Adult health Urinary/Reproductive EAQs 2

which structures are included in the external genitalia in males? select all that apply 1. penis 2. testes 3. scrotum 4. urethra 5. seminal vesicles

1. penis 3. scrotum

what does nurse determine most likely cause of renal calculi in client w paraplegia? 1. high fluid intake 2. inc intake of calcium 3. inadequate kidney function 4. accelerated bone demineralization

4. accelerated bone demineralization

what does rifmpin do

killing the bacteria that causes infection

client admitted with severe flank pain (upper abdomen or back and sides pain) nausea, and hematuria caused by ureteral calculus a lithotripsy is scheduled what should be the nurses initial intervention? 1. strain all urine output 2. increase oral fluid intake 3. obtain a urine specimen for culture 4. administer the prescribed analgesic

4. administer the prescribed analgesic

which statement is true regarding varicocele? 1. its commonly seen in prepubertal children 2. it results in partial or complete venous occlusion 3. results in red, warm, and edematous scrotum 4. causes elongation of the veins of the spermatic cord

4. causes elongation of the veins of the spermatic cord

client w acute kidney failure becomes confused and irritable which does the nurse determine is most likely cause of this behavior? 1. hyperkalemia 2. hypernatremia 3. limited fluid intake 4. inc blood urea nitrogen level

4. inc blood urea nitrogen level

nurse finds a client has dysuria hesitancy urinary urgency and leaking. clients lab reports reveal serum PSA levels of 5 ng/mL and elevated prostatic acid PAP levels. which disease condition does the nurse suspect? 1. orchitis 2. hydrocele 3. prostatitis 4. prostate cancer

4. prostate cancer

before a TURP a client asks about what to expect postoperatively whats the most appropriate response by the nurse? 1. you have an abdominal incision and a dressing 2. your urine will be pink and free of clots 3. there will be an incision between your scrotum and rectum 4. there will be an indwelling urinary catheter and a continuous bladder irrigation in place

4. there will be an indwelling urinary catheter and a continuous bladder irrigation in place

nurse is caring for a client w end stage renal disease who has AV fistula what nursing care should be included in clients plan of care? select all that apply 1. auscultate for a bruit 2. palpate site to identify a thrill 3. irrigate with saline to maintain patency 4. avoid drawing blood from affected extremity 5. keep fistula clamped until ready to perform dialysis

1. auscultate for a bruit 2. palpate site to identify a thrill 4. avoid drawing blood from affected extremity

nurse is teaching the importance of annual physical examinations to an adult health and wellness class. nurse reinforces thats impt for men who are middled aged and older to have what lab test annually 1. prostate specific antigen 2. enzyme linked immunosorbent assay 3. western blot 4. serum triglycerides

1. prostate specific antigen

Which client's urine specific gravity level is abnormal? 1. 1.006 2. 1.012 3. 1.028 4. 1.041

4 1.041

A HCP prescribes tolterodine for a client with an overactive bladder. What is most important for the nurse to teach the client to do? A) Maintain a strict record of fluid intake and urinary output B) Chew the extended release capsule thoroughly before swallowing C) Report episodes of diarrhea or any increase in respiratory secretions D) Avoid activities requiring alertness until the response to the medication is known

D) Avoid activities requiring alertness until the response to the medication is known

signs from kidney transplant rejection 1. fever 2. oliguria 3. jaundice 4. moon face 5. weight gain

1. fever 2. oliguria 5. weight gain

what is the most basic method the nurse can use when encouraging hospitalized clients to void? 1. providing privacy 2. warming a bedpan 3. having the client listen to running water 4. placing the clients hands in warm water

1. providing privacy

A client has a permanent colostomy. During the first 24 hours, there is no drainage from the colostomy. The nurse concludes that this is a result of? 1. edema after surgery 2. absence of intestinal peristalsis 3. dec in fluid intake b4 surgery 4. effective functioning of the NG tube

2. absence of intestinal peristalsis

which client is a highest risk of prostate cancer? 1. black 55 yr old 2. white 45 yr old 3. asian 55 yr old 4. hispanic 45 yr old

1. black 55 yr old

after surgery to create an ileal conduit a client is admitted to the postanesthesia care unit which clinical finding during the first hr of postoperative period should nurse report to HCP 1. edematous stoma 2. episodes of vomiting 3. absence of urinary output 4. diminished BM

