Passpoint - Genitourinary Disorders

A nurse is reinforcing education to a client diagnosed with renal calculi. Which statement made by the client suggests further instruction is indicated?

"I do not need to limit my intake of tea or cola."

Which statement made by a client with a chlamydial infection indicates understanding of the potential complications?

"I need to treat this infection so it doesn't spread into my pelvis because I want to have children some day."

A nurse is obtaining data from a client with a urinary tract infection (UTI). Which statement 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."

Which statement regarding acute glomerulonephritis indicates that the parents of a child with this diagnosis understand the reinforced education provided by the nurse?

"This disease occurs after a streptococcal infection."

A nurse is obtaining data from a client with right flank pain, fever, and chills. A urine culture is obtained, and a diagnosis of suspected right pyelonephritis is documented. When instructing the client on the diagnosis, the nurse uses a diagram of the urinary structures. Mark the area associated with the diagnosis.

*** Pyelonephritis is a type of urinary tract infection that affects one or both kidneys. Right pyelonephritis is on the right side of the client's body, but would be documented on the left in the anatomical position. Bacteria and viruses can move to the kidneys from the bladder or can be carried from other body systems through the bloodstream causing the disease process. Cystitis is an infection of the lower urinary tract usually involving the bladder.

A nurse reviewing a child's clean-voided urine specimen results understands that which of the following data indicates a urinary tract infection (UTI)?

100,000 bacterial colonies per milliliter

A nurse is caring for the following clients who have a history of genital herpes infection. Which client is most at risk for an outbreak of genital herpes?

A client who reports genital pruritus and paresthesia

A client comes to the emergency department complaining of severe pain in the right flank, nausea, and vomiting. The physician tentatively diagnoses right ureterolithiasis (renal calculi). When planning this client's care, the nurse should assign highest priority to which nursing diagnosis?

Acute pain

A client is frustrated and embarrassed by urinary incontinence. Which of the following measures should the nurse include in a bladder retraining program?

Assessing present elimination patterns

A client who had a nephrectomy 2 days ago is reporting abdominal pressure and nausea. Which action should the nurse take first?

Auscultate bowel sounds.

When caring for the child with Wilms tumor preoperatively, which nursing intervention would be most important?

Avoid abdominal palpation.

A child with a Wilms tumor has had surgery to remove a kidney and has received chemotherapy. The nurse should include which instructions at discharge?

Avoid contact sports.

A client with acute pyelonephritis is prescribed co-trimoxazole. Which finding best demonstrates that the client has followed the prescribed regimen?

Bacteria are absent on urine culture.

A client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the nurse assess first?

Cardiac rhythm

A 25-year-old client comes to the emergency department with her clothes torn. She has visible cuts, bruises, and profuse vaginal bleeding. A nurse suspects that this client has been raped. What should the nurse do?

Collect forensic evidence.

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

Diarrhea

Which intervention should a nurse recommend to parents of young girls to help prevent urinary tract infections (UTIs)?

Dress the child in cotton underpants.

A client with a spinal cord injury sustained in a previous motorcycle accident is hospitalized for renal calculi. To reduce the client's risk for developing recurrent renal calculi, which instruction is correct?

Drink cranberry juice.

A client with benign prostatic hyperplasia (BPH) does not respond to medical treatment and is admitted to the facility for surgical intervention, transurethral resection of the prostate (TURP). In the postoperative period, the nurse reviews the laboratory values for which potential electrolyte imbalance?

Hyponatremia

A home health care nurse reviewing a client's medication record discovers tamsulosin has been prescribed, but the client is currently taking sildenafil. What is the nurse's best action?

Instruct the client to hold the sildenafil and contact the health care provider.

For a client in the oliguric phase of acute renal failure (ARF), which nursing intervention is most important?

Limiting fluid intake

A nurse is caring for a female client having intracavitary radiation for cancer of the cervix. Which nursing intervention is most important for this client?

Maintain the client on strict bed rest.

