GU

A nurse is planning a low-protein diet for a client who has chronic renal failure. The client states," Why do I have to be concerned with protein?" Which of the following responses is appropriate?

" Protein breakdown produces waste product that can build up in your body."

10. A nurse is assisting with the admission of a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, " I don't know what I will do if they discover I have cancer.." Which of the following responses should the nurse make?

"I'm hearing that you are concerned that you could have cancer."

A patient asks a nurse what is stress incontinence. Which of the following statement best answers the question asked?

"It is urine lost involuntarily when a person coughs or sneezes."

After a renal biopsy, the client is instructed to remain in bed rest for _________ after the procedure.

24 hours

A Nurse is checking the labs for a client admitted with pyelonephritis. Which of the following bacteria will the nurse find as the primary cause for the inflammation?

E. Coli

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 finding is the priority?

A client has a bright red urine in his catheter

A nurse is reviewing the medicals records of a group of clients. The nurse should identify hemodialysis is appropriate for which if the following clients?

A client who has minimal urine output following a drug overdose.

A nurse is triaging a client with possible acute glomerulonephritis. Which of the following symptoms will the nurse document in the nursing notes?(Select all the apply)

A. Anorexia B. Exertional dyspnea C. Swelling of the face

A nurse is assisting with the plan of care for a client who has a three-way-urethral connected to continuous bladder irrigation following a suprapubic and transurethral resection of the prostate. Which intervention should the nurse include in the plan of care?

Adjust the flow rate of the irrigation fluid so that the urine is light pink.

Drug therapy for a client with chronic renal failure (ESRD) may include:

Anticonvulsant

A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse take to prevent the development of skin breakdown?

Apply a moisture barrier ointment to the skin.

A nurse is collecting data on a client admitted with chronic pyelonephritis. What symptom will the nurse document in the nurse notes as finding for this client?

Azotemia

A nurse is collecting data from a child who has nephrotic syndrome. Which of the following manifestations should the nurse expect?

Periorbital edema

A nurse is collecting data from a client who has a urinary tract infection. Which of the following findings should the nurse expect? (Select all that apply).

B. Dysuria D. Urinary frequency E. Hematuria

A client presents to the emergency room with symptoms of urinary obstruction. Which of the following are possible causes for the above problem. (Select all that apply).

B. Tumor ureter C. Cysts in bladder D. Prostatic hypertrophy E. Calculi

A nurse is caring for a client who is 11 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? (Select all apply.)

B. Use sterile technique when preparing the irrigation solution C. Make sure the drainage tubing ia patient and without obstruction. E. Notify the surgeon if the urine is bright red or has large clots

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?

Blood pressure 162/90 mm Hg

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?

Body Weight

A client who is taking nitrofurantoin for a urinary infection voices a concern to the clinic nurse about voiding brown-colored urine. Which of the following is an appropriate response by the nurse?

Brown-colored urine is a harmless side effect of the medication

A nurse is checking the laboratory tests for a client who has glomerulonephritis. The nurse should expect to find an increase in the following test results?

C. BUN

a nurse is reviewing the laboratory results of a client who is taking a loop diuretic and notes the client's potassium level is 3.0 mEq/L. which of the following physiological responses should the nurse expect related to the client's hypokalemia?

Cardiac Dysrhythmias

A client with acute glomerulonephritis will be have physician orders to prevent complications of:

Cerebral and cardiac function

The physician has ordered a thiazide diuretic for a client with peripheral edema. Which of the following diuretics will the nurse find in the MAR for the client?

Chorothiazide

A nurse is assessing an older adult who has a urinary tract infection (UTIs). Which of the following findings should the nurse identify an unique for this age group?

Confusion

A nurse is reinforcing teaching with a female client about preventing urinary tract infections (UTIs). Which of the following instructions should the nurse include?

Drink 16 oz of cranberry juice each day.

A nurse is collecting data from a client who has heart failure and takes chlorothiazide sodium. Which of the following findings should the nurse identify as indicating hypokalemia?

Decreased deep-tendon reflexes

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 in indication of rejection?

Decreased urine output.

A nurse is reinforcing teaching with a client who is scheduled for lithotripsy about conditions that can contribute to the formation of renal calculi. Which of the following should the nurse include?

Dehydration

A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3- way urinary catheter with continuous irrigation. The notes there has not been any urinary output in the last hour. Which of the following actions should the nurse perform first?

Determine the patency of the tubing

A nurse is contributing to the plan of the care for a client who has urolithiasis. Which of the following should the nurse include in the plan of care?

