "i can't lift heavy object until my health care provider tells me i can." 2 "if i have clots, i should walk around to break them up" 3 "i should take a stool softener to avoid straining" 4 "i need to avoid taking aspirin until i am not at risk for bleeding"
2
The nurse is teaching a client who underwent an open perineal prostatectomy. Which of the following statements indicates an uderstanding of the teaching? 1 "part of the prostate gland will be removed" 2 "i may experience urinary incontinence after the procedure" 3 "i will have an incision in the lower abdomen area" 4 "this procedure reduces the risk of erectile dysfunction"
2
The nurse is to administer an antibiotic and collect a urine for culture and sensitivity. When should the nurse administer the antibiotic? 1 Before collecting the urine specimen 2 After collecting the urine specimen 3 After obtaining the culture results 4 After reviewing the sensitivity report
2
Which statement by a patient shows the need for more education about erectile dysfunction? 1 "I may have blood flow problems that are causing the dysfunction." 2 "I can try some herbal remedies such as ginseng before consulting my physician." 3 "Some men inject drugs into their penis to cause an erection." 4 "My sleep apnea could be a factor in erectile dysfunction."
2
While changing the pouch at the stoma site of an ileal conduit, the nurse notes the stoma is constantly spilling urine. Which of the following actions should the nurse take? 1 Notify the physician of the constant spillage. 2 Continue changing the pouch. 3 Remove the overflow of urine with a straight catheter. 4 Irrigate the stoma with a sterile solution of normal saline.
2
The nurse is caring for a patient who has had a pyelogram with intravenous contrast. Which of the following care should the nurse provide? Select all that apply. 1 Maintain nothing by mouth. 2 Encourage fluids. 3 Check gag reflex. 4 Measure urine output. 5 Position patient prone. 6 Maintain bedrest for 24 hours.
2 & 4
The nurse is providing teaching for a client who underwent a vasectomy. Which of the following should the nurse include in the teaching regarding postprocedure semen analysis? Select all that apply 1 use condoms and lubricants 2 refrain from ejaculating for 3 days before collecting the semen sample 3 bring in two samples over a period of 4 to 6 days 4 ejaculate directly into a sterile cup 5 bring the specimen to the laboratory within 3 hours
2 & 4
A nurse is reinforcing discharge instructions with a client who has spontaneously passed a calcium oxalate calculus. To decrease the chance of recurrence, the nurse should instruct the client to avoid which of the following foods? Select all that apply 1 red meat 2 black tea 3 cheese 4 whole grains 5 spinach
2 & 5
Which assessment findings are expected in a man diagnosed with varicocele? Select all that apply 1 Scrotum is tender and red. 2 Scrotum feels like a "bag of worms." 3 Painless lump is noted on testicle. 4 Testicle is extremely tender. 5 Symptoms are worse when standing.
2 & 5
A nurse is reinforcing discharge instructions to a client who is postoperative following a TURP. Which of the following instructions should the nurse include? Select all that apply 1 avoid sexual intercourse for 3 months after the surgery. 2 if urine appears bloody, stop activity and rest 3 avoid drinking caffeinated beverages 4 take a stool softener once a day 5 treat pain with ibuprofen
2, 3, & 4
A patient with chronic kidney disease who is on hemodialysis asks for a snack in the afternoon. The patient's potassium level is 6.0 mEq/L. Which of the following foods can the nurse offer? Select all that apply. 1 Banana 2 Gelatin dessert 3 Clear carbonated beverage 4 Cranberry juice 5 Nectarine 6 French fries
2, 3, & 4
Which of the following describe the function of the kidneys? Select all that apply 1 eliminating urine 2 regulation of blood pressure 3 regulation of acide-base balance 4 production of erythropoietin 5 activation of vitamin B12
2, 3, & 4
Which of these are justifiable reasons for urinary catheterization? Select all that apply 1 Shock 2 Urinary tract obstruction 3 Neurogenic bladder 4 Urinary Incontinence 5 Immobility
2, 3, & 4
A nurse is collecting data from a client who is undergoing an evaluation for benign prostatic hyperplasia (BPH). The nurse should identify that which of the following findings are indicative of this condition? Select all that apply 1 backache 2 frequent urinary tract infections 3 weight loss 4 hematuria 5 urinary incontinence
2, 4, & 5
The nurse is planning care for a patient with a diagnosis of a kidney stone. Which of the following interventions would the nurse implement? Select all that apply. 1 Restrict fluids. 2 Strain all urine. 3 Increase calcium intake. 4 Maintain bedrest. 5 Teach to increase fluid intake. 6 Give analgesics as ordered.
