Renal, Urinary, Reproductive
A client has been diagnosed with pyelonephritis. The nurse interprets that which health problem has placed the client at risk for this disorder? 1.Hypoglycemia 2.Diabetes mellitus 3.Coronary artery disease 4.Orthostatic hypotension
2.Diabetes mellitus
The nurse is caring for the client with epididymitis. Which treatment modalities should be implemented? Select all that apply. 1.Bed rest 2.Sitz bath 3.Antibiotics 4.Heating pad 5.Scrotal elevation
1.Bed rest 2.Sitz bath 3.Antibiotics 5.Scrotal elevation
The nursing student is asked to describe the size of the uterus in a nonpregnant client. Which response indicates an understanding of the anatomy of this structure? 1."The uterus weighs about 2 ounces." 2."The uterus weighs about 2.2 pounds." 3."The uterus has a capacity of about 50 milliliters." 4."The uterus is round in shape and weighs approximately 1000 grams."
1."The uterus weighs about 2 ounces."
A client diagnosed with chronic kidney disease is being treated at home with continuous ambulatory peritoneal dialysis. The client notes that there is a decrease in the catheter outflow following the prescribed 6-hour dwell time and calls the nurse to report this occurrence. The nurse should reinforce instructing the client to take which action? 1.Ambulate in the home. 2.Perform straight catheterization of the bladder. 3.Immediately notify the primary health care provider. 4.Flush the peritoneal catheter with a thrombolytic medication.
1.Ambulate in the home.
A male client has a history of urinary tract infections due to urinary retention. Which intervention should the nurse implement to decrease the risk of infection? 1.Assist the client to stand for voiding. 2.Withhold oral fluids after 6:00 pm daily. 3.Ask the client to take his temperature daily. 4.Teach the client to wash his hands properly.
1.Assist the client to stand for voiding.
A client is seen in the health care clinic and acute pyelonephritis is suspected. The nurse reviews the client's record and should expect to note which associated signs and symptoms documented? Select all that apply. 1.Chills 2.Low-grade fever 3.Pale, dilute urine 4.General weakness 5.Nausea and vomiting 6.Flank pain on the unaffected side
1.Chills 4.General weakness 5.Nausea and vomiting
The nurse is speaking with a client who underwent a minimally invasive procedure treatment for recurrent urolithiasis. Which instructions are appropriate to reinforce in the teaching plan? Select all that apply. 1.Drink at least 3000 mL of fluid each day. 2.Expect some intermittent hematuria to occur. 3.Take acetaminophen if chills and fever occur. 4.Complete the full course of prescribed antibiotics. 5.Filter urine and collect any stones to take to the urological primary health care provider.
1.Drink at least 3000 mL of fluid each day. 4.Complete the full course of prescribed antibiotics. 5.Filter urine and collect any stones to take to the urological primary health care provider.
The nurse is admitting a client with chronic kidney disease (CKD) to the nursing unit. The nurse monitors the client for which frequent cardiovascular sign that occurs in CKD? 1.Hypertension 2.Hypotension 3.Tachycardia 4.Bradycardia
1.Hypertension
A client who underwent kidney transplant 6 months earlier is seen in the clinic for a routine monthly appointment. The nurse reviews how the client has been doing and observes for signs/symptoms of acute rejection. Which signs/symptoms suggest acute rejection of the transplanted kidney? Select all that apply. 1.Oliguria 2.Swelling of the lips 3.Tachypnea with wheezing 4.Elevation of blood pressure over baseline 5.Abdominal tenderness on the side of the kidney transplant 6.Elevation of serum blood urea nitrogen (BUN) and creatinine
1.Oliguria 4.Elevation of blood pressure over baseline 5.Abdominal tenderness on the side of the kidney transplant 6.Elevation of serum blood urea nitrogen (BUN) and creatinine
A client is diagnosed with polycystic kidney disease, and the nurse provides information to the client about the treatment plan. The nurse determines that the client needs further teaching if the client states that which component is part of the treatment plan? 1.Sodium restriction 2.Genetic counseling 3.Increased water intake 4.Antihypertensive medications
1.Sodium restriction
A nursing student is asked to identify the layers of tissue found within the uterus. Which student responses are correct with regard to the tissue layers of the uterus? Select all that apply. 1. Ectometrium 2. Myometrium 3. Perimetrium 4. Endometrium 5.Transmetrium
2. Myometrium 3. Perimetrium 4. Endometrium
The nursing student is assigned to care for an adolescent female client in the health care clinic, and the instructor reviews the menstrual cycle with the student. The instructor determines that the student understands the process of the secretion of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) if the student makes which statement? 1."FSH and LH are secreted by the adrenal glands." 2."FSH and LH are released from the anterior pituitary gland." 3."FSH and LH are secreted by the corpus luteum of the ovary." 4."FSH and LH stimulate the formation of milk during pregnancy."
