Urinary Questions

A creatinine clearance test has been ordered. The nurse prepares to? A: Collect the client's urine for 24hr B: Obtain a clean catch urine C: Obtain a blood specimen D: Insert a straight catheter for a specimen.

B: Obtain a clean catch urine

When a client with an indwelling urinary catheter insists on walking to the hospital lobby to visit with family members, the nurse teaches him how to do this without compromising the catheter. Which client action indicates an accurate understanding of this information? A: The client sets the drainage bag on the floor while sitting down B: The client keeps the drainage bag below the bladder at all times. C: The client clamps the catheter drainage tubing while visiting with family. D: The client loops the drainage tubing below it's point of entry into the drainage bag

B: The client keeps the drainage bag below the bladder at all times.

The nurse is caring for several clients on a urinary medical unit. Which client is at an increased risk for bladder stones? A: The client with frequent UTIs B: The client who is paraplegic C: The client with difficulty ambulating D: The client who abdominal surgery

B: The client who is paraplegic

The nurse who teaches a client about prevent recurrent UTIs would include which statement? A: Take tub baths instead of showers. B: Void immediately after sexual intercourse C: Increase intake of coffee, tea, and colas D: Void every 5 hours during the day

B: Void immediately after sexual intercourse

Because of difficulties with hemodialysis, pertoneal dialyisi is intiiated to treat a client's uremia. Which finding during this procedure signals a significant problem? A: Blood glucose level of 200mg/dL B: WBC count of 20,000/mm3 C: Potassium level of 3.5 mEq/L D: Hermatocrit (HCT) of 35%

B: WBC count of 20,000/mm3

The nurse preforms a physical examination on a client diagnosed with acute pyelonephritis to assist in determining which of the following? A: Abnormalities in urine B: Location of discomfort C: Elevated calcium levels D: Structural defects in the kidneys

B: Location of discomfort

Which medication may be ordered to relieve discomfort associated with a UTI? A: Nitroturantoin B: Phenazopyridine C: Ciprofloxacin D: Levofloxacin

B: Phenazopyridine

The nurse reviews a client's history and notes that the client has a history of Hyperparathyroidism. The nurse would identify that this client most likely would be at risk for which of the following? A: Kidney Stones B: Neurogenic bladder C: Chronic renal failure D: Fistula

A: Kidney stones

A nursing student asks the nurse why older adults are at risk for renal disease. The best response by the nurse is? A: "The glomerular filtration rate decreases as we age." B: "Contractility of the bladder wall increases with age. C: "Urethral hypertrophy occurs following menopause." D: "Hypoplasia of the prostate occurs in older men"

A: "The glomerular filtration rate decreases as we age.

As a result of trauma, a client has developed urinary incontinence and is beginning bladder trainning to regain control over urine elimination. What is the initial step to begin bladder training for a client with an indwelling catheter? A: Clamp the catheter B: Unclamp the catheter C: Remove the catheter D: perform catheter care

A: Clamp the catheter

A client who has a history of neurogenic bladder uses a permanent, indwelling catheter to facilitate urine elimination. What can this client consume to decrease the likelihood of bladder infection? A: Cranberry juice B: Increased protein C: Red meat D: Prune juice

A: Cranberry juice

The nurse is preparing to assess a client's new stoma. Which finding would the nurse include in the documentation of a healthy stoma? A: Pain B: Pink color C: Black color D: Dry in appearance

C: Black color

Which term is used to describe the concentration of urea and other nitrogenous wastes in the blood? A: Uremia B: Azotemia C: Hermaturia D: Proteiuriea

B: Azotemia

A nurse in monitoring a client who has a kidney biopsy for postoperative complications. Which of the following complications should the nurse identify as causing the greatest risk to the client. A: Infection B: Hemorrhage C: Hermaturia D: Pain

B: Hemorrhage

Acute dialysis is indicated during which situation? A: Dehydration B: Impending pulmonary edema C: Metabolic alkalosis D: Hypokalemia

B: Impending pulmonary edema

The nurse cares for a client after extensive abdominal surgery. The client develops and infection that is treated with IV gentamicin. After 4 days of treatment, the client develops oliguria, and lab results indicate azotemia. The client is diagnosed with acute tubular necrosis and transferred to the ICU. The client is hemodynamically stable. Which dialysis method would be the most approriate for the client? A: Hemodialysis B: Peritoneal dialysis C: Continuous ateriaovernous hermofiltration (CAVH) D: Continuous venovenous hemoflitration (CVVH)

A: Hemodialysis

The nurse and urologist have both been unsuccessful in catheterizing a patient with a prostatic obstruction and a full bladder. What approach does the nurse anticipate the physician using to drain the patient's bladder? A: Insertion of a suprapubic catheter B: Scheduling the client immediately for a prostatectomy C: Application of warm compresses to the preineum to assist with relaxation D: Medication administration to relax the bladder muscles and reattempting catheterization in 6 hours.

