GU health and illness review

A nurse cares for a patient who has been diagnosed with a small bowel obstruction. Which assessment findings would the nurse correlate with this diagnosis? Select all that apply. A. Serum potassium of 2.8 mEq/L B. Loss of 15 lb (6.8 kg) without dieting. C. Abdominal pain in upper quadrants. D. Low-pitched bowel sounds

A, C (small bowel obstructions can often lead to severe electrolyte imbalances)

3. The nurse is caring for a client with functional urinary incontinence. Which of the following are appropriate for this client's condition? Select all that apply. A. Teach the patient the importance of having a commode near in the bedroom. B. Timed toileting practices. C. Discuss the side effects of antispasmodic medications. D. Avoid drinking more than 2 liters/day.

A, B

A nurse plans care for a patient who has chronic diarrhea. Which actions would the nurse include in this patient's plan of care? Select all that apply. A. Using pre-moistened disposable wipes for perineal care B. Turning the patient from right to left every 2 hours C. Using an antibacterial soap to clean after each stool. D. Applying a barrier cream to the skin after cleaning. E. Keeping broken skin areas open to air to promote healing.

A, D

The nurse is caring for a client in long term care who has been receiving antibiotics for a urinary tract infection. The client complains of watery, odorous diarrhea. What interventions does the nurse anticipate for this client? Select all that apply. A. Place the client on contact isolation. B. Wash hands thoroughly with hand sanitizer. C. Monitor for signs of dehydration. D. Insert a catheter to obtain another urine specimen. E. Push fluids.

A,C,E

2. Which client would benefit most from anticholinergic medications? A. A client who is pregnant and leaking urine. B. A client with pelvic floor weakness and stress incontinence. C. A client with prostate issues and a distended bladder. D. A client with constipation and a history of fecal impaction.

B

Which of the following clinical symptoms are not associated with an enlarged prostate? A. Weak stream B. Enuresis C. Nocturia D. Frequently urinating small amounts

B

A truck driver routinely refuses to stop to use the restroom on his route. Which of the following is the most serious complication associated with intentionally holding urine? A. Enlarged bladder B. Hydronephrosis C. Bladder incontinence D. Delay in urine flow

B (hydronephrosis is an abnormal condition where urine flows back into the kidney causing inflammation and other medical issues)

A nurse teaches a patient who is at risk for fecal impaction. Which statements would the nurse include in this patient's teaching? A. "Take a laxative every evening to improve motility." B. "Take Metamucil or other bulk-forming products." C. "Eat a high-fiber diet including raw fruits and vegetables." D. "Drink prune juice to stimulate peristalsis."

C

1. The nurse is instructing a 28-year-old married female with a urinary tract infection how to prevent UTI's. Which statement indicates a lack of understanding of this teaching? A. "I will drink 2 liters of fluid every day." B. "I will drink cranberry juice daily in attempt to decrease the number of bacteria in my bladder." C. "I will empty my bladder regularly even if I don't have the urge to go. D. "It's okay to soak in the tub with a bubble bath to make sure I am properly cleaned."

D

A client reports needing to find the bathroom quickly or she will dribble urine. Which condition should the nurse consider that the client is​ experiencing? A. Enuresis B. Dysuria C. Polyuria D. Urgency

D

A client with BPH asks the nurse why he should avoid taking cold medications. These medications should be avoided because they are associated with: A. impotence B. incidence of bladder cancer C. increase in the size of the prostate D. urinary retention

D

A client with BPH may need surgery on his prostate. The nurse understands the benefits of having laser surgery. What are the benefits? A. Minimally invasive B. Decreases the frequency of urination C. Improves urinary flow D. All of the above

D

A nurse assesses a patient with a mechanical bowel obstruction who reports intermittent abdominal pain. An hour later the patient reports constant abdominal pain. Which action would the nurse take next? A. Administer intravenous opioid medications. B. Position the patient with knees to chest. C. Insert a nasogastric tube for decompression. D. Assess the patient's bowel sounds.

D

A nurse cares for a patient who is scheduled for the surgical creation of a Urostomy. The patient is anxious, stating "what is it like to have this?" How would the nurse respond? A. "I will ask the provider to prescribe you an anti-anxiety medication." B. "Would you like to discuss the procedure with your doctor once more?" C. "I think it would be nice to not have to worry about finding a bathroom." D. "Would you like to speak to someone who has a Urostomy?"

D