GU Practice Quiz PrepU

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." "Take your temperature every 4 hours." "Apply an antibacterial dressing to the incision daily." "Be aware that your urine will be cherry-red for 5 to 7 days."

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

Which term refers to inflammation of the renal pelvis? Pyelonephritis Urethritis Interstitial nephritis Cystitis

Pyelonephritis

Which condition or laboratory result supports a diagnosis of pyelonephritis? Ketonuria Low white blood cell (WBC) count Pyuria Myoglobinuria

Pyuria

Which of the following is a term used to describe excessive nitrogenous waste in the blood, as seen in acute glomerulonephritis? Hematuria Proteinuria Azotemia Bacteremia

Azotemia

A nurse is reviewing the history of a client who is suspected of having glomerulonephritis. Which of the following would the nurse consider significant? Recent history of streptococcal infection History of hyperparathyroidism Previous episode of acute pyelonephritis History of osteoporosis

Recent history of streptococcal infection

A nurse is caring for a 73-year-old client with a urethral obstruction related to prostatic enlargement. When planning this client's care, the nurse should be aware of the risk of what complication? Enuresis Urinary tract infection Proteinuria Polyuria

Urinary tract infection

The nurse is caring for an older client admitted to the health-care facility with a new onset of confusion and a low-grade fever. Which age-related changes might contribute to decreased functioning of the immune system? Decreased kidney function Thickening of the skin Increased ciliary action Increased gastric secretions

Decreased kidney function

A client is diagnosed with polycystic kidney disease. Which of the following would the nurse most likely assess? Extremity pain Fever Periorbital edema Hypertension

Hypertension

A nurse is providing postprocedure care for a client who underwent percutaneous lithotripsy. In this procedure, an ultrasonic probe inserted through a nephrostomy tube into the renal pelvis generates ultra-high-frequency sound waves to shatter renal calculi. The nurse should instruct the client to: limit oral fluid intake for 1 to 2 weeks. report bright pink urine within 24 hours after the procedure. report the presence of fine, sandlike particles through the nephrostomy tube. notify the physician about cloudy or foul-smelling urine.

notify the physician about cloudy or foul-smelling urine.

When caring for the patient with acute glomerulonephritis, which of the following assessment findings should the nurse anticipate? Cola-colored urine Left upper quadrant pain Pyuria Low blood pressure

Cola-colored urine

An older adult male patient tells the nurse that he wakes several times a night to pass his urine but never feels as though he fully empties his bladder. What suggestion can the nurse make to help control this in the evening? He probably has developed a urinary tract infection and requires an antibiotic. Wear a condom catheter and a leg bag at night. Limit drinking a lot of fluid in the evening, especially caffeinated beverages. Drink several glasses of fluid prior to going to bed in the evening to dilute the urine.

Limit drinking a lot of fluid in the evening, especially caffeinated beverages.

Nursing management of the client with a urinary tract infection should include: Teaching the client to douche daily Instructing the client to limit fluid intake Discouraging caffeine intake Administering morphine sulfate

Discouraging caffeine intake

A client is treated for renal calculi and suspected hydronephrosis. Therefore, the nurse should maintain a record of the kidney's function. Which measure can the nurse take to help achieve the objective? Inspect the skin over the fistula or graft for signs of infection Monitor the patient's intake and output Note the nail beds and mobility of the fingers Palpate for a thrill over the vascular access

Monitor the patient's intake and output

A client undergoes renal angiography. Which postprocedure care intervention should the nurse provide to the client? Encourage the client to void. Assess for signs of electrolyte and water imbalances. Palpate the pulses in the legs and feet. Monitor the client for signs and symptoms of pyelonephritis.

Palpate the pulses in the legs and feet.

following percutaneous nephrolithotomy, the client is at greatest risk for which nursing diagnosis? Risk for fluid volume excess Risk for infection Risk for deficient knowledge: self-catherization Risk for altered urinary elimination

Risk for infection

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 the highest priority to which nursing diagnosis? Risk for infection Imbalanced nutrition: Less than body requirements Acute pain Impaired urinary elimination

Acute pain

A history of infection specifically caused by group A beta-hemolytic streptococci is associated with which disorder? Chronic renal failure Acute renal failure Nephrotic syndrome Acute glomerulonephritis

Acute glomerulonephritis

An older adult client is being evaluated for suspected pyelonephritis and is ordered kidney, ureter, and bladder (KUB) x-ray. The nurse understands the significance of this order is related to which rationale? If risk for chronic pyelonephritis is likely Detects calculi, cysts, or tumors Reveals causative microorganisms Shows damage to the kidneys

Detects calculi, cysts, or tumors

Which nursing intervention should the nurse caring for the client with pyelonephritis implement? Administer acetaminophen (Tylenol). Straight catheterize the client every 4 to 6 hours. Teach client to increase fluid intake up to 3 liters per day. Restrict fluid intake to 1 liter per day.

Teach client to increase fluid intake up to 3 liters per day.

The nurse is assessing a client's bladder by percussion. The nurse elicits dullness after the client has voided. How should the nurse interpret this assessment finding? The client has a ureteral obstruction. The client has a fluid volume deficit. The client has kidney enlargement. The client's bladder is not completely empty.

The client's bladder is not completely empty.