2."FSH and LH are released from the anterior pituitary gland."
A client, who had experienced significant blood loss in an automobile crash, was admitted to the hospital 2 days earlier. The nurse observes the client for which signs/symptoms that indicate acute kidney injury (AKI)? Select all that apply. 1.Hematuria 2.Elevated urine specific gravity 3.Severe spasmodic pain radiating to the groin area 4.Rising serum blood urea nitrogen (BUN) and creatinine levels 5.Urine output averaging 25 mL per hour while receiving an intravenous infusion at 150 mL/hour
2.Elevated urine specific gravity 4.Rising serum blood urea nitrogen (BUN) and creatinine levels 5.Urine output averaging 25 mL per hour while receiving an intravenous infusion at 150 mL/hour
A client who is performing peritoneal dialysis at home calls the clinic and reports that the outflow from the dialysis catheter seems to be decreasing in amount. The nurse appropriately asks which question first? 1."Have you had any abdominal discomfort?" 2."Have you had any recurring bouts of diarrhea?" 3."Have you experienced any constipation recently?" 4."Have you had an increased amount of flatulence?"
3."Have you experienced any constipation recently?"
The nurse is monitoring an older client suspected of having a urinary tract infection (UTI) for signs of infection. Which sign/symptom is likely to present first? 1.Fever 2.Urgency 3.Confusion 4.Frequency
3.Confusion
A hemodialysis client with a left arm fistula is at risk for arterial steal syndrome. The nurse monitors this client for which signs/symptoms of this disorder? 1.Edema and purpura of the left arm 2.Warmth, redness, and pain in the left hand 3.Aching pain, pallor, and edema of the left arm 4.Pallor, diminished pulse, and pain in the left hand
4.Pallor, diminished pulse, and pain in the left hand
A client with acute glomerulonephritis is admitted to the nursing unit. The nurse should plan to do which action immediately upon admission? 1.Ambulate the client frequently. 2.Encourage a diet that is high in protein. 3.Monitor the temperature every 2 hours. 4.Remove the water pitcher from the bedside.
4.Remove the water pitcher from the bedside.
The nursing instructor asks a nursing student to list the functions of the amniotic fluid. The student needs further teaching if which responses are made? Select all that apply. 1.Allows for fetal movement 2.Is a measure of kidney function 3.Surrounds, cushions, and protects the fetus 4.Maintains the body temperature of the fetus 5.Prevents large particles such as bacteria from passing to the fetus 6.Provides an exchange of nutrients and waste products between the mother and the fetus
5.Prevents large particles such as bacteria from passing to the fetus 6.Provides an exchange of nutrients and waste products between the mother and the fetus
After a renal biopsy, the client complains of pain at the biopsy site that radiates to the front of the abdomen. Which would this indicate? 1.Bleeding 2.Infection 3.Renal colic 4.Normal, expected pain
1.Bleeding
The nurse is assisting a client with cystitis to select foods that are appropriate for an acid-ash diet. The nurse encourages the client to eat which food? 1.Cheese 2.Ice cream 3.Garden peas 4.Strawberries
1.Cheese
A male client has a tentative diagnosis of urethritis. The nurse collects data from the client knowing that which are signs/symptoms of this disorder? 1.Hematuria and pyuria 2.Dysuria and proteinuria 3.Dysuria and penile discharge 4.Hematuria and penile discharge
3.Dysuria and penile discharge
A client with chronic kidney disease has been on dialysis for 3 years. The client is receiving the usual combination of medications for the disease, including aluminum hydroxide as a phosphate-binding agent. The client now has mental cloudiness, dementia, and complaints of bone pain. Which does this data indicate? 1.Advancing uremia 2.Phosphate overdose 3.Folic acid deficiency 4.Aluminum intoxication
4.Aluminum intoxication
A client who has a cold is seen in the emergency department with an inability to void. Because the client has a history of benign prostatic hyperplasia (BPH), the nurse questions the client about use of which medication? 1.Diuretics 2.Antibiotics 3.Antitussives 4.Decongestants
4.Decongestants
The nurse is collecting data from a client who has had benign prostatic hyperplasia (BPH) in the past. To determine whether the client is currently experiencing exacerbation of BPH, the nurse should ask the client about the presence of which early symptom? 1.Nocturia 2.Urinary retention 3.Urge incontinence 4.Decreased force in the stream of urine
4.Decreased force in the stream of urine
