Genitourinary Disorders

The physician prescribes norfloxacin, 400 mg by mouth twice daily, for a client with a urinary tract infection (UTI). The client asks the nurse how long to continue taking the drug. The nurse advises the client to take the medication for how many days? 3 to 5 days 12 to 14 days 10 to 21 days 7 to 10 days

7 to 10 days

A client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should the nurse assess first? Respirations Temperature Cardiac rhythm Blood pressure

Cardiac rhythm

A physician enters a computer order for a nurse to irrigate a client's nephrostomy tube every 4 hours to maintain patency. The nurse irrigates the tube using sterile technique. After irrigating the tube, the nurse decides that she can safely use the same irrigation set for her 8-hour shift if she covers the set with a paper, sterile drape. This action by the nurse is appropriate because the irrigation set will be used only during an 8-hour period. inappropriate because the sterile drape must be cloth, not paper. inappropriate because irrigation requires strict sterile technique. appropriate because the irrigation just checks for patency.

inappropriate because irrigation requires strict sterile technique.

The nurse is gathering data from a child with acute poststreptococcal glomerulonephritis (APSGN) for signs of improvement. Which early finding by the nurse would indicate that improvement is occurring? increased appetite increased urine output decreased diarrhea increased energy level

increased urine output

A nurse is caring for a client with acute pyelonephritis. Which nursing intervention is the most important? increasing fluid intake to 3 L/day using an indwelling urinary catheter to measure urine output accurately administering a sitz bath twice per day encouraging the client to drink cranberry juice to acidify the urine

increasing fluid intake to 3 L/day

A child is diagnosed with recurrent urinary tract infections (UTIs). Which treatment does the nurse anticipate reinforcing education regarding? frequent catheterizations limited activities surgical intervention prophylactic antibiotics

prophylactic antibiotics

The nurse is planning to administer a sodium polystyrene sulfonate enema to a client with a potassium level of 5.9 mEq/L. Correct administration and the effects of this enema would include having the client: retain the enema for 30 minutes to allow for sodium exchange; afterward, the client should have diarrhea. retain the enema for 60 minutes to allow for sodium exchange; diarrhea isn't necessary to reduce the potassium level. retain the enema for 60 minutes to allow for glucose exchange; diarrhea isn't necessary to reduce the potassium level. retain the enema for 30 minutes to allow for glucose exchange; afterward, the client should have diarrhea.

retain the enema for 30 minutes to allow for sodium exchange; afterward, the client should have diarrhea.

The nurse is collecting data on a 6-year old child. The child reports dysuria and urgency. The parent reports that the child has recently had some enuresis. The nurse recognizes these as signs and symptoms of which condition? nephrotic syndrome acute glomerulonephritis obstructive uropathy urinary tract infection

urinary tract infection

Sildenafil has been prescribed for a client. While reviewing his medical records, the nurse would question which order? insomnia use of nitroglycerin neuralgia use of multivitamins

use of nitroglycerin

A home health care nurse reviewing a client's medication record discovers tamsulosin has been prescribed, but the client is currently taking sildenafil. What is the nurse's best action? Instruct the client to take the tamsulosin in the morning and the sildenafil in the evening. Determines the client's knowledge about tamsulosin. Instruct the client to hold the sildenafil and contact the health care provider. Instruct the client to begin taking the tamsulosin and contact the health care provider if any adverse effects occur.

Instruct the client to hold the sildenafil and contact the health care provider.

A nurse is examining the following laboratory values in the chart of a client with chronic renal failure. Which value indicates that hemodialysis is an effective treatment for this client? calcium blood urea nitrogen (BUN) red blood cells (RBCs) white blood cells (WBCs)

blood urea nitrogen (BUN)

The client underwent a transurethral resection of the prostate gland 24 hours ago and has a continuous bladder irrigation. Which of the following nursing interventions is appropriate? Tell the client to try to urinate around the catheter to remove blood clots. Use aseptic technique when irrigating the catheter. Prepare to remove the catheter. Restrict fluids to prevent the client's bladder from becoming distended.

Use aseptic technique when irrigating the catheter.

