Urinary/Reproductive

When a client returns from the postanesthesia care unit after a kidney transplant, the nurse should plan to measure the client's urinary output every: 1.15 minutes 2.One hour 3.Two hours 4.Three hours

2.One hour

Which nursing action can best prevent infection from a urinary retention catheter? 1.Cleansing the perineum 2.Encouraging adequate fluids 3.Irrigating the catheter once daily 4.Cleansing around the meatus routinely

4.Cleansing around the meatus routinely

A nurse is assessing a client who is scheduled for a liver biopsy. What assessment finding needs to be reported immediately because it warrants a postponement of the liver biopsy? 1.Mental confusion 2.International normalized ratio (INR) of 4.0 3.Presence of an infectious disease 4.Foods high in vitamin K eaten before the biopsy

2.International normalized ratio (INR) of 4.0

A nurse is caring for a client with acute kidney failure who is receiving a protein-restricted diet. The client asks why this diet is necessary. What information should the nurse include in a response to the client's questions? 1.A high-protein intake ensures an adequate daily supply of amino acids to compensate for losses. 2.Essential and nonessential amino acids are necessary in the diet to supply materials for tissue protein synthesis. 3.This supplies only essential amino acids, reducing the amount of metabolic waste products, thus decreasing stress on the kidneys. 4.Urea nitrogen cannot be used to synthesize amino acids in the body, so the nitrogen for amino acid synthesis must come from the dietary protein.

3.This supplies only essential amino acids, reducing the amount of metabolic waste products, thus decreasing stress on the kidneys.

During discharge teaching, a client with an ileal conduit asks how frequently the urine pouch should be emptied. The best reply by the nurse is: 1."To prevent leakage and pulling of the pouch from the skin, it should be emptied every few hours." 2."To prevent skin irritation, it should be emptied every hour if any urine has collected in the bag." 3."To reduce the risk of infection, the system should be opened as little as possible; two times a day is adequate." 4."To reduce the cost of drainage pouches, it should be emptied once the system is switched to a bedside collection bag."

1."To prevent leakage and pulling of the pouch from the skin, it should be emptied every few hours."

A client is admitted to the hospital for acute gastritis and ascites secondary to alcoholism and cirrhosis. It is most important for the nurse to assess this client for: 1.Blood in the stool 2.Food intolerances 3.Complaints of nausea 4.Hourly urinary output

1.Blood in the stool

A nurse is assessing the urine of a client with a urinary tract infection. For which characteristic should the nurse assess each specimen of urine? 1.Clarity 2.Viscosity 3.Glucose level 4.Specific gravity

1.Clarity

A client is admitted to the hospital with a ureteral calculus. The nurse expects what urinary clinical findings? 1.Urgency and mild aching pain 2.Foul odor and dark urine 3.Hematuria with sharp pain when voiding 4.Frequency with small amounts of urine

3.Hematuria with sharp pain when voiding

A client is diagnosed as having kidney failure. During the oliguric phase the nurse should assess the client for: 1.Hyperkalemia 2.Hypocalcemia 3.Hypernatremia 4.Hypoproteinemia

1.Hyperkalemia

A client with a history of benign prostatic hypertrophy asks whether cranberry juice prevents bladder infections. The nurse replies that cranberry juice may be helpful because it: 1.Increases acidity of the urine 2.Soothes irritated bladder walls 3.Improves glomerular filtration rate 4.Destroys microorganisms in the bladder

1.Increases acidity of the urine

A client has a permanent colostomy. During the first 24 hours, there is no drainage from the colostomy. The nurse concludes that this is a result of the: 1.Edema after the surgery 2.Absence of intestinal peristalsis 3.Decrease in fluid intake before surgery 4.Effective functioning of the nasogastric tube

2.Absence of intestinal peristalsis

A nurse is caring for a client who reports urinary problems, and the health care provider prescribes a cholinergic medication. Which response is prevented that helps the nurse determine that the medication is effective? 1.Bladder spasticity 2.Bladder flaccidity 3.Urinary tract calculi 4.Urinary tract infections

2.Bladder flaccidity

A nurse is preparing to discharge a client who had a transurethral prostatectomy for benign prostatic hyperplasia. The nurse evaluates that the client understands the discharge teaching when the client states: 1."I will drink 6-8 cups of fluid daily and no fluids near bedtime." 2."Now I don't have to go back to my health care provider's office." 3."I will use stool softeners regularly for the next one to two months." 4."I plan to go home and have sexual intercourse with my spouse."

