prepu

A client is scheduled for a creatinine clearance test. The nurse should explain that this test is done to assess the kidneys' ability to remove a substance from the plasma in: 1 minute. 30 minutes. 1 hour. 24 hours.

1 minute

The nurse is reviewing the results of a client's renal function study. The nurse understands that which value represent a normal BUN-to-creatinine ratio? 4:1 6:1 8:1 10:1

10:1

A nurse is teaching a client about peritoneal dialysis. The nurse should tell the client the dwell time is: 10 minutes 20 minutes 30 minutes 60 minutes

20

Which client has the highest risk of ovarian cancer? 30-year-old woman taking hormonal contraceptives 36-year-old woman who had her first child at age 22 40-year-old woman with three children 45-year-old woman who has never been pregnant

45

Renal function results may be within normal limits until the GFR is reduced to less than which percentage of normal? 20 30 40 50

50

The nurse is obtaining a health history from a 58-year-old client stating that he is having difficulty obtaining an erection during sexual activity. The client asks how an "erectile medication" works and if there are any side effects to the medication. The nurse explains the action of the medication and directions for use and warns of which side effect related to the client's history? Asthma with beta-adrenergic inhaler use Angina with nitrate use Chronic pain with narcotic use Arthritis with corticosteroid use

ANGINA

Assessment of a client reveals evidence of a cystocele. The nurse interprets this as which of the following? Herniation of the rectum into the vagina Protrusion of intestinal wall into the vagina Downward displacement of the cervix Bulging of the bladder into the vagina

BLADDER

Which part of the kidney contains the nephrons? Cortex Pelvis Medulla Glomerulus

cortex

An elderly client is being evaluated for suspected pyelonephritis and is ordered kidney, ureter, and bladder (KUB) x-ray. The nurse understands the significance of this order is related to which rationale? Shows damage to the kidneys If risk for chronic pyelonephritis is likely Reveals causative microorganisms Detects calculi, cysts, or tumors

detects calculi cyst tumors

The nurse is caring for a patient in acute renal failure. The nurse should expect hypertonic glucose, insulin infusions, and sodium bicarbonate to be used to treat: Hypernatremia. Hypokalemia. Hyperkalemia. Hypercalcemia.

hyperkalemia

Which factor contributes to UTI in older adults? Low incidence of chronic illness Immunocompromise Sporadic use of antimicrobial agents Active lifestyle

immunocompromise

An 82-year-old client experiences urinary incontinence. Which factor should the nurse assess before beginning a bladder training program for this client? Physical and environmental conditions History of allergies Occupational history Smoking habits

physical and environmental conditions

A client has been diagnosed with acute glomerulonephritis. This condition causes: proteinuria. pyuria. polyuria. No option is correct.

proteinuria

Which of the following is the hallmark of the diagnosis of nephrotic syndrome? Hyponatremia Proteinuria Hypoalbuminemia Hypokalemia

proteinuria

Which type of incontinence refers to involuntary loss of urine through an intact urethra as a result of a sudden increase in intra-abdominal pressure? Overflow Urge Reflex Stress

stress`

Which hormone is primarily responsible for stimulating the production of progesterone? Follicle-stimulating hormone Estrogen Androgen Luteinizing hormone

LH

A client is experiencing some secretion abnormalities, for which diagnostics are being performed. Which substance is typically reabsorbed and not secreted in urine? glucose potassium creatinine chloride

glucose

When preparing a client for hemodialysis, which of the following would be most important for the nurse to do? Check for thrill or bruit over the access site. Inspect the catheter insertion site for infection. Add the prescribed drug to the dialysate. Warm the solution to body temperature.

check for thrill or bruit over the access site

The nurse is caring for a client with a history of sickle cell anemia. The nurse understands that this predisposes the client to which renal or urologic disorder? Kidney stone formation Proteinuria Chronic kidney disease Neurogenic bladder

chronic kidney disease

A client has a routine Papanicolaou (Pap) test during a yearly gynecologic examination. The result reveals a class V finding. What should the nurse tell the client about this finding? It's normal and requires no action. It calls for a repeat Pap test in 3 months. It calls for a repeat Pap test in 6 weeks. It calls for a biopsy as soon as possible.

BIOPSY

A client has undergone a total abdominal hysterectomy and bilateral salpingo-oopherectomy as treatment for endometrial cancer. When providing postoperative care to this client the nurse would be alert for signs and symptoms of which of the following? Leukopenia Neurotoxicity Bladder dysfunction Clotting deficiencies

BLADDER DYSFUNCTION

Which term describes a procedure in which cervical tissue is removed because abnormal cells are detected? Colporrhaphy Cone biopsy (conization) Cryotherapy Perineorrhaphy

CONE BIOPSY

Which of the following is an age-related functional change of the female reproductive system? Decreased ovulation Increased vaginal lubrication Decreased pH of vagina Hormone level stability

DECREASED OVLUATIO

On a visit to the gynecologist, a client complains of urinary frequency, pelvic discomfort, and weight loss. After a complete physical examination, blood studies, and a pelvic examination with a Papanicolaou test, the physician diagnoses stage IV ovarian cancer. The nurse expects to prepare the client for which initial treatment? Radiation therapy Major surgery Chemotherapy None (At this advanced stage, ovarian cancer isn't treatable.)