A male client has a tentative diagnosis of urethritis. The nurse should assess the client for which manifestation of the disorder? 1.Hematuria and pyuria 2.Dysuria and proteinuria 3.Hematuria and urgency 4.Dysuria and penile discharge
4.Dysuria and penile discharge
The client with chronic kidney disease who is scheduled for hemodialysis this morning is due to receive a daily dose of enalapril. When should the nurse plan to administer this medication? 1.During dialysis 2.Just before dialysis 3.The day after dialysis 4.On return from dialysis
4.On return from dialysis
A client's kidneys are retaining larger than normal amounts of sodium. The nurse is reviewing the most recent laboratory data. The nurse should expect which laboratory value to be abnormal since the client is retaining sodium? 1.Calcium 8.8 mg/dL 2.Chloride 112 mEq/L 3.Potassium 4.1 mEq/L 4.Bicarbonate 23 mEq/L
2.Chloride 112 mEq/L
The nurse is reinforcing dietary instructions to a client diagnosed with acute glomerulonephritis. The nurse determines that the client understands the information presented if the client states the intention to do which action? 1.Limit protein intake. 2.Increase intake of high-fiber foods. 3.Limit intake of magnesium-rich foods. 4.Increase intake of potassium-rich foods.
1.Limit protein intake.
The nursing student is assigned to care for an adolescent female client in the health care clinic who has the potential diagnosis of gonorrhea. Which signs/symptoms if found in this client supports this diagnosis? Select all that apply. 1.Edematous labia 2.Acute severe pelvic pain 3.Generalized lymphadenopathy 4.Maculopapular rash on the palms and soles of the feet 5.Presence of a greenish-yellow purulent endocervical discharge
1.Edematous labia 2.Acute severe pelvic pain 5.Presence of a greenish-yellow purulent endocervical discharge
The nurse is reviewing the client's record and notes that the primary health care provider (PHCP) has documented that the client has a renal disorder. Which laboratory results would indicate a decrease in renal function? Select all that apply. 1.Elevated serum creatinine level 2.Elevated thrombocyte cell count 3.Decreased red blood cell (RBC) count 4.Decreased white blood cell (WBC) count 5.Elevated blood urea nitrogen (BUN) level
1.Elevated serum creatinine level 3.Decreased red blood cell (RBC) count 5.Elevated blood urea nitrogen (BUN) level
The nurse is reviewing the history and physical examination on a client diagnosed with polycystic kidney disease. Which data should the nurse expect to see? Select all that apply. 1.Hematuria 2.Flank or lumbar pain 3.Client age 20 years old 4.Palpable abdominal mass 5.History of urinary tract infections
1.Hematuria 2.Flank or lumbar pain 5.History of urinary tract infections
A client with end-stage kidney disease (ESKD) undergoes a surgical procedure to create an arteriovenous fistula for hemodialysis in the upper extremity. The nurse should take which actions when the client returns from surgery? Select all that apply. 1.Monitor pain and administer analgesics. 2.Monitor bleeding and swelling at the site. 3.Monitor for circulation above the fistula site. 4.Measure the blood pressure in the arm every hour. 5.Check for audible bruit and palpable thrill at the fistula site.
1.Monitor pain and administer analgesics. 2.Monitor bleeding and swelling at the site. 5.Check for audible bruit and palpable thrill at the fistula site.
Aluminum hydroxide is prescribed for the client with chronic kidney disease (CKD). When should the nurse instruct the client to take this medication? 1.With meals 2.At bedtime 3.On an empty stomach 4.In the morning on arising
1.With meals
Which statements indicate an understanding of the necessary dietary modifications of a client diagnosed with chronic kidney disease? Select all that apply. 1."I should avoid coffee; tea is preferable." 2."I should avoid eggs; a bagel is preferable." 3."I should avoid salt; soy sauce is preferable." 4."I should avoid salt; salt substitutes are preferable." 5."I should consume approximately 40 g of protein daily." 6."I should avoid carbonated sodas; milk is preferable."
2."I should avoid eggs; a bagel is preferable." 5."I should consume approximately 40 g of protein daily."
A nursing instructor asks a nursing student to describe Montgomery's tubercles of the breast. Which response by the student indicates successful learning regarding Montgomery's tubercles? 1."These are lobes of glandular tissue that secrete milk." 2."These are sebaceous glands that are located in the areola." 3."These are small sacs that contain acinar cells to secrete milk." 4."These are ducts containing milk from all areas of the breast."