3. absence of urinary output

client with acute glomerulonephritis reports feeling thirst. what should the nurse offer the client 1. ginger ale 2. milkshake 3. hard candy 4. chicken broth

3. hard candy

client w continuous ambulatory peritoneal dialysis asks the nurse what this treatment entails what infor should the nurse include in the explanation? 1. peritoneal dialysis is done in ambulatory care clinic 2. hemodialysis and periotneal dialysis are provided continuously 3. peritoneal membrane allows passage of toxins into the dialysate 4. quarter of a liter of dialysate is maintained inter and intraperioneally

3. peritoneal membrane allows passage of toxins into the dialysate

nurse is caring for a client after surgical creation of a conduit diversion whats the major disadvantage of a conduit diversion that the nurse should consider when caring for this client? 1. peristalsis is greatly dec 2. stool continuously oozes from it 3. urine continuously drains from it 4. absorption of nutrients is diminished

3. urine continuously drains from it

client reports a sudden warm feeling and the nurse identifies the condition as a hot flash what other changes may be occurring in this client? select all that apply 1. brittleness of bones 2. inc in tissue turgor 3. dec in sperm production 4. dec testosterone production 5. reduction in adipose tissue in breasts and vulva

1. brittleness of bones 5. reduction in adipose tissue in breasts and vulva

client is diagnosed with calcium oxalate renal calculi which nutrients should the nurse teach the client to avoid? select all that apply 1. milk 2. nuts 3. liver 4. spinach 5. rhubarb

2. nuts 4. spinach 5. rhubarb

nurse caring for older bedridden male client whos incontinent of urine which action should the nurse take FIRST? 1. restrict fluid intake 2. offer the urinal regularly 3. apply incontinence pants 4. insert an indwelling urinary catheter

2. offer the urinal regularly

when client returns from postanesthesia care unit after kidney transplant the nurse should plan to measure the clients urinary output how often? 1. 15 min 2. one hour 3. two hours 4. three hours

2. one hour

nurse is caring for a client who had surgery to repaird an inguinal hernia what should the nurse do to limit a common complication associated with this surgery? 1. apply an abdominal binder 2. place a support under the scrotum 3. teach the client to cough several times an hour 4. encourage the client to eat high carbohydrate diet

2. place a support under the scrotum

what is the action of vasopressin? 1. promotes sodium reabsorption 2. reabsorbs water into capillaries 3. promotes tubular secretion to sodium 4. stimulates bone marrow to make RBC

2. reabsorbs water into capillaries

client scheduled for IV pyelogram (IVP) (scan of kidneys) nurse explains that on the day before the IVP the client must do what? 1. avoid fats and proteins 2. drink large amounts of fluids 3. omit dinner and limit beverages 4. take a laxative b4 going to bed

4. take a laxative b4 going to bed to remove all poop for a better visualization

natural physiologic process helps prevent bacterial infections within the clients bladder containing urine 1. secretions of the urothelium 2. relaxation of the detrusor muscle 3. contraction of the external sphincter 4. muscle tone of the internal sphincter

1. secretions of the urothelium

nurse recalls what scientific principle is basic to caring for a client with an indewlling urinary catheter? 1. inertia 2. gravity 3. osmosis 4. diffusion

2. gravity

nurse is caring for a client with end stage renal disease which clinical indicators of end stage renal disease should the nurse expect? select all that apply 1. polyuria 2. jaundice 3. azotemia (kidneys have been damaged 4. hypertension 5. polycythemia

3. azotemia (kidneys have been damaged 4. hypertension

client just had suprapubic prostatectomy which action should the nurse implement to prevent a secondary bladder infection? 1. observe for sign of uremia 2. attach the catheter to suction 3. clamp off the connecting tube 4. change the dressings freq

4. change the dressings freq

receiving hemodialysis the complication of removal of too much sodium may happen for which clinical findings associated with hyponatremia should nurse assess the client? select all that apply 1. chvostek sign 2. muscle cramp 3. extreme fatigue 4. cardiac dysthythmias 5. inc temp

2. muscle cramp 3. extreme fatigue

nurse is providing care to a client who is being treated for bacterial cystitis before discharge its most imp for the client to do what? 1. understand the need to drink 4 L of water per day an essential measure to prevent dehydration 2. able to identify dietary restrictions and plan menus 3. achieve relief of symptoms and to maintain kidney function 4. recognize signs of bleeding a complication associated with this type of procedure