A client is injected with radiographic contrast medium and immediately shows signs of dyspnea, flushing, and pruritus. Which intervention should take priority?

Make sure the airway is patent.

An important nursing intervention to support the therapeutic management of the child with acute glomerulonephritis would include which measure?

Measure daily weight.

When performing a scrotal examination, the nurse finds a nodule. What should the nurse do next?

Notify the physician.

A nurse is providing postprocedure care for a client who underwent percutaneous lithotripsy. Which instruction should the nurse give to the client?

Notify the primary care provider about cloudy or foul-smelling urine.

Two staff nurses on the urology unit are responsible for the unit schedule. The holidays are nearing, and many staff members would like to take vacation days. Which method might fairly solve the holiday staffing problem?

Poll the staff to find out their preferences.

Two days after a transrectal biopsy of the prostate, a client calls the clinic to report his stools are streaked with blood. Which response is appropriate?

Reassure the client that this is an expected occurrence.

The nurse is assisting with the discharge of a client with acute pyelonephritis. What should the nurse be sure to include in the client instructions?

Return for follow-up urine cultures.

A nurse enters the room of a client who had a left modified mastectomy 8 hours earlier. Which observation indicates that the unlicensed assistive personnel (UAP) assigned to the client needs further instruction and guidance?

The client is wearing a robe with elastic cuffs.

After having a transurethral resection of the prostate (TURP), a client returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which data collected by the nurse suggests that the client's catheter is occluded?

The client reports bladder spasms and the urge to void.

A client with a genitourinary problem is being assessed in the emergency department by a new graduate nurse. The preceptor advises the new graduate when palpating the client's kidneys to keep which anatomical fact in mind?

The left kidney usually is slightly higher than the right one.

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 does not fit the stoma.

The client underwent a transurethral resection of the prostate gland 24 hours ago and has a continuous bladder irrigation. Which of the following nursing interventions is appropriate?

Use aseptic technique when irrigating the catheter.

A nurse reviews a client's medical record and notes that a physician ordered an indwelling urinary catheter due to client's urine retention. Which action should the nurse perform first?

Verify the client's identity.

Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia. Which finding signals a significant problem during this procedure?

White blood cell (WBC) count of 20,000/mm3

A client has been admitted to the clinic with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis?

a painless genital ulcer that appeared about 3 weeks after unprotected sex

When caring for a child after removal of a Wilms tumor, which finding would indicate the need to notify the health care provider?

absence of bowel sounds

The nurse is caring for a child who has had a nephrectomy after diagnosis of a Wilms tumor. The nurse has determined the child's pain and is preparing to administer an oral opiate. Which method is the best choice for administering the medication?

an oral syringe

While obtaining data from a client, the nurse observes that the client has been prescribed tadalafil. What should the nurse carefully monitor for this client?

blood pressure

A client with renal insufficiency is admitted with a diagnosis of pneumonia, episodes of hypotension, and is receiving intravenous antibiotics. Which laboratory value should the nurse monitor?

blood urea nitrogen (BUN) and creatinine levels

The nurse should counsel parents to postpone which action until after their son's hypospadias has been repaired?

circumcision

The nurse is caring for a group of clients on the acute care unit. Which client should the nurse most closely montior for the development of acute kidney failure?

client with diabetes who has a heart catheterization

A triple-lumen indwelling urinary catheter is inserted in a client for continuous bladder irrigation (CBI) following a transurethral resection of the prostate. In addition to balloon inflation, what are the functions of the three lumens?

continuous inflow and outflow of irrigation solution

A nurse is caring for a client that had a biopsy of the prostate. The nurse should advise the client to report which symptom(s) to the health care provider right away? Select all that apply.

discolored semen difficulty urinating temperature of 101°F (38.3°C)

The nurse is collecting data on a male client diagnosed with gonorrhea. Which symptom likely prompted the client to seek medical attention?

foul-smelling discharge from the penis

The nurse is monitoring the fluid intake and output of a female client recovering from an exploratory laparotomy. Which nursing interventions would help the client avoid a urinary tract infection (UTI)? Select all that apply.