2."These are sebaceous glands that are located in the areola."
An alkaline-ash diet is prescribed for a client with renal calculi. Which diet menu does the nurse advise the client to select? 1.Chicken, rice, and cranberries 2.A spinach salad, milk, and a banana 3.Peanut butter sandwich, milk, and prunes 4.Pasta with shrimp, tossed salad, and a plum
2.A spinach salad, milk, and a banana
The nurse is reviewing the laboratory results and physical examination of a client with acute glomerulonephritis. Which data should the nurse see? Select all that apply. 1.Polyuria 2.Hematuria 3.Proteinuria 4.Hypotension 5.Periorbital edema 6.Decreased specific gravity
2.Hematuria 3.Proteinuria 5.Periorbital edema
Which condition places the client at risk for developing acute postrenal failure? 1.Dehydration 2.Hydronephrosis 3.Rhabdomyolysis 4.Glomerulonephritis
2.Hydronephrosis
The nurse is providing dietary instructions to a client with renal calculi, and the laboratory analysis has revealed that the calculus is composed of uric acid. The nurse tells the client that it would be helpful to make which dietary changes? 1.Increase intake of seafood in the diet. 2.Increase intake of legumes in the diet. 3.Include organ meat type foods in the diet. 4.Increase intake of cranberries and citrus fruits.
2.Increase intake of legumes in the diet.
The use of peritoneal dialysis for the treatment of chronic kidney disease would be contraindicated for which client? 1.The client with hypothyroidism 2.The client with severe emphysema 3.The client with type 2 diabetes mellitus 4.The client with severe peripheral vascular disease
2.The client with severe emphysema
The nurse is assessing a client with suspected acute kidney injury. Which finding would support a diagnosis of acute intrarenal failure? 1.Urine output of 30 mL/hr for the past 24 hours 2.Urine analysis positive for casts and cellular debris 3.Renal ultrasound indicating the presence of ureteral calculi 4.Blood urea nitrogen (BUN) level of 48 mg/dL and creatinine level of 1.2 mg/dL
2.Urine analysis positive for casts and cellular debris
The nurse is caring for a 58-year-old client with chronic kidney disease who is receiving peritoneal dialysis. Which finding is considered most important by the nurse, requiring primary health care provider notification? 1.BUN: 40 mg/dL 2.WBC 15,000 mm3 3.ECG: First-degree heart block 4.Heart rate: 96 beats per minute
2.WBC 15,000 mm3
A client with acute kidney injury secondary to heart failure develops fluid volume excess. Which signs and symptoms should the nurse expect to see? Select all that apply. 1.Weak pulse 2.Weight gain 3.Decreased hematocrit 4.Distended jugular veins 5.Decreased breath sounds on auscultation 6.Decreased specific gravity with high volume
2.Weight gain 3.Decreased hematocrit 4.Distended jugular veins 6.Decreased specific gravity with high volume
Which statements made by the nursing student accurately reflect correct information about the hormone oxytocin? Select all that apply. 1."Production of oxytocin occurs in the ovaries." 2."It is produced by the anterior pituitary gland." 3."It can cause contractions of the uterus during and after birth." 4."Release of oxytocin stimulates the pancreas to produce insulin." 5."Oxytocin is used primarily for labor induction and augmentation."
3."It can cause contractions of the uterus during and after birth." 5."Oxytocin is used primarily for labor induction and augmentation."
The nurse is caring for a client with epididymitis. The nurse anticipates noting which group of findings on data collection? 1.Diarrhea, groin pain, and scrotal edema 2.Fever, diarrhea, groin pain, and ecchymosis 3.Fever, nausea and vomiting, and painful scrotal edema 4.Nausea, vomiting, and scrotal edema with widespread ecchymosis
3.Fever, nausea and vomiting, and painful scrotal edema
The nurse is collecting data from a client with epididymitis. The nurse should expect to note which signs and symptoms of this problem? 1.Diarrhea, groin pain, and scrotal edema 2.Fever, diarrhea, groin pain, and ecchymosis 3.Fever, nausea and vomiting, and painful scrotal edema 4.Nausea and vomiting, and scrotal edema with ecchymosis
3.Fever, nausea and vomiting, and painful scrotal edema
A client who suffered a crush injury to the leg has a highly positive urine myoglobin level. The nurse plans to monitor this particular client carefully for signs of which complication? 1.Respiratory failure 2.Brain attack (stroke) 3.Myocardial infarction 4.Acute tubular necrosis
4.Acute tubular necrosis
The nurse has reinforced instructions to the client with a cystocele about Kegel exercises. The nurse determines that the client has not fully understood the directions if the client makes which statement? 1."Stop and start the stream of urine several times during a voiding." 2."Tighten perineal muscles for up to 10 seconds several times a day." 3."Tighten perineal muscles for up to 5 minutes three or four times a day." 4."Begin voiding and then stop the stream, holding residual urine for an hour."
