Urinary practice test

A nurse is reinforcing teaching to a client who has a history of recurring uric acid stones and has been prescribed a low-purine diet. Which of the following foods should the nurse instruct the client to avoid while on a low-purine diet? A. Brown gravy B. Coffee C. eggs D. orange juice

A

A nurse is reinforcing discharge teaching with a client who has undergone a transurethral resection of the prostate (TURP). Which of the following statements should the nurse include in the teaching? A. "increase fluid intake if urine becomes blood tinged" B. "take naproxen for discomfort" C. "sexual activity is permitted after 2 weeks" D. "urinary dribbling will resolve within 5 days"

A

A nurse in a clinic is expecting data from a client who has cystitis. Which of the following findings should the nurse expect? A. Suprapubic tenderness B. Oliguria C. generalized edema D. Proteinuria

A

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following risk factors should the nurse identify as contributing to this diagnosis? A. low levels of serum calcium B. female gender C. high purine diet D. drinking large quantities of fluids

A

A nurse is caring for a client who has dyspnea, crackles, and 3+ bilateral pitting pedal edema. Which of the following serum sodium levels should the nurse identify as an indication of fluid volume excess? A. 116 meq/l B. 136 med/l C. 142 meq/l D. 167 meq/l

A

A nurse is caring for a client who is receiving furosemide to treat heart failure. Which of the following laboratory values should the nurse monitor for this client? A. serum potassium B. serum amylase C. serum triglyceride D. serum cholesterol

A

A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asks the nurse, "what is the purpose for this test?" which of the following response should the nurse give? A. "the test will inform your provider how your kidneys are functioning" B. "this test will inform your provider if you are anemic" C. "this test will inform your provider if you have an infection" D. "this test will inform your provider if you have a thyroid disorder"

A

A nurse is collecting data for a middle aged client who has pyelonephritis. Which of the following finding should the nurse expect? A. flank pain B. Hypotension C. confusion D. weight gain

A

A nurse is emptying a clients urinal when she notices the urine is dark, amber, cloudy and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following? A. urinary tract infection B. urinary incontinence C. Urinary frequency D. Urinary retention

A

A nurse is monitoring a client who has dehydration and is receiving IV fluid replacement. Which of the following findings should the nurse identify as effectiveness of the treatment? A. peripheral pulses +1 B. urine specific gravity 1.04 C. Urine output 200 mL/ 4 hr D. Heart rate 104/min

A

A nurse is monitoring a client who is dehydrated. Which of the following laboratory findings should the nurse report to the provider? A. BUN 25 mg/dl B. creatinine 0.9 mg/dl C. urine specific gravity 1.028 D. hematocrit 45%

A

A nurse is preparing a client for a kidney biopsy. Which of the following actions should the nurse take? A.Instruct the client to remain NPO 8 hr before the procedure B. Inform the client that the biopsy is performed while laying supine during the procedure C. administer a cleansing enema before the procedure D. review the coagulation studies before the procedure

A

A nurse is reinforcing teaching about fluid replacement to a group of junior high athletes. which of the following liquids should the nurse include as a priority adequate hydration? A. water B. vegetable juice C. Milk D. energy drinks

A

A nurse is reinforcing teaching with a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CAPD). Which of the following should the nurse include in the teaching? A. the dialyzing solution infuses using an infusion pump B. CAPD dialysis is the treatment of choice for a client who has a history of abdominal trauma C. the dialysis is continuous 24 hr day, 7 days a week D. the dialyzing solution is suspended at the level of the umbilicus during the infusion

A

A nurse is reinforcing teaching with a client who has recurrent urinary tract infections (UTI's) about prevention measures. Which of the following client statements indicates the need for further teaching? A. "I will need to wipe my perineal area from back to front after urination" B. "I will need to empty my bladder after having sexual intercourse" C. "I should avoid taking bubble baths" D. "I need to drink at least 8 full glasses of liquid each day"

A

A nurse is reinforcing teaching with a client who takes furosemide and has a serum potassium level of 3.1 meq/l. Which of the following foods should the nurse instruct the client to include in his daily diet? A. Bananas B. Cabbage C. Cheddar cheese D. White rice

