Urinary

A nurse in a clinic is collecting data from a client who has cystitis. Which of the following findings should the nurse expect?

Suprapubic Tenderness

A nurse is caring for a client who has paraplegia and is on an intermittent new urinary catheterization program. Which of the following findings indicates to the nurse they need to catheterize the client?

Suprapubic discomfort

A nurse is collecting data for a client who has fluid volume deficit. Which of the following is an expected findings?

Increase urine specific gravity

A nurse is reinforcing teaching about urinary tract infections with a client. Which of the following manifestations should the nurse include?

Back pain

A nurse is caring for a client who has impaired renal function. The nurse should notify the provider If the client hourly urine output falls below what amount?

30

A nurse is reinforcing teaching about renal transplant with a newly licensed nurse. Which of the following clients should the nurse identify as having a contraindication for this procedure?

A client who has a history of IV drug abuse

A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram. Which of the following statements should a nurse include in the teaching?

After the procedure you will be encouraged to drink plenty of fluids

A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a new left intravenous fistula. Which of the following statements should the nurse make?

Avoid taking blood pressure on the client left arm

A nurse is reviewing the laboratory reports for a client who has chronic kidney disease. Which of the following laboratory reports should the nurse expect to find?

BUN 35, serum creatinine 8

A nurse is reinforcing teaching with a client who takes furosemide and has a serum potassium level of 3.1. Which of the following foods should the nurse instruct the client to include in his daily diet?

Bananas

A nurse is caring for a client who is receiving hemodialysis. Which of the following client measures should the nurse compare before and after dialysis treatment to determine fluid losses.?

Bodyweight

A client who is taking nitrofurantoin For a urinary tract infection voice is a concern to the clinic nurse about forwarding brown colored urine. Which of the following is an appropriate response by the nurse?

Brown colored urine is a harmless side effect of the medication

The nurse notes the amount and color of the year in every client with urolithiasis. While using standard precautions, the nurses next action would be to

Strained a urine

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse notes that the dialysate output it's less than the input and the clients abdomen is distended. which of the following actions should the nurse take?

Change the clients position

The physician suspects renal cancer and a newly admitted client. In obtaining the nursing history, the Nurse recognize which factor as a significant risk factor for renal cancer

Cigarette smoking

A nurse is collecting data from a client who is to have a intravenous pyelogram. Which of the following data is a contraindication to this procedure?

Clients has allergy to shellfish

A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. The client tells the nurse that she is concerned about her privacy during the procedure. Which of the following actions should the nurse take to alleviate the clients concern?

Close the door and cover the client during the procedure

A nurse is assisting in the plan of care for a client who is scheduled to have renal biopsy. Which of the following actions should the nurse include in the plan?

Collect a urine specimen prior to the procedure, obtain an informed consent, and complete congratulations studies prior to the procedure

A nurse is assessing an older client who has a urinary tract infection. Which of the following findings should the nurse identify as unique for this age group?

Confusion

A nurse is reinforcing teaching with a client who has frequent urinary tract infections, the nurse should identify that the client can use which of the following herbal supplements to help prevent UTIs

Cranberry juice

A nurse is reviewing data for a client who has chronic kidney disease which of the following data should the nurse identify as a best indicator of fluid volume status

Daily weight

The client is receiving continuous bladder irrigation after a TURP. He complains of a " spasm like pain over his lower abdomen". Which of these actions should the nurse performed first in response to this complaint?

Decrease the continuous bladder irrigation flow

A nurse is caring for a client who is 12 hours post operative following a TURP And has a three-way urinary catheter with continuous irrigation. The nurse notes there has not been any urinary output in the last hour. Which of the following actions should the nurse performed first?

Determine the patency of the tubing

A nurse is caring for a client who has BPH. Which of the following findings should the nurse expect?

Difficulty starting the flow of urine

A nurse is assisting with the care of a client who has hypertension and CKD. The client is scheduled for hemodialysis. Which of the following actions should the nurse plan to take while caring for this client ?select all that apply

Document vital signs, obtain the clients weight, check the graft site for a palpable thrill.