4."Begin voiding and then stop the stream, holding residual urine for an hour."
The nurse is collecting data from a client who is suspected of having mittelschmerz. Which statement supports this probable diagnosis? 1."My monthly cycle is very heavy." 2."I experience pain that occurs during intercourse." 3."I have incapacitating pain for the first few days of my menstrual cycle." 4."I experience a sharp pain located on my low right side midway through my cycle."
4."I experience a sharp pain located on my low right side midway through my cycle."
A client has been examined in the clinic and has been diagnosed with pelvic inflammatory disease. The client asks the nurse to describe this condition. Which description of pelvic inflammatory disease by the nurse is accurate? 1."Pelvic inflammatory disease is pain that occurs during ovulation." 2."Pelvic inflammatory disease is also known as primary dysmenorrhea." 3."Pelvic inflammatory disease is the cause of cessation of menstruation." 4."Pelvic inflammatory disease is an infectious process that involves the uterine, tubes and uterus."
4."Pelvic inflammatory disease is an infectious process that involves the uterine, tubes and uterus."
The nursing student is asked to describe the size of the uterus in a pregnant client at the end of pregnancy. Which response by the student indicates an understanding of the anatomy of this structure? 1."The uterus weighs about 2 ounces." 2."The uterus weighs about 1 pound." 3."The uterus has a capacity of about 10 milliliters." 4."The uterus is round and weighs approximately 1000 grams."
4."The uterus is round and weighs approximately 1000 grams."
A client newly diagnosed with chronic kidney disease will be receiving peritoneal dialysis. During the infusion of the dialysate, the client complains of abdominal pain. Which action by the nurse is appropriate? 1.Stop the dialysis. 2.Slow the infusion. 3.Decrease the amount to be infused. 4.Explain that the pain will subside after the first few exchanges.
4.Explain that the pain will subside after the first few exchanges.
A client with new-onset renal failure is having a first hemodialysis treatment. The nurse is especially careful to monitor the client for which signs/symptoms after the dialysis treatment? 1.Hypertension, tachycardia, and fever 2.Hypotension, bradycardia, and hypothermia 3.Restlessness, irritability, and generalized weakness 4.Headache, decreasing level of consciousness, and seizures
4.Headache, decreasing level of consciousness, and seizures
The nurse is teaching breast self-examination (BSE) to a client who has had a hysterectomy. Which time of the month should the nurse tell the client to perform breast self-examination? 1.At ovulation time 2.7 to 10 days after menses 3.Just before the menses begins 4.On a specific day of the month and on that same day every month thereafter
4.On a specific day of the month and on that same day every month thereafter
The nurse is urging a client to cough and deep breathe after a nephrectomy. The client tells the nurse, "That's easy for you to say! You don't have to do this." The nurse interprets that the client's statement is likely a result of which contributing factor? 1.A stress response to the ordeal of surgery 2.A latent fear of needing dialysis if the surgery is unsuccessful 3.Effects of circulating metabolites that have not been excreted by the remaining kidney 4.Pain that is intensified because the location of the incision is near the diaphragm
4.Pain that is intensified because the location of the incision is near the diaphragm
The nurse is admitting a client to the nursing unit who has returned from the postanesthesia care unit following prostatectomy. The client has a three-way Foley catheter with continuous bladder irrigation. The nurse should maintain the flow rate of the continuous bladder infusion to maintain which urine output characteristic? 1.Red 2.Colorless 3.Yellow with small clots 4.Pale yellow or slightly pink
4.Pale yellow or slightly pink
A client with diabetes mellitus is receiving peritoneal dialysis. The nurse should ensure maintenance of the dwell time for the dialysis at the prescribed time because of risk for which complication? 1.Infection 2.Hypoglycemia 3.Hyperglycemia 4.Peritoneal third spacing
3.Hyperglycemia
An adolescent is admitted to the hospital with complaints of lower right abdominal pain. The primary health care provider prescribes laboratory tests to rule out ectopic pregnancy rather than appendicitis. Which is most significant in ruling out an ectopic pregnancy? 1.Urinalysis 2.White blood count 3.C-reactive protein 4.Serum human chorionic gonadotropin
4.Serum human chorionic gonadotropin
Which actions are included in the nursing care of the client undergoing peritoneal dialysis? Select all that apply. 1.Monitor vital signs including temperature. 2.Weigh the client before and after dialysis. 3.Check color and volume of dialysate solution. 4.Instruct the client to remain supine until the dialysate is drained. 5.Maintain aseptic technique when accessing the peritoneal catheter.
