Urology

The parents of a newborn have been told that their child was born with bladder exstrophy and the parents ask the nurse about this condition. Which response would the nurse give to the parents about bladder exstrophy?

"It's an extrusion of the urinary bladder to the outside of the body through a defect in the lower abdominal wall."

An infant, weighing 12 kg, is receiving diuretic therapy, and the nurse is closely monitoring the intake and output. Which is the amount of hourly urine output that the nurse would expect to be adequate?

12 to 24 mL/hour

A sulfonamide is prescribed for a client with a urinary tract infection. During review of the client's record, the nurse notes that the client is taking warfarin sodium daily. Which prescription would the nurse anticipate for this client?

A decrease in the warfarin sodium dosage

Nalidixic acid is prescribed for a client diagnosed with a urinary tract infection. Reviewing the client's record, the nurse notes that the client is prescribed warfarin on a daily basis. Which prescription would the nurse anticipate because the client is taking this oral anticoagulant?

A reduction in the anticoagulation dosage

The nurse is preparing a subcutaneous dose of bethanechol chloride prescribed for a client with urinary retention. Before giving the dose, the nurse checks to see that which medication is available on the emergency cart?

Atropine sulfate

The nurse who is administering bethanechol chloride is monitoring for acute toxicity associated with the medication. The nurse would check the client for which sign of toxicity?

Bradycardia

A client who has calcium phosphate kidney stones tells the nurse, "Tell me what I can do so that I never have this pain again." Which instructions would the nurse plan to include in the reinforcement of dietary instructions? Select all that apply.

Decrease sodium intake. Limit the intake of whole grains. Limit protein to 5 to 7 servings per week.

Propantheline bromide is prescribed for a client with bladder spasms. Which disorder, noted in the client's record, alerts the nurse to question the prescription for this medication?

Glaucoma

The use of peritoneal dialysis for the treatment of chronic kidney disease would be contraindicated for which client?

The client with severe emphysema

A nurse is assigned to care for a client who has returned to the nursing unit following a left nephrectomy. The nurse places the highest priority on monitoring which of the following?

Hourly urine output

The nurse is caring for a client undergoing peritoneal dialysis. The nurse checks the client and notes that the drainage from the outflow catheter is cloudy. The nurse notifies the registered nurse and plans to take which action?

Obtain a culture and sensitivity of the drainage

The nurse caring for a client taking tamsulosin determines that which finding indicates the need for follow-up?

Pulse rate of 120 beats per minute

The use of peritoneal dialysis for the treatment of chronic kidney disease would be contraindicated for which client?

The client with chronic obstructive pulmonary disease (COPD)

A client has received atropine sulfate intravenously during a surgical procedure. The nurse monitors the client for which side effect of the atropine sulfate in the postoperative period?

Urinary retention