MAJOR SURGERY

A positive chandelier sign is indicative of which of the following? Pelvic infection Endometriosis Uterine prolapse Rectocele

PELVIC INFECTION

A nurse is employed by a fertility clinic. Diagnostic testing is being completed to determine the source of the male not producing viable sperm to enable ovum fertilization. Which male structures does the nurse consider if the problem is narrowed to sperm survivability? Bartholin glands Prostate gland Cowper's glands Vas deferens

PROSTATE GLAND

A perimenopausal woman informs the nurse that she is having irregular vaginal bleeding. What should the nurse encourage the patient to do? Stop taking her Premarin (hormonal therapy). See her gynecologist as soon as possible. Disregard this phenomenon because it is common during this life stage. Mention it to her physician during her next annual examination.

SEE GYNCEOLOGIST ASAP

During an internal vaginal examination, the nurse practitioner notes a frothy and malodorous discharge. The nurse suspects the odor is caused by which bacteria? Candida Pseudomonas Trichomonas Escherichia coli

TRICH Trichomonas bacteria cause a copious and often frothy yellow-green colored discharge that is malodorous. A yeast infection doesn't have an odor but bacterial vaginosis is fishy in smell. Refer to Table 32-5 in the text.

While examining the introitus, the nurse practitioner asks the client to "bear down." The nursing student observing the examination knows that the nurse practitioner is assessing the client for which condition? Uterine prolapse Colorectal cancer Female genital mutilation Human papillomavirus

UTERINE PROLAPSE

A history of infection specifically caused by group A beta-hemolytic streptococci is associated with which of the following disorders? Acute renal failure Acute glomerulonephritis Chronic renal failure Nephrotic syndrome

acute glomrtulonephritis

The nurse is obtaining a history from a male client who states having difficulty achieving and sustaining an erection. When reviewing the medication history, which medication classification does the nurse anticipate? Bronchodilators Antihypertensives Cardiac dysrhythmics Antibiotics

antihtn

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

assesing present voiding patterns

The client is admitted to the nursing unit for a biopsy of the urinary tract tissue. When planning nursing care for the postoperative period, which nursing intervention documents the prescribed activity level? Maintain the client on bedrest Assist the client for bathroom privileges Ambulate the client in the hall Activity as tolerated

bed rest

The nurse is providing care to a client who has had a renal biopsy. The nurse would need to be alert for signs and symptoms of which of the following? Bleeding Infection Dehydration Allergic reaction

bleeding

A female client presents to the health clinic for a routine physical examination. The nurse observes that the client's urine is bright yellow. Which question is most appropriate for the nurse to ask the client? "Have you noticed any vaginal bleeding?" "Do you take phenytoin daily?" "Do you take multiple vitamin preparations?" "Have you had a recent urinary tract infection?"

do you take multiple vitamin preparations

While reviewing a client's chart, the nurse notes the client has been experiencing enuresis. To assess whether this remains an ongoing problem for the client, the nurse asks which question? "Do you have a strong desire to void?" "Do you urinate while sleeping?" "Does it burn when you urinate?" "Is it painful when you urinate?"

do you urinate while sleeping

A patient is told that she has a common form of breast cancer where the tumor arises from the duct system and invades the surrounding tissues, often forming a solid irregular mass. What type of cancer does the nurse prepare to discuss with the patient? Infiltrating ductal carcinoma Infiltrating lobular carcinoma Medullary carcinoma Mucinous carcinoma

ducutal

An appropriate nursing intervention for the client following a nuclear scan of the kidney is to: Encourage high fluid intake. Strain all urine for 48 hours. Apply moist heat to the flank area. Monitor for hematuria.

encourage high fluid intake

A 28-year-old woman is learning about breast self-examination. The nurse teaches the woman that the best time of each month to examine her breasts is during the: Week before menstruation occurs. Week that menstruation occurs. First week after menstruation. Week that ovulation occurs.

first week after menstationo

A client is scheduled to undergo surgical creation of an ileal conduit. The primary nurse educates the client about surgery and the postoperative period. The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. A mental health practitioner should be involved in the client's care to: assess whether the client is a good candidate for surgery. help the client cope with the anxiety associated with changes in body image. assess suicidal risk postoperatively. evaluate the client's need for mental health intervention.

help the client cope with the anxiety associated with changes in body image.