2, 5, & 6
Which actions are essential for the nurse to take when providing care to a patient with a renal calculi? Select all that apply. 1 Limit fluids. 2 Strain all urine. 3 Maintain bedrest. 4 Restrict dairy products. 5 Provide pain relief. 6 Maintain I V hydration.
2, 5, & 6
A 28-year-old male reports to the nurse that he has been having trouble maintaining an erection. Which assessment finding should the nurse further explore? 1 His father had prostate cancer at 70 years of age. 2 He has had multiple sex partners over the last 5 years. 3 He drinks about a case of beer over each weekend. 4 He smokes 2 packs of cigarettes per day.
3
A client has an indwelling urinary catheter. This places the client at high risk for which of the following? 1 kidney failure 2 kidney stones 3 infection 4 urinary retention
3
A home health nurse visits a patient who is 82 years old, uses a cane, and is continent. Which of the following interventions should be included in the plan of care, based on normal age-related changes of the urinary system, to promote patient safety? 1 Encourage fluids after 6 p.m. 2 Limit fluids to 1,000 mL per day. 3 Provide a nightlight in the bathroom. 4 Provide adult briefs to absorb dribbling.
3
A nurse is caring for a client who develops disequilibrium syndrome after receiving hemodialysis. Which of the following actions should the nurse take? 1 administer an opioid medication 2 monitor for hypertension 3 determine level of consciousness 4 increased the dialysis exchange rate
3
A nurse is caring for a client who has a left renal calculus and an indwelling urinary catheter. Which of the following data collection findings is the priority for the nurse to report to the provider? 1 flank pain that radiates to the lower abdomen 2 client report of nausea 3 absent urine output for 1 hr 4 blood WBC count 15,000/mm3
3
A nurse is contributing to the plan of care for a client who has prerenal acute kidney injury (AKI) following abdominal aortic aneurysm repair. Urinary output is 60 mL in the past 2hr, and blood pressure is 92/58 mmHg. The nurse should recommend which of the following interventions? 1vprepare the client for a CT scan with contrast dye 2 administer ketorolac 3 administer a fluid challenge 4 position the client in Trendelenburg
3
A nurse is reinforcing teaching with a client who is scheduled for a transrectal ultrasounds (TRUS). Which of the followign information should the nurse include? 1 "this procedure will determine whether you have prostate cancer" 2 "the procedure is contraindicated if you have an allergy to eggs" 3 "sound waves will be used to create a picture of your prostate" 4 "you should avoid having a bowel movement for 1 hr prior to the procedure"
3
A patient has completed a dialysis session. The nurse notes bleeding from the patient's vascular access in the left arm. Which of the following is the nurse's first action? 1 Call the physician. 2 Notify the dialysis nurse. 3 Apply pressure to access site. 4 Take patient's blood pressure.
3
The nurse is assisting the health care provider with transillumination test. Which of the following equipment should the nurse prepare? 1 speculum 2 microscope 3 flashlight 4 ultrasound
3
The nurse is caring for a client 1 day postoperative of a transurethral resection of the prostate (TURP) who reports bladder spasms. Which action should the nurse take? 1 apply ice to the bladder area 2 remove the indwelling urinary catheter 3 administer belladonna and opium as ordered 4 encourage the client to perform kegel exercises
3
The nurse is caring for a client who underwent a nephrectomy. Whichof the following would be of most concern to the nurse? 1 blood preasure of 110/82 2 report of level 4 pain on a 0-10 scale 3 diminished breath sounds on the affected side 4 output of clear, yellow urine
3
The nurse is caring for a group of clients. Which client is at highest risk for prostate cancer? 1 a 21 year old male who has a high testosterone level 2 a 34 year old male who eats a diet high in fat 3 a 67 year old male whose father had prostate cancer 4 a 50 year old male whose second cousin had prostate cancer
3
The nurse is caring for a male client with complaints of frequency, urgency, and feeling that he cannot empty his bladder. The nurse anticipates preparing the client for which procedure? 1 Blood test for prostate-specific antigen 2 Blood test for human chorionic gonadotropin 3 Digital rectal examination of the prostrate 4 Urodynamic flow study
3
The nurse is caring for a patient with a urinary catheter. Which of the following is the most important nursing action for the nurse to take to prevent urinary tract infection in this patient? 1 Encourage fluids to 4,000 mL every 24 hours. 2 Empty the Foley bag every 4 hours around the clock. 3 Maintain a closed catheter system. 4 Wash the perineum every 8 hours.