A

A nurse is reviewing data for a client who has chronic kidney disease. Which of the following data should the nurse identify as the best indicator of fluid volume status? A. daily weight B. serum sodium C. skin turgor D. I&O

A

A nurse is reviewing the laboratory findings of a client who has liver failure with ascites. The client takes spironolactone. Which of the following findings is an adverse effect of the medication? A. Serum potassium 5.2 B. Serum sodium 140 meq/l C. serum chloride 99 meq/l D. serum calcium 10.5 mg/dl

A

a nurse is collecting data for a client who has early manifestations of renal impairment. Which of the following findings should the nurse expect? A. diluted urine B. yellowish gray skin C. muscle cramps D. Weight gain

A

A nurse is assisting with the care of a client following a transurethral resection of the prostate (TURP) and has an indwelling urinary catheter. Which of the following actions should the nurse take? A. weight the client weekly B. Irrigate the catheter as prescribed C. instruct the client to report an urge to urinate D. instruct the client to bear down as if to have a bowel movement every hour

A (changed)

A nurse is reinforcing nutrition teaching for a client who has chronic kidney disease about limiting foods high in potassium. Which of the following foods should the nurse instruct the client to avoid? A. orange juice B. watermelon C. bananas D. corn flakes cereal E. white rice

A, C

A nurse is reviewing a clients laboratory results. Which of the following findings should the nurse report to the provider? A. sodium 126 meq/l B. Potassium 3.6 meq/l C. Magnesium 1.9 mg/dl D. Chloride 99 meq/l

A.

A nurse is caring for a client who tells the nurse she experiences urinary incontinence when she sneezes. The nurse recognizes this is an expected finding for which of the following types of incontinence? A. Stress incontinence B. urge incontinence C. overflow incontinence D. Reflex incontinence

A. Stress incontinence

A nurse is assisting in planning care for a client who has cystitis. Which of the following interventions should be included in the plan of care? A. Instruct the client to take antibiotics until dysuria is no longer present B. instruct the client to avoid drinking caffeinated beverages C. Direct the client to wash underclothing in bleach D. Inform the client that taking vitamin E supplements will decrease the incidence of cystitis

B

A nurse is caring for a client who has a diagnosis of acute glomerulonephritis. Which of the following should be reported immediately to the provider? A. Hematuria B. Pedal edema C. blood pressure 162/90 mm Hg D. urinary output of 280 mL during previous 8 hr

B

A nurse is caring for an older adult client who has a new prescription for spironolactone. Which of the following laboratory values should the nurse monitor for this client? A. Hemoglobin B. Potassium C. Total cholesterol D. thyroid stimulating hormone (TSH)

B

A nurse is checking the laboratory tests for a client who has glomerulonephritis. The nurse should expect to find an increase in which of the following test results? A. Creatinine clearance B. RBC C. BUN D. Specific gravity

B

A nurse is collecting data from a client who has sodium level of 128 meq/l. Which of the following manifestations should the nurse expect? A. hyporflexia B. headache C. constipation D. Increased appetite

B

A nurse is collecting data from a client who is to have an intravenous pyelogram (IVP). Which of the following data is a contraindication to this procedure? A. client has a metal rod in her tibia B. client has an allergy to shellfish C. client has a history of claustrophobia D. client is taki pioglitazone

B

A nurse is monitoring a client following a hemodialysis treatment through an arteriovenous (AV) fistula. Which of the following findings should the nurse report to the provider? A. blood pressure 134/ 82 mm Hg B. headache, restlessness C. Palpable thrill at the AV fistula access site D. heart rate 65 bpm

B

A nurse is obtaining a urine specimen for culture and sensitivity via straight catheterization. Which of the following actions should the nurse take? A. collect urine from the catheter's port B. Use a sterile specimen container C. Use sterile water to inflate the balloon D. Instruct the client to clean from front to back with an antiseptic solution