The nurse is assisting in the development of a protocol for bladder retraining following removal of an indwelling catheter. Which item should the nurse include? Encourage voiding immediately after catheter removal Avoid drinking fluids for 6 hours Perform straight catheterization every 4 hours Implement a 2- to 3-hour voiding schedule

implement a 2 to 3 hoour voiding schedule

The nurse reviews a client's history and notes that the client has a history of hyperparathyroidism. The nurse would identify that this client most likely would be at risk for which of the following? Kidney stones Neurogenic bladder Chronic renal failure Fistula

kidney stones

The nurse is caring for a client who reports orange urine. The nurse suspects which factor as the cause of the urine discoloration? phenazopyridium hydrochloride Infection Phenytoin Metronidazole

phenazopyridium hydrochloride

he client arrives at a public health clinic worried that she has breast cancer since finding a lump in her breast. When assessing the breast, which assessment finding is characteristic of fibrocystic disease? One breast is larger than the other. The lump is firm and nonmovable. The lump is round and movable. Nipple retractions are noted.

round movable

A nurse is reviewing the history of a client who is suspected of having glomerulonephritis. Which of the following would the nurse consider significant? Previous episode of acute pyelonephritis History of hyperparathyroidism Recent history of streptococcal infection History of osteoporosis

strep

A patient is placed on hemodialysis for the first time. The patient complains of a headache with nausea and begins to vomit, and the nurse observes a decreased level of consciousness. What does the nurse determine has happened? The dialysis was performed too rapidly. The patient is having an allergic reaction to the dialysate. The patient is experiencing a cerebral fluid shift. Too much fluid was pulled off during dialysis.

the patient is expericingin a cerebral fluid shift

A group of students is reviewing for a test on the urinary and renal system. The students demonstrate understanding of the information when they identify which of the following as part of the upper urinary tract? Bladder Urethra Ureters Pelvic floor muscles

ureters

A client is scheduled for a renal ultrasound. Which of the following would the nurse include when explaining this procedure to the client? "An x-ray will be done to view your kidneys, ureters, and bladder." "A contrast medium will be used to help see the structures better." "You don't need to do any fasting before this noninvasive test." "You'll have a pressure dressing on your groin after the test."

you don't need to fast

Because of a client's reluctance to begin hormone therapy, the advance nurse practitioner prescribes venlafaxine to decrease the risk of hot flashes. stroke. heart attack. blood clots.

HOT FLASHSES

Which term is used to describe removal of breast tissue and axillary lymph node dissection leaving muscular structure intact as surgical treatment of breast cancer? Segmental mastectomy Modified radical mastectomy Total mastectomy Radical mastectomy

modified

A group of students are reviewing the phases of acute renal failure. The students demonstrate understanding of the material when they identify which of the following as occurring during the second phase? Diuresis Oliguria Acute tubular necrosis Restored glomerular function

oliguria

Which of the following is the most common symptom of bladder cancer? Painless gross hematuria Pelvic pain Back pain Altered voiding

painless gross hematuria

A nurse is reviewing the history and physical examination of a client with a suspected malignant tumor of the bladder. Which finding would the nurse identify as the most common initial symptom? Urinary retention Fever Frequency Painless hematuria

painless hematuria

A client who has a history of neurogenic bladder presents with fever, burning, and suprapubic pain. What would the nurse suspect is the problem? urinary tract infection urinary incontinence urinary retention urethral strictures

uti

A male client has doubts about performing peritoneal dialysis at home. He informs the nurse about his existing upper respiratory infection. Which of the following suggestions can the nurse offer to the client while performing an at-home peritoneal dialysis? Perform deep-breathing exercises vigorously. Wear a mask when performing exchanges. Auscultate the lungs frequently. Avoid carrying heavy items.

wear a mask

client's renal failure has become chronic. Which signs and symptoms are associated with chronic renal failure? Select all that apply. lethargy muscle cramps bleeding of the oral mucous membranes enhanced cognition

lethargy muscle cramps bleedig

Which is the earliest and the most common symptom of endometrial cancer? bleeding loss of weight pain pressure on the bladder

BLEEDING

Within the female internal reproductive structures, where is the egg most commonly fertilized? fallopian tubes cervix fundus endometrium

FALLOPIAN TUBE

A patient asks the nurse if there are any available nonsurgical options to terminate a pregnancy if she is only 2 weeks pregnant. What information should the nurse provide to the patient about a medication that blocks progesterone? Mifepristone (RU-486, Mifeprex) is used only in early pregnancy to terminate a pregnancy nonsurgically. Methotrexate is used only in early pregnancy to terminate a pregnancy nonsurgically. Clomiphene (Clomid) is used only in early pregnancy to terminate a pregnancy nonsurgically. Birth control pills can be used to terminate the pregnancy.

MIFEPRISTONE

When caring for a client with an uncomplicated mild urinary tract infection (UTI), the nurse knows that recent studies have shown which drug to be a good choice for short-course (e.g., 3-day) therapy? Levofloxacin Trimethoprim-sulfamethoxazole Nitrofurantoin Ciprofloxacin

levo

The nurse is providing care to a client who has had surgery as treatment for breast cancer. The nurse would be alert for the development of which of the following? Lymphedema Fibrocystic breast disease Fibroadenoma Breast abscess

lymphedema