A: Insertion of a suprapubic catheter

A nurse on a busy medical unit provides care for many clients wo require indwelling urinary catheters at some point during their hospital care. The nurse should reognize a heightened risk of injury associated with indwelling catheter use in which client? A: A client whose diagnosis of chronic kidney disease requires a fluid restriction B: A client who has Alzheimer disease and who is acutely agitated C: A client who is on bed rest following a recent episode of venous thromboemolism D: A client who has decreased mobility following a transmetatarsal amputation.

B: A client who has Alzheimer disease and who is acutely agitated

A Client who is suspected of urinary tract infection is asked to collect a 24-hour urine specimen for culture. Which of the following measures can the nurse suggest to the client that may help prevent the entire urine specimen from becoming contaminated? A: Collect the voided urine sample primarily before 5am. B: Refrigerate the specimen until it is taken to the laboratory. C: Use the same receptacle for voiding and defecation. D: Store the collected urine away from sunlight.

B: Refrigerate the specimen until it is taken to the laboratory.

A client with kidney injury secondary to diabetic nephropathy has been admitted to the medical unit. What is the most life=threating effect of kidney injury for which the nurse should monitor the client? A: Accumulation of wastes B: Retention of potassium C: Depletion of calcium D: Lack of BP control

B: Retention of potassium

A client with a diagnosis of respiratory acidosis is experiencing renal compensation. What function does the kidney perform to assist in restoring acid-base balance? A: Sequestering free hydrogen ions in the nephrons B: Returning bicarbonate to the body's circulation C: Returning acid to the body's circulation D:Excreting bicarbonate in the urine

B: Returning bicarbonate to the body's circulation

Which client is at highest risk for developing a hostital-aquired infection? A: A client with a laceration to the left hand B: A client who's taking prednisone (Deltasone) C: A client with and indwelling urinary catheter D: A client with crohn's disease

C: A client with and indwelling urinary catheter

The nurse is performing a focused genitourinary and renal assessment of a client. Where should the nurse assess for pain at the costovertebral angle? A: At the umbilicus and the right lower quadrant of the abdomen. B At the suprapubic region of the umbilicus. C: At the lower border of the 12th rib and the spine. D: At the 7th rib and the xiphoid process.

C: At the lower border of the 12th rib and the spine

A patient undergoing a CT scan with contrast has a baseline creatinine level of 3 mg/dL identifying this patient has a high risk for developing kidney failure what is the most effective intervention to reduce the risk of developing radiocontrast induce nephropathy (CIN)? A: Performing the test without contrast B: Administering Garamycin (gentamicin) prophylactically C: Hydrating with Saline intravenously before the test D: Administering sodium bicarbonate after the procedure

C: Hydrating with Saline intravenously before the test

The nurse is careing for a male client who has a significant urinary narrowing secondary to an elarged prostate. Which nursing action is best to relieve his urinary retention? A: Use a 22 French catheter to remove urine from bladder. B: Teach the Credc's maneuver to remove urine from the bladder. C: Insert a coude catheter to remove urine from the bladder D: Use a straight-tipped catheter to remove urine from the bladder.

C: Insert a coude catheter to remove urine from the bladder

The nurse is caring for a patient with severe pain related to ureteral colic. What medication can the nurse administer with a physician's order that will inhibt the synthesis of prostaglandin E, thereby reducing swelling and facilitating the passage of the stone? A: Morphine sulfate B: Asprin C: Ketoralac (Toradol) D: Meperidine (Demerol)

C: Ketoralac (Toradol)

The nurse is caring for a patient in the oliguric phase of acute kidney injury (AKI). What does the nurse know would be the daily urine output? A: 1.5L B: 1.0L C: less than 400mL D: less than 50ML

C: Less than 400mL

The nurse is caring for a client diagnosed with bladder stones. The client is scheduled for a litholapaxy. Which nursing action is most important to complete prior to the procedure? A: Stain all urine B: Maintain the intake and output C: Maintain 12hours of NPO D: Make sure that the nurse has the consent signed.

