GU Test.

A client undergoes extracorporeal shock wave lithotripsy. Before discharge, the nurse should provide which instruction?

"Increase your fluid intake to 2 to 3 L per day."

The client will have an abdominal hysterectomy tomorrow. Which information will be most important for the nurse to give to the client prior to admission to the hospital?

what she can eat and drink before admission

An 18-year-old female is to have a pelvic exam. Which response by the nurse would be best when the client says that she is nervous about the upcoming pelvic examination?

"Can you tell me more about how you're feeling?"

A client is scheduled for an intravenous pyelogram (IVP). In preparation for the procedure, what should the nurse ask the client?

"Do you have any allergies?"

A client who is recovering from transurethral resection of the prostate (TURP) experiences urinary incontinence and has decreased the fluid intake because of the incontinence. What is the nurse's best response to the client?

"Drink eight glasses of water a day and urinate every 2 hours."

The nurse is collecting data on a client with a urinary tract infection (UTI). Which statements should the nurse expect the client to make? Select all that apply.

"I need to urinate frequently." "It burns when I urinate." "I need to urinate urgently."

A nurse is teaching a female client with a history of multiple urinary tract infections (UTIs) about prevention. What statement indicates the client understands the teaching?

"I should take at least 1,000 mg of vitamin C each day."

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 nurse is teaching a client about prevention of genital herpes. What statement indicates the teaching was successful?

"I'll ask any future partners if they have ever been diagnosed with genital herpes."

The nurse is creating a medication list and notes that the client takes saw palmetto. What should the nurse assess next?

"Tell me about your normal voiding patterns."

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."

A client reports having difficulty voiding to the nurse. What question(s) will the nurse ask the client? Select all that apply.

"What are your usual voiding patterns?" "How much fluids are you drinking in the late evenings?" "Are you waking up in the middle of the night to void?"

A client scheduled for a vasectomy asks the nurse how soon after the procedure he can have sexual intercourse without using an alternative birth control method. How should the nurse respond?

"You can safely have unprotected intercourse when your sperm count indicates sterilization."

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?

"You should leave a light on in your bathroom at night."

A client is admitted for a transurethral resection of the prostate (TURP). Preoperative teaching will include which information?

"You will return from surgery with a catheter in your bladder and fluid flowing into and out of it continuously."

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 preparing a client for an intravenous pyelography. Which action is the priority?

Assess allergies to iodine.

A 45-year-old client had a complete abdominal hysterectomy with bilateral salpingo-oophorectomy 2 days ago. The client's abdominal dressing is dry and intact. While sitting up in the chair, the client has severe pain and numbness in her left leg. What should the nurse do first?

Assess color and temperature of the left leg.

A client has a transurethral resection of the prostate to treat benign prostatic hyperplasia. The client returns to the room with continuous bladder irrigation and reports bladder pain. What is the priority nursing action?

Assess irrigation catheter for patency and drainage.

A client who had transurethral resection of the prostate (TURP) 2 days earlier has lower abdominal pain. What should the nurse do first?

Assess the patency of the urethral catheter.

The Women's Clinic nurse is instructing a client on the proper use of an applicator to instill vaginal cream. Which instruction is best when teaching a client about vaginal medication insertion?

Direct the tip of the applicator toward the sacrum.

After surgery to create a urinary diversion, the client is at risk for a urinary tract infection. What should the nurse do to prevent a urinary tract infection?

Empty the urinary appliance before it is one-third full.

The nurse is instructing a client with an ileal conduit. What should the nurse instruct the client to do to prevent urine leakage when changing the appliance?

Insert a gauze wick into the stoma.

What should the nurse do to prevent catheter-associated urinary tract infection? Select all that apply.

Provide perineal care at least once a day. Maintain a closed drainage system. Encourage the client to drink 3,000 mL of fluids a day.

During rounds, a client admitted with gross hematuria asks the nurse about the physician's diagnosis. To facilitate effective communication, what should the nurse do?

Provide privacy for the conversation.

A client with chronic renal failure is receiving hemodialysis three times a week. What should the nurse do to protect the fistula?

Report the loss of a thrill or bruit on the arm with the fistula.

A client's catheter is removed 4 days after a transurethral resection of the prostate (TURP). He is experiencing urinary dribbling. What should the nurse do?

Teach the client Kegel exercises.

Which measure is likely to provide the most relief from the pain associated with renal colic?

administering morphine

The 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 client is frustrated and embarrassed by urinary incontinence. Which measure should the nurse include in a bladder retraining program?

assessing present voiding patterns

The nurse explains to the client the importance of drinking large quantities of fluid to prevent cystitis. How much fluid should the nurse tell the client to drink?

at least 3,000 mL of fluids daily

The nurse should teach the client with erectile dysfunction (ED) to alter his lifestyle by doing which?

avoiding alcohol

A client, who had a transurethral resection of the prostate (TURP), has a three-way indwelling urinary catheter with continuous bladder irrigation. In which circumstance should the nurse increase the flow rate of the continuous bladder irrigation? When drainage:

becomes bright red.