3
The nurse is caring for a patient with benign prostatic hyperplasia who expresses concern that he has cancer. Which of the following would be the best response by the nurse? 1 "Don't worry. Prostatic hyperplasia is not the same thing as cancer." 2 "Since it is called benign, you don't have to worry about it. No treatment should be necessary. You will just need to have it watched." 3 "Hyperplasia means your prostate is growing too many cells. They are not cancerous, but they could interfere with your ability to urinate, so it is important to have it treated." 4 "You are correct. It is a form of cancer, but it is very slow growing and very treatable. Your doctor will recommend treatments for you."
3
The nurse is discharging a man after treatment for priapism. Which of the following statements by the patient shows understanding of discharge instructions? 1 "I should use hot packs three times a day for the next 3 days." 2 "I should be seen immediately if I have another erection lasting more than 2 hours." 3 "The Viagra I took may have caused this problem." 4 "I should avoid having sex for 1 month."
3
The nurse is preparing a client for a digital rectal exam (DRE). In which position should the nurse place the client? 1 Semi-Fowler's position 2 High Fowler's position 3 Sim's position 4 Lithotomy position
3
The nurse is reviewing laboratory results of a client and notes a prostate-specific antigen (PSA) of 8ng/mL. In which client would the nurse expect this finding? 1 a client wiht rectal cancer 2 a client with testicular cancer 3 a client with prostate cancer 4 a client with bladder cancer
3
The nurse is teaching a client about finasteride (Proscar). Which statement made by the client indicates a need for further teaching? 1 "I have hepatitis, so i should let my health care provider know." 2 "i need to have my prostate- specifin (PSA) drawn before i take this" 3 "i should crush the tablet so i can swallow it easier" 4 "i can take this medication with my nitroglycerin"
3
The nurse is teaching a female client about urinary tract infections (UTI) prevention. Which of the following should the nurse include in the teaching? 1 restrict fluids 2 avoid cranberry juice 3 void as soon as the urge occurs 4 wipe back to front
3
Which of the following defines stress incontinence? 1 Occurs from impairment of physical/mental function 2 Involuntary loss of urine associated with bladder over-distention 3 Involuntary urine loss from increasing abdominal pressure 4 Involuntary urine loss with abrupt/strong desire to void
3
Which of the following is the best indicator of fluid balance in the body? 1 intake and output 2 presence of edema 3 weight 4 lung sounds
3
A nurse is collecting data from a client who has prerenal AKI. Which of the following findings should the nurse expect? select all that apply 1 redueced BUN 2 elevated cardiac enzymes 3 reduced urine output 4 elevated blood creatinine 5 elevated blood calcium
3 & 4
The nurse is calculating a client's output. The client has 2600mL of urine, 400mL of chest tube drainage, and 150mL of emesis. What is the client's total output?
3150 mL total output
A client with kidney stones asks the nurse what causes them. Which response by the nurse is best? 1 "lining in a cold climate has been known to cause stones" 2 "drinking too much fluid can contribute to stone formation" 3 "if you don't eat enough protein, kidney stones can form" 4 "obesity is a contributing factor to kidney stones"
4
A nurse is caring for a client who has a new diagnosis of benign prostatic hyperplasia (BPH). The nurse should expect a prescription for which of the following medications? 1 Oxybutynin 2 Diphenhydramine 3 Ipratropium 4 Tamsulosin
4
A nurse is caring for a client who has urinary tract infection (UTI) Which of the following is the priority intervention by the nurse? 1 offer a warm sitz bath 2 recommend drinking cranberry juice 3 encourage increased fluids 4 administer an antibiotic
4
A nurse is collecting data from a client who has returned to the medical-surgical unit following a CT scan of the kidneys with IV contrast. Which of the following findings should the nurse identify as an indication the client is experiencing an allergic reaction to the contrast material? 1 Bradycardia 2 Pink-tinged urine 3 Hyperpyrexia 4 Skin Hives
4
A nurse is reinforcing teaching a client who will have an x-ray of the kidneys, ureters, and bladder. Which of the following statements should the nurse include? 1 "You will receive contrast dye during the procedure." 2 "An enema is necessary before the procedure." 3 "You will need to lie in a prone position during the procedure." 4 "The procedure determines whether you have a kidney stone."
4
A nurse is reinforcing teaching with a client who has chronic kidney disease and is to begin hemodialysis. Which of the following information should the nurse include? 1 hemodialysis restores kidney function 2 hemodialysis replaces hormonal function of the renal system 3 hemodialysis allows an unrestricted diet 4 hemodialysis returns a balance to blood electrolytes
4
A nurse is reinforcing teaching with a client who is scheduled for extracorporeal shock wave lithotripsy (ESWL). Which of the following statements by the client indicates understanding of the instruction? 1 "i will be fully awake during the procedure" 2 "lithotripsy will reduce my chances of having stones in the future" 3 "i will report any bruising that occurs to my doctor" 4 "straining my urine following the procedure is important"
4
A patient is experiencing stress incontinence with frequent involuntary loss of urine. Which of the following directions would be most appropriate when teaching the patient how to perform Kegel exercises? 1 "Tighten your rectum at frequent intervals throughout the day." 2 "Keep your abdominal muscles tightened; do this every time you stand up." 3 "Do 20 sit-ups per day." 4 "Empty bladder then tighten the pelvic floor muscles for 8 seconds, then relax 10 seconds."