maintaining a closed indwelling urinary catheter system securing the catheter to the leg encouraging the client to drink at least 10 glasses of fluid daily

When obtaining a child's daily weight, the nurse notes that the child has lost 6 lb (2.7 kg) after 3 days of hospitalization for acute glomerulonephritis. This is most likely the result of which factor?

reduction of edema

The nurse is planning to administer a sodium polystyrene sulfonate enema to a client with a potassium level of 5.9 mEq/L. Correct administration and the effects of this enema would include having the client:

retain the enema for 30 minutes to allow for sodium exchange; afterward, the client should have diarrhea.

A nurse is reinforcing education for the parents of a child with a urinary tract infection. Which factor should the nurse indicate contributes to urinary tract infection?

short urethra

The nursing instructor asks the nursing student why it is important to ease a client's anxiety when gathering data. The instructor determines that the student understands how anxiety can affect the genitourinary system when the student identifies which factors? Select all that apply.

stimulating micturition hindering micturition

When gathering data on a preschool child, which observation indicates that a child has a potential Wilms tumor?

swelling within the abdomen

A client with chronic renal failure (CRF) is receiving a hemodialysis treatment. After hemodialysis, the nurse knows that the client is most likely to experience:

weight loss.

A female client with a history of four urinary tract infections (UTIs) in the past 3 months comes to the urology clinic reporting of burning and urinary urgency and frequency. A health care provider makes the diagnosis of UTI. Which instructions should the nurse give the client to help prevent recurring infections? Select all that apply.

"Avoid using irritating substances such as bubble bath and scented toilet paper." "Clean the perineal area from front to back."

The nurse is gathering data from a female client that states she has had difficulty conceiving. Which statement made by the client would the nurse find most significant related to the difficulty getting pregnant?

"I had gonorrhea that went untreated for about 3 months."

A client with nephritis is taking the diuretic furosemide as prescribed. To avoid potassium depletion, the nurse reinforces education on prevention techniques. Which client statement indicates an accurate understanding of this education?

"I'll eat such foods as apricots, dates, and citrus fruits."

The nurse is reinforcing education for a client diagnosed with genital herpes. Which educational instructions should the nurse include to best prevent spread of the disease? Select all that apply.

"Use a separate towel to pat lesions dry and another to dry other parts of the body." "It is important to inform your partner of the disease."

A client who has been diagnosed with a sexually transmitted disease (STD) asks that this information not be shared with her family members. Which of the following responses from the nurse would be appropriate?

"Your health information is confidential, and I can't talk to anyone about it without your permission."

A nurse is completing an intake and output record for a client who is receiving continuous bladder irrigation after transurethral resection of the prostate (TURP). How many milliliters of urine should the nurse record as output for his or her shift if the client received 1,800 mL of normal saline irrigating solution and the output in the urine drainage bag is 2,400 mL? Record your answer as a whole number.

600

The physician prescribes norfloxacin, 400 mg by mouth twice daily, for a client with a urinary tract infection (UTI). The client asks the nurse how long to continue taking the drug. The nurse advises the client to take the medication for how many days?

7 to 10 days

A nurse is reinforcing education to a client with prostatitis who is receiving co-trimoxazole double strength. Which education is appropriate for this client?

Drink six to eight glasses of fluid daily while taking this medication.

The nurse is reinforcing education with the parents of a child with a recurrent urinary tract infection (UTI). Which statement should the nurse include?

Follow-up urine cultures are necessary to detect recurrent infections and antibiotic effectiveness.

A nurse is reinforcing education for a client on metronidazole. What information should the nurse be sure is included? Select all that apply.

Mixing this drug with alcohol causes severe nausea and vomiting. Complete all of the medication as ordered even if symptoms disappear. Avoid using mouthwash or cough medication while taking this medication.

The nurse is inserting an indwelling catheter into a female client before a surgical procedure. There is difficulty with the insertion and the nurse inserts the catheter into the vagina. Which action by the nurse should be performed next?

