Genitourinary System Review questions
cottage cheese
A client has urinary calculi composed of uric acid. The nurse is teaching the client dietary measures to prevent further development of uric acid calculi. The nurse should inform the client that it is acceptable to consume which item?
avoid green leafy vegetables, such as spinach
A client passes a urinary stone, and laboratory analysis of the stone indicates that it is composed of calcium oxalate. On the basis of these data, which should the nurse specifically include in the dietary instructions?
urge incontinence
A client tells the nurse about a pattern of a strong urge to void, followed by incontinence before the client can get to the bathroom. Based on the data provided, which condition should the nurse suspect?
placement of a urethral stent with ureteroscopy insertion of a nephrostomy tube
A client with severe back pain and hematuria is found to have hydronephrosis due to urolithiasis. The nurse anticipates which treatment will be done to relieve the obstruction?
The nurse notes bright red urine output
The nurse is caring for a client who has just returned from having a cystoscopy. The nurse should recognize which as an abnormal assessment finding for this client?
assist to regulate acid-base balance, help regulate blood pressure, convert vitamin D to an active form, produce erythropoietin for red blood cell synthesis
The nurse is caring for a client with chronic kidney disease. The nurse plans care knowing that besides maintaining urinary elimination, the kidneys also are involved in what body processes?
the glomerular filtration rate (GFR) diminishes
The nurse is caring for an older client. Which finding should the nurse expect to note in this client while evaluating renal function?
decreased force in the stream of urine
The nurse is collecting data from a client. Which symptom described by the client is characteristic of an early symptom of benign prostatic hyperplasia?
incontinence, enlarged prostate, nocturia
The nurse is conducting an interview of an older client and is concerned about the possibility of benign prostatic hyperplasia (BPH). Which are characteristics of this disorder?
pale pink urine
The nurse is monitoring a client who has just returned from surgery after transurethral resection of the prostate (TURP). The client has a 3-way Foley catheter in place for ongoing bladder irrigation. The nurse is observing the color of the client's urine and should expect which urine color during the immediate postoperative period?
intake 1800ml, output 1750ml
The nurse is monitoring the fluid balance of an assigned client. The nurse determines that the client has proper fluid balance if which 24-hour intake and output totals are noted?
oncotic pressure
The nurse is monitoring the urine output of a client with a low serum protein level and urinary output less than 30 mL in the last hour. Based on these data, the nurse understands that low urinary output is caused by which force within the kidneys?
grossly bloody urine with clots
The nurse is performing an assessment on a client after a cystoscopy. Which assessment finding indicates a need to notify the primary HCP?
keep follow-up appointments for repeat cultures in 4 to 7 days
The nurse is planning teaching for a female client diagnosed with urethritis caused by chlamydial infection. Which information should the nurse plan to include in the teaching session?
chocolate
The nurse is providing dietary instruction to a client which an oxalate kidney stone. The nurse should instruct the client to avoid which food?
intravenous fluids may be started on the day of the procedure
The nurse is providing instructions to a client who is scheduled for cystoscopy and possible biopsy under general anesthesia. Which information should the nurse include?
increase fluid intake to at least 2.5 L/day
The nurse provides discharge instructions to a client after prostatectomy. What is the priority discharge instruction for this client?
hematuria
The nursing student is caring for a client with benign prostatic hyperplasia (BPH). The nursing instructor asks the student to identify the clinical manifestations associated with this condition. The student needs further teaching if the student states that which finding is an early symptom of BPH?
blood pressure, 100/50 mm Hg; pulse, 130 bpm
A client is admitted to the hospital with a diagnosis of benign prostatic hyperplasia, and a transurethral resection of the prostate is performed. Four hours after surgery, the nurse takes the client's vital signs and empties the urinary drainage bag. Which assessment finding indicates the need to notify the primary HCP?
the distal tubule and the collecting duct
A client is experiencing the syndrome of inappropriate antidiuretic hormone (ADH) secretion. When explaining this disorder to the client and family, the nurse recalls that ADH works to reabsorb water in which parts of the nephrons?
