2021 EAQ #4 GENITOURINARY
Which statement indicates the nurse has a correct understanding of kidney ultrasonography?
"Kidney ultrasonography makes use of sound waves and has minimal risk."
A client with chronic kidney disease selects treatment using continuous ambulatory peritoneal dialysis (CAPD). Which statement indicates the client understands the purpose of this therapy?
"The treatment uses the peritoneum as a semipermeable membrane to clear toxins by osmosis and diffusion."
Which instruction would the nurse provide a client needing to collect a clean-catch urine specimen?
"Urinate a small amount, stop flow, and then fill one half of the specimen cup."
To help prevent a cycle of recurring urinary tract infections in a female client, which instruction would the nurse share?
"Urinate as soon as possible after intercourse."
Which urine specific gravity level is abnormal?
1.041
Which is the concentration of estradiol in the blood during the follicular phase of the menstrual cycle?
130pg/ml
Which value indicates a normal vaginal pH?
4.2
How long will a client's ovum stay viable for fertilization after its release?
72 hours
Which goal would the nurse expect a client receiving treatment for bacterial cystitis to achieve before their discharge from the hospital?
Achieve relief of clinical symptoms and maintain kidney function.
Which hormone influences kidney function?
Aldosterone
Which statement is accurate regarding erythropoietin?
An erythropoietin deficiency is associated with renal failure.
Which disorder is a primary glomerular disease?
Chronic glomerulonephritis
Which finding during peritoneal dialysis would the nurse act on as a sign of infection?
Cloudy return of dialysate
Which test provides information on bladder capacity, bladder pressure, and voiding reflexes?
Cystometrography (CMG)
Which safety precaution would the nurse employ when assisting with the removal of a client's vaginal radium seeds?
Ensure long forceps are available for removing the radium.
Which laboratory value would the nurse assess when preparing a client for a renal biopsy? Select all that apply. One, some, or all responses may be correct.
Hematocrit Hemoglobin Platelet count Prothrombin time (PT) with international normalized Partial thromboplastin time (PTT)
A client, transferred to the postanesthesia care unit after a transurethral resection of the prostate (TURP), has an intravenous (IV) line and a urinary retention catheter. During the immediate postoperative period, for which potentially critical complication would the nurse monitor?
Hemorrhage
The nurse is educating a couple concerning the process of fertilization. Which hormone would the nurse explain as stimulating the release of estrogen and progesterone after fertilization?
Human chorionic gonadotropin (hCG)
Which test helps identify reproductive tract fibroids, tumors, and fistulas?
Hysterosalpingography
Which assessment is necessary for the nurse to complete in a client with chronic kidney disease receiving loop diuretics?
Intake and output measurement
Which part of the kidney produces the hormone bradykinin?
Juxtaglomerular cells of the arterioles
Which finding in a urinalysis indicates a urinary tract infection?
Leukoesterase
Which hormone is crucial for ovulation and complete maturation of the ovarian follicles?
Luteinizing hormone
Which part of the kidney senses changes in blood pressure?
Macula densa
Which term would the nurse document in the client's medical record after observing reduced urinary output?
Oliguria
Which substance is released in response to low serum levels of calcium?
Parathyroid hormone
Which phase of a woman's sexual response is characterized by elevation of the uterus?
Plateau phase
Which term is used to describe a client passing air and bubbles during urination?
Pneumaturia
Which factor would the nurse explain as a reason why women are at a greater risk than men for contracting a urinary tract infection?
Proximity of the urethra and anus
Which procedure involves the examination of the ureters and the renal pelvises?
Pyelogram
Which process is a function of the kidney hormones?
Renin raises blood pressure because of angiotensin and aldosterone secretion.
A client diagnosed with invasive cancer of the bladder has brachytherapy scheduled. Which successful therapy outcome would the nurse expect with this client?
Shrinkage of the tumor when scanned
Which glands help in lubricating the female urinary meatus?
Skene glands
Which statement reflects the nurse's suspicions regarding a client's cloudy urine noted on a urinalysis report?
The client has a urinary infection.
Which information would the nurse include when teaching about why women are more susceptible to urinary tract infections than men?
The length of the urethra
The nurse prepares a male client with a history of recurrent urinary tract infections (UTIs) for discharge after a ureterolithotomy. Which clinical manifestations of a UTI would the nurse teach this client to recognize?
Urgency or frequency of urination
A client recovering from deep partial-thickness burns develops chills, fever, flank pain, and malaise. The primary health care provider makes a tentative diagnosis of urinary tract infection. Which diagnostic tests would the nurse expect the primary health care provider to prescribe to confirm this diagnosis?
Urinalysis with a urine culture and sensitivity
Which intervention is the best approach to condom use for prevention of sexually transmitted infection?
Use of a condom with oral sex
Which instruction would the nurse include when teaching the client how to perform peritoneal dialysis and the importance of preventing peritonitis? Select all that apply. One, some, or all responses may be correct.
Wear a mask during the procedure. Clean the catheter exit site every day. Maintain meticulous aseptic technique. Wash your hands before the exchange. Store supplies in a clean and dry location
Which characteristic of urine changes in the presence of a urinary tract infection (UTI)?
clarity
Which food selection indicates understanding of sources with high biologic value protein?
cottage cheese
Which conclusion would the nurse make about the assessment finding of a client's very pale-yellow-colored urine?
diluted urine
What would the presence of ketones in the urine of a client indicate?
fat metabolism
In which components of the nephron unit does furosemide decrease fluid reabsorption? Select all that apply. One, some, or all responses may be correct.
loope of henele, distal tubules
A 55-year-old client reports cessation of menstrual periods for a year. Which term describes the client's condition?
menopause
Where is the blood pressure cuff placed on a client with a dialysis access fistula in the right arm?
on the left arm
Which part of the female reproductive system secretes androgens?
overaries
Which term is used for the tip of a pyramid in the kidney?
papilla
The nurse is educating new parents about circumcision. Which structure of the penis would the nurse tell the parents is removed during circumcision?
prepuce
Which hormone is crucial in maintaining the implanted ovum at its site?
progesterone
The nurse is teaching a birthing/prenatal class about breast-feeding. Which hormone stimulates the production of milk during lactation?
prolactin
Which structure surrounding the male urethra would the nurse describe to a client scheduled for a dilation of the urethra?
prostate gland
Which diagnostic tests are used to measure kidney size? Select all that apply. One, some, or all responses may be correct.
radiography, ct
Which action is promoted by vasopressin?
reabsoprtion of water
Which foods would the nurse teach a client to avoid when diagnosed with calcium oxalate renal calculi? Select all that apply. One, some, or all responses may be correct.
tea spinach rhurbarb
Which urine characteristic is consistent with a urinary tract infection?
uti
Which instruction would the nurse include in a health practices teaching plan for a female client with a history of recurrent urinary tract infections?
wear cotton