3. achieve relief of symptoms and to maintain kidney function

what should nurse do when caring for a client w continuous bladder irrigation? 1. measure output hourly 2. monitor the specific gravity of urine 3. irrigate the catheter w saline 3x daily 4. subtract amount of irrigant instilled from the output

4. subtract amount of irrigant instilled from the output

client with TURP experiences dribbling after the indwelling catheter is removed to address this problem whats an appropriate nursing response? 1. increase your fluid intake and urinate reg intervals 2. i know youre worried but it will go away in a few days 3. limit your fluid intake and urinate when you first feel the urge 4. the catheter will have to be reinserted until your bladder regains its tone

1. increase your fluid intake and urinate reg intervals

client is admitted to hospital w diagnosis of chronic kidney disease which should nurse expect the client to exhibit? select all that apply 1. polyuria 2. paresthesias (burning) 3. hypertension 4. metabolic alkalosis 5. widening pulse pressure

1. polyuria (excessive peeing) 2. paresthesias (burning) 3. hypertension

client receiving furosemide to relieve edema the nurse should monitor the client for which responses? select all that apply 1. weight loss 2. negative nitrogen balance 3. increased urine specific gravity 4. excessive loss of potassium ions 5. pronounced retention of sodium ions

1. weight loss 4. excessive loss of potassium ions

client w history of chronic kidney disease is hospitalized nurse assesses the client for sign of related kidney insufficiency which include what? 1. facial flushing 2. edema and pruritus (itching) 3. dribbling after voiding 4. diminished force and caliber of stream

2. edema and pruritus (itching)

nurse reviews clients med history which includes cholinergic medication client states " i take that for some kind of urinary prob" nurse recalls that cholinergic medication are prescribed primarily for what type of urinary condition? 1. kidney stones 2. flaccid bladder 3. spastic bladder 4. UTI

2. flaccid bladder

caring for a client whos being treated with continuous ambulatory peritoneal dialysis (CAPD) for chronic glomerulonephritis what dietary need should the nurse discuss with the client? 1. low calorie foods 2. high quality protein 3. inc fluid intake 4. foods rich in potassium

2. high quality protein

client with TB is started on chemotherapy protocol that included rifampin nurse evaluates that teaching about rifampin is effective when the client makes which statement? 1. i need to drink alot of fluids while i take this medication 2. i can expect my urine to turn orange from this medication 3. i should have my hearing tested while i take this med 4. i might get a skin rash bc its an expected skin effect of this med

2. i can expect my urine to turn orange from this medication

nurse is caring for client w ureteral calculus which are most imp nursing actions? select all that apply 1. limiting fluid intake at night 2. monitoring intake/output 3. straining the urine at each voiding 4. recording the clients BP 5. administering the prescribed analgesic

2. monitoring intake/output 3. straining the urine at each voiding 5. administering the prescribed analgesic

caring for client who had kidney transplant which is most imp for determining whether a clients newly transplanted kidney is working effectively? 1. renal scan 2. serum creatinine 3. 24 hr urine output 4. WBC count

2. serum creatinine

older adult client is demonstrating mild confusion after surgical repair of a hernia what should the nurse do to provide for this clients safety? 1. use a nightlight in clients room 2. secure a prescription for a soft vest restraint 3. activate the position sensitive bed alarm 4. raise the 4 side rails on the clients bed

3. activate the position sensitive bed alarm

client with a urinary retention catheter reports discomfort in the bladder and urethra what should the nurse do first? 1. milk the tubing gently 2. notify HCP 3. check the patency of the catheter 4. irrigate the catheter with prescribed solutions

3. check the patency of the catheter

nurse plans to teach signs of rejection to client who just has transplanted kidney. what sign of rejection should the nurse include? 1. weight loss 2. subnormal temp 3. elevated BP 4. inc urinary output

3. elevated BP

client is admitted to hospital w ureteral calculus the nurse expects what urinary clinical findings? 1. urgency and mild aching pain 2. foul odor and dark urine 3. hematuria w sharp pain when voiding 4. freq w small amounts of urine

3. hematuria w sharp pain when voiding

nurse is caring for a client with ureteral colic to ensure prevent the development of renal calculi in future what should the clients plan of care include? 1. interventions to decrease the serum creatinine level 2. excluding milk products from the diet 3. instructing the client to drink 8-10 glasses of water daily 4. goal of 2000 mL/24 hr urinary output