B

A nurse is preparing to remove a clients urinary catheter. After performing hand hygiene, which of the following actions should the nurse take? A. position client supine B. have the client bear down during removal C. cleanse the perineal area with an antiseptic D. deflate the balloon halfway and then pull out the catheter

B

A nurse is reinforcing discharge instructions with a client who has a new prescription for phenazopyridine hydrochloride. Which of the the following statements should the nurse include in the instructions? A. yellowing of the sclera is an expected effect of penazopyridine hydrochloride B. phenazopyridine hydrochloride works as a urinary tract analgesic C. phenazopyridine hydrochloride turns urine purple D. Administer phenazopyridine hydrochloride before meals

B

A nurse is reinforcing teaching to a client who is scheduled for an intravenous pyelogram. Which of the following should the nurse include in the teaching? A. omit your daily dose of aspirin B. take laxative the evening before the procedure C. expect to be drowsy for 24 hr following the procedure D. you will feel cold chills after the dye has been injected

B

A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching? A. COPD B. diabetes mellitus C. anemia D. osteoporosis

B

A nurse is reinforcing teaching with a female client about preventing urinary tract infections (UTI's). Which of the following instructions should the nurse include? A. Wear underwear made from nylon B. drink 16 0z of cranberry juice each day C. Use an over the counter douche product after intercourse D. Wait to void until the bladder feels full

B

A nurse is reviewing laboratory findings for a client who has acute kidney disease. which of the following findings should the nurse expect? A. BUN 8 mg/dl B. Serum creatinine 6 mg/dl C. Hemoglobin 19g/dl D. Serum potassium 3.0 meq/l

B

A nurse is reviewing the medical record of a client who has a fluid volume deficit. The nurse should expect which of the following findings? A. BUN 12 mg/dl B. Urine output 15 ml/hr C. HCT 43% D. Urine specific gravity 1.020

B

A nurse is reviewing the medical record of a client who has acute kidney injury. which of the following findings should the nurse recognize as a potential causative factor? A. History or chronic alcohol abuse B. Recent CT scan with contrast dye C. History of hypertension D. Recent hospital stay for deep vein thrombosis

B

A nurse is reviewing the medication history of a client. The nurse should identify that which of the following medications places the client at risk for hypokalemia? A. ketoprofen 75 mg PO three times a day B. furosemide 80 mg PO daily C. aclycovir 400 mg PO twice daily D. ranitidine 150 mg PO twice daily

B

A nurse removes an indwelling catheter that an older adult client has had in place for 2 days. The nurse should monitor the client for which of the following expected outcomes after catheter removal? A. temporary urinary retention B. urinary frequency for several days C. blood tinged urine D. highly concentrated urine

B

A nurse is reinforcing teaching with a client who has a new prescription for phenazopyridine. The nurse should reinforce to the client to expect which of the following while taking this medication? A. burning during urination B. reddish orange urine C. visual disturbances D. lethargy

B (correct)

A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination? A. Simvastatin B. metformin C. valsartan D. pantoprazole

B (correct)

A nurse is reinforcing teaching to a female client who has acute cystitis and is to start therapy with phenazopyridine. Which of the following information should the nurse give to the client? A. "Use birth control while taking this medication to prevent pregnancy" B. "wear a protective pad under clothing to prevent staining" C. "take the medication on an empty stomach D. "finish the medication in order to resolve the infection"

B?

A nurse in a provider's office is reinforcing teaching with a client who is to collect a 24 hr urine specimen. Which of the following instructions should the nurse include in the teaching? A. At the beginning of the collection time, urinate and then discard the urine. B. keep the collection container at room temperature C. save each urine collection in a separate container D. At the end of the collection time, urinate and save the urine in a separate container

C

A nurse in a providers office is collecting data from an older adult client who reports sudden onset of urinary incontinence. The nurse should collect additional data to determine if the client has which of the following conditions? A. Urolithiasis B. Uremia C. Diabetic nephropathy D. Urinary tract infection

C

A nurse is admitting a client who reports recurrent flank pain and nausea for 24 hr. Which of the following actions should the nurse take first? A. monitor intake and output B. strain the urine C. administer pain medication D. ambulate in hall