1.Monitor vital signs including temperature. 2.Weigh the client before and after dialysis. 3.Check color and volume of dialysate solution. 5.Maintain aseptic technique when accessing the peritoneal catheter.
A client with end-stage kidney disease (ESKD) begins peritoneal dialysis. The nurse observes for which signs/symptoms indicating peritonitis? Select all that apply. 1.Nausea and vomiting 2.Poor dialysate outflow 3.Abdominal tenderness 4.Cloudy peritoneal effluent 5.Oral temperature of 38° C 6.Clear fluid leakage at the catheter exit site
1.Nausea and vomiting 3.Abdominal tenderness 4.Cloudy peritoneal effluent 5.Oral temperature of 38° C
A client contacts the primary health care provider's office to report she is not feeling well, has burning with urination, and suspects she may have a urinary tract infection. The nurse instructs the client to collect a urine specimen for testing. Which urinalysis findings indicate the presence of a urinary tract infection? Select all that apply. 1.Nitrites, present 2.Turbidity, clear 3.Ketones, moderate 4.White blood cells, 10 5.Specific gravity, 1.025 6.Leukocyte esterase, present
1.Nitrites, present 4.White blood cells, 10 6.Leukocyte esterase, present
The nurse is assessing the patency of an arteriovenous fistula in the left arm of a client who is receiving hemodialysis for the treatment of chronic kidney disease. Which finding indicates that the fistula is patent? 1.Palpation of a thrill over the fistula 2.Presence of a radial pulse in the left wrist 3.Absence of a bruit on auscultation of the fistula 4.Capillary refill less than 3 seconds in the nail beds of the left hand
1.Palpation of a thrill over the fistula
A client tells the nurse she completed an educational program to manage her stress incontinence but is now discouraged. Which information from the client indicates the need for further teaching? Select all that apply. 1.She performs the Kegel exercises every other day. 2.She maintains her fluid intake to 3000 mL of fluid daily. 3.She quit drinking coffee with cream but drinks diet cola. 4.She has decreased her caloric and fat intake to lose weight. 5.She has begun an exercise program that includes lifting weights.
1.She performs the Kegel exercises every other day. 3.She quit drinking coffee with cream but drinks diet cola. 5.She has begun an exercise program that includes lifting weights.
The nurse is assisting in planning a teaching session with a client diagnosed with urethritis caused by infection with Chlamydia. The nurse should plan to include which point in the teaching session? 1.The most serious complication of this infection is sterility. 2.Sexual partners during the last 12 months should be notified and treated. 3.Medication therapy should be continued for 2 months without interruption. 4.The infection can be prevented by using spermicide to alter the pH in the perineal area.
1.The most serious complication of this infection is sterility.
A client with a history of prostatic hypertrophy has purchased the over-the-counter medication, diphenhydramine, to treat symptoms of a runny nose. The nurse explains to the client that this medication combined with prostatic hypertrophy could cause exacerbation of which symptom? 1.Urinary retention 2.Lowered heart rate 3.Excessive drooling 4.Excessive sweating
1.Urinary retention
The nurse is caring for a hospitalized client following cystoscopy. Which discharge instructions are given to the client? Select all that apply. 1.Use antispasmodics for pain. 2.Restrict oral fluids for 1 to 2 days. 3.Expect pink-tinged urine for 1 week. 4.Take sitz baths for voiding discomfort. 5.Report severe pain to health care provider.
1.Use antispasmodics for pain. 4.Take sitz baths for voiding discomfort. 5.Report severe pain to health care provider.