In discussing home care with a client after transurethral resection of the prostate (TURP), what should the nurse tell the male client about dribbling of urine after this surgery? Dribbling of urine:

can persist for several months.

A client with chronic kidney disease (CKD) has a blood urea nitrogen (BUN) of 100 mg/dL, serum creatinine of 6.5 mg/dL, potassium of 6.1 mEq/L, and lethargy. What is the priority nursing assessment?

cardiac rhythm

Which hospitalized client is at highest risk for catheter associated urinary tract infection (CAUTI)?

client with diabetes mellitus

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.

A male client has been diagnosed as having a low sperm count during infertility studies. After giving instructions about causes of low sperm counts, the nurse determines that the client needs further instructions when the client says low sperm counts may be caused by which health problem?

decreased body temperature

The most significant sign of acute renal failure is:

decreased urine output.

To treat a urinary tract infection, a client is ordered sulfamethoxazole-trimethoprim. The nurse should teach the client that sulfamethoxazole-trimethoprim is most likely to cause which adverse effect?

diarrhea

A 19-year-old unmarried college student who is approximately 8 weeks pregnant asks the nurse, "If I have an abortion in the next 2 or 3 weeks, how will it be done?" The nurse instructs the client that at this gestational age, an abortion is usually performed by which technique?

dilatation and curettage

A nurse is teaching a client how to prevent a vaginal infection. Which activity puts the client at risk for altering the normal pH of her vagina?

douching unless instructed to do so by the health care provider (HCP)

Urinary tract infection (UTI) is a potential problem after spinal cord injury. To prevent an UTI, the nurse should encourage the client to:

drink at least 2,000 mL of fluid daily.

A female client with gonorrhea informs the nurse that she has had sexual intercourse with her boyfriend and asks the nurse, "Would he have any symptoms?" The nurse can tell the client which symptoms of gonorrhea occur in men?

dysuria

The nurse is administering a high dose of furosemide to a client with nephrotic syndrome. What potential complication is the nurse most concerned with for the client?

electrolyte imbalance

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?

fluid balance

A nurse is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention?

foul-smelling discharge from the penis

A nurse is caring for a client with acute pyelonephritis. Which nursing intervention is the most important?

increasing fluid intake to 3 L/day

To reduce urethral irritation, where should the nurse tape the female client's Foley catheter?

inner thigh

A menopausal woman is taking hormone replacement therapy. What warning sign of endometrial cancer should the nurse instruct the client to report to her health care provider?

irregular vaginal bleeding

The nurse is observing an unlicensed assistive personnel (UAP) give care to a client after gynecologic surgery. The nurse should intervene if the UAP:

massages the client's legs.

A charge nurse is completing day-shift client care assignments on the genitourinary floor. A new graduate is starting the first day on the unit. An agency nurse and an experienced nurse are also present. The charge nurse should assign the new graduate nurse to the care of which client?

middle-aged stable client with bladder cancer awaiting surgery

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?

milk

When emptying the client's bladder during a urinary catheterization, the nurse should allow the urine to drain from the bladder slowly to prevent which complication?

possible shock

The nurse has inserted an indwelling catheter in a male client. Which problem is prevented if the nurse tapes the catheter laterally to the thigh?

pressure at the penoscrotal angle

The nurse is working on a pediatrics unit. Which intervention for a 6-year-old who still wets the bed would be best assigned to the unlicensed assistive personnel (UAP)?

reminding the child to use the bathroom before going to bed

A 30-year-old client is being treated for epididymitis. What information should the nurse include in the teaching plan about the likely cause of epididymitis?

sexually transmitted infection

A client is diagnosed with a calcium oxalate urolithiasis. The nurse will need to clarify the teaching if the client chooses which menu items?

spinach

A client with heart failure is admitted to an acute care facility and is found to have a cystocele. When planning care for this client, the nurse is most likely to formulate which nursing diagnosis?

stress urinary incontinence

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?

supporting the client's emotional status

During a rectal examination, which finding is evidence of a urethral injury?

the presence of a boggy mass

The nurse is assessing a young adult who thinks he has a sexually transmitted infection. When obtaining a health history, what sign or symptom would lead the nurse to suspect gonorrhea?

urethral discharge

The nurse teaches the client with a urinary diversion to attach the appliance to a standard urine collection bag at night. The intended outcome of the instruction is to prevent what occurrence?

urine reflux into the stoma

A client has an ileal conduit. Which solution will be useful to help control odor in the urine collecting bag after it has been cleaned?

vinegar

The nurse should tell a client who is to obtain a midstream urine specimen to:

void directly into the sterile specimen container after voiding a small amount into the toilet.

Which factor should be checked when evaluating the effectiveness of an alpha-adrenergic blocker given to a client with benign prostatic hyperplasia (BPH)?

voiding pattern

A nurse is reviewing a client's fluid intake and output record. Fluid intake and urine output should relate in which way?

Fluid intake should be about equal to the urine output.

A client with chronic renal failure who receives hemodialysis three times weekly has a hemoglobin (Hb) level of 7 g/dl (70mmol/L). The most therapeutic pharmacologic intervention would be to administer

epoetin alfa.

