Lippincott chapter 9 the client with urinary track health problems missed questions

37. A client has been admitted with acute renal failure. What should the nurse do while I'm in the client.

-elevate the head of the bed 30 to 45° -Take vital signs -Establish an IV access Saint -Call the admitting healthcare provider for prescriptions

101. Prior to discharging a client with end-stage cancer of the bladder from the hospital. What should the nurse do select all that apply

-determine if the client is likely to become suicidal -Give a list of clients medication's to the client before discharge -Instruct the client to update information on the medication's are discontinued, doses are changed, or new medication's are added -Explain the need to carry medication information with a client at all times

27. A client who has been diagnosed with renal calculi reports that the pain is intermittent and less colicky. Which nursing action is most important at this time.

Stray in the urine carefully

71. A client with end-stage renal failure has an internal arteriovenous fistula in the left arm for vascular access during hemodialysis. What should the nurse instruct the client to do select all that apply?

-avoid sleeping on the left arm -where wrist watch on the right arm -Assess fingers on the left arm for warmth

28. The client is scheduled for an intervenous Pyelogram to determine the location of the renal calculi. Which action would be most important for the nurse to include in the pre-test preparation.

Check the clients history for allergy to iodine

5. Which symptom indicates that the client has developed a complication, after a cystoscopes?

Chills

19. A client is scheduled to undergo weekly intravascular chemotherapy for bladder cancer for eight weeks. Which statement indicates that the client understands how to manage the year in as a biohazard.

I can disinfect the urine and toilet with bleach for six hours following a treatment

61. Which statement by a female client would indicate that she is at high risk for recurrence of cystitis

I can go 8 to 10 hours without empty my bladder

83. The nurse teaches the client with chronic renal failure when to take aluminum hydroxide Joe. Which statement indicates that the client understands the teaching.

I'll take it with meals and bedtime snacks

11. The nurse is instructing a client with an ileal conduit. What should the nurse instruct the client to do to prevent urine leakage when changing the appliance

Insert a Goswick into the stoma

90. Client has urge incontinence. When obtaining a health history, the nurse should ask the client about which factor that could precipitate incontinence.

Involuntary urination

85. The nurse is instructing the client with chronic renal failure to maintain adequate intake which day it would be the most appropriate.

Low protein, low sodium, low potassium hey I

4. The nurse should conduct a focused assessment for the client with suspected bladder cancer for which common sign of the disease.

Painless hematuria

18. The nurse evaluates the effectiveness of the clients post operative plan of care. Which outcome is expected for a client with an ileal conduit

The client will empty the drainage pouch frequently throughout the day

93. The hospitalized client is at a highest risk factor for catheter associated urinary track infection.

The client with diabetes mellitus

10. When teaching the client to care for an. ileal conduit the nurse instructs the client to empty the appliance frequently. What outcome indicates that the client is following

The seal around the stoma is intact

80. The client performs self peritonal dialysis. What should the nurse teach the client about preventing peritonitis select all that apply.

— broad-spectrum antibiotics can be administered to prevent infection -Antibiotics can be added to treat -it is characterized by cloudy drainage and abdominal discomfort -it is the most common and serious complication of peritoneal diagnosis.

59. The client has been prescribed nitrofurantoin treatment of a lower urinary track infection. Which instruction should the nurse include when teaching a client about this medication? Select all that apply

-your urine may become brown in color -Increase your fluid intake

75. The nurse warms to dialysis solution before use in Peritoneal dialysis. What should the expected outcome of warming the solution

Encourage the removal of serum urea

77. A client is having Peritoneal dialysis. During the exchange, the nurse observes that the solution draining from the clients abdomen is constantly blood tingle. The client has a permanent catheter in place. What clinical judgment should the nurse make about the blood tingle drainage?

It indicates abdominal blood vessel damage

34. Allopurinol is prescribed for the client with renal calculi to take home. The nurse should teach the client about which adverse effect of this medication.

Maculopapular rash

79. What should be included in the clients plan of care during dialysis therapy

Monitor the clients blood pressure

7. A client who has been diagnosed with bladder. Cancer is scheduled for an ileal conduit. Prior to the surgery, what comment by the client indicates that the client understands the procedure

My urine will come out through an opening in my abdomen

24. The client is scheduled to have a kidney, ureter and bladder radiograph. What should the nurse explained to the client about this procedure?

No special preparation is required for this examination

76. A client is receiving peritoneal dialysis. What should the nurse assess whether dialysis solution is dwelling in the clients abdomen

Observe respiratory status

49. A client with a urinary track infection is to take nitrofurantoin four times a day. The client asked the nurse what should I do if I forget it does. What should the nurse tell the client

Take the prescribed dose as soon as you remember it and if it is very close to the time for the next does delay, the next is

81. After completion of peritoneal dialysis, for which symptom should the nurse assess the client

Weight loss

96. A client with early acute renal failure has anemia, tachycardia, hypotension, and shortness of breath. The healthcare provider has been prescribed two units of packed red blood cells. What should the nurse determine prior to initiating the transfusion? Select all apply

-there is an IV access with the appropriate tubing at normal sailing as a primary priming solution -there is a signed inform consent for transfusion therapy -Blood typing and cross matching are documented in the medical record -The vital signs have been taken and documented in accordance with facility policy and procedure -The client has an identification bracelet

20. A nurse is planning care for a client who underwent a percutaneous needle biopsy of the kidney. What should the nurse plan to do immediately after a biopsy. Select all that apply.