3. instructing the client to drink 8-10 glasses of water daily

nurse caring for a client w complications associated w peritoneal dialysis for which s/s should the nurse monitor the client ? select all that apply 1. pruritus (uncomfy itching) 2. oliguria (lil pee) 3. tachycardia 4. cloudy outflow 5. abdominal pain

3. tachycardia 4. cloudy outflow 5. abdominal pain

nurse developing discharge plan for a client who was hospitalized with severe cirrhosis of the liver what should the plan include? 1. need for high protein diet 2. use of sedative for relaxation 3. need to increase fluids 4. importance of reporting personality changes to the HCP

4. importance of reporting personality changes to the HCP

client is diagnosed with urethritis what should the nurse plan to do before initiating antibiotic therapy prescribed by the HCP? 1. prepare for urinary catheterization 2. teach the client how to perform perineal care 3. start a 24 hr urine collection 4. obtain a urine specimen for culture and sensitivity

4. obtain a urine specimen for culture and sensitivity

client w left ureteral calculus is scheduled for a transurethral ureterlithotomy during the preoperative assessment the nurse expects the client to report what kind of pain 1. pain thats boring type of pain thats located in left flank 2. pain that occurs w each urination and is located at the level of kidneys 3. pain thats dull and constant and located in costovertebral angle 4. pain that is spasmodic and located in left side radiating to the suprapubic area

4. pain that is spasmodic and located in left side radiating to the suprapubic area

admitting a client w benign prostatic hyperplasia whats the most relevant assessment made by the nurse? 1. perineal edema 2. urethral discharge 3. flank pain radiating to the groin 4. distention of the suprapubic area

4. distention of the suprapubic area

client is suspected of having late stage syphilis when obtaining a health history the nurse determines that which client statement most supports this diagnosis? 1. i noticed a wart on my penis 2. i have sores all over my mouth 3. ive been losing a lot of hair lately 4. im having trouble keeping my balance

4. im having trouble keeping my balance

HCP prescribes furosemide for a client with hypervolemia the nurse recalls that furosemide exerts its effects in what part of the renal system? 1. distal tubule 2. collecting duct 3. glomerulus of the nephron 4. loop of henle

4. loop of henle

nurse is assessing a toddler with vesicoureteral reflux (urine goes backwards) what clinical finding does the nurse expect to identify? 1. dysuria ( pain) 2. oliguria (pee less than normal) 3. glycosuria (glucose in pee) 4. proteinuria ( protein in pee)

1. dysuria ( pain)

which action should be included in plan of care for a client whos had pelvic surgery? 1. encouraging client to ambulate in hallway 2. elevating clients legs by raising the beds knee support 3. assisting client to dangle legs over the side of the bed 4. maintaining client on bed rest till the bandages are removed

1. encouraging client to ambulate in hallway

client with chronic kidney disease is scheduled to begin peritoneal dialysis when discussing the procedure what does the nurse explain is the purpose of dialysis? 1. help do some of the work usually done by the kidneys 2. prevent the client from developing complicating heart problems 3. remove bad chemicals from the body so the disease wont get worse 4. speed the clients recovery because the kidneys arent responding to other therapy

1. help do some of the work usually done by the kidneys

nurse teaches a client who is scheduled for a kidney transplant about the need for immunosuppressive medication the nurse determines that the client understands the teaching when the client makes which statement? 1. i must take these meds for the rest of my life 2. i must take these meds until surgery is over 3. i must take these meds until the anastomosis heals 4. i must take these meds during the intraoperative period

1. i must take these meds for the rest of my life

client will be taking Macrobid (antiboitic) orally every evening at home to manage recurrent uti what instructions should the nurse give to client? 1. increase the intake of fluids 2. strain the urine for crystals and stones 3. stop the drug if urinary output increases 4. maintain the exact time schedule for taking the drug

1. increase the intake of fluids

nurse is caring for a client 4 days after the client had a cystecotomy (removal of bladder) and formation of continent diversion after observing mucous threads in the clients urine what should the nurse do? 1. recognize thats an expected response 2. report this to HCP asap 3. obtain a specimen for culture and sensitivity 4. increase the clients fluid intake for the next 12 hr

1. recognize thats an expected response

client reports to health clinic bc sexual partner recently was diagnosed as having gonorrhea the health history reveals client has engaged in receptive anal intercourse. what should the nurse assess the client for? 1. melena (black tarry stools) 2. anal itching 3. constipation 4. ribbon shaped stools

