NUR1275 Renal Prep U Questions

The nurse is caring for a client who has a type of urinary diversion that requires an external ostomy bag to collect the urine. This client has: A. a cystectomy. B. an incontinent urinary diversion. C. a urethroplasty. D. a continent urinary diversion.

B. an incontinent urinary diversion.

Which nursing diagnosis is appropriate for a client with renal calculi? A. Ineffective tissue perfusion (renal) B. Functional urinary incontinence C. Risk for infection D. Decreased cardiac output

C. Risk for infection

The nurse is assessing the client's ileal conduit stoma in the clinic. Which assessment finding would be of greatest concern to the nurse? A. The skin surrounding the stoma is red. B. Yellow urine is draining from the stoma. C. The stoma is dusky red. D. The urine has an ammonia odor.

C. The stoma is dusky red.

The nurse is evaluating the effectiveness of discharge teaching for the client with an ileal conduit. Which statement by the client indicates the need for further teaching by the nurse? Select all that apply. A. "I will need to change the appliance every day." B. "I will need to monitor the skin around my ostomy for irritation." C. "I might notice a strong urine odor if I eat eggs, cheese, or asparagus." D. "I cannot wait until I can have surgery to get rid of this ostomy." E. "I will need to catheterize myself every 2 to 3 hours."

A. "I will need to change the appliance every day." D. "I cannot wait until I can have surgery to get rid of this ostomy." E. "I will need to catheterize myself every 2 to 3 hours."

A nurse catheterized an elderly client and confirmed the presence of residual urine. What residual urine volume would be considered abnormal for an elderly client? A. 150 mL B. 25 mL C. 50 mL D. 100 mL

A. 150 mL

The nurse caring for a client after urinary diversion surgery monitors the client closely for peritonitis by assessing for which sign(s)? Select all that apply. A. Abdominal distention B. Hyperactive bowel sounds C. leukocytosis D. Muscle flaccidity

A. Abdominal distention C. leukocytosis

A nurse is caring for a client who is in the diuresis phase of acute kidney injury. The nurse should closely monitor the client for what complication during this phase? A. Acute flank pain B. Hypokalemia C. Hypocalcemia D. Dehydration

D. Dehydration

A male client who is admitted with the diagnosis of urinary calculi complains of excruciating pain. The pain is suspected to be caused by increased pressure in the renal pelvis. Which measure would be most appropriate to provide pain relief? A. Encourage frequent ambulation. B. Restrict the client's sodium intake. C. Encourage deep-breathing exercises. D. Encourage the client to void every 2 to 3 hours.

A. Encourage frequent ambulation.

Which nursing intervention can help the client prevent urinary incontinence? Select all that apply. A. Instruct the client how to perform Kegel exercises. B. Instruct the client to use a bedpan frequently. C. Instruct the client to increase consumption of caffeine. D. Remind the client to empty the bladder every 2 to 3 hours. E. Administer hydrochlorothiazide (HydroDIURIL) after 4 pm.

A. Instruct the client how to perform Kegel exercises. D. Remind the client to empty the bladder every 2 to 3 hours.

The nurse is teaching a client how to perform self-catheterization. Which direction should the nurse include? A. The nurse uses nonsterile technique in the hospital setting. B. Catheterization should occur every 4 to 6 hours and before bedtime. C. Peroxide is recommended for cleaning the urinary catheter. D. The catheter is rinsed with sterile normal saline after soaking in a cleaning solution.

B. Catheterization should occur every 4 to 6 hours and before bedtime.

The nurse is assessing a client admitted with renal stones. During the admission assessment, what parameters should the nurse address? Select all that apply. A. Surgical history B. Dietary history C. Medication history D. Family history of renal stones E. Vaccination history

B. Dietary history C. Medication history D. Family history of renal stones

The nurse on a urology unit is working with a client who has been diagnosed with oxalate renal calculi. When planning this client's health education, what nutritional guidelines should the nurse provide? A. Follow a low-calcium diet. B. Restrict protein intake as prescribed. C. Increase intake of potassium-rich foods. D. Encourage intake of food containing oxalates.

B. Restrict protein intake as prescribed.

The nurse is teaching a health class about UTIs to a group of older adults. What characteristic of UTIs should the nurse cite? A. Men of all ages are less prone to UTIs, but typically experience more severe symptoms. B. Men over age 65 are equally prone to UTIs as women, but are more often asymptomatic. C. The prevalence of UTIs in older men approaches that of women in the same age group. D. The prevalence of UTIs in men cannot be reliably measured, as men generally do not report UTIs.

C. The prevalence of UTIs in older men approaches that of women in the same age group.

A client has had her indwelling urinary catheter removed after having it in place for 10 days during recovery from an acute illness. Two hours after removal of the catheter, the client informs the nurse that she is experiencing urinary urgency resulting in several small-volume voids. What is the nurse's best response? A. Inform the client that urgency and occasional incontinence are expected for the first few weeks post-removal. B. Obtain an order for a loop diuretic in order to enhance urine output and bladder function. C. Obtain an order to reinsert the client's urinary catheter and attempt removal in 24 to 48 hours. D. Inform the client that this is not unexpected in the short term and scan the client's bladder following each void.

D. Inform the client that this is not unexpected in the short term and scan the client's bladder following each void.