C

A nurse is assisting in the planning of care for a client who has acute glomerulonephritis. Which of the following interventions should the nurse recommend including in the plan of care? A. place the client on a low sodium diet B. Encourage increased fluid intake C. obtain weekly weight D. encourage frequent ambulation

C

A nurse is caring for a client who has a new arteriovenous (AV) graft in his left forearm. Which of the following techniques should the nurse use to assess the patency of this graft? A. monitor the client for an increase in blood pressure in the left arm B. check the brachial pulse C. auscultate the AV graft for a bruit D. auscultate the antecubital area using a doppler stethoscope

C

A nurse is caring for a client who has acute dehydration is receiving IV fluids. Which of the following laboratory values indicates to the nurse that the current treatment regiment is effective. A. Sodium 165 meq/l B. Potassium 3.2 meq/l C. urine specific gravity 1.020 D. Hematocrit 62%

C

A nurse is caring for a client who has benign prostate hyperplasia (BPH). Which of the following finding should the nurse expect? A. urge incontinence B. critically elevated prostate specific antigen (PSA) level C. difficulty starting the flow of urine D. painful urination

C

A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take? A. provide a diet high in protein B. provide ibuprofen for retroperitoneal discomfort C. monitor intake and output hourly D. encourage the client to consume at least 2l of fluid daily

C

A nurse is caring for a client who is receiving hemodialysis. which of the following client measurements should the nurse compare before and after dialysis treatment to determine fluid losses? A. Neck vein distention B. blood pressure C. body weight D. abdominal girth

C

A nurse is caring for a client who is taking furosemide. For which of the following adverse effects should the nurse monitor? A. Hypervolemia B. Hypertension C. Hypokalemia D. hypoglycemia

C

A nurse is caring for a female client who has a prescription for an indwelling urinary catheter. Which of the following actions should the nurse take first? A. Clean the perineum from front to back B. Lubricate the catheter C. Explain to the client that she will feel temporary discomfort D. Arrange the sterile items on the sterile field

C

A nurse is collecting data for a client who has fluid volume deficit. Which of the following is an expected finding? A. Increased urine specific gravity B. Decreased hematocrit C. Decreased BUN D. Increased urine ketones

C

A nurse is collecting data from a client who has dehydration. Which of the following findings should the nurse expect? A. cool skin B. bradycardia C. urine output 20 mL/hr D. Sodium 142 meq/L

C

A nurse is collecting data from a client. which of the following findings should the nurse report to the charge nurse as indicator for dehydration? A. red mucous membranes B. Jugular vein distention C. Skin tenting D. BP 178/90 mm Hg

C

A nurse is collecting data on a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should recognize which of the following findings is the priority? A. the client has bright red urine in his urinary catheter B. the client reports a continuous urge to void C. the client has small blood clots in his urinary catheter D. the client reports burning around the urinary catheter

C

A nurse is evaluating the 24-hr I&O records of several clients. Which of the following client findings indicates an acceptable fluid balance? A. intake 2,500 ml, output 500 ml B. intake 2,400 ml, output 2500 ml C. intake 1,200 ml, output 700 ml D. Intake 800 ml, output 2,100 ml

C

A nurse is preparing to insert an indwelling catheter for a female client. After opening the catheter kit and preparing the supplies, which of the following steps should the nurse perform next? A. cleanse the meatus B. don sterile gloves C. cleanse the labia D. lubricate the catheter

C

A nurse is reinforcing dietary instructions with a client who has chronic kidney disease. Which of the following information should the nurse include? A. maintain a low carbohydrate diet B. eliminate ingestion of foods high in protein C. reduce intake of foods high in potassium D. increase intake of sodium containing food

C

A nurse is reinforcing discharge teaching to a client who will be performing intermittent self-catheterizations. which of the following statements should the nurse include in the teaching? A. use sterile techniques during the insertion procedure B. limit fluids throughout the day C. advance the catheter 5 cm (2 in) after urine begins to flow D. lubricating the catheter tip prior to its insertions is not necessary

