NRS 102 NCLEX Renal & Urinary (Chapter 51 & 52)

The nurse who is administering bethanecol chloride is monitoring for acute toxicity associated with the medication. The nurse should check the client for which sign of toxicity? a.) Dry skin b.) dry mouth c.) bradycardia d.) signs of dehydration

Answer: c.) bradycardia

The nurse is monitoring an older client suspected of having a urinary tract infection (UTI) for signs of infection. Which sign/symptom is likely to present first? a.) fever b.) urgency c.) confusion d.) frequency

Answer: c.) confusion

A client is scheduled for intravenous pyelography (IVP). Which priority nursing action should the nurse take? a.) restrict fluids b.) administer a sedative c.) determine if there is a history of allergies d.) administer an oral preparation of radiopaque dye

Answer: c.) determine if there is a history of allergies

A client with prostatitis resulting from kidney infection has received instructions on management of the condition at home and prevention of recurrence. Which statement indicates that the client understood the instructions? a.) stop antibiotic therapy when pain subsides b.) exercise as much as possible to stimulate circulation c.) use warm sitz baths and analgesics to increase comfort d.) keep fluid intake to a minimum to decrease the need to void

Answer: c.) use warm sitz baths and analgesics to increase comfort

Phenazopyridine hydrochloride is prescribed for a client symptomatic relief of pain resulting from a lower urinary tract infection. Which should the nurse reinforce to the client? a.) Take the medication at bedtime b.) Take the medication before meals c.) Discontinue the medication if a headache occurs d.) A reddish-orange discoloration of the urine may occur

Answer: d.) A reddish-orange discoloration of the urine may occur

The nurse is collecting data from a client who has had benign prosthetic hyperplasia (BPH) in the past. To determine whether the client is currently experiencing exacerbation of BPH, the nurse should ask the client about the presence of which early symptom? a.) Nocturia b.) Urinary retention c.) Urge incontinence d.) Decreased force in the stream of urine

Answer: d.) Decreased force in the stream of urine

Client with chronic kidney disease has been on dialysis for three years. The client is receiving the usual combination of medication's for the disease, including aluminum hydroxide as a phosphate bonding agent. The client now has mental cloudiness, dementia, and complaints of bone pain. Which does this data indicate? a.) advancing uremia b.) phosphate overdose c.) folic acid deficiency d.) aluminum intoxication

Answer: d.) aluminum intoxication

A male client has a tentative diagnosis of urethritis. The nurse should assess the client for which manifestation of the disorder? a.) hematuria and pyuria b.) dysuria and proteinuria c.) hematuria and urgency d.) dysuria and penile discharge

Answer: d.) dysuria and penile discharge

A hemodialysis client with a left arm fistula is at risk for arterial steal syndrome. The nurse monitors this client from which sign/symptom of this disorder? a.) edema and purpura of the left arm b.) warmth, redness, and pain in the left hand c.) aching pain, pallor, and edema of the left arm d.) pallor, diminished pulse, and pain in the left hand

Answer: d.) pallor, diminished pulse, and pain in the left hand

Oxybutynin chloride is prescribed for a client with neurogenic bladder. Which sign would indicate a possible toxic effect related to this medication? a.) pallor b.) drowsiness c.) bradycardia d.) restlessness

Answer: d.) restlessness

Trimethoprim-sulfamethoxazole is prescribed for a client. The nurse should instruct the client to report which symptom if it developed during the course of this medication therapy? a.) Nausea b.) diarrhea c.) headache d.) sore throat

Answer: d.) sore throat

A client has epididymitis as a complication of a urinary tract infection (UTI). The nurse is giving the client instructions to prevent recurrence. The nurse determines that the client needs further teaching if the client states the intention to do which action? a.) Drink an increased amount of fluids b.) Limit the force of the stream during voiding c.) Continue to take antibiotics until all symptoms are gone d.) Use condoms to eliminate risk associated with chlamydia and gonorrhea

Answer: c.) Continue to take antibiotics until all symptoms are gone

The nurse is reinforcing discharge instructions to a client receiving sulfadiazine. Which should be included in the list of instructions? a.) Restrict fluid intake b.) maintain a high fluid intake c.) decrease the dosage when symptoms are improving to prevent an allergic response d.) if the urine turns dark brown, call the primary healthcare provider (PHCP) immediately