Perform the procedure again using a new catheter and kit.

A nurse is explaining menstruation to a class of junior high girls. The nurse creates a fun activity to determine if the teaching was successful. Place the physiologic steps of the menstrual cycle listed in the correct sequential order. Use all of the options.

The top layer of the endometrium breaks down and sloughs. The endometrium begins thickening. The level of estrogen in the blood peaks. A follicle matures and ovulation occurs. Peak endometrial thickening occurs. Increased estrogen and progesterone levels inhibit luteinizing hormone.

The nurse is reviewing the report of a client's routine urinalysis. Which value should the nurse consider abnormal?

Urine pH of 3.0

The nurse is reinforcing education for a client with uric acid calculi. Which type of diet should the nurse inform the client to avoid?

high purine

A client with a history of chronic renal failure is admitted with pulmonary edema following a missed dialysis treatment yesterday. The client's laboratory results are serum potassium 6.0 mEg/L, serum sodium 130 mEg/L, and serum bicarbonate 18 mEg/L. The nurse interprets that the client has which condition?

hyperkalemia

A client with renal dysfunction of acute onset comes to the emergency department complaining of fatigue, oliguria, and coffee-colored urine. When obtaining the client's history to check for significant findings, the nurse should ask about:

recent streptococcal infection.

Which comment made by a parent would indicate to the nurse the need for further education about acute glomerulonephritis complications?

"Dizziness is expected and I should have my child lie down."

A client is prescribed alfuzosin for benign prostatic hyperplasia. What teaching should the nurse reinforce to the client?

Rise slowly from a supine position.

Which of the following is an appropriate nursing diagnosis for a client with renal calculi?

Risk for infection

The nurse is caring for a client with acute renal failure. Rank in chronological order the phases of acute renal failure. Use all the options.

initial insult oliguric phase diuretic phase recovery phase

The nurse is caring for a child diagnosed with Wilms tumor. Because of the parents' religious beliefs, they choose not to treat the child. Which statement by the nurse to a colleague indicates the need for further discussion?

"I don't think parents have the legal right to make these kinds of decisions."

The nurse is gathering data from a client who states, "I do not know what is wrong, but my urine has a very strong odor." The client's urinalysis, vital signs, and physical assessment findings are within normal ranges. Which finding, given by the client, may suggest to the nurse the reason for the client's strong urine odor?

"I eat asparagus 3 to 4 times a week."

The nurse is reinforcing education for a client who will be discharged from the hospital with an indwelling catheter. Which statement made by the client demonstrates an understanding of the education about prevention of infection?

"I will take a shower instead of a tub bath."

Which statement by a man scheduled for a vasectomy indicates he needs further education about the procedure?

"If I decide I want a child, I'll just get a reversal."

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."

A nurse is caring for an older adult client who was admitted with a hip fracture. The client is occasionally confused and has incidents of urinary incontinence. The nurse overhears the unlicensed assistive personnel state, "I am tired of changing that client's bed linen because she can't hold her urine. The client is with it mentally most of the time." Which response by the nurse is most appropriate?

"Let's go to a private area so that we can talk more about your frustration."

The nurse is reinforcing education with a parent of a preschool-age child with nephrosis who will be discharged on prednisone. Which statement by the parent indicates that the teaching has been effective? Select all that apply.

"My child should not receive any immunizations with live vaccines while on prednisone." "While on prednisone my child will be more susceptible to infections." "Prednisone should never be discontinued abruptly."

The nurse is preparing to administer penicillin VK 0.5 g to a child with glomerulonephritis. The nurse has available an oral solution of penicillin VK 250 mg/5 mL. How many milliliters should the nurse administer with each dose? Record your answer using a whole number.

10

The licensed practical nurse is collaborating with the registered nurse validating a test dose of mannitol solution IV for a client with marked oliguria. The ordered test dose is 0.2 g/kg of 15% mannitol solution IV. The client weighs 132 lb (59.8 kg). How many grams should the nurse administer? Record your answer as a whole number.