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 evaluating a female client's understanding of how to prevent sexually transmitted infections (STIs). Which statement indicates that the client understands how to protect herself?

"I'll be sure my partner uses a condom."

After undergoing a total cystectomy and urinary diversion, a client has a Kock pouch (continent internal reservoir) in place. Which statement by the client indicates a need for further teaching?

"I'll have to wear an external collection pouch for the rest of my life."

The nurse is caring for a client diagnosed with genitourinary tuberculosis (TB). Which statement, made by the client, about genitourinary TB demonstrates an understanding?

"It's a late manifestation of respiratory tuberculosis."

Which instruction would a nurse include in the discharge teaching for a client who has an ileal conduit?

"Mucous in the pouch is expected"

After transurethral resection of the prostate, the nurse notices that the urine draining from the catheter is bright red, has numerous clots, and is viscous. Which nursing action is most appropriate?

Assess vital signs and notify the surgeon.

Eight hours after laparoscopic abdominal surgery, a client has a distended bladder and is unable to void in bed using a urinal. The client can be out of bed as tolerated, but has not done so yet. What should the nurse do next?

Assist the client to stand at the bedside to use the urinal.

A client with acute pyelonephritis receives a prescription for co-trimoxazole P.O. twice daily for 10 days. Which finding best demonstrates that the client has followed the ordered regimen?

Bacteria are absent on urine culture.

A physician orders a single dose of trimethoprim/sulfamethoxazole by mouth for a client diagnosed with an uncomplicated urinary tract infection. The pharmacy sends three unit-dose tablets. The nurse verifies the physician's order. What should the nurse do next?

Call the hospital pharmacist and question the medication supplied.

The nurse is developing an educational program about prostate cancer. The nurse should provide information about which topic?

For all men, age 50 and older, the American and Canadian Cancer Societies recommend an annual rectal examination.

Which nursing action is most appropriate for a client who has urge incontinence?

Have the client urinate on a timed schedule.

An older adult who is to be on bed rest has become incontinent of urine. To prevent pressure ulcers, the nurse should do which tasks? Select all that apply.

Institute a turning schedule. Inspect the groin for wetness. Have client wear incontinence briefs.

Sulfamethoxazole/trimethoprim has been prescribed for a client who has a urinary tract infection. What should the nurse do when administering sulfonamides?

Instruct the client to drink at least eight glasses of water a day.

The nurse is teaching the client with an ileal conduit how to prevent a urinary tract infection. Which measure would be most effective?

Maintain a daily fluid intake of 2,000 to 3,000 mL.

A client recovering from an abdominal hysterectomy has pain in her right calf. What should the nurse do next?

Measure the circumference of both calves and note the difference.

Prior to administering continuous renal replacement therapy (CRRT) on November 7, the nurse notes that the dialysate is clear and the expiration date is November 6. What is the appropriate action by the nurse?

Obtain new dialysate.

Prior to administering continuous renal replacement therapy (CRRT), the nurse assesses the dialysate. The nurse notes that the solution has not expired; there are no particles in the solution; the solution is cloudy in appearance. What is the appropriate action by the nurse?

Obtain new dialysate.

The nurse is planning care for an obese female client. The client experiences dribbling urine when she coughs, sneezes, and changes positions. The nurse should instruct the client to promote urinary health by encouraging which actions? Select all that apply.

Participate in a weight loss program. Perform muscle-strengthening exercises (Kegel exercises). Use adult diapers as needed.

A nurse is discharging a client diagnosed with a urinary tract infection. Which information should the nurse include in the discharge teaching? Select all that apply.

Take all antibiotics as prescribed. Avoid coffee, tea, and alcohol.

When the nurse is conducting a preoperative interview with a client who is having a vaginal hysterectomy, the client states that she forgot to tell her surgeon that she had a total hip replacement 3 years ago. Why should the nurse communicate this information to the perioperative nurse?

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

A client with bladder cancer had the bladder removed and an ileal conduit created for urine diversion. While changing this client's pouch, the nurse observes that the area around the stoma is red, weeping, and painful. What should the nurse conclude?

The pouch faceplate doesn't fit the stoma.

A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?

This condition puts the client at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually.

On the second day following an abdominal hysterectomy, a client reports she has had three brown, loose stools in moderate amount. The morning medications include an order for 100 mg of docusate sodium daily or as needed. What should the nurse do next?

Withhold the medication, and document the client's report of loose stools.

The nurse is developing a community health education program about sexually transmitted infections. Which information about women who acquire gonorrhea should be included?

Women with gonorrhea are usually asymptomatic.

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:

elevate the scrotum and place ice bags on the area intermittently.

When explaining the preparation for a Papanicolaou (Pap) test, the nurse should tell the woman:

not to douche on the morning before the examination.

A client believes she is experiencing premenstrual syndrome (PMS). The nurse should next ask the client about what symptom?

tension and fatigue before menses and through the second day of the menstrual cycle

The nurse is working the night shift and needs to collect urine from four clients for routine urinalysis. Which client collection can be delegated to the unlicensed assistive personnel (UAP)?

the client ordered a voided urine