2. anal itching

nurse concludes that anemia accompanies chronic kidney disease should be treated bc it contributes to what? 1. uremic frost 2. chronic fatigue 3. tubular necrosis 4. dependent edema

2. chronic fatigue

which statements regarding accessory glands are true? select all that apply 1. seminal vesicles provide lubrication during sex 2. cowpers glands are two pea sized structures under the male urethra 3. seminal vesicles are paired structures that lie at the base of the bladder 4. cowpers gland secrete an alkaine fluid that contributes to sperm motility 5. prostate gland is doughnut shaped organ that surrounds the neck of the bladder

2. cowpers glands are two pea sized structures under the male urethra 3. seminal vesicles are paired structures that lie at the base of the bladder 5. prostate gland is doughnut shaped organ that surrounds the neck of the bladder

whats an acute life threatening complication for which a nurse should assess a client in early postoperative period after radical nephrectomy? 1. sepsis 2. hemorrhage 3. renal failure 4. paralytic ileus

2. hemorrhage

nurse is caring for a client with a diagnosis of renal calculi secondary to hyperparathyroidism which type of diet should the nurse explore with the client when providing discharge info? 1. low purine 2. low calcium 3. high phosphorus 4. high alkaine ash

2. low calcium

assessing a client during peritoneal dialysis a nurse observes that drainage of the dialysate from the peritoneal cavity has ceased before the required volume has returned. what should the nurse instruct the client to do? 1. drink a glass of water 2. turn from side to side 3. deep breathe and cough 4. rotate the catheter periodically

2. turn from side to side

when performing a peritoneal dialysis procedure what should the nurse do? 1. place client in side lying position 2. warm dialysate solution slightly before instillation 3. infuse the dialysate solution slowly over several hrs 4. w/hold routine meds till after procedure

2. warm dialysate solution slightly before instillation

client w uremic syndrome has potential to develop many complications which complication should the nurse anticipate? 1. hypotension 2. hypokalemia 3. flapping hand tremors 4. elevated hematocrit values

3. flapping hand tremors

client who has repeated episode of cysitits (inflammed bladder) is scheduled for a cystoscopy to determine the possibility of urinary tract abnormalities the client asks the nurse to describe the procedure whats the nurse most appropriate response? 1. this procedure is computerized scan that outlines the bladder and surrounding tissue 2. procedure is x-ray film of the abdomen, kidneys, ureters, bladder after administration of dye 3. procedure is visualization of inside of the bladder with an instrument connected to source of light 4. procedure is visualization of urinary tract through ureteral catheterization and the use of radiopaque material

3. procedure is visualization of inside of the bladder with an instrument connected to source of light

which clinical manifestation should a nurse expect a client w diabetes insipidus to exhibit? 1. inc blood glucose 2. dec serum sodium 3. inc specific gravity 4. dec urine osmolarity

4. dec urine osmolarity

nurse is aware that the Cowper gland is also often referred to by which other term? 1. skene gland 2. prostate gland 3. bartholin gland 4. bulbourethral gland

4. bulbourethral gland

nurse is caring for a client with acute renal failure what is the most serious complication for this client? 1. anemia 2. infection 3. weight loss 4. platelet dysfunction

2. infection

nurse is caring for a client w chronic kidney failure which clinical finding should nurse expect when assessing this client? select all that apple 1. polyuria 2. lethargy 3. hypotension 4. muscle twitching 5. respiratory acidosis

2. lethargy (fatigue) 4. muscle twitching

nurse evaluating clients response to fluid replacement therapy which clinical finding indicates adequate tissue perfusion to vital organs? 1. urinary output of 30 mL an hr 2. central venous pressure reading of 2 mm Hg 3. baseline pulse rate of 120 decreases to 110 beats/min w/in a 15 min period 4. baseline BP of 50/30 increases to 70/40 mm Hg w/in a 30 min period

1. urinary output of 30 mL an hr

A nurse checking the perineum of a client with a radium implant for cervical cancer observes the packing protruding from the vagina. Why must the nurse notify the HCP to remove it immediately? A) The radioactive packing will injure healthy tissue B) Removal of the packing will prevent excessive blood loss C) The exposure of radium to the environment will diminish its effectiveness D ) Removal of the packing will minimize life-threatening contact with the radiation

A) The radioactive packing will injure healthy tissue