12

The nurse is caring for a child with a urinary tract infection. The health care provider has ordered cephalexin 125 mg by mouth every 8 hours. Cephalexin is available 250 mg per 5 mL. How many milliliters should the nurse administer per dose? Record your answer using one decimal place.

2.5

The nurse just received the shift report on her group of clients. Based on the information she received, which client should she assess first?

A client who underwent a right nephrectomy yesterday and is complaining of pain

The nurse is reviewing the laboratory values of a client's urinalysis. He or she correctly identifies a urine sample with a pH of 5.2 as being which type of solution?

Acidic

A client with chronic renal failure must restrict her fluid intake to 500 ml daily. Despite having reached the limit, the client is insisting that she have more fluid. Which intervention by a nurse is appropriate?

Allow her to have a piece of hard candy.

A client had a transurethral prostatectomy for benign prostatic hyperplasia (BPH). He is currently being treated with continuous bladder irrigation and is reporting an increase in severity of bladder spasms. What should the nurse do first for this client?

Check for the presence of clots, and make sure the catheter is draining properly.

A nurse-manager on the urology unit tells the staff that supplies have been disappearing at an alarming rate. A staff nurse has been assigned to monitor supply use. Which method can best help the nurse monitor supply use?

Compare charge slips for supplies used against the inventory left in the supply room every 24 hours.

A client reports experiencing vulvar pruritus. Which finding may indicate that the client has an infection caused by Candida albicans?

Cottage cheese-like discharge

A client is admitted with a diagnosis of acute renal failure. The nurse monitors the client closely for which sign or symptom?

Drug toxicity

The nurse is reviewing a client's fluid intake and output record. If the client is in homeostasis, the nurse expects the fluid intake and urine output should relate in which way?

Fluid intake should be approximately equal to the urine output.

The nurse is planning a group teaching session on the topic of urinary tract infection (UTI) prevention. Which points would the nurse want to include? Select all that apply.

Gently wash the perineal area before sexual intercourse. Notify the health care provider if urinary urgency, burning, frequency, or difficulty occurs.

The nurse is caring for a 21 kg child with a urinary tract infection. The health care provider has ordered amoxicillin 750 mg by mouth every 8 hours. The recommended pediatric dosage is 40 to 90 mg/kg/day in two to three divided doses. Which action should the nurse take?

Hold the medication and notify the health care provider that the dose exceeds the recommended range.

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

Increasing fluid intake to 3 L/day

A client with a suspected diagnosis of renal cancer is ordered to undergo a renal biopsy to confirm the diagnosis. The client informs a nurse that she will not sign the informed consent form. Which action should the nurse take?

Notify a physician that the client refuses to give consent.

Which steps should the nurse follow to insert a straight urinary catheter?

Prepare the client and the equipment, create a sterile field, put on gloves, clean the urinary meatus, and insert the catheter until urine flows.

A 4-year-old child is scheduled for a nephrectomy to remove a Wilms tumor. Which intervention should the nurse be sure is included in the plan of care?

Reinforce preoperative teaching to the child and parents.

A nurse is assisting with an educational session for a group of women on the topic of urinary tract infection (UTI) prevention. Which information should the nurse expect to be included in this session?

Report any urinary difficulty to the health care provider.

A client receiving total parental nutrition is prescribed a 24-hour urine test. The nurse delegates the collection of the specimen to the unlicensed assistive personnel (UAP). The nurse is aware that the UAP is collecting the specimen correctly when he or she initiates the collection in which instance?

Start after a client's known voiding that empties the bladder

The nurse is reinforcing education about surgery with the parents of a child with Wilms tumor. Which statement by the nurse best explains the role of surgery for Wilms tumor?

Surgery is usually performed within 24 to 48 hours of admission.

Parents ask the nurse about the prognosis of their child diagnosed with Wilms tumor. The nurse should base the response on which factor?

Survival rates for Wilms tumor are the highest among childhood cancers.

After collecting a urine specimen, which action by the nurse is most appropriate?