Encourage the client to drink 3 L of fluids per day.

A nurse is collecting data on a client who is two days postoperative following creation of an ileal conduit. The nurse should report which of the following findings?

Feces in the drainage appliance

A client is admitted to the medical surgical floor for a possible renal tumor. The nurse understands that the historical sign and symptoms for the condition is:

Flank Pain

A nurse is collecting data for a middle aged client who has pyelonephritis. Which of the following should the nurse expect?

Flank Pain

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 the diagnosis?

High Purine Diet

common side effects for thiazide diuretics include:

Hypokalemia, hyponatremia, and hypotension

A nurse is reinforcing teaching with a client who has recurrent urinary tract infections (UTIs) about prevention measures. Which of the following client statements indicates the need for further teaching ?

I will need to wipe my perineal area from back to the front after urination.

A nurse reinforcing teaching with a client who takes prednisone orally to prevent organ rejection following a kidney transplant. Which of the following statements by the client indicates an understanding of the teaching?

I will plan to come to the clinic for a periodic testing of my blood glucose.

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?

Place the client on a low sodium diet

A nurse is reinforcing teaching with a client who is taking hydrochlorothiazide. Which of the following information should the nurse include in the teaching?

Increase daily intake of foods high in potassium

A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following laboratory findings should the nurse identify as most important to report the provider?

Increase in serum Creatinine

A nurse is caring for a school-age child who has acute glomerulonephritis. The child has peripheral edema and is producing 35 mL of urine per hour. Which of the following diets should the nurse anticipate the provider will prescribe?

Low-Sodium, fluid-restricted

A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following finding should the nurse report to the provider?

Microscopic hematuria

The nurse instructs a client to take ciprofloxacin (Cipro) with a full glass of water. What is the rationale for this instruction?

Minimize the development of crystals

A nurse is caring for a client following a renal biopsy. Which of the following actions should the nurse take? (select all that apply).

Monitor for hematuria B. Check for flank pain

A nurse is assisting in the post-dialysis plan of care for a client who is receiving hemodialysis treatment for chronic kidney disease. Which of the following interventions should the nurse include in the plan of care?

Monitor the client for bleeding

The nurse is teaching a client prescribed a thiazide diuretic side effects. Which of the following symptoms should the nurse instruct the client to report if present?

Muscle Weakness or cramping

A battery of test is ordered for a client with kidney problems, this includes kidney-ureter-bladder (KUB) radiography. Which type of information with the KUB reveal to the physician?

Provide the general status of the abdomen and the size, structures and position of the urinary tract structures

A nurse is assisting with the care of a client who is undergoing his initial peritoneal dialysis treatment. Which of the following is the nurse's priority?

Purulent dialysate outflow

A nurse is collecting data on a client diagnosed with urethritis. Which of the following signs will the nurse document as a finding?

Purulent exudate in urethra

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 expected finding for which of the following types of incontinence?

Stress incontinence

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 this behavior?

Take the client to the bathroom on an every 2-hour schedule

A client diagnosed with acute renal failure (ARF) asks the nurse the cause for the symptoms the client is experiencing. Which of the following is the accurate response to this question?

The symptoms are primarily caused by the retention og the nitrogenous wastes and the kidneys inability to regulate electrolytes.

A nurse is caring for a client with benign prostatic hypertrophy (BPH). Which of the following nursing interventions will the nurse anticipate to implement if the client has urinary retention?

Urinary Catheterization

A nurse in a provider's office is collecting data from an older adult client who reports a sudden onset of urinary incontinence. The nurse should collect additional data to determine if the client has which of the following conditions?

Urinary Tract Infection

A nurse is reviewing the laboratory findings for a client who had a urinalysis. Which finding should the nurse report to the provider?

White Blood Cells (WBCs)

nurse is assisting with the care of a client who has hypertension and chronic kidney disease. The client is scheduled for hemodialysis. Which of the following actions should the nurse plan to take while caring for this client? (select all that apply)?

a) document vital signs b) obtain the client weight. c)check the graft site for palpable thrill.

A nurse is monitoring a client following a hemodialysis treatment through an arteriovenous fistula. Which of the following findings should the nurse report to the provider?

headache, restlessness

An accurate method for nurses to check shunt patency is to:

palpate for a thrill or auscultate for bruit over the fistula or graft

A nurse is caring for a client is who is 4 hr postoperative following a transurethral resection of the prostate (TURP) which of the following is the priority finding for the nurse report to the provider?

thick, red colored urine