Urinary test 100 questions
A nurse us assisting in the plan of care for a client who is scheduled to have a renal biopsy. Which of the following actions should the nurse include in the plan? (Select all that apply)
collect a urine specimen prior to the procedure obtain an informed consent complete coagulation studies prior to the procedure
A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group? -urinary retention -low back pain -incontinence -confusion
confusion
A nurse in a dialysis center is caring for a client who has a new diagnosis of end-stage renal disease. At the first dialysis treatment, the client tells the nurse, "I decided to come today, but I am not sure if I will need to come back again this week. I am feeling much better since my discharge from the hospital and I think my kidneys are working again. " The nurse should recognize the client is demonstrating which stage of Kubler-Ross's stages of grieving? -bargaining -denial -depression -anger
denial
A nurse is reinforcing teaching with a female client about preventing urinary tract infection (UTIs). Which of the following instructions should the nurse include? -wear underwear made from nylon -drink 16oz of cranberry juice each day -use an over the counter douche product after intercourse -wait to void until the bladder feels full
drink 16oz of cranberry juice each day
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) -polyuria -dysuria -dependent edema -urinary frequency -hematuria
dysuria urinary frequency hematuria
A nurse is reinforcing teaching about management of constipation during pregnancy with a group of pregnant clients who are pregnant. Which of the following statements should the nurse include in the teaching? -use mineral oil to relieve constipation -drink 1 liter of water daily to decrease constipation -use an enema when constipation occurs -eat an apple to help with constipation
eat an apple to help with constipation
A nurse is reviewing the laboratory results for a client who has chronic kidney disease. Which of the following laboratory findings should the nurse expect? -hypokalemia -decreased urine specific gravity -decreased BUN -elevated creatinine
elevated creatinine
A nurse is caring for a client who is postoperative following an abdominal hysterectomy and has an indwelling urinary catheter in place. An assistive personnel (AP) reports to the nurse that the client's abdominal dressing is saturated with blood. Which of the following tasks should be delegated to the AP? -changing the abdominal dressing -obtaining vital signs -emptying the urinary collection bag -observing the incisional site
emptying the urinary collection bag
A nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. The client's BUN is 32 mg/dL, creatinine 1.1 mg/dL, and hematocrit 50%. Which of the following actions should the nurse take? -collect a urine specimen for culture and sensitivity -continue routine care because the results are within the expected reference range -decrease the IV fluid infusion rate and limit oral fluid intake -evaluate urine output for amount and urine specific gravity
evaluate urine output for amount and urine for specific gravity
A nurse is caring for a female client who has a prescription for an indwelling urinary catheter. Which of the following actions should the nurse take first? -clean the perineum from front to back -lubricate the catheter -explain to the client that she will feel temporary discomfort -arrange the sterile items on the sterile field
explain to the client that she will feel temporary discomfort
A nurse is reviewing the laboratory test results from a client who has acute kidney injury. Which of the following findings should the nurse identify as expected for this condition? -hypokalemia -hypermagnesemia -hypercalcemia -hypophosphatemia
hypermagnesemia
A nurse is planning to insert an indwelling catheter for an adult female client. Which of the following actions should the nurse plan to take? -use an 8Fr size catheter -insert the catheter using clean technique -lubricate the catheter 2.5 to 5 cm (1 to 2in) -provide routine catheter care with povidone iodine
lubricate the catheter 2.5 to 5 cm (1 to 2 in)
A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take? -provide a diet high in protein -provide ibuprofen for retroperitoneal discomfort -monitor intake and output hourly -encourage the client to consume at least 2L of fluid daily
monitor intake and output hourly
A nurse is caring for an older adult client who has confusion and weakness. The client has a Hct of 53%, a BUN of 25 mg/dL, and a urine specific gravity of 1.232. Which of the following actions should the nurse contribute to the client's plan of care? (Select all that apply) -restrict the client's fluid intake -monitor the client's intake and output -weigh the client daily -instruct the client to sit on the side of the bed for a few minutes before standing -check the client's orientation to person, place, and time regularly
monitor the client's intake and output weigh the client daily instruct the client to sit on the side of the ned for a few minutes before standing check the client's orientation to person, place, and time regularly