Take the specimen to the laboratory immediately.

A client with suspected renal insufficiency is scheduled for a comprehensive diagnostic workup. The nurse develops a teaching plan to explain the diagnostic tests. Which portion of the kidney does the nurse plan to include as the "working" or functional unit?

The nephron

A nurse is caring for a client treated for testicular cancer who is returning for an alpha-fetoprotein (AFP) test. What would the nurse anticipate if the level is elevated

There is metastatic disease.

The nurse educator is preparing an in-service about urinary incontinence in the elderly. Which information should the nurse share with her colleagues describing urinary incontinence in the elderly?

Urinary incontinence is not a disease.

A client admitted with a gunshot wound to the abdomen is transferred to the intensive care unit after an exploratory laparotomy. Which data collection finding suggests that the client is experiencing acute renal failure (ARF)?

Urine output of 400 ml/24 hours

Which statement by the nurse would be the best response to parents who want to know the first indication that their child's acute glomerulonephritis is improving?

Urine output will increase.

An 11-year-old girl comes into the health care provider's office reporting dysuria. Which findings on the laboratory report are consistent with a urinary tract infection?

WBCs: 20 per high-power field

A nurse is caring for a client with renal failure who is reporting nausea. Which factor best explains how nausea is related to renal failure?

accumulation of metabolic wastes

An adult who has never had mumps reports that he was just notified that a child of a family with whom he stayed recently has been diagnosed with mumps. Which treatment should the man receive?

administration of gamma globulin

A client has not voided for 10 hours following an inguinal hernia repair. Which factor may place a surgical client at risk for urine retention?

anticholinergic medication before surgery

Which finding observed in a client taking finasteride should the nurse immediately report to the health care provider?

azotemia

A health care provider tells a client to return 1 week after treatment to have a repeat culture done to verify the cure. This order would be appropriate for a woman with which condition?

gonorrhea

A client develops acute renal failure (ARF) after receiving an I.V. nephrotoxic antibiotic. Because the client's 24-hour urine output totals 240 ml, the nurse suspects that the client is at risk for:

hyperkalemia.

A nurse is reinforcing education to a client on how to prevent the development of phimosis. What is the priority education for this client?

proper cleaning of the prepuce

A child has been sent to the school nurse for wetting her pants three times in the past 2 days. The nurse should recommend that this child be evaluated for which complication?

urinary tract infection

A nurse is caring for a client with reports of abdominal pain. Which differential diagnosis should the nurse anticipate for this client? Select all that apply.

urinary tract infection appendicitis renal calculi

The nurse is preparing to calculate the safe dose range of a chemotherapy drug for a child with Wilms tumor. The drug is ordered in mg/m2. What information does the nurse need in order to calculate the body surface area (m2) of the child? Select all that apply.

weight height

Which finding indicates that oxycodone given to a client with breast cancer that has metastasized to the bone is exerting the desired effect?

Pain is 0 to 2 on a 10-point scale.

After a nurse reinforces discharge education to the parents of a child with hypospadias, which statement by the parent indicates that additional education is needed?

"I should bathe my child in the tub daily."

A client tells a nurse that her ileoconduit appliance won't adhere to her skin. The nurse inspects the site and notes that the area around the stoma is red, moist, and tender to touch. How should the nurse intervene?

Consult the wound-ostomy nurse.

A client is admitted for treatment of glomerulonephritis. During the initial assessment, the nurse documents which finding (one of the classic signs of acute glomerulonephritis found in sudden onset)?

Generalized edema, especially of the face and periorbital area

A client is admitted with severe nausea, vomiting, and diarrhea and is hypotensive. There is severe oliguria with elevated blood urea nitrogen (BUN) and creatinine levels. For which treatment option should the nurse prepare the client?

Start IV fluid of normal saline solution bolus followed by a maintenance dose.

A nurse is caring for a client who has recently been diagnosed with testicular cancer. What information is most important to provide to this client?

Testicular self-examination is still important because there is an increased risk of a second tumor.