The client has benign prostate hypertrophic. He is recovering from a TURP. The physician orders remove all of the indwelling catheter two days after the TURP procedure. The client should be instructed that at first he my experience

Dribbling of urine

A nurse is collecting data from a client who has a UTI. Which of the following findings should the nurse expect? Select all that apply

Dysuria. Urinary frequency. Hematuria.

A nurse is reinforcing the church teaching with a client about how to care for a newly created Ileal conduit. Which of the following instructions should the nurse include in the teaching?

Empty the ostomy pouch when it's 2/3 full

A nurse is contributing to a plan of care for a client who has Urolithiasis. Which of the following in affections should the nurse include in the plan?

Encourage the client to drink 3 L of fluids pretty

A nurse is caring for a female client who has a prescription for an indwelling urinary catheter. Which of the following actions should the nurse take first?

Explain to the client that she will feel temporary discomfort

The client has cystitis with dysuria. She is receiving phenazopyridine To decrease her pain. Her urine is reddish orange. The nurse should

Explain to the patient that this is normal

The mother of a school age girl was asking the nurse why is it that girls are more prone to urinary tract infections? The nurse best response would be

Females have a short and proximal urethra in relation to the vagina.

A nurse is collecting data for a middle-age client who has pyelonephritis. Which of the following findings should the nurse expect?

Flank pain

A nurse is reviewing the medication history of a client. The nurse should identify which of the following medications places the pt at risk for hypokalemia?

Furosemide 80 mg PO daily

A nurse is monitoring a client following a hemodialysis treatment through AV fistula. Which of the following findings should the nurse report to the provider?

Headache restlessness

A nurse is reinforcing teaching with a client who has recurrent urinary tract infections about prevention measures. Which of the following client statement indicates the need for further teaching

I will need to wipe my perineal area from back to front after urination

In the teaching I have a client how to decrease the chance of further problems with urolithiasis, barring any other contra indication, the nurse would encourage him to

Increase his fluid and takes

A nurse is assisting and planning care for a client who has cystitis. Which of the following interventions should be included in the plan of care?

Instruct the client to avoid drinking caffeinated beverages

The client was asking the nurse about disequilibrium syndrome And what causes restlessness and agitation. The nurses best response would be

It is due to periorbital edema

A nurse is reinforcing discharge instructions with a client who has a new prescription for phenazopyridine Hydrochloride. Which of the following statements should the nurse include in the instructions?

It works as a urinary tract analgesic

A nurse is reinforcing teaching with a client who has chronic kidney disease. Which of the following instructions should the nurse include?

Limit fluid intake

A nurse is caring for a school age child who has a cute glomerulonephritis. The child has Peripheral edema and is producing 35 mL of urine per hour. Which of the following diets should a nurse anticipate the provider will prescribe?

Low sodium fluid restriction

A client with cancer of the bladder is recovering a cystectomy With an Ileal conduct or urostomy. An important aspect and nursing intervention of the client with an ileal conduct is?

Maintaining skin integrity

A nurse is assisting in the post dialysis plan of care for a client who is receiving hemodialysis treatment for a chronic kidney disease. Which of the following interventions should a nurse include in the plan of care?

Monitor the clients for bleeding

A nurse is reviewing the laboratory values for a client who takes spironolactone I noticed that the client serum potassium level is 6.8. The nurse notify the provider and anticipates that the provider will provide which of the following instructions?

Obtain a 12 lead ECG

The physician orders a urinalysis and urine culture. To obtain the urine specimen, the nurse would first instruct the client about

Obtaining a mid catch specimen

A nurse is collecting data from a client who has nephrotic syndrome. Which of the following manifestations should the nurse expect?

Periorbital Adema

A nurse is assisting in the planning of care for a client who has acute glomerulonephritis. Which of the following interventions sure the nurse recommended including in the plan of care?

Place a client on a low sodium diet

A nurse in a community clinic Is collecting data from a client who reports frequent vomiting and diarrhea for the past three days. Which of the following findings should the nurse expect?

Poor skin to girl, hypertension, and flat neck veins.

