GU PU (6+)
milk
A client with a history of chronic cystitis comes to an outpatient clinic with signs and symptoms of this disorder. To prevent cystitis from recurring, the nurse recommends maintaining an acid-ash diet to acidify the urine, thereby decreasing the rate of bacterial multiplication. On an acid-ash diet, the client must restrict which beverage?
a low-protein diet with a prescribed amount of water
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?
ensuring that the metformin has been withheld for 48 hours prior to the scan
A client with type 2 diabetes mellitus who is taking metformin is scheduled for a computed tomography (CT) with contrast of the abdomen tomorrow. Which priority nursing assessment is done before the procedure?
Could be a risk factor for endometrial cancer.
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:
"You should leave a light on in your bathroom at night."
A nurse is attending a seminar at the local senior center. The nurse knows the presenter has a good understanding of genitourinary changes in the elderly when the presenter makes which statement?
hyperkalemia.
A nurse is caring for a client in acute renal failure. The nurse should expect hypertonic glucose, insulin infusions, and sodium bicarbonate to be used to treat:
"Blood will be drawn and analyzed before the test to ensure your kidneys can remove the dye."
A nurse is caring for a client in renal failure who fell and sustained a head injury. The nurse is educating the client on the upcoming computed tomography (CT) scan of the brain requiring radiopaque dye. Which statement by the nurse is correct?
retain the enema for 30 minutes to allow for sodium exchange; afterward, the client should have diarrhea.
A nurse is planning to administer a sodium polystyrene sulfonate enema to a client with a potassium level of 6.2 mEq/L. Correct administration and the effects of this enema should include having the client
supporting the client's emotional status
A nurse is providing in-service education for staff members about evidence collection after sexual assault. The educational session is successful when staff members focus their initial care on which step?
vaginal discharge that has a fishy odor abdominal pain a temperature above 101ºF (38.3ºC
A young adult woman tells the nurse she has a slight yellow vaginal discharge. The nurse should tell the client to contact her health care provider if she has which additional symptoms? Select all that apply.
"More than 50% of the cases are attributed to organic causes."
A 65-year-old male client with erectile dysfunction (ED) asks the nurse, "Is all this just in my head? Am I crazy?" What should the nurse tell the client?
white blood cell (WBC) count of 20,000/mm3 (0.02 L)
Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia. Which finding during this procedure signals a significant problem?
Lower abdominal pain after a cystoscopy
is frequently caused by bladder spasms. Warm water can help relax muscles. Ice is not effective in relieving spasms. Massage and ambulation may increase bladder irritability.
Sit in a tub of warm water.
If the client develops lower abdominal pain after a cystoscopy, what should the nurse instruct the client to do?
fluid balance
The client is six hours post-open hysterectomy. Intravenous fluids are infusing at 125 mL/hr, urinary catheter has drained 170 mL since surgery, and the client reports pain as a 3 out of 10. What is the nurse's priority concern?
a moist ulcer."
The nurse is obtaining a health history from a client with a sexually transmitted disease. Which description from the client indicates the likelihood of syphilis?
elevate the scrotum and place ice bags on the area intermittently.
Two days after a herniorrhaphy, the client reports that his scrotum is swollen and painful. To promote comfort, the nurse should instruct the client to:
A continuous bladder irrigation system is present for
a prescribed period of time after a TURP in order to dilute the bleeding and prevent clots from blocking the urinary tract. A three-way catheter is inserted and left in place, usually for 1 to 2 days. The client will not be using a urinal while the catheter is in place, nor will the client have an abdominal incision.
Loop diuretics block sodium reabsorption
in the ascending loop of Henle, which promotes water diuresis. They also dilate renal vessels. Although loop diuretics block potassium reabsorption, this isn't a therapeutic action. Thiazide diuretics, not loop diuretics, promote sodium secretion into the distal tubule.
Hyperkalemia is a common complication of acute
renal failure. It's life-threatening if immediate action isn't taken to reverse it. Administering glucose and regular insulin, with sodium bicarbonate if necessary, can temporarily prevent cardiac arrest by moving potassium into the cells and temporarily reducing serum potassium levels. Hypernatremia, hypokalemia, and hypercalcemia don't usually occur with acute renal failure and aren't treated with glucose, insulin, or sodium bicarbonate.
dialysis removes
water, creatinine, and urea from the blood, the client's diet must still be monitored. A high-protein diet is not recommended for renal clients. Eating too much protein may cause urea to build up more quickly. Water intake must be monitored, so unlimited water is not a correct choice. The client would be on a no-salt-added diet.
Control the amount of protein intake to 59 to 70 g/day.
A client diagnosed with chronic renal failure is undergoing hemodialysis. Post dialysis, the client weighs 59 kg. The nurse should teach the client to make which dietary changes?
Administer an opioid analgesic as prescribed.
A client has renal colic due to renal lithiasis. What is the nurse's first priority in managing care for this client?
when the sperm count reflects sterilization
A client has undergone a vasectomy. The nurse instructs the client that he can begin having unprotected intercourse at what time following the surgery?
"You will return from surgery with a catheter in your bladder and fluid flowing into and out of it continuously."
A client is admitted for a transurethral resection of the prostate (TURP). Preoperative teaching will include which information?
"Are you in a monogamous relationship?"
A client is asking for information about using an intrauterine device (IUD). Which question when asked by the nurse would provide pertinent information on whether or not a client is a candidate for an IUD?
the client with ESRD (end-stage renal disease) just admitted the night before
Which client will the nurse prioritize to assess first?
It indicates abdominal blood vessel damage.
A client is having peritoneal dialysis. During the exchange, the nurse observes that the solution draining from the client's abdomen is consistently blood tinged. The client has a permanent peritoneal catheter in place. What clinical judgment should the nurse make about the blood-tinged drainage?
"See your health care provider (HCP) for an early diagnosis and treatment of a sore throat."
A client was treated for a streptococcal throat infection 2 weeks ago. The client now has been diagnosed with acute poststreptococcal glomerulonephritis. The client asks the nurse how he could have prevented this condition. What should the nurse tell the client?
141
A client who weighs 207 lb (94.1 kg) is to receive 1.5 mg/kg of gentamicin sulfate IV three times each day. How many milligrams of medication should the nurse administer for each dose? Round to the nearest whole number.
20
A nurse is teaching a client about peritoneal dialysis. The nurse should tell the client the dwell time is
blood in the urine rash fever above 100° F (37.8° C)
When teaching the client with a urinary tract infection about taking a prescribed antibiotic for 7 days, the nurse should tell the client to report which symptoms to the health care provider (HCP)? Select all that apply.
The client drinks one to two glasses of fluid daily.
Which finding in a client's history would be the most likely to increase the client's risk for renal calculi?
They block sodium reabsorption in the ascending loop and dilate renal vessels.
Which statement best describes the therapeutic action of loop diuretics?