The nurse is assigned to care for a client who has just returned to the nursing unit after having hemodialysis for the first time. The nurse monitors the client carefully for which signs and symptoms of disequilibrium syndrome? 1.Vomiting and headaches 2.Lethargy and hypertension 3.Hypertension and sleepiness 4.Abdominal pain and hypotension
1.Vomiting and headaches
he nurse at an outpatient cardiology clinic is reviewing the medical history of a 48-year-old client during a routine exam. The client is complaining of the inability to maintain an erection and asks the nurse what could be causing it. Which information should the nurse include as possible contributing factors to his erectile dysfunction? Select all that apply. 1.Weight 245 lb 2.Total cholesterol 223 mg/dL 3.Serum creatinine 1.86 mg/dL 4.Blood pressure 117/68 mm Hg 5.Thyroid stimulating hormone (TSH) 1.54 mIU/L
1.Weight 245 lb 2.Total cholesterol 223 mg/dL 3.Serum creatinine 1.86 mg/dL
A client with benign prostatic hypertrophy (BPH) undergoes a transurethral resection of the prostate (TURP) and is receiving continuous bladder irrigations postoperatively. Which are the signs/symptoms of transurethral resection (TUR) syndrome? 1.Tachycardia and diarrhea 2.Bradycardia and confusion 3.Increased urinary output and anemia 4.Decreased urinary output and bladder spasms
2.Bradycardia and confusion
The nurse monitoring a client receiving peritoneal dialysis notes that the client's outflow is less than the inflow. The nurse should take which actions? Select all that apply. 1.Contact the nephrologist. 2.Check the level of the drainage bag. 3.Reposition the client to his or her side. 4.Place the client in good body alignment. 5.Check the peritoneal dialysis system for kinks. 6.Increase the flow rate of the peritoneal dialysis solution.
2.Check the level of the drainage bag. 3.Reposition the client to his or her side. 4.Place the client in good body alignment. 5.Check the peritoneal dialysis system for kinks.
The licensed practical nurse (LPN) is assisting a school nurse in conducting a session with female adolescents regarding the menstrual cycle. The LPN tells the adolescents that the most likelyday for ovulation in a 30-day menstrual cycle is which day? 1.Day 14 2.Day 16 3.Day 18 4.Day 28
2.Day 16
The nurse is reviewing the medical record of a client with a diagnosis of pyelonephritis. Which disorder noted on the client's record should the nurse identify as a risk factor for this diagnosis? 1.Hypoglycemia 2.Diabetes mellitus 3.Coronary artery disease 4.Orthostatic hypotension
2.Diabetes mellitus
The nurse is assisting a client who is new to a low-potassium diet to select food items from the menu. Which food item is lowest in potassium and should be recommended to the client on this dietary restriction? 1.Spinach 2.Lima beans 3.Cantaloupe 4.Strawberries
2.Lima beans
The nurse is caring for a client who received a recent kidney transplant. Besides actual rejection of the transplant, which are some of the most important complications this client is at risk for? Select all that apply. 1.Colitis 2.Malignancies 3.Respiratory disease 4.Cardiovascular disease 5.Susceptibility to infection 6.Corticosteroid-related complications
2.Malignancies 4.Cardiovascular disease 5.Susceptibility to infection 6.Corticosteroid-related complications
A client has just undergone renal biopsy. In planning care for this client, the nurse should avoid which intervention? 1.Test urine for occult blood periodically. 2.Administer opioid analgesics as needed. 3.Ambulate in the room and hall for short distances. 4.Encourage fluids to at least 3 L in the first 24 hours.
3.Ambulate in the room and hall for short distances.
The nurse is caring for a client who has been diagnosed as having a kidney mass. The client asks the nurse the reason for a renal biopsy when other tests such as computed tomography (CT) and ultrasound are available. In formulating a response, the nurse incorporates the knowledge that a renal biopsy serves which purpose? 1.Provides an outline of the renal vascular system 2.Determines if the mass is growing rapidly or slowly 3.Gives specific cytological information about the lesion 4.Helps differentiate between a solid mass and a fluid-filled cyst
3.Gives specific cytological information about the lesion
A client with chlamydial infection has received instructions on self-care and prevention of further infection. The nurse determines that the client needs further teaching if the client states which? 1.I will use latex condoms to prevent disease transmission. 2.I will return to the clinic as requested for follow-up culture in 1 week. 3.I will use an antibiotic prophylactically to prevent symptoms of Chlamydia. 4.I will reduce the chance of reinfection by limiting the number of sexual partners.
3.I will use an antibiotic prophylactically to prevent symptoms of Chlamydia.