A client is admitted for treatment of chronic renal failure (CRF). The nurse reviews the client's chart to monitor which electrolyte imbalance? Water and sodium retention Decreased serum phosphate level Increased serum calcium level Metabolic alkalosis

Water and sodium retention

Which statement made by a client with a chlamydial infection indicates understanding of the potential complications? "I need to treat this infection so it doesn't spread into my pelvis because I want to have children some day." "If I had known a diaphragm would put me at risk for this, I would have taken birth control pills." "I hope this medicine works before this disease gets into my urine and destroys my kidneys." "I'm glad I'm not pregnant; I'd hate to have a malformed baby from this disease."

"I need to treat this infection so it doesn't spread into my pelvis because I want to have children some day."

After a nurse reinforces discharge education to the parents of a child with hypospadias, which statement by the parent indicates that additional education is needed? "Proper catheter care helps prevent infection." "I should bathe my child in the tub daily." "It's important to keep the catheter free of kinks and blockages." "I'll need to learn irrigation techniques."

"I should bathe my child in the tub daily."

Which statement by a man scheduled for a vasectomy indicates he needs further education about the procedure? "If I decide I want a child, I'll just get a reversal." "Amazing! I can make sperm but classify as sterile." "I'm sure glad I made some deposits in the sperm bank." "I can't believe I still have to worry about contraception after this surgery."

"If I decide I want a child, I'll just get a reversal."

The nurse is reinforcing education with an adolescent diagnosed with chlamydia. Which statement by the adolescent indicates a correct understanding of the teaching? "I can stop taking my doxycycline after the discharge goes away." "Since I have had chlamydia I am immune to it in the future." "The preferred treatment for chlamydia is oral penicillin." "My sexual partners will also need to be treated."

"My sexual partners will also need to be treated."

A nurse is caring for a client who is a hospital employee. The client is diagnosed with genital herpes and is being treated for a urinary tract infection (UTI). A coworker asks the nurse about how the client is doing. What is the nurse's best response? "Would you like me to let the client know you said hello?" "The antibiotics are really helping with the UTI." "You work on this unit, so you can check the medical record." "The client is upset that everyone knows about the herpes."

"Would you like me to let the client know you said hello?"

A female client is diagnosed with condylomata acuminata (genital warts). What information is appropriate for the nurse to give provide to this client? "The most common treatment is metronidazole, which should eradicate the problem." "The human papillomavirus (HPV) cannot be transmitted during oral sex." "Transmission to your sexual partner is eliminated by using condoms for sexual intercourse." "You will need regular Papanicolaou (Pap) test for follow up of this condition."

"You will need regular Papanicolaou (Pap) test for follow up of this condition."

A client has undergone a radical cystectomy and has an ileal conduit for the treatment of bladder cancer. Which postoperative finding must be reported to the health care provider immediately? a dusky-colored stoma urine output more than 30 ml/hour a red, moist stoma slight bleeding from the stoma when changing the appliance

a dusky-colored stoma

The nurse just received the shift report on her group of clients. Based on the information she received, which client should she assess first? A client with a temperature of 101° F (38.3° C) A client who is being discharged after breakfast A client who underwent a right nephrectomy yesterday and is complaining of pain A client who is awaiting a cystoscopic examination

A client who underwent a right nephrectomy yesterday and is complaining of pain

The nurse is reviewing the laboratory values of a client's urinalysis. He or she correctly identifies a urine sample with a pH of 5.2 as being which type of solution? Alkaline Basic Acidic Neutral

Acidic

A client is frustrated and embarrassed by urinary incontinence. Which of the following measures should the nurse include in a bladder retraining program? Restricting fluid intake to reduce the need to void Assessing present elimination patterns Establishing a predetermined fluid intake pattern for the client Encouraging the client to increase the time between voidings

Assessing present elimination patterns

Which response is the most appropriate when a client asks what activity limitations are necessary after a dilation and curettage (D & C) procedure? Tampons may be used during exercise. Engage in activity as tolerated, and take a soaking tub bath each day to promote relaxation. Stay on bed rest for 3 days, then gradually resume normal activity. Avoid strenuous work and sexual intercourse for at least 2 weeks.

Avoid strenuous work and sexual intercourse for at least 2 weeks.