-assess the biopsy site -Assess you're in for hematuria -place the client in prone position

47. The client with acute renal failure asked the nurse, will my kidneys ever function normally again. What should the nurse tell the client

Continue to improve over a period of weeks

89. A nurse is planning care for a client with stress incontinence. What color is realistic for the nurse to establish with a client

Decrease the number of incontinence episodes

9. The nurse is assessing the urine have a client who has had. ileal conduit and notes that there is a moderate amount of mucus in the urine. What should the nurse do next?

Encourage a high fluid intake

66. Which factor would put the client at increased risk for pyelonephritis

History of diabetes, mellitus

40. A high carbohydrate, low protein diet is prescribed for a client with acute renal failure. What should the nurse tell the client to expect when following this diet?

Prevent the development of ketosis

42. The client is in the oliguric phase of acute renal failure for waitress to the nurse, assess the client.

Pulmonary edema

69. The client with acute pyelonephritis wants to know the possibility of developing chronic pyelonephritis . The nurse response is based on knowledge of which disorder that commonly leads to this.

Recurrent urinary tract infections

8. After surgery for an Ileal conduit, the nurse should closely assess the client for the occurrence of which complication specifically related to this pelvic surgery.

Thrombophlebitis

84. Which teaching approach for the client with chronic renal failure, who has difficulty concentrating due to a high uremia level, would be the best approach.

Validate the clients understanding of the material frequently

14. A client has. An ileal conduit. Which solution will be useful to help control odor in the urine collection bag after it has been cleaned.

Vinegar

36. A client is to receive peritoneal dialysis. What should the nurse do to prepare the client for the procedure?

Warm the dialysis solution in the warmer

74. A client with caronic renal failure who receives he mod dialysis twice a week as experience severe nausea. What should the nurse advise the client to do to manage nausea select all that apply

-have limited amounts of fluids only one thirsty -Keep all dialysis appointments -It's smaller and more frequent meals

35. A client has been prescribed allopurinol for renal calculi that are caused by high uric acid levels. Which symptom indicates the client is experiencing adverse effects of this drug. Select all that apply.

-nausea -rash -Bone marrow depression

50. What should the nurse do to prevent catheter associated urinary track infection select all that apply.

-provide perineal care at least once a day. -maintain a close drainage system. -Encourage the client to drink 300 ML fluids daily

87. A client who is 70 years old lives at home. Has stress incontinence. What should the nurse teach the client to do to prevent incontinence select all that

-refrain from drinking coffee, and -Perform peroneal muscle -avoid jumping up and down

72. A client with end-stage chronic renal failure is admitted to the hospital with a serum potassium level of seven. In which order of priority from first to last does the nurse perform the prescriptions.

-start an IV access -Attach the client to the cardiac monitor -Administer insulin and glucose -Obtain serum potassium level

98. An older adult is admitted with new onset confusion headache Poskin trigger bonding polls and urinary incontinence and has been drinking copious amounts of water. Upon reviewing the lab results the nurse discovers socium level of 122. Period airport to the healthcare provider should include wet recommendations. Select all that apply

-fluid restriction -Vital signs every two -bed alarm -Foley catheter

13. The nurse is evaluating the discharge teaching for a client who has an. ileal conduit which statement include that the client has correctly understood the teaching select all that apply.

-I can usually keep my ostomy pouch on for 3 to 7 days before changing it -I must use a skin barrier to protect my skin from urine

100. The client is to receive antibiotic IV therapy in the home. The nurse should develop a teaching plan to ensure that the client and the family can manage the IV infusion correctly and avoid complications. What should the nurse instruct the client to do?

-Report signs of redness or information at -Call the healthcare provider for temperature above 100 -Cleanse the port with alcohol wipes

2. The nurse is instructing a client with an illial conduct about skin care around the stoma. What should the nurse told the client about stoma care select all that apply

-The stoma will shrink to a normal size in 4 to 6 weeks -you can take a shower or a bath with the appliance on or off -You can use an electric razor to remove the hair around the stoma

21. A client had a per continuous Nephrolithotomy to remove a kidney stone. The client is being discharged with drainage tubes from the kidney. What should the nurse instruct the client to do after the procedure. Select all that apply.

-avoid heavy lifting for 2 to 4 weeks -Return to work after one month -Strain all urine and report presence of stones

26. Which measure is likely to provide the most relief from the pain associated with renal colic.

Administering morphine

82.aluminum hydroxide gel is prescribed for the client with chronic renal failure to take at home. What is the expected out of this drug

Binding phosphate in the intestine

78. The client undergoing long-term peritoneal dialysis at home is currently experiencing a reduced outflow from the dialysis catheter to determine if the catheter is obstructed what should the nurse asked the client about experiencing recently?

Constipation

25. In addition to nausea and severe flank pain, a female client with renal calculi has pain in the groin and bladder. What additional side should the nurse assess?

Referred pain

6. The client develops lower abdominal pain after a cystoscope, what should the nurse instruct the client to do?

Set an a tub of warm water

12. The client with An ileal conduit will be using a reusable appliance at home. The nurse should teach the client to clean the appliance routinely with which product.

Soap