C: Maintain 12hours of NPO

The patient has been diagnosed with urge incontience. What classification of medication does the nurse expect the patient will be placed on to help allevate the symptoms? A: Antispasmodic agents B: Urinary analgesics C: Antibiotics D: Anticholinergic agents

D: Anticholinergic agents

A nurse is reinforcing teaching with a client who will have an x-ray of the kidneys, ureters and bladder. Which of the following statements shout the nurse include? A: "You will be receive contrast dye during the procedure." B: "An enema is necessary before the procedure." C: You will need to lie in a prone position during the procedure. D: "The procedure determines whether you have a kidney stone."

D: The procedure determines whether you have a kidney stone.

Which of the following is a priority nursing diagnosis of the client in the oliguric phase of acute renal failure? A: Fluid volume excess B: Urinary retention C: Activity intolerance D: Disturbed body image

A: Fluid volume excess

A client is undergoing diagnostic testing for a suspected urinary obstruction. The nurse should know that incomplete emptying of the bladder due to bladder outlet obstruction can cause what? A: Hydronephrosis B: Nephritic syndrome C: Pyelonephritis D: Nephrotoxicity

A: Hydronephrosis

A nurse is caring for a client who has type 2 diabetes mellitus and will have excretory urography. Prior to the procedure. Which of the following actions should the nurse take? (select all that appy) A: Identify an allergy to seafood B: Withhold Metformin for 24 to 48 hours after test. C: Administer and enema or bowel prep. D: Obtain a serum coagulation profile. E: Check for asthma

A: Identify an allergy to seafood B: Withhold metformin for 24 -48 hours. C: Administer an enema or bowel prep E: Check for asthma

A client diagnosed with acute kidney injury (AKI) has developed congestive heart failure. The client has received 40mg of IV Push Lasix and 2 hours later, the nurse notes that there are 50mL of urine in the Foley catheter bag. The client's vitals are stable. Which health care order should the nurse anticipate? A: Lasix 80mg IV push B: Normal saline bolus of 500mL C: Chest x-ray D: Mannitol 12.5g IV push

A: Lasix 80mg IV push

A client with urinary tract infection is prescribed phenazopyridine (Pyridium). Which of the following instructions would the nurse give the client? A: This medication will relieve your pain. B: This medication should be taken at bedtime C: This medication will prevent re-infection D: This will kill the organism causing the infection.

A: This medication will relieve your pain.

The nurse is caring for a patient with dementia in a long term care facility when the patient has change in cognitive function. What should the nurse suspect this patient may be experiencing? A: UTI B: Stroke C: Aneurysm D: Fecal impaction

A: UTI

A patient is scheduled for a test with contrast to determine kidney function. what statement made by the patient should the nurse inform the physician about prior to testing? A: "I don't like needles." B: "I'm allergic to shrimp." C: I take medication to help me sleep at night." D: "I have had a test similar to this in the past."

B: "I'm allergic to shrimp."

The nurse coming on shift on the medical unit is taking a report on four clients. what client does the nurse know is at the greatest risk for developing ESKD? A: A client with a history of polycystic kidney disease B: A client with diabetes mellitus and poorly controlled hypertenstion. C: A client who is morbibly obese with a history of vascular disorders D: A client with severe chronic obstructive pulmonary disease

B: A client with diabetes mellitus and poorly controlled hypertenstion.

The nurse performs acute intermittent peritoneal dialysis (PD) on a client who is experiencing uremic signs and symptoms. The peritoneal fluid is not draining as expected. What is the best response by the nurse? A: Notify the health care provider B: Turn the client from side to side C: lower the head of the bed D: Push the catheter further into the abdomen.

B: Turn the client from side to side

A client with several calculi in the ureter is scheduled for extracorporeal shock wave lithotripsy (ESWL). Which teaching statement by the nurse best describes the procedure? A: A scope is passed through the urethra to visualize and destroy the stones with a lazer. B: After locating the calculi, a small incision is made to remove the stones. C: The stone is identified via flurorscopy and then shock waves are used to shatter the stone. D: Once the calculi are located, a fine wire delivers shock waves to pulverize the stones

C: The stone is identified via flurorscopy and then shock waves are used to shatter the stone.

The nurse is caring for a client with a nursing diagnosis of deficient fluid volume. The nurse's assessment reveals a BP of 96/52 mm Hg. The nurse should recongize that the client's kidneys will compensate by secreating what substance? A: Antidiuretic Hormone (ADH) B: Aidosterone C: Renin D: Angiotensin

C: Renin

A client with a newly diagnosed renal cancer is questioning why detection was delayed. Which is the best response by the nurse? A: Squamous cell carcinoma do not present with detectable symptoms B: You should have sought treatment earlier C: Very few symptoms are associated with renal cancer. D: Painless gross hematuria is the first symptom in renal cancer

C: Very few symptoms are associated with renal cancer.