EAQ : Urinary/Reproductive Systems

the nurse would identify which specific gravity of urine as an abnormal level? A. 1.006 B. 1.012 C. 1.028 D. 1.041

1.041 Normal range is 1.003 - 1.030

Which finding would the nurse associate with a client who may be rejecting their renal transplant? A: Fever B: Hematuria C: Moon face D: Yellow sclera

A: Fever

When a client has renal calculi secondary to hyperparathyroidism, for which type of diet would the nurse gather discharge information? A: Low purine B: Low calcium C: High phosphorus D:High alkaline ash

B: Low calcium calcium and phosphorus are components of these stones, and foods high in calcium and phosphorus should be avoided

Which test would the nurse identify as beneficial in identifying prostate cancer ? A: Mammography B: Ultrasonography C: Endometrial biopsy D: Radiographic examination

B: Ultrasonography

While obtaining the health history of a spouse during a fertility specialist consult, about which childhood disease would the nurse seek information? Select all that apply. One, some , or all responses may be correct . A: Mumps B: Measles C: Chickenpox D: Scarlet fever E: Fifth disease

A: Mumps Mumps is the childhood infectious disease affecting male fertility

For a client taking nitrofurantoin 50 mg orally every evening to manage recurrent UTI, which instruction would the nurse provide? A: increase the intake of fluids B: strain the urine for crystals and stones C: stop the drug if urinary output increases D: maintain the exact time schedule for taking the drug

A: increase the intake of fluids

When reviewing the laboratory reports for a client with end-stage renal disease, which test result would the nurse anticipate? A:Arterial pH 7.5 B: Hematocrit of 54% C: Creatinine of 1.2 mg / dL D: Potassium of 6.3 mEq / L

D: Potassium of 6.3 mEq/L ESRD have impared potassium excretion so the nurse should anticipate a potassium level more than the expected range of 3.5 to 5 serum pH = less than 7.35 due to metabolic acidosis ESRD have decreased erythopoietin which leads to decreased RBC production and hematocrit (HCT)

Which type of incontinence would the nurse document for a client experiencing an involuntary loss of small amounts (25 to 35 mL) of urine from an overdistended bladder? A: Urge B: Stress C: Reflex D: Overflow

D:Overflow

When a client arrives at a health clinic reporting hematuria , frequency, urgency, and pain on urination, which condition would the nurse suspect? A: Chronic glomerulonephritis B: Cystitis C:Nephrotic syndrome D: Pyelonephritis

B: Cystitis Cystitis is an inflammation of the bladder that causes frequency urgency of urination, pain on micturition, and hematuria

Which characteristic would the nurse associate with menopause ? A: Hot flashes are a result of an increase in estrogen B: Menopause usually occurs in women between 18 and 22 years of age C: During menopause , menstrual flow ceases and hormone levels decrease D: Cigarette smoking, family history, and surgical interventions are all associated with delayed menopause

C: During menopause , menstrual flow ceases and hormone levels decrease

Which factor would the nurse suspect contributed to a client's development of urinary calculi? A: Increased fluid intake B: Urine specific gravity of 1.017 C: History of hyperparathyroidism D: Jogging 3 miles a day

C: History of hyperparathyroidism Hyperparathyroidism results in high serum calcium levels

For a client experiencing difficulty in voiding after removal of an indwelling urinary catheter, which likely cause would the nurse identify? A: Fluid imbalance B: Sedentary lifestyle C: Interruption in previous voiding habits D: Nervous tension following the procedure

C: Interruption in previous voiding habits an indwelling catheter dilates the urinary sphincters, keeps the bladder empty, and short-circuits the reflex mechanism based on bladder distention . when the catheter is removed, the body must adapt to the functioning once again. Although fluid imbalance may cause difficulty in voiding, there are no data presented to draw this conclusion

WHich structure extends from the mons pubis to the perineal floor? A: Rugae B: Hymen C: Vestibule D: Labia majora

D: Labia Majora

In addition to balloon inflation, the three lumens of a triple-lumen urinary catheter, inserted after a transurethral resection of the prostate, serve which function? A. Continuous inflow and outflow of irrigation solution B. Intermittent inflow and continuous outflow of irrigation solution C. Continuous inflow and intermittent outflow of irrigation solution D. Intermittent flow of irrigation solution and prevention of hemorrhage

