Genitourinary Disorders

The nurse teaches a female client who has cystitis methods to relieve her discomfort until the antibiotic takes effect. Which response by the client would indicate that she understands the nurse's instructions?

"I will take warm tub baths."

a total hip replacement 3 years ago.

The client should not have her hip externally rotated when she is positioned for the procedure.

eurogenic flaccid bladder. Which outcome is appropriate for this client?

The client's bladder does not become over distended.

continuous bladder irrigation following a transurethral resection of the prostate. In addition to balloon inflation, the functions of the three lumens include:

continuous inflow and outflow of irrigation solution.

A client diagnosed with cancer of the cervix in situ is scheduled to have a conization. Which is a priority during the 1st 24 postoperative hours?

monitoring vaginal bleeding

The nurse is providing preoperative instructions to a client who is having a transurethral resection of the prostate. What should the nurse tell the client?

"Expect blood in your urine in the first couple of days following the procedure."

A graduate nurse is asking for information about chronic renal failure. Which statement by the nurse would be most accurate when providing teaching?

"It is characterized by azotemia, fluid volume excess, and hyperkalemia."

A couple has completed testing and is a candidate for in vitro fertilization. The nurse is reviewing the procedure with them and realizes that further instruction is needed when the client makes which statement?

"The fertilization procedure can be done anytime during my cycle."

A client who is to have a vaginal radium implant tells the nurse she is concerned about being radioactive. The nurse should tell the client:

"The radioactive material is controlled and stays with the source; once the material is removed, no radioactivity will remain."

The client with acute renal failure asks the nurse, "Will my kidneys ever function normally again?" What should the nurse tell the client?

"You will continue to improve over a period of weeks."

A woman is using progestin injections for contraception. When does the nurse instruct the client to return for her next injection?

3 months

A nurse is admitting an older female client to the gynecology surgical unit. When the nurse asks the client what medication she is taking at home, the client responds that she is taking a little red pill in the morning and a white capsule at night for her blood pressure. What should the nurse do next?

Ask a family member to bring the medications from home in the original vials for proper identification and administration times.

A menopausal woman with an intact uterus is taking a combined estrogen and progesterone replacement medication, conjugated estrogens/medroxyprogesterone acetate 0.625 mg/2.5 mg, for severe hot flashes. Combined hormonal therapy is given because estrogen alone:

Could be a risk factor for endometrial cancer.

a life threatening complication of acute renal failure, is characterized by tall peaked T waves on electrocardiogram.

Hyperkalemia

The nurse collects a urine specimen from a client for a culture and sensitivity analysis. What should the nurse do to preserve the specimen?

Send it to the laboratory immediately.

A client asks the nurse to explain the meaning of her abnormal Papanicolaou (Pap) smear result of atypical squamous cells. The nurse should tell the client that an atypical Pap smear means that what has occurred?

The cells could cause various conditions and help identify a problem early.

A client is at risk for acute pyelonephritis. The nurse should instruct the client about which health promotion behaviors that will be most effective in preventing pyelonephritis?

Wash the perineum with warm water and soap, cleaning from front to back.

A client with diabetes mellitus has had declining renal function over the past several years. Which diet regimen should the nurse recommend to the client on days between dialysis?

a low-protein diet with a prescribed amount of water

hydronephrosis

abnormal condition of water in the kidney

he client asks the nurse, "How did I get this urinary tract infection?" What should the nurse tell the client causes cystitis?

an ascending infection from the urethra

A male client reports having impotence. The nurse should teach the client that which medication is a contributing factor to impotence?

antihypertensives

Aluminum hydroxide gel is prescribed for the client with chronic renal failure to take at home. What is the expected outcome of this drug?

binding phosphate in the intestine

client with chronic renal failure (CRF) prevent protein catabolism. require what type of diet?

carbohydrate intake

A triple-lumen indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. In addition to balloon inflation, the functions of the three lumens include:

continuous inflow and outflow of irrigation solution.

action of spermicides

destruction of spermatozoa before they enter the cervix

approximately 8 weeks pregnant asks the nurse, "If I have an abortion in the next 2 or 3 weeks, how will it be done?"

dilatation and curettage

Terazosin is an antihypertensive drug that is also used in the treatment of benign prostatic hypertrophy ( BPH)

monitor blood pressure to ensure patient does not develop hypotension, syncope, or orthostatic hypotension.

A nurse is obtaining assessment data on a client diagnosed with acute renal failure. Which finding warrants calling the healthcare provider?

peaked T waves on electrocardiogram

Which laboratory value supports a diagnosis of pyelonephritis?

pyuria

A nurse is caring for a client who had an ileal conduit 3 days earlier. Which assessment finding, if made by the nurse, would indicate a need for a further consultation with the enterostomal nurse?

red, sensitive skin around the stoma site

The nurse is working the night shift and needs to collect urine from four clients for routine urinalysis in a skilled nursing home. When are the most accurate urine samples obtained? Select all that apply.

the first void of the morning anytime as long as the sample is refrigerated

Pyelonephritis

type of urinary tract infection where one or both kidneys become infected. They can be infected by bacteria or a virus.

Which clinical finding should a nurse look for in a client with chronic renal failure?

uremia

After hemodialysis, the nurse knows that the client is most likely to experience:

weight loss.