wearing synthetic underwear and pantyhose
A client urolithiasis (struvite stones) has a history of chronic urinary tract infections. What should the nurse plan to teach the client to avoid?
decongestants
A client who has a cold is seen in the ER with an inability to void. Because the client has a history of benign prostatic hyperplasia, the nurse determines that the client should be questioned about the use of which medication?
bearing down as if having a bowel movement
A client who has had a prostatectomy has been instructed in perineal exercises to gain control of the urinary sphincter. The nurse determines that the client demonstrates a need for further teaching when he states that he will perform which movement as part of these exercises?
bradycardia and confusion
A client with BPH undergoes a transurethral resection of the prostate. Postoperatively the client is receiving continuous bladder irrigations. The nurse assesses the client for manifestations of transurethral resection syndrome. Which assessment data would indicate the onset of this syndrome?
Notify the primary HCP before performing the catheterization.
A client is admitted to the emergency department following a fall from a horse, and the primary HCP prescribes the insertion of a urinary catheter. While preparing for the procedure, the nurse notes blood at the urinary meatus. The nurse should take which action?
measuring postvoid residual using bladder scan
A client has just had a Foley catheter removed and is to be started on a bladder retraining program. Which intervention will provide the most useful information about the client's ability to empty the bladder?
Take an antibiotic so as to prophylactically prevent symptoms of Chlamydia
A client with chlamydial infection has received instructions on self-care and prevention of further infection. The nurse determines that the client needs further teaching if the client states that he or she will take which action?
spinach
A client with nepholithiasis arrives at the clinic for a follow-up visit. Laboratory analysis of the stone that the client passed 1 week earlier indicates that the stone is composed of calcium oxalate. Based on this data, what food item does the nurse instruct the client to avoid?
fish
A client with uric acid calculi is placed on a low-purine diet. The nurse instructs the client to restrict the intake of which food?
bathroom located on the second floor, bedroom on the first floor
A home care nurse is making home visits to an older client with urinary incontinence who is very concerned about the incontinent episodes. Which finding by the nurse indicates that the client has an environmental barrier to normal voiding?
Dysuria and penile discharge
A male client has a tentative diagnosis of urethritis. The nurse should assess the client for which manifestation of the disorder?
"If I notice any pink-tinged urine, I should contact the primary HCP."
The ambulatory care nurse is providing instructions to a client after a cystoscopy. Which statement by the client indicates a need for further teaching?
help to rule out the possibility of cancer
The client diagnosed with benign prostatic hyperplasia (BPH) is scheduled for a transrectal ultrasound examination and a test to measure the level of prostate-specific antigen (PSA). The client says to the nurse, "I can't remember.... can you tell me again why I need these tests to be done?" The nurse responds, knowing that these tests are done for which purpose?
nephrostomy tube
The nurse is admitting a client from the post anesthesia care unit who has had percutaneous nephrolithotomy for calculi in the renal pelvis. The nurse anticipates that the client's care will most likely involve monitoring which device?
notify the primary HCP
The nurse caring for a client immediately after transurethral resection of the prostate (TURP) notices that the client has suddenly become confused and disoriented. Which is the priority nursing action for this client?
"I should begin voiding and then stop the stream, holding residual urine for an hour".
The nurse has given instructions about Kegel exercises to a female client with a cystocele. The nurse determines that the client needs further instruction if she makes which statement?
water
The nurse has performed a nutritional assessment on a client with cystitis. The nurse should tell the client to consume which beverage to minimize recurrence of cystitis?
spinach salad, milk, and a banana
The nurse has provided dietary instructions to a client with renal calculi who must learn about the foods that yield an alkaline residue in the urine. The nurse determines that education was effective if the client chooses which selections from a diet menu?
cranberry, apricot, and prune juice
The nurse has provided instructions to a client with a urinary tract infection regarding foods and fluids to consume that will acidify the urine. Which fluids should the nurse include in the client's teaching plan that will aid in acidifying the urine?
a young woman on antibiotic therapy
Which client is most at risk for developing a Candida urinary tract infection (UTI)?