When a client on furosemide complains of weakness and irregular pulse, there may be an electrolyte deficiency of

Potassium

A nurse is planning a low protein diet for a client who has chronic renal failure. The client states " why do I have to be concerned with protein?" Which of the following response is appropriate?

Protein break down produces waste products that can build up in your body

A nurse is reinforcing teaching with a client who has a new prescription for phenazopyridine. The nurse should reinforce to the client to expect which of the following while taking this medication

Reddish orange urine

A nurse is caring for a client who is diagnosed of renal calculi and reports severe flank pain. Which of the following is a priority nursing action?

Relieve the clients pain

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following adverse effects?

Respiratory distress

The client has end-stage renal disease and is admitted with a blood urea nitrogen level of 93. And excessive elevation of BUN could result in?

SEIZURES

A nurse is reviewing the laboratory findings of a client who has liver failure with ascites. The client takes spironolactone. Which of the following findings is an adverse effect of the medication?

Serum potassium 5.2

A nurse is phoning a provider to report a client serum potassium of 6.2. Which of the following medications should the nurse expect the provider to prescribe?

Sodium polystyrene sulfonate

I'm preparing to teach a client about continuous bladder irrigation, the nurse notes that the most frequent use arrogant is

Sterile isotonic saline

A nurse is preparing to administer a epoetin alpha to a cancer patient. The nurse should explain to the client that which of the following is the purpose of this medication

Stimulate red blood cell production

A nurse is planning care for a client who has renal stones and a urinary catheter in place. Which of the following interventions should the nurse include in the plan of care?

Strain the clients urine in through a mesh filter

And other client in a long-term care facility has dementia and begins to have frequent episodes of urinary incontinence. After the provider find no medical cards for his incontinence, which of the following interventions should the nurse initiate to a manage this behavior?

Take the client to the bathroom on an every two hours schedule

A nurse is reinforcing teaching for a client who has chronic kidney disease about the process of continuous ambulatory Peritoneal Dialysis. Which of the following should the nurse include in the teaching?

The dialysis is continuous 24 hour a day, seven days a week

A nurse is preparing an in-service for a group of newly licensed nurse about organ donation. Which of the following information should the nurse include?

The nurse may serve as a witness to consent for organ donation

A nurse is caring for a client who is scheduled for your blood sampling for a serum creatinine level. The client asked the nurse, what is the purpose for this test? Which of the following responses to the nurse give?

The test will inform your provider how your kidneys are functioning

True or false, if a clients be one level is high and the creatinine level is normal, the client is most likely suffering from dehydration

True

A nurse is emptying a client urinal when she notices the urine is dark amber cloudy and has an unpleasant odor. The nurse should identify that these findings are likely to be a result of which of the following?

Urinary tract infection

A charge nurse over here is any newly licensed nurse providing instructions to a female client on the proper steps to collect a mid stream urine specimen. Which of the following statements made by the newly licensed nurse requires a charge nurse to intervene?

Use the provided towelette to cleanse the area by moving and back and forth motion

A nurse is reinforcing teaching to a female client who has acute cystitis and is to start therapy with Phenazopyridine. Which of the following information should the nurse give to the client?

Wear a protective pad under clothing to prevent staining

A nurse is reinforcing teaching with a client who has a cute pyelonephritis. Which of the following instructions should a nurse include in the teaching?

You should complete the entire cycle of antibiotic therapy

A client has been admitted to the hospital with the hydration and electrolyte imbalance. She is confusing in continent of urine on admission which of the following intervention does the nurse include in developing a plan of care

apply absorbent incontinence pads and check frequently

A nurse was teaching a client who has low red blood cells due to ESRD. He emphasize the need to have which medication?

erythropoietin alfa

The client was asking the nurse which interventions can reduce the risk of skin impairment secondary to urinary incontinence?

frequent toileting and meticulous skin care

A client has nephrotic syndrome. Which of the statements made by the patient indicates that she understands the dietary modification

i will need to increase protein and decrease sodium intake

A client is worried about his ESRD and his new medication sevelamer Hydrochloride. The nurse response by

it prevents calcium loss from bones

A client is receiving hydrochlorothiazide for hypertension. For prevention of complications, it is particularly important that the nurse prioritize

monitor serum potassium levels