C

A nurse is reinforcing teaching about monitoring weight with a client who has chronic kidney disease. Which of the following instructions should the nurse include in the teaching? A. use several different scales to obtain the weight B. Calibrate weight scales every week C. Weigh at the same time each day D. measure weight just prior to voiding

C

A nurse is reinforcing teaching with a client about the oliguirc phase of acute kidney injury. Which of the following information should the nurse include in the teaching? A. the oliguric phase lasts for 2 days B. the oliguric phases begins within 1 month of the injury C. the clients urine output is less than 400 mL per 24 hrs D. the clients BUN and creatinine decreases during this phase

C

A nurse is reinforcing teaching with a client who has received treatment for kidney stones. The nurse should remind the client to increase intake of which of the following? A. Tea B. Sodium C. water D. Protein

C

A nurse is reviewing the laboratory data for a client who is to begin a new prescription for furosemide. Which of the following laboratory values is a priority for the nurse to check before administering this medication? A. HgB B. uric acid level C. potassium D. WBC

C

A nurse is reviewing the medical record of a client and identifies a serum potassium 6.8 meq/l. Which of the following medications should the nurse expect to administer? A. lactulose B. triamterene C. sodium polystyrene D. Acetylcysteine

C

A nurse is reviewing the medical record of a group of clients. The nurse should identify that hemodialysis Is appropriate for which of the following clients? A. a client who has minimal urine output following a drug overdose B. a client who has acute kidney disease and is responding to diuretics C. a client who took excessive laxatives and has a potassium level of 2.8 meq/l D. a client who has been vomiting and has metabolic alkalosis

C

A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider? A. Urine specific gravity 1.020 B. Microscopic hematuria C. Amber yellow urine color D. Absence of glucose in the urine

C

An older adult client in a long term care facility has dementia and begins to have frequent episodes of urinary incontinence. After the provider finds no medical cause for his incontinence, which of the following interventions should the nurse initiate to manage his behavior? A. remind the client to tell the nurse when he has to urinate B. use adult diapers to prevent frequent clothing changes C. take the client to the bathroom on an every 2 hr schedule D. request a prescription for an indwelling catheter

C

A nurse is caring for a client who has chronic glomerulonephritis. The nurse would expect to find a decrease in which of the following serum laboratory values? A. Potassium B. Phosphate C. Creatinine D. RBC

C. Creatinine Rationale: Serum blood urea nitrogen and creatinine are increased

A charge nurse is assisting a newly-licensed nurse to insert an indwelling catheter for a male client. which of the following actions requires the charge nurse to intervene? A. lubricates the first 2.5 to 5 cm 91 to 2 in) of the catheter tubing B. lubricates the first 15 to 17.5 (6-7 in) of the catheter C. secures the tubing to the clients upper thigh D. secures the tubing to the clients lower abdomen

D

A nurse is assessing an older adult client who has urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group? A. urinary retention B. low back pain C. incontinence D. confusion

D

A nurse is assisting with discharge of a client who is postoperative from a kidney transplant. The nurse should instruct the client that which of the following is an indication of rejection? A. BUN 15 mg/dl B. Serum creatinine 0.9 mg/dl C. decreased urine output D. purulent drainage from the incision

D

A nurse is assisting with the adminission of a client who is dehydrated. Which of the following BUN levels should the nurse expect the client to have? A. 3.6 mg/dl B. 9 mg/dl C. 18.7 mg/dl D. 24 mg/dl

D

A nurse is collecting data from a client who has a sodium level of 155 meq/l. Which of the following manifestations should the nurse expect? A. cool clammy skin B. hypertension C. increased salivation D. Decreased level of consciousness

D

A nurse is collecting data on a client who has end-stage kidney disease (ERSD). Which of the following is an expected finding? A. hypokalemia B. hypotension C. euphoria D. pruritus

D

A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan? A. tell the client to expect a decrease in urine output B. provide the client a high protein diet C. maintain the client on bed rest D. encourage the client to drink 3 l of fluids per day