3."I will use stool softeners regularly for the next one to two months."

A nurse is planning to administer a prescribed intravenous solution that contains potassium chloride. What assessment should be brought to the health care provider's attention before administration of the intravenous (IV) line? 1.Uncharacteristic irritability 2.Poor tissue turgor with tenting 3.Urinary output of 200 mL during the previous 8 hours 4.Oral fluid intake of 300 mL during the previous 12 hours

3.Urinary output of 200 mL during the previous 8 hours

A 40-year-old client scheduled for a hemi-colectomy because of ulcerative colitis asks if having a hemi-colectomy means wearing a pouch and having bowel movements in an abnormal way. Which is the best response by the nurse? 1."Yes, hemi-colectomy is the same as a colostomy." 2."Yes, but it will be temporary until the colitis is cured." 3."No, that is necessary when a tumor is blocking the rectum." 4."No, only part of the colon is removed and the rest reattached."

4."No, only part of the colon is removed and the rest reattached."

A health care provider prescribes furosemide (Lasix) for a client with hypervolemia. The nurse recalls that furosemide exerts its effects in what part of the renal system? 1.Distal tubule 2.Collecting duct 3.Glomerulus of the nephron 4.Loop of Henle

4.Loop of Henle

A client in a nursing home is diagnosed with urethritis. What should the nurse plan to do before initiating antibiotic therapy prescribed by the health care provider? 1.Prepare for urinary catheterization. 2.Teach the client how to perform perineal care. 3.Start a 24-hour urine collection. 4.Obtain a urine specimen for culture and sensitivity.

4.Obtain a urine specimen for culture and sensitivity.

A lithotripsy to break up renal calculi is unsuccessful, and a nephrolithotomy is performed. Which postoperative clinical indicator should the nurse report to the health care provider? 1.Passage of pink-tinged urine 2.Pink drainage on the dressing 3.Intake of 1750 mL in 24 hours 4.Urine output of 20 to 30 mL/hr

4.Urine output of 20 to 30 mL/hr

A nurse is reviewing the clinical record of a client with a diagnosis of benign prostatic hyperplasia (BPH). Which test result confirmed the diagnosis? 1.Rectal examination 2.Serum phosphatase level 3.Biopsy of prostatic tissue 4.Pap smear of prostatic fluid

3.Biopsy of prostatic tissue

A nurse teaches the signs of organ rejection to a client who had a kidney transplant. What should be included in the education? 1.Weight loss 2.Subnormal temperature 3.Elevated blood pressure 4.Increased urinary output

3.Elevated blood pressure

A client with acute glomerulonephritis complains of thirst. The most appropriate item that the nurse can offer to relieve the client's thirst is: 1.Ginger ale 2.Milkshake 3.Hard candy 4.Cup of broth

3.Hard candy

Before a transurethral resection of the prostate (TURP), a client asks about what to expect postoperatively. The most appropriate response by the nurse is: 1."You will have an abdominal incision and a dressing." 2."Your urine will be pink and free of clots." 3."There will be an incision between your scrotum and rectum." 4."There will be an indwelling urinary catheter and a continuous bladder irrigation in place."

4."There will be an indwelling urinary catheter and a continuous bladder irrigation in place."