A nurse us collecting data from a child who has nephrotic syndrome. Which of the following manifestations should the nurse expect? -polyuria -periorbital edema -orange-tinged urine -hypertension
periorbital edema
A nurse us collecting data from a client who has end-stage kidney disease and is waiting for transport to dialysis. Which of the following findings should the nurse expect? -hypotension -peripheral edema -diaphoresis -facial flushing
peripheral edema
A nurse is preparing to remove a client's urinary catheter. After performing hand hygiene, which of the following actions should the nurse take? -position the client supine -have the client bear down during removal -cleanse the perineal area with an antiseptic -deflate the balloon halfway and then pull out the catheter
position the client supine
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 -high protein intake can cause calcium retention - protein impairs the body's ability to store potassium -a low-protein diet will help your body retain more fluid
protein breakdown produces waste product that can build up in your body
A nurse is preparing to perform a urinary catheterization for an older adult client who speaks a different language than the nurse. Which of the following actions should the nurse take to explain the procedure to the client? -request an AP who speaks the same language as the client to explain the procedure -ask the client's english-speaking adult child to translate -provide an interpreter to explain the procedure use hand gestures to explain the procedure
provide an interpreter to explain the procedure
A nurse is collecting data on a client who has end-stage kidney disease (ESKD). Which of the following is an expected finding? -hypokalemia -hypotension -euphoria -pruritus
pruritus
A nurse is assisting with the care of a client who is undergoing his initial peritoneal dialysis treatment. Which of the following findings is the nurse's priority? -dialystae inflow causing discomfort -blood-tinged dialysate during outflow -dialysate leakage during inflow -purulent dialysate outflow
purulent dialysate outflow
A nurse whose left hand is dominant is preparing to perform a straight catheterization for a client who is paraplegic. Which of the following actions should the nurse take? -use the left hand to cleanse the urinary meatus -use the right hand to insert the catheter -stand on the client's right side -raise the bed to a comfortable working height
raise the bed to a comfortable working height
A nurse is observing an assistive personnel (AP) changing the linens on the bed of a client who has an episode of urinary incontinence in bed and is now sitting up in a chair. Which of the following actions by the AP indicates the need for the nurse to intervene? -raises the bed to waist level -wears clean gloves -lowers the side rails on both sides of the bed -reaches over the bed to straighten the fitted sheet
reaches over the bed to straighten the fitted sheet
A nurse is reviewing the medical record of a client who has acute kidney injury. Which of the following findings should the nurse recognize as a potential causative factor? -history of chronic alcohol abuse -recent CT scan with contrast dye -history of hypertension -recent hospital stay for deep vein thrombosis
recent CT scan with contrast dye
A nurse is reinforcing dietary instructions with a client who has chronic kidney disease. Which of the following information should the nurse include? -maintain a low carbohydrate diet -eliminate ingestion of foods high in protein -reduce intake of foods high in potassium -increase intake of sodium-containing food
reduce intake of foods high in potassium
A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Which of the following indications should the nurse include? (Select all that apply) -relief of urinary retention -convenience for the nursing staff or the client's family -measurement of residual urine after urination -routine acquisition of a urine specimen -presence of an open perineal wound
relief of urinary retention measurement of residual urine after urination presence of an open perineal wound
A nurse is reinforcing teaching with a client who is to perform manual peritoneal dialysis at home. The nurse should include which of the following instructions? -use clean technique when caring for the peritoneal catheter -expect the outflow solution to be cloudy after dwell time -sit in a a chair when instilling the dialysate solution -instill the dialysate solution over 1hr
sit in a chair when instilling the dialysate solution
A nurse is planning care for a client who has renal stones and a urinary catheter in place. Which of the following interventions should the nurse include in the place of care? -encourage fluid intake of 1500 mL/day -maintain the client on bed rest -clamp the urinary catheter every 2 hr -strain the client's urine through a mesh filter
strain the client's urine through a mesh filter
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 finding for which of the following types of incontinence? -stress incontinence -urge incontinence -overflow incontinence -reflex incontinence
stress incontinence
A nurse is caring for a client who has paraplegia and is on an intermittent urinary catheterization program. Which of the following findings indicates to the nurse the need to catheterize the client? -urge incontinence -suprapubic discomfort -reflex incontinence -nocturnal enuresis