The nurse is reviewing data on a client with sepsis and acute kidney injury with related azotemia and oliguria. Which are the primary features of azotemia and oliguria? Select all that apply. 1.Vasoconstriction 2.Increase in cardiac output 3.Increase in serum creatinine 4.Increase in blood urea nitrogen (BUN) 5.Urine output less than 0.5 mL/kg/hour 6.Glomerular filtration rate (GFR) of 80 mL/min
3.Increase in serum creatinine 4.Increase in blood urea nitrogen (BUN) 5.Urine output less than 0.5 mL/kg/hour
A client has undergone a transurethral resection of the prostate (TURP) a few hours ago to treat symptoms of benign prostatic hypertrophy. The nurse notes bright red blood and clots in the urinary catheter drainage bag. Which response should be the nurse's initial action? 1.Contact the client's surgeon to report the bleeding. 2.Remove a small amount of fluid from the retention bulb. 3.Increase the flow rate of the continuous bladder irrigation. 4.Remove the indwelling catheter and encourage increased oral fluids.
3.Increase the flow rate of the continuous bladder irrigation.
Which observations by the nurse caring for clients in a hospital medical-surgical unit should be immediately reported to the primary health care provider? Select all that apply. 1.Pink-colored urine voided by a client admitted for urolithiasis 2.Mucous shreds noted in the urine of a client who has an ileal conduit 3.New confused mental state and pulse rate of 106 beats per minute in a 72-year-old client 4.No urinary output for 24 hours in a client who has hemodialysis 3 times weekly 5.A volume of 105 mL of urine over 4 hours in the collection bag of a 1-day postoperative client
3.New confused mental state and pulse rate of 106 beats per minute in a 72-year-old client 5.A volume of 105 mL of urine over 4 hours in the collection bag of a 1-day postoperative client
The nurse is reinforcing instructions to a client with renal calculi about how to change the urine pH to be more acidic. The nurse determines that the client needs further teaching if the client states which type of drink is acceptable? 1.Prune juice 2.Lemon juice 3.Orange juice 4.Cranberry juice
3.Orange juice
A client with acute kidney injury (AKI) has been treated with sodium polystyrene sulfonate by mouth. The nurse evaluates this therapy as effective if which value is noted on follow-up laboratory testing? 1.Calcium, 9.8 mg/dL 2.Sodium, 142 mEq/L 3.Potassium, 4.9 mEq/L 4.Phosphorus, 3.9 mg/dL
3.Potassium, 4.9 mEq/L
The nurse is reinforcing instructions to a client about the types of fluids that assist in prevention and treatment of urinary tract infections (UTIs). The nurse instructs the client to consume which fluids? Select all that apply. 1.Milk 2.Soda 3.Prune juice 4.Apple juice 5.Cranberry juice
3.Prune juice 4.Apple juice 5.Cranberry juice
The maternity nurse is describing the ovarian cycle to a group of nursing students and asks a nursing student to identify the phases of the cycle. Which phases stated by the nursing student indicate a need for further teaching in this area? Select all that apply. 1.Luteal phase 2.Ovulatory phase 3.Secretory phase 4.Proliferative phase 5.Preovulatory phase
3.Secretory phase 4.Proliferative phase
A client, on the waiting list for a renal transplant, receives a hemodialysis treatment. Which findings indicate to the nurse that the hemodialysis treatment has been effective? Select all that apply. 1.A thrill is palpable in the arteriovenous fistula. 2.The client states he is fatigued and wants to sleep. 3.Serum potassium level is within the normal range. 4.The client's weight is 2 kilograms less than predialysis weight. 5.Serum blood urea nitrogen (BUN) and creatinine levels are lower than predialysis.
3.Serum potassium level is within the normal range. 4.The client's weight is 2 kilograms less than predialysis weight. 5.Serum blood urea nitrogen (BUN) and creatinine levels are lower than predialysis.
A maternity nurse is providing an in-service educational session to nursing students regarding the process of conception. The nurse determines that successful learning has occurred if the nursing students correctly identify which statements as true? Select all that apply. 1.The stage of the embryo lasts for 12 weeks. 2.Uterine implantation occurs 21 days following fertilization. 3.The blastocyst usually implants in the anterior or posterior fundal region. 4.Fertilization of the mature ovum occurs in the distal third of the fallopian tube. 5.Human chorionic gonadotropin is the hormone needed for a positive pregnancy test.
3.The blastocyst usually implants in the anterior or posterior fundal region. 4.Fertilization of the mature ovum occurs in the distal third of the fallopian tube. 5.Human chorionic gonadotropin is the hormone needed for a positive pregnancy test.
The use of peritoneal dialysis for the treatment of chronic kidney disease would be contraindicated for which clients? 1.The client with cataracts 2.The client with varicose veins 3.The client with type 2 diabetes mellitus 4.The client with chronic obstructive pulmonary disease (COPD)
4.The client with chronic obstructive pulmonary disease (COPD)