A client had a transurethral prostatectomy for benign prostatic hyperplasia (BPH). He is currently being treated with continuous bladder irrigation and is reporting an increase in severity of bladder spasms. What should the nurse do first for this client? Stop the irrigation and call the health care provider. Administer an oral analgesic. Administer a belladonna and opium suppository as ordered by the health care provider. Check for the presence of clots, and make sure the catheter is draining properly.

Check for the presence of clots, and make sure the catheter is draining properly.

A client who returns to the surgical floor after undergoing transurethral resection of the prostate complains of pain. Which action should the nurse take first? Administer pain medication. Check the client's medical record for postoperative orders. Increase the infusion rate of the client's I.V. fluids. Increase the flow rate of the continuous bladder irrigation.

Check the client's medical record for postoperative orders.

A nurse is caring for a client with urinary calculus. What information should the nurse provide to this client? Encourage fluid intake, strain the urine, and give pain medications. Save any stone larger than 0.25 cm. Insert an indwelling urinary catheter, check intake and output, and give pain medications. Strain the urine, limit oral fluids, and give pain medications.

Encourage fluid intake, strain the urine, and give pain medications.

A client with a suspected diagnosis of renal cancer is ordered to undergo a renal biopsy to confirm the diagnosis. The client informs a nurse that she will not sign the informed consent form. Which action should the nurse take? Request that the client's husband sign the consent form. Notify a physician that the client refuses to give consent. Explain the importance of signing the consent form. Inform the client that she's delaying treatment by refusing to sign the consent form.

Notify a physician that the client refuses to give consent.

A nurse is caring for an 8-year-old female with multiple, chronic urinary tract infections. While the nurse helps the child's parent provide morning care, the child states, "My uncle doesn't clean me that way." The parent becomes visibly upset and gives the girl a stern warning not to discuss the matter. What is the priority action for the nurse? Do nothing, but continue to observe interactions. Document a note on the child's chart about the event. Notify the nursing supervisor and the authorities of the possibility of abuse. Ask the mother for more information about the uncle who is cleaning the child.

Notify the nursing supervisor and the authorities of the possibility of abuse.

hich of the following laboratory values supports a diagnosis of pyelonephritis? Ketonuria Low white blood cell (WBC) count Pyuria Myoglobinuria

Pyuria

Which of the following is an appropriate nursing diagnosis for a client with renal calculi? Decreased cardiac output Risk for infection Ineffective tissue perfusion Functional urinary incontinence

Risk for infection

A nurse is caring for a client who has recently been diagnosed with testicular cancer. What information is most important to provide to this client? Testicular self-examination is still important because there is an increased risk of a second tumor. Radiation therapy is never used, so the unaffected testicle remains healthy. Testicular cancer is not responsive to chemotherapy, but it is highly curative with surgery. Taking testosterone after orchiectomy prevents changes in appearance and sexual function.

Testicular self-examination is still important because there is an increased risk of a second tumor.

A client in the short-procedure unit is recovering from renal angiography in which a femoral puncture site was used. When providing postprocedure care, the nurse should: remove the dressing on the puncture site after vital signs stabilize. keep the client's knee on the affected side bent for 6 hours. check the client's pedal pulses frequently. apply pressure to the puncture site for 30 minutes.

check the client's pedal pulses frequently.

The student nurse is studying about a child with acute glomerulonephritis. Which child would be most likely to develop the disease? child who was bitten by a brown spider child who had a streptococcal infection 2 weeks ago child who shows no signs of periorbital edema child who had pneumonia a month ago

child who had a streptococcal infection 2 weeks ago

In which group is it most important for the client to understand the importance of an annual Papanicolaou (Pap) test? clients with a pregnancy before age 20 clients with a long history of oral contraceptive use clients infected with the human papillomavirus (HPV) clients with a history of recurrent candidiasis

clients infected with the human papillomavirus (HPV)

The red blood cell (RBC) production in a client with chronic renal failure (CRF) has decreased. The nurse should monitor this client for: fatigue and weakness. thrush and circumoral pallor. diarrhea and hypokalemia. nausea and vomiting.

fatigue and weakness.