suprapubic discomfort
A nurse is reinforcing teaching to a client who is scheduled for an intravenous pyelogram. Which of the following should the nurse include in the teaching? -omit your daily dose of aspirin -take a laxative the evening before the procedure -expect to be drowsy for 24hr following the procedure -you will feel cold chills after the dye has been injected
take a laxative the evening before the procedure
An older adult client in a long-term care facility has dementia and beings 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? -remind the client to tell the nurse when he has to urinate -use adult diapers to prevent frequent clothing changes -take the client to the bathroom on an every 2-hr schedule -request a prescription for an indwelling urinary catheter
take the client to the bathroom on an every 2-hr schedule
A nurse removes an indwelling urinary catheter that an older adult client has had in place for 2 days. The nurse should monitor the client for which of the following expected outcomes after catheter removal? -temporary urinary retention -urinary frequency for several days -blood-tinged urine -highly concentrated urine
temporary urinary retention
A nurse is reinforcing discharge teaching about self-administered peritoneal dialysis with a client. Which of the following statements by the client indicates an understanding of the teaching? -the fluid from my abdomen will be slightly cloudy -the catheter can be handled using clean precautions -I should use the microwave in my kitchen to warm the solution before using it -the amount of the liquid output should be greater than what was put in
the amount of the liquid output should be greater than what was put in
A nurse is reinforcing teaching with a client about the oliguric phase of acute kidney injury. Which of the following information should the nurse include in the teaching?
the client's urine output is less than 400mL per 24 hours
A nurse is reinforcing teaching for a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CABD). Which of the following should the nurse include in the teaching? -the dialyzing solution infuses using an infusion pump -CAPD dialysis is the treatment of choice for a client who has a history of abdominal trauma -the dialysis is continuous 24hr a day, 7 days a week -the dialyzing solution is suspended at the level of the umbilicus during the infusion
the dialysis is continuous 24hr a day, 7 days a week
A charge nurse in a long-term care facility is observing another nurse who is inserting an indwelling urinary catheter into a female client. Which of the following actions by the nurse should prompt the charge nurse to intervene? -the nurse separates the client's labia with her dominant hand -the nurse coats the indwelling urinary catheter with lubricant -the nurse provides perineal care prior to inserting the urinary catheter -the nurse applies the sterile drape prior to cleansing the perineal area.
the nurse separates the client's labia with her dominant hand
A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asks the nurse, "What us the purpose for this test?" Which of the following responses should the nurse give? -this test will inform your provider how your kidneys are functioning -this test will inform your provider if you are anemic -this test will inform your provider if you have an infection -this test will inform your provider if you have a thyroid disorder
this test will inform your provider how your kidneys are functioning
A nurse is reviewing the medication record of a client who has chronic renal disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity? -omeprazole -vancomycin -ondansetron -diphenhydramine
vancomycin
A nurse is reinforcing teaching with a client who has received treatment for kidney stones. The nurse should remind the client to increase intake of which of the following? -tea -sodium -water -protein
water
A nurse is reinforcing teaching with a client who reports urinary urgency and frequency. The nurse should identify that the client can use which of the following herbal supplements to treat the symptoms of an enlarged prostate? -saw palmetto -echinacea -black cohosh -St. John's Wort
Saw palmetto
A nurse is reviewing laboratory findings for a client who has acute kidney disease. Which of the following findings should the nurse expect? -BUN 8mg/dL -Serum creatinine 6 mg/dL -Serum potassium 3.0 mEq/L -Hemoglobin 19 g/dL
Serum creatinine 6 mg/dL
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 the most important to report to the provider? -increase in serum glucose -increase in serum creatinine -decrease in white blood cell count -decrease in platelets
increase in serum creatinine
A nurse is assisting with the care of a client following a transurethral resection of the prostate (TURP) and has an indwelling urinary catheter. Which of the following actions should the nurse take? -weigh the client weekly -irrigate the catheter as prescribed -instruct the client to report an urge to urinate -instruct the client to bear down as if to have a bowel movement every hour
irrigate the catheter as prescribed
