urinary EAQs

Which characteristic of urine changes in the presence of a urinary tract infection (UTI)? A. Clarity B. Viscosity C. Glucose level D. Specific gravity

A

Which instructions would the nurse give to a client with renal calculi? Select all that apply. One, some, or all responses may be correct. A. "Drink plenty of water." B. "Have spinach soup every day." C. "Substitute lemon juice for tea." D. "Include high amounts of protein in the diet." E. "Consume foods rich in omega-3 fatty acids."

A, C

Which clinical manifestations would the nurse expect the client to report when experiencing renal calculi? Select all that apply. One, some, or all responses may be correct. A. Blood in the urine B. Irritability and twitching C. Dry, itchy skin and pyuria D. Frequency and urgency of urination E. Pain radiating from the kidney to a shoulder

A, D

Which interventions regarding preventing future infections are taught to a sexually active female client with a urinary tract infection? Select all that apply. One, some, or all responses may be correct. A. Increase fluid intake. B. Wear snug nylon underwear. C. Use douche and scented lubricants. D. Clean the perineum wiping front to back. E. Empty the bladder before and after sexual intercourse

A, D, E

A client is receiving hemodialysis for chronic kidney disease. For which complication would the nurse monitor the client? A. Peritonitis B. Hepatitis B C. Renal calculi D. Bladder infection

B

A client with acute kidney injury states, "Why am I experiencing twitching and tingling of my fingers and toes?" Which process would the nurse consider when formulating a response to this client? A. Acidosis B. Calcium depletion C. Potassium retention D. Sodium chloride depletion

B

Which information would the nurse include in the home care instructions for a client being discharged post-lithotripsy for renal calculi? A. "Increase your intake of dairy products for 5 days." B. "Drink at least 3 L of fluid daily for 4 weeks." C. "Do not take any medications after this treatment." D. "Call us back immediately if you observe any blood in your urine."

B

Which urine characteristic is consistent with a urinary tract infection? A. Smoky B. Cloudy C. Orange-amber D. Yellow-brown

B

Which assessment findings would the nurse expect in the client hospitalized with a diagnosis of severe chronic kidney disease? Select all that apply. One, some, or all responses may be correct. A. Polyuria B. Paresthesias C. Hypertension D. Metabolic alkalosis E. Widening pulse pressure

B, C

A client with acute kidney injury is moved into the diuretic phase after 1 week of therapy. During this phase, which clinical indicators would the nurse assess? Select all that apply. One, some, or all responses may be correct. A. Skin rash B. Dehydration C. Hypovolemia D. Hyperkalemia E. Metabolic acidosis

B, C, E

Which clinical findings would the nurse expect when assessing a client with chronic kidney failure? Select all that apply. One, some, or all responses may be correct. A. Polyuria B. Lethargy C. Hypotension D. Muscle twitching E. Respiratory acidosis

B, D

A client admitted with urinary retention has an indwelling urinary catheter prescribed. Which action would the nurse implement to prevent the client from developing a urinary tract infection? A. Assess urine specific gravity. B. Collect a weekly urine specimen. C. Maintain the prescribed hydration. D. Empty the drainage bag once a day.

C

A client, transferred to the postanesthesia care unit after a transurethral resection of the prostate (TURP), has an intravenous (IV) line and a urinary retention catheter. During the immediate postoperative period, for which potentially critical complication would the nurse monitor? A. Sepsis B. Phlebitis C. Hemorrhage D. Leakage around urinary catheter

C

After a transurethral prostatectomy (TURP), a client returns to the postanesthesia care unit with a three-way indwelling catheter and a continuous bladder irrigation. Which nursing action would the nurse monitor during the initial recovery phase? A. Observe the suprapubic dressing for drainage. B. Maintain the client in a semi-Fowler position. C. Monitor for bright red blood in the urinary drainage bag. D. Encourage fluids by mouth as soon as the gag reflex returns

C

Which goal would the nurse establish when providing care for a client recovering from a transurethral resection of the prostate (TURP)? A. Maintain patency of the cystostomy tube. B. Prevent wound hemorrhage and infection. C. Maintain patency of the indwelling catheter. D. Prevent the abdominal dressing from draining.

C

Which goal would the nurse expect a client receiving treatment for bacterial cystitis to achieve before their discharge from the hospital? A. Understand the need to drink 4 L of water per day to prevent dehydration. B. Demonstrate an ability to identify dietary restrictions and plan menus. C. Achieve relief of clinical symptoms and maintain kidney function. D. Recognize signs of bleeding as a complication associated with this type of procedure.

C

A client in a nursing home is diagnosed with urethritis. What would the nurse expect to do before initiating antibiotic therapy prescribed by the primary health care provider? A. Start a 24-hour urine collection. B. Prepare for urinary catheterization. C. Teach the client how to perform perineal care. D. Obtain a specimen for culture and sensitivity

D

Before a transurethral resection of the prostate (TURP), a client asks about what to expect postoperatively. Which response would the nurse provide? A. "Your urine will be pink and free of clots." B. "You will have an abdominal incision and a dressing." C. "There will be an incision between your scrotum and rectum." D. "There will be a urinary catheter and a continuous bladder irrigation."

D

The primary health care provider for a client with chronic kidney disease prescribed immediate hemodialysis for the first time. Which clinical manifestation indicates the need for immediate hemodialysis in this client? A. Ascites B. Acidosis C. Hypertension D. Hyperkalemia

D

Which finding in a urinalysis indicates a urinary tract infection? A. Crystals B. Bilirubin C. Ketones D. Leukoesterase

D