Renal, Urinary, and Reproductive Systems Adaptive Quizzing

An older adult male is discharged after treatment for urinary tract infection. The family members are instructed regarding age-related changes and care to be taken. In the follow-up visit, which statement made by the client's family indicates decreased risk of urinary retention in the client?

"I provide privacy and assistance to him to void."

A client is diagnosed with calcium oxalate renal calculi. Which foods should the nurse teach the client to avoid? Select all that apply.

Tea Spinach Rhubarb

A clinic nurse is interviewing a client with syphilis. The nurse should ask the client about sexual contacts during which time period?

The past 3 months

A client with a human immunodeficiency virus (HIV) infection reports genital discharge associated with irritation, pain, and itching. Which actions of the client might have lead to this condition? Select all that apply.

Wearing tight jean pants Using antibiotic medications

A nurse is teaching an adult health and wellness class about bladder cancer. Which activities should the nurse include in the teaching session that increase risk? Select all that apply.

Smoking two packs of cigarettes a day Working with dyes used in rubber every day

A client is diagnosed with pheochromocytoma. Which finding in the urinalysis report supports the diagnosis?

Total catecholamines - 640 mmol/24 hr

The nurse is explaining the physiologic reasons for taking vitamin D and calcium supplements to a client with renal failure. Which statement made by the nurse is appropriate?

"There will be a decrease in the active metabolite of vitamin D in your body."

The student nurse is collecting a clean-catch midstream urine specimen from a client suspected of urinary tract infection. After reviewing the results, the head nurse instructs the student nurse to repeat the procedure. Which finding in the urinalysis report supports the head nurse's instruction?

10 4 organisms/mL

A nurse is assessing a client 8 hours after the creation of a colostomy. Which assessment finding should the nurse expect?

Absence of drainage from the colostomy

A man with benign prostatic hyperplasia is scheduled for a transurethral incision of the prostate (TUIP). As he is being admitted to the surgical unit, he tells the nurse he is concerned that the operation will result in impotence. Which is the best response by the nurse?

"I can understand your concern, but this operation usually does not cause impotence."

The nurse is teaching self-management techniques to a client newly diagnosed with polycystic kidney disease. Which statement of the client indicates a need for further teaching?

"I should weigh myself once a week."

A client with an ileal conduit is being prepared for discharge. As part of the discharge teaching, which instruction should the nurse include?

"Maintain fluid intake of at least 2 L daily."

The registered nurse discusses normal renal function with the client. Which statements made by the client are correct regarding regulatory functions of the kidney? Select all that apply.

"They play a role in acid-base balance." "They play a role in fluid and electrolyte balance."

A client with acute kidney failure is fatigued and becomes lethargic. Upon reviewing the client's medical record, which finding does the nurse determine is the most likely cause of this change in symptoms?

An increased blood urea nitrogen level

Which part represented in the following figure does not change its shape during bladder filling?

D

The nurse is caring for four clients who are prescribed to undergo tests for reproductive system assessment. Which client's prescribed test needs revision?

Client B

The laboratory report of a client indicates that the urinary urea nitrogen levels are 9 g/24 hr. What does the nurse anticipate from this finding?

Client has potential kidney damage

A client with end-stage renal disease is hospitalized. For which complications should the nurse monitor the client? Select all that apply.

Anemia Dyspnea

A nurse is caring for a client with end-stage renal disease. Which clinical indicators of end-stage renal disease should the nurse expect? Select all that apply.

Azotemia Hypertension

A nurse is assessing the urine of a client with a urinary tract infection. Which assessment finding is consistent with a urinary tract infection?

Cloudy

A client reports urinary frequency and burning. To determine whether there is tenderness that indicates the presence of an ascending urinary tract infection, the nurse should palpate which area?

Costovertebral angle

The nurse is assessing a client with mumps and orchitis. Which organ will be affected?

D

A client who is 5 feet, 8 inches tall (173 cm) and weighs 220 lb (99.8 kg) is admitted to the hospital with ureteral colic, blood in the urine, and a blood pressure of 150/90 mm Hg. Which is the priority objective of nursing care for this client?

Decrease pain

A nurse is caring for a client with diabetes insipidus. Which clinical manifestation should a nurse expect the client to exhibit?

Decreased urine osmolarity

A client is diagnosed as having kidney failure. During the oliguric phase, what should the nurse assess for in this client?

Hyperphosphatemia

A client who is suspected of having Cushing syndrome is admitted to the hospital. When checking the laboratory reports, which condition should the nurse expect?

Hypokalemia

A client is admitted to the hospital in the oliguric phase of acute kidney injury. The nurse estimates that the urine output for the last 12 hours is about 200 mL. The nurse reviews the plan of care and notes a prescription for 900 mL of water to be given orally over the next 24 hours. What does the nurse conclude about the amount of fluid prescribed?

It will compensate for both insensible and expected output over the next 24 hours.

A client's urine specific gravity is being measured. For which condition should the nurse conduct a focused assessment when a client's specific gravity is increased?

Low-grade fever

A client has end-stage kidney disease and is admitted for a kidney transplant. Which information should the nurse share when teaching about the donor?

Must have matching leukocyte antigen complexes

During an exacerbation of multiple sclerosis a client reports urinary urgency and frequency. What is the most appropriate initial nursing action?

Palpate the suprapubic area of the abdomen.

A client in end-stage kidney disease is receiving peritoneal dialysis. What should the nurse do when caring for this client?

Position the client from side to side if fluid is not draining adequately.

A nurse instructs a client with a history of frequent urinary tract infections to drink cranberry juice. Which goal is the nurse trying to achieve with this suggestion?

Prevent bacterial attachment to the bladder wall

A client with chronic kidney disease is receiving medication to manage anemia. Which primary goal should the nurse include in the care plan from this information?

Prevention of chronic fatigue

A nurse is teaching about the function of the loop of Henle. Which function should the nurse include?

Reabsorption of sodium in the ascending limb

When receiving hemodialysis, the client may develop hyponatremia. For which clinical findings associated with hyponatremia should the nurse assess the client? Select all that apply.

Diarrhea Seizures

If a client on peritoneal dialysis develops symptoms of severe respiratory difficulty during the infusion of the dialysate solution, what should the nurse do?

Drain the fluid from the peritoneal cavity.

A client with the diagnosis of chronic kidney disease develops hypocalcemia. Which clinical manifestations should the nurse expect the client with hypocalcemia to exhibit? Select all that apply.

Fractures Osteomalacia Eye calcium deposits

Which urinary diagnostic test does not require any dietary or activity restrictions for the client before or after the test?

Renal scan

A client is scheduled for a computed tomography (CT) scan of the chest with intravenous (IV) contrast. Which assessment is the priority before the test is performed?

Serum creatinine level

After reviewing the laboratory reports, the nurse anticipates that the client has renal impairment. Which test reports support the nurse's concern? Select all that apply.

Serum creatinine: 2.0 mg/dL (176.8 µmol/L) Serum potassium: 5.9 mEq/L (5.9 mmol/L) Blood urea nitrogen: 32 mg/dL (11.424 mmol/L)

A client with end-stage kidney disease is receiving continuous ambulatory peritoneal dialysis. The nurse should monitor the client for which peritoneal dialysis complications? Select all that apply.

Tachycardia Cloudy outflow Abdominal pain