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 -regular diet, no added salt -low-carbohydrate, low-protein diet -low-protein, low-potassium diet
low-sodium, fluid restricted
A nurse is calculating the output of an infant admitted who has dehydration. When weighing the diaper, the nurse should equate 1g of wet diaper weight to which of the following amounts of urine? -1 mL -5 mL -15mL -30mL
1 mL
A nurse is caring for a client who has impaired renal function. The nurse should notify the provider if the client's hourly urine output falls below what amount? 30mL
30mL nurse should report a urinary output that is less than 30mL/hr to the provider
A nurse is caring for a client who is to maintain a fluid restriction of 1,200 mL/24hr. During the first 4hr of the shift the client had a total fluid intake of 300mL. How many mL of fluids can the client have over the next 16hr? 1200mL - 300mL = 900mL
900mL
A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching? -COPD -Diabetes mellitus -Anemia -Osteoporosis
Diabetes mellitus
A nurse us caring for a client who has acute kidney injury. The client's ABGs are: pH: 7.26 PaCOs: 30 mm Hg HCO3: 14 mEq/L
METABOLIC ACIDOSIS
A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination? -Simvastatin -Metformin -Valsartan -Pantoprazole
Metformin
A nurse us collecting data from a client who has a urine output of 250mL in a 24-hr period. Which of the following terms should the nurse use to document this findings on the electronic record? -Dysuria -Urgency -Nocturia -Oliguria
Oliguria
A nurse is reinforcing teaching with a group of parents about malignant renal and intra-abdominal cancers of childhood. The nurse should include that which of the following cancers is the most common malignant renal and intra-abdominal tumor of childhood? -Ewing sarcoma -Osteosarcoma -Neuroblastoma -Wilms' tumor
Wilms' tumor
A nurse is reinforcing teaching about renal transplant with a newly licensed nurse. Which of the following clients should the nurse identify as having a contraindication for this procedure? -a client who has a body mass index (BMI) of 25 -a client who has a pacemaker -a client who is 65 years old -a client who has a history of IV drug abuse
a client who has a history of IV drug abuse
A nurse is reviewing the medicals records of a group of clients. The nurse should identify that hemodialysis is appropriate for which of the following clients?
a client who has minimal urine output following a drug overdose
A nurse is assisting with the plan of care for a client who has a three-way urethral catheter 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? -limit fluid intake for the first 24hr after surgery -notify the provider if the client feels the urge to void -use sterile water to provide intermittent bladder irrigation every 4hr -adjust the flow rate of the irrigation fluid so that the urine is light pink
adjust the flow rate of the irrigation fluid so that the urine is light pink
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 -clean the skin and perineum with hot water after each episode of incontinence -check the client's skin every 8 hr for signs of breakdown -request a prescription for the insertion of an indwelling urinary catheter
apply a moisture barrier ointment to the skin
A nurse in a provider's office is reinforcing teaching with a client who is to collect 24-hr urine specimen. Which of the following instructions should the nurse include in the teaching? -at the beginning of the collection time, urinate and then discard the urine -keep the collection container at room temperature -save each urine collection in a separate container -at the end of the collection time, urinate and save the urine in a separate container
at the beginning of the collection time, urinate and then discard the urine
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? -neck vein distention -blood pressure -body weight -abdominal girth
body weight
A nurse is reinforcing teaching to a client who has a history of recurring uric acid stones and has bee prescribed a low-purine diet. Which of the following foods should the nurse instruct the client to avoid while on a low-purine diet? -brown gravy -coffee -eggs -orange juice
brown gravy
A nurse us reviewing the laboratory reports for a client who has chronic kidney disease. Which of the following laboratory reports should the nurse expect to find? -BUN 10 mg/dL, serum creatinine 0.3 mg/dL -BUN 45 mg/dL, serum creatinine 1.0 mg/dL -BUN 11 mg/dL, serum creatinine 10 mg/dL -BUN 35 mg/dL, serum creatinine 8 mg/dL
bun 35 mg/dL, serum creatinine 8 mg/dL
A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. The client tells the nurse that she is concerned about her privacy during the procedure. Which of the following actions should the nurse take to alleviate the client's concern? -explain the procedure to the client -obtain assistance so the client does not become resistant to the procedure -close the door and cover the client during the procedure -gather the equipment necessary before starting the procedure
close the door and cover the client during the procedure
A nurse is reviewing data for a client who has chronic kidney disease. Which of the following data should the nurse identify as the best indicator of fluid volume status? -daily weight -serum sodium -skin turgor -I&O