A. Continuous inflow and outflow of irrigation solution

During the early postoperative period after a radical nephrectomy, for which acute life-threatening complication would the nurse monitor the client? A: Sepsis B: Hemorrhage C: Renal failure D: Paralytic ileus

B: Hemorrhage The kidney is an extremely vascular organ that receives a large percentage if the blood flow, and hemorrhage from the operative site occur

When discussing nutrition with a female client who is postmenopausal, which nurse's statement would be the most appropriate? A: "Be sure to take a calcium supplement every day ." B: Make sure to eat cereal fortified with folic acid and B vitamins." C: Vitamin C is most important every day for postmenopausal woman." D: Eating two servings of red meat every day will provide all the iron that you need."

A: "Be sure to take a calcium supplement every day ." Daily calcium supplementation to help prevent osteoporosis

Which test enables direct visualization of the cervix and vagina? A: Biopsy B: Culdoscopy C: Colposcopy D: Laparoscopy

C: Colposcopy

When a client asks what to expect after transurethral resection of the prostate (TURP), which response would the nurse give? A: " you will have an abdominal incision and dressing" B: " your urine will be pink and free of clots" C: " there will be an incision between your scrotum and rectum" D: "There will be an indwelling urinary catheter and a continuous bladder irrigation in place"

D: "There will be an indwelling urinary catheter and a continuous bladder irrigation in place"

Which statement describes a transgendered individual? A: An individual who cross-dresses as an entertainment performance B: An individual who periodically dresses like a woman C: An individual who is persistently attracted to people of the same sex D: An individual whose inward gender identity does not match the anatomical sex of their body

D: An individual whose inward gender identity does not match the anatomical sex of their body

A nurse instructs a client with a history of frequent urinary tract infections to drink cranberry juice . Which rationale supports encouraging cranberry juice intake? A: Decrease in the urinary pH B: Exerts a bactericidal effect C: Improvement of glomerular filtration D: Relief of dysuria

A: Decrease in the urinary pH

When the nurse provides a client, who receives dialysis for end-stage renal disease, information about restricting dietary protein, sodium, and potassium, which client statement indicates effective teaching? A: I should avoid using salt substitutes." B: I should exclude meat from my diet." C: I may not add seasoning to my food ." D: I may eat low- sodium canned vegetables."

A: I should avoid using salt substitutes."

Within which area of the urinary tract are renal calculi most commonly formed? A: Kidney B: Ureter C: Urethra D: Bladder

A: Kidney They may travel down the urinary tract causing damage and may lodge anywhere along the urinary tract or may stay within the kidney. the others are LESS common sites

Which finding would indicate an acute rejection of a transplanted kidney? Select all that apply. One, some , or all responses may be correct. A: Hypertension B: Fever and chills C: Pain at graft site D: Overnight weight gain E: Decreased urine output

ALL if the above Signs that the transplanted kidney is not functioning and is most probably being rejected include hypertension, fever and chills, pain at site, overnight wt. gain, and decreased urine output

Which hormone acts with luteinizing hormone to stimulate the production of sperm during puberty? A: Somatropin B: Testosterone C: Follicle-stimulating hormone D: Gonadotropin-releasing hormone

C: Follicle-stimulating hormone Follicle-stimulating hormone and luteinizing hormones act upon the testicular cells and stimulate the production of sperm

What part of the male reproductive system produces sperm? A: Epididymis B: Prostate glands C: Ductus deferens D: Seminiferous tubules

D: Seminiferous tubules

Which approach would the nurse take regarding sexual identity? A: The nurse should always have a single belief about sexual ethics. B: The nurse may judge sexual decisions as immoral on the basis of religious standards C: The nurse should view any private sexual act between consenting adults as immoral D: The nurse should maintain a nonjudgmental attitude about sexuality while providing care for all clients.

D: The nurse should maintain a nonjudgmental attitude about sexuality while providing care for all clients.

For the clients w/ Chronic Kidney Disease (CKD), wich finding indicates the effectiveness of sodium polystyrene sulfonate (Kayexalate)? A: Constipation B: improved mental status C: Sodium increases to 137 mEq/L D: potassium decreases to 4.2 mEq/L

D: potassium decreases to 4.2 mEq/L This resin exchanges sodium ions for potassium in the large intestine to lower the serum potassium level. A value of 4.2 mEq/L is the expected range for potassium.