A client just had a suprapubic prostatectomy. Which action should the nurse implement to prevent a secondary bladder infection? 1.Observe for signs of uremia 2.Attach the catheter to suction 3.Clamp off the connecting tube 4.Change the dressings frequently

4.Change the dressings frequently

A nurse evaluates that a client understands the side effects of hydrochlorothiazide (HCTZ) therapy when the client states, "I should call my health care provider if I develop: 1.Insomnia." 2.A stuffy nose." 3.An increase in thirst." 4.Generalized weakness."

4.Generalized weakness."

The nurse assesses a male client with a preliminary diagnosis of cancer of the urinary bladder. The nurse recalls that which sign or symptom is a common early sign of cancer of the urinary system: 1.Dysuria 2.Retention 3.Hesitancy 4.Hematuria

4.Hematuria

The nurse is caring for a client who has been diagnosed with glomerulonephritis. What initial urinary finding supports this diagnosis? 1.Anuria 2.Dysuria 3.Polyuria 4.Hematuria

4.Hematuria

The nurse providing postoperative care for a client who had kidney surgery reviews the client's urinalysis results. The nurse concludes that the presence of what substance in the urine needs to be reported to the health care provider? 1.Sodium 2.Potassium 3.Urea nitrogen 4.Large proteins

4.Large proteins

A nurse is evaluating a client's response to fluid replacement therapy. Which clinical finding indicates adequate tissue perfusion to vital organs? 1.Urinary output of 30 mL in an hour 2.Central venous pressure reading of 2 mm Hg 3.Baseline pulse rate of 120 that decreases to 110 beats/min within a 15-minute period 4.Baseline blood pressure of 50/30 that increases to 70/40 mm Hg within a 30-minute period

1.Urinary output of 30 mL in an hour

An acute, life-threatening complication for which a nurse should assess a client in the early postoperative period after a radical nephrectomy is: 1.Sepsis 2.Hemorrhage 3.Renal failure 4.Paralytic ileus

2.Hemorrhage

A client who has repeated episodes of cystitis is scheduled for a cystoscopy to determine the possibility of urinary tract abnormalities. The client asks the nurse to describe the procedure. The nurse's most appropriate response is, "This procedure is: 1.A computerized scan that outlines the bladder and surrounding tissue." 2.An x-ray film of the abdomen, kidneys, ureters, and bladder after administration of dye." 3.The visualization of the inside of the bladder with an instrument connected to a source of light." 4.The visualization of the urinary tract through ureteral catheterization and the use of radiopaque material."

3.The visualization of the inside of the bladder with an instrument connected to a source of light."

Which statement regarding treatment with interferon indicates that the client understands the nurse's teaching? 1."I will drink two to three quarts of fluid a day." 2."Any reconstituted solution must be discarded in one week." 3."I can continue driving my car as long as I have the stamina." 4."While taking this medicine I should be able to continue my usual activity."

1."I will drink two to three quarts of fluid a day."

A client with tuberculosis is started on a chemotherapy protocol that includes rifampin (RIF). The nurse evaluates that the teaching about rifampin is effective when the client states: 1."I need to drink a lot of fluid while I take this medication." 2."I can expect my urine to turn orange from this medication." 3."I should have my hearing tested while I take this medication." 4."I might get a skin rash because it is an expected side effect of this medication."

2."I can expect my urine to turn orange from this medication."

A nurse is caring for a client with a diagnosis of renal calculi secondary to hyperparathyroidism. Which type of diet should the nurse explore with the client when providing discharge information? 1.Low purine 2.Low calcium 3.High phosphorus 4.High alkaline ash

2.Low calcium

A sexually active client presents with a sore throat and a generalized rash. The client states that a chancre that had been present healed approximately three months ago. The physical assessment and the serologic test findings indicate a diagnosis of syphilis. The nurse recognizes that the client is experiencing what stage of syphilis? 1.Primary 2.Secondary 3.Latent 4.Tertiary

2.Secondary

The laboratory values of a client with renal calculi reveal a serum calcium within expected limits and an elevated serum purine. The nurse concludes that the stone probably is composed of: 1.Cystine 2.Uric acid 3.Calcium oxalate 4.Magnesium ammonium phosphate

2.Uric acid