daily weight
A nurse is reinforcing teaching with a newly hired assistive personnel (AP) who is assisting with the care of a client who has an indwelling urinary catheter. Which of the following instructions should the nurse give to the AP? -secure the client's catheter tubing to the bed -store the catheter bag at the level of the client's waist -use sterile technique to obtain a urine-specimen from the catheter -close the tubing clamp when transferring the client from the bed to a chair
close the tubing clamp when transferring the client from the bed to a chair
A nurse is caring for a 3-year-old child who weighs 33lb and has had 160mL of urine output during the past 8 hr. Which of the following action should the nurse take? -notify the provider -continue to monitor the client -provide oral rehydration fluids -perform a bladder scan at the bedside
continue to monitor the client
A nurse is reinforcing teaching with a client who has frequent urinary tract infections (UTIs). The nurse should identify that the client can use which of the following herbal supplements to help prevent UTIs -saw palmetto -echinacea -black cohosh -cranberry juice
cranberry juice
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 an indication of rejection? -BUN 15 mg/dL -Serum creatinine 0.9 mg/dL -Decreased urine output -Purulent drainage from the incision
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 conditions should the nurse include? -protein in the urine -dehydration -iron deficiency -obesity
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 nurse notes there has not been any urinary output in the last hour. Which of the following actions should the nurse perform first? -notify the provider -administer a prescribed analgesic offer oral fluids -determine the patency of the tubing
determine the patency of the tubing
A nurse is collecting data for a client who has early manifestations of renal impairment. Which of the following findings should the nurse expect? -diluted urine -yellowish-gray skin -muscle cramps -weight gain
diluted urine
A 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) -document vital signs -obtain the client's weight -verify the glomerular filtration rate -administer a sedative to the client -check the graft site for a palpable thrill
document vital sign obtain the client's weight check the graft site for a palpable thrill
A nurse is preparing to insert an indwelling urinary catheter for a female client. After opening the catheter kit and preparing the supplies, which of the following steps should the nurse perform next? -cleanse the meatus -don sterile gloves -cleanse the labia -lubricate the catheter
don sterile gloves
A nurse is caring for a client who has end-stage renal disease and must limit protein intake. Which of the following foods should the nurse plan to include in the client's diet? -eggs -lentils -nuts -green vegetables
eggs
A nurse is monitoring a client following a hemodialysis treatment through an arteriovenous (AV) fistula. Which of the following findings should the nurse report to the provider? -blood pressure 134/82 mm Hg -headache, restlessness -palpable thrill at the AV fistula access site -heart rate 65 bpm
headache, restlessness
A nurse inserts an indwelling urinary catheter for a client who is preoperative. Three days later, the client develops a urinary tract infection. the nurse should identify that the client has which of the following types of infections? -endogenous -systemic -exogenous -health care-associated
health care-associated
A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider? -urine specific gravity 1.020 -microscopic hematuria -amber yellow urine color -absence of glucose in the urine
microscopic hematuria
A nurse is reinforcing nutrition teaching to a client who has chronic kidney disease about limiting foods high in phosphorus. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply) -milk -sunflower seeds -orange juice -frozen kale -poultry
milk poultry
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis? -hyperactive bowel sounds -nausea and vomiting decreased heart rate -increased urinary output
nausea and vomiting
A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate? -Yes, it will, but if you decrease your fluid intake, especially at bedtime, it won't be so bothersome -no, in most cases it only lasts until about the 12th week, but it will continue if you have poor bladder tone -there, is no way to predict how long it will last for each individual client, so you'll just have to wait and see -no, it should only last until about your 12th week, but it will return near the end of the pregnancy
no, it should only last until about your 12th week, but it will return near the end of the pregnancy
A nurse is preparing a client for a kidney biopsy. Which of the following actions should the nurse take? -Instruct the client to remain NPO 8 hr before the procedure -inform the client that the biopsy is performed while lying supine during the procedure -administer a cleansing enema before the procedure -review the coagulation studies before the procedure
review the coagulation studies before the procedure