Answer: b.) maintain a high fluid intake

Following kidney transplantation, cyclosporine is prescribed for a client. Which laboratory result would indicate an adverse effect from the use of this medication? a.) Hemoglobin level of 14.0 g/dL (140 g/L) b.) Creatinine level of 0.6 mg/dL (53 mcmol/L) c.) Blood urea nitrogen level of 25 mg/dL (8.8 mmol/L) d.) Fasting blood glucose level of 99 mg/dL (5.5 mmol/L)

Answer: c.) Blood urea nitrogen level of 25 mg/dL (8.8 mmol/L)

The nurse is caring for the client with epididymitis. Which treatment modalities should be implemented? Select all that apply. a.) bed rest b.) Sitz bath c.) antibiotics d.) heating pad e.) scrotal elevation

Answer(s): a.) bed rest b.) Sitz bath c.) antibiotics e.) scrotal elevation

The nurse is reviewing the clients record and notes that the primary healthcare provider has documented that the client has a renal disorder. Which laboratory results would indicate a decrease in renal function? Select all that apply a.) elevated serum creatinine level b.) elevated thrombocyte cell count c.) decreased red blood cell (RBC) count d.) decreased white blood cell (WBC) count e.) elevated blood urea nitrogen (BUN) level

Answer(s): a.) elevated serum creatinine level c.) decreased red blood cell (RBC) count e.) elevated blood urea nitrogen (BUN) level

The nurse monitoring a client receiving peritoneal dialysis notes that the clients outflow is less than the inflow. The nurse should take which actions? Select all that apply a.) contact the nephrologist b.) check the level of the drainage bag c.) reposition the client to his or her side d.) place the client in good body alignment e.) check the peritoneal dialysis system for kinks f.) increase the flow rate of the peritoneal dialysis solution

Answer(s): b.) check the level of the drainage bag c.) reposition the client to his or her side d.) place the client in good body alignment e.) check the peritoneal dialysis system for kinks

A client with chronic kidney disease is receiving epoetin Alfa. Which laboratory result would indicate a therapeutic effect of this medication? a.) Hematocrit of 33% (0.33) b.) Platelet count of 400,000 mm^3 (400x10^9/L) c.) White blood cell count of 6000mm^3 (6.0x10^9/L) d.) Blood urea nitrogen level of 15mg/dL (5.25 mmol/L)

Answer: a.) Hematocrit of 33% (0.33)

After a renal biopsy, the client complains of pain at the biopsy site that radiates to the front of the abdomen. Which would this indicate? a.) bleeding b.) infection c.) renal colic d.) normal, expected pain

Answer: a.) bleeding

Bethanechol chloride is prescribed for a client with urinary retention. Which disorder should be a contraindication to the administration of this medication? a.) Gastric atony b.) Urinary strictures c.) Neurogenic atony d.) Gastroesophageal reflux

Answer: b.) Urinary strictures

A sulfonamide is prescribed for a client with a urinary tract infection. During review of the client's record, the nurse notes that the client is taking warfarin sodium daily. Which prescription should the nurse anticipate for this client? a.) discontinuation of warfarin sodium b.) a decrease in the warfarin sodium dosage c.) a increase in the warfarin sodium dosage d.) a decrease in the usual dose of the sulfonamide

Answer: b.) a decrease in the warfarin sodium dosage

A client with benign prostatic hypertrophy (BPH) undergoes a transurethral resection of the prostate (TURP) and is receiving continuous bladder irrigations postoperatively. Which are the signs/symptoms of transurethral resection (TUR) syndrome? a.) tachycardia and diarrhea b.) bradycardia and confusion c.) increased urinary output and anemia d.) decreased urinary output and bladder spams

Answer: b.) bradycardia and confusion

The nurse is reviewing the medical record of a client with a diagnosis of pyelonephritis. Which disorder noted on the clients record should the nurse identify as a risk factor for this diagnosis? a.) hypoglycemia b.) diabetes mellitus c.) coronary artery disease d.) orthodontic hypotension

Answer: b.) diabetes mellitus

The nurses instructing a client with diabetes mellitus about peritoneal dialysis. The nurse tells the client that it is important to maintain the prescribed dwell time for the dialysis because of the risk of which complication? a.) peritonitis b.) hyperglycemia c.) hyperphosphatemia d.) disequilibrium syndrome

Answer: b.) hyperglycemia