4
The nurse is caring for a client who presents to the clinic after being discharged last week after a transurethral resection of the prostate (TURP). Which of the following should the nurse report to the health-care provider? 1 temperature of 98.4 2 reports of level 2 pain on a 0-10 scale 3 bleeding that ceases with rest 4 difficulty urinating
4
The nurse is caring for a client with priapism. Which intervention should the nurse plan to implement? 1 apply heat to the are 2 encourage the client to void 3 administer sildenafil (Viagra) 4 assist the health care provider with needle aspiration
4
The nurse is caring for a client with prostatitis. Which of the following interventions should the nurse implement? 1 restrict fluids to 800 mL/day 2 insert an indwelling urinary catheter. 3 encourage the client to empty the bladder every 8 hours 4 instruct the client to take antibiotics until they are all gone.
4
The nurse is caring for a client with prostatitis. Which statement made by the client requires correction by the nurse? 1 "i may have trouble urinating" 2 "i should avoid alcohol so I don't get prostatitis 3 "i should empty my bladder fully each time" 4 "my urinary infection was probably not the cause of this"
4
The nurse is caring for a patient who is to have a urine culture and sensitivity done. Which of the following should be included in patient teaching for collecting a midstream clean-catch urine specimen for culture and sensitivity? 1 A second voided specimen is preferred. 2 A 24-hour urine specimen is needed. 3 As soon as the urine starts to flow, it should be collected in a sterile container. 4 Women should keep the labia separated while voiding.
4
The nurse is caring for a postoperative patient who is receiving 0.9% normal saline intravenously at 125 mL/hour, morphine intravenously for pain control, and gentamicin (Garamycin) intravenously every 8 hours for 24 hours. The patient is allergic to iodine. Morning labs are white blood cell 8,500, hemoglobin 12.4 g/dL, and serum creatinine 2.2 mg/dL. Which of these findings is a priority for the licensed vocational nurse to report to the registered nurse? 1 White blood cell 8,500 2 Intravenous rate 125 mL/hour 3 Allergy to iodine 4 Serum creatinine 2.2 mg/dL
4
The nurse is collecting data on a client with benign prostatic hyperplasia (BPH) about to undergo a thransurethral resection of the prostate. Which question is most important for the nurse to ask? 1 "do you have renal insufficiency" 2 "when is the last time you had surgery for prostate problmes" 3 "have you had prostatitis recently" 4 "how much fluid do you drink each day and what type"
4
The nurse is reviewing a medication history for a client who reports taking sildenafil (Viagra). Which additional medication should concern the nurse? 1 Dutasteride (Avodart) 2 Goserelin (Zoladex) 3 Acetaminophen (Tylenol) 4 Nitroglycerin (Nitrostat)
4
The nurse is reviewing laboratory values for a client and notes a glomerular filtration rate (GFR) of 19 mL/min. Whic stage of kidney disease does this describe. 1 stage 1 2 stage 2 3 stage 3 4 stage 4
4
What type of urinary catheter is inserted through an incision in the lower abdomen adn into the bladder? 1 Condom catheter 2 Indwelling urethral catheter 3 Straight urethral catheter 4 Suprapubic catheter
4
Which of the following should the nurse anticipate teaching about when caring for a man with infertility? 1 Penile implants 2 Prostatectomy 3 Transurethral resection of the prostate 4 Decrease in nicotine and alcohol use
4
Which of the following are risk factors for a urinary tract infection? select all that apply 1 middle- age adults 2 male 3 first UTI 4 stasis of urine 5 insertion of urinary catheter
4 & 5
A patient is to receive 1,600 mg of sevelamer (Renagel) orally with meals. Renagel 400-mg tablets are available. How many tablets should the nurse give? Answer: ______________ tablets
4 tablets
The nurse is preparing to administer finasteride (Proscar) 5mg by mouth to a client. Available is finasteride (Poscar) 1 mg. How many tablets will the nurse give?
5 Tablets
The nurse is documenting the patient's shift output. What is the patient's total output as recorded during 0700 to 1500? 0800 voided 165 mL 1130 voided 450 mL 1300 emesis 42 mL 1500 voided 255 mL Answer: ______________ mL
912 mL