D

A nurse is planning to insert an indwelling urinary catheter for an adult female client. Which of the following actions should the nurse plan to take? A. Use an 8-fr size catheter B. Insert the catheter using clean technique C. Lubricate the catheter 2.5 to 5 cm (1 to 2 inch) D. provide routine catheter care with povidone iodine

D

A nurse is reinforcing teaching about renal transplant with a newly licensed nurse. which of the following clients should the nurse identify as having a contraindication for this procedure? A. a client who has a body mass index (BMI) of 25 B. a client who has a pacemaker C. a client who is 65 yrs old D. a client who has a history of IV drug abuse

D

A nurse is reinforcing teaching with a client who is scheduled for an intravenous pylegram (IVP). Which of the following statements should the nurse include in the teaching? A. "The procedure will be cancelled if the urinalysis indicates the presence of red blood cells" B. "high frequency sound waves will be used to identify renal system structures" C. "you will need to remain flat in bed for 4 hr following this procedure" D. "after the procedure you will be encourage to drink plenty of fluids"

D

A nurse is reinforcing teaching with a client who is to perform manual peritoneal dialysis at home. The nurse should include which of the following instructions? A. Use clean technique when caring for the peritoneal catheter B. Expect the outflow solution to be cloudy dwell time C. sit in a chair when instilling the dialysate solution D. instill the dialysate solution over 1 hr

D

A nurse is reviewing the laboratory reports for a client who has chronic kidney disease. Which of the following laboratory reports should the nurse expect to find? A. BUN 10mg/dl, serum creatinine 0.3 md/dl B. BUN 45 mg/dl, serum creatinine 1.0 mg/dl C. BUN 11 mg/dl, serum creatinine 10 mg/dl D. BUN 35 mg/dl, serum creatinine 8 mg/dl

D

A nurse is reviewing the laboratory results for a client who has chronic kidney disease. which of the following laboratory findings should the nurse expect? A. hypokalemia B. decreased urine specific gravity C. decreased BUN D. Elevated creatinine

D

A nurse is reviewing the laboratory values for a client who takes spironolactone and notes that the client's serum potassium level is 6.8 meq/l. The nurse notifies the provider and anticipates that the provider will provide which of the following instructions? A. administer potassium gluconate 40 meq orally B. obtain a 12-lead ECG C. restrict fluid intake D. Have the laboratory draw a blood sample for an erythrocyte sedimentation rate

D

A nurse whose left hand is dominant is preparing to perform a straight catheterization for a client who is paraplegic. Which of the following actions should the nurse take? A. Use the left hand to cleanse the urinary meatus B. Use the right hand to insert the catheter C. Stand on the client's right side D. Raise the bed to a comfortable working height

D

A nurse is caring for client who has end-stage renal disease and must limit protein intake. Which of the following foods should the nurse plan to include in the clients diet? A. eggs B. lentils C. nuts D. green leafy vegetable

D (correct)

A nurse is reinforcing teaching with a client who has osteoarthritis and is taking acetaminophen for pain management. which of the following statements should the nurse include in the teaching? A. "apply an ice pack to painful joints for 20 minutes, 3 times a day" B. "participate in high impact aerobics to increase joint mobility" C. "take a dose of aspirin on days when you have more pain" D. "increase your water intake to 2 liters per day"

D (correct)

A nurse is collecting data from a client who has systemic lupus erthematosus (SLE). Which of the following laboratory values should the nurse review to determine the client's renal function? A. Antinuclear antibody B. C-reactive protein C. Erythrocyte sedimentation rate D. Serum creatinine

D correct

A nurse is collecting data from a client who has a urine output of 250 mL in a 24 hr period. Which of the following terms should the nurse document this finding in the electronic record? A. Dysuria B. Urgency C. Nocturia D. Oliguria

D. Oliguria Rationale: oliguria is a diminished capacity to form and pass urine <500 ml in 24 hr

A nurse is caring for a client who is receiving peritoneal dialysis. The nurses should monitor the client for which of the following manifestations of peritonitis? A. Hyperactive bowel sounds B. Nausea and vomiting C. Decreased heart rate D. Increased urinary output

D?