A client is admitted for treatment of chronic renal failure (CRF). The nurse reviews the client's chart to monitor which electrolyte imbalance?

Water and sodium retention

A nurse is caring for a client diagnosed with cystitis. What information should the nurse include? Select all that apply

Wear cotton underpants. Encourage intake of cranberry juice.

A client in the short-procedure unit is recovering from renal angiography in which a femoral puncture site was used. When providing postprocedure care, the nurse should:

check the client's pedal pulses frequently.

The nurse is caring for a client who had a stroke. Which nursing interventions does the nurse use to promote urinary continence? Select all that apply.

encouraging intake of at least 2 L of fluid daily offering the client the bedpan at least every 2 hours throughout the day

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

epoetin alfa.

The nurse is caring for an older child that had a hypospadius repair. Which activity should be encouraged?

increased fluid intake

The nurse is gathering data from a child with acute poststreptococcal glomerulonephritis (APSGN) for signs of improvement. Which early finding by the nurse would indicate that improvement is occurring?

increased urine output

A client reports an intermittent milky vaginal discharge. The client is not sexually active and does not report itching or burning. Which factor is the most likely cause of the milky discharge?

normal fluctuation in estrogen and progesterone levels

The healthcare provider prescribes sulfamethoxazole-trimethoprim for a female client who reports burning on urination, frequency, and voiding small amounts of urine. The nurse should anticipate reinforcing teaching for which additional medication?

phenazopyridine

If both kidneys are involved with Wilms tumor, the nurse should expect that treatment before surgery might include which method?

radiation and chemotherapy

Which statement describes primary prevention of sexually transmitted infections (STIs) by avoiding exposure?

the least expensive and most effective approach

The nurse is collecting data on a 6-year old child. The child reports dysuria and urgency. The parent reports that the child has recently had some enuresis. The nurse recognizes these as signs and symptoms of which condition?

urinary tract infection

The nurse is reinforcing education with an adolescent diagnosed with chlamydia. Which statement by the adolescent indicates a correct understanding of the teaching?

"My sexual partners will also need to be treated."

A client reports urinary frequency and burning. The health care provider diagnoses cystitis and prescribes sulfamethoxazole-trimoxazole. Which instruction should the nurse give the client?

"Take the medication with 6 to 8 oz (180 to 240 mL) of water."

A client and spouse are seeking treatment for infertility after having difficulty becoming pregnant. Which statement made by the client does the nurse determine is causing the most "stressful aspect of treatment"?

"We have to schedule sexual intercourse with our busy lives."

A nurse is examining the following laboratory values in the chart of a client with chronic renal failure. Which value indicates that hemodialysis is an effective treatment for this client?

blood urea nitrogen (BUN)

In which group is it most important for the client to understand the importance of an annual Papanicolaou (Pap) test?

clients infected with the human papillomavirus (HPV)

A nurse is planning discharge teaching for a client on a loop diuretic. Which information would the nurse include about the therapeutic action of loop diuretics?

They block sodium reabsorption in the ascending loop and dilate renal vessels.

The nurse is reinforcing education for a group of parents about monitoring for urinary tract infections (UTIs) in the preschool age. Which symptom would indicate that the health care provider should be notified?

exhibits incontinence after being toilet trained

The nurse is caring for a client diagnosed with chronic renal failure. The foods to avoid include foods high in which substance?

proteins

After having transurethral resection of the prostate (TURP), a client returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client's catheter is occluded?

The client reports bladder spasms and the urge to void.

A charge nurse in a long-term care facility is planning the nursing assignments for the oncoming shift. Her staff consists of four nursing assistants and a licensed practical nurse (LPN). How should she divide nursing care among the staff to adequately ensure safe, effective care?

The charge nurse performs treatments and supervises staff, the LPN administers medications and assists with care, and the nursing assistants provide direct client care.

After having a transurethral resection of the prostate (TURP), a client returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client's catheter is occluded?

The client reports bladder spasms and the urge to void.