A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of the following laboratory values should the nurse review to determine the client's renal function? -antinuclear antibody -C-reactive protein -erythrocyte sedimentation rate -serum creatinine
serum creatinine
A nurse in a provider's office is collecting date 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? -urolithiasis -uremia -diabetic nephropathy -urinary tract infection
urinary tract infection
A nurse is emptying a client's urinal when she notices the urine is dark amber, cloudy, and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following? -urinary tract infection -urinary incontinence -urinary frequency -urinary retention
urinary tract infection
A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant. Which of the following manifestations should the nurse include in the teaching? -urinary urgency -constipation -supine hypotension -heartburn
urinary urgency
A nurse is obtaining a urine specimen for culture and sensitivity via a straight catheterization. Which of the following actions should the nurse take? -collect urine from the catheter's port -use a sterile specimen container -use sterile water to inflate the balloon -instruct the client to clean from front to back with an antiseptic solution
use a sterile specimen container
A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene? -it will be easier to use your nondominant hand to spread the labia -use the provided towelette to cleanse the area by moving in a back-and-forth motion -start the flow of urine before passing the container under the stream to collect the specimen -remove the specimen container before stopping the stream of urine
use the provided towelette to cleanse the area by moving in a back-and-forth motion
A nurse is reinforcing teaching about monitoring weight with a client who has chronic kidney disease. Which of the following instructions should the nurse include in the teaching? -use several different scales to obtain the weight -calibrate weight scales every week -weigh at the same time each day -measure weight just prior to voiding
weigh at the same time each day
A nurse is reviewing the laboratory findings for a client who had a urinalysis. Which findings should the nurse report to the provider? -dark amber color -pH 5.0 -occasional casts -white blood cells (WBC) 10
white blood cells (WBC) 10
steps for sterile field
-perform hand hygiene is the first step -place the sterile package on the work surface is the second step -open the outermost flap of the package away from the body is the third step -open the side flaps of the package is the fourth step -open the innermost flap of the package toward the body is the fifth step -use the inner surface of the package as a sterile field is the sixth step
A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an intravenous pyelogram (IVP). The nurse should collect additional data about which of the following statements made by the client? - i took a laxative yesterday -i took my metformin before breakfast -i haven't had anything to eat or drink since last night -the last time i voided it was painful
I took my metformin before breakfast
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 front after urination -I will need to empty my bladder after having sexual intercourse -I should avoid taking bubble baths I need to drink at least 8 full glasses of liquid each day
I will need to wipe my perineal area from back to front after urination
A nurse is 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 periodic testing of my blood glucose -I will avoid drinking grapefruit juice while taking this medication -I will stop taking this medication immediately if I develop a fever -I will avoid crushing the prednisone tablet
I will plan to come to the clinic for periodic testing of my blood glucose
A nurse is caring for a client undergoing hemodialysis who will be discharged in the morning. Which of the following client statements most influences the current plan of care? -My son thinks that it will be safer for me to move to an apartment complex for older adults -my neighbor who drives me everywhere wrecked the car this morning -every time I leave home, I worry about who will take care of my little dog -I just hate feeling so useless. Getting older and sicker is frustrating
My neighbor who drives me everywhere wrecked the car this morning
A charge nurse is assisting a newly-licensed nurse to insert an indwelling urinary catheter for a male client. Which of the following actions requires the charge nurse to intervene? -lubricates the first 2.5 to 5cm (1 to 2in) of the catheter tubing -lubricates the first 15 to 17.5 cm (6 to 7 in) of the catheter -secures the tubing to the client's upper thigh -secures the tubing to the client's lower abdomen
lubricates the first 2.5 to 5cm (1 to 2in) of the catheter tubing
A nurse is reinforcing discharge teaching to a client who will be performing intermittent self-catheterizations. Which of the following statements should the nurse include in the teaching? -use sterile techniques during the insertion procedure -limit fluids throughout the day -advance the catheter 5cm (2in) after urine begins to flow -lubricating catheter tip prior to its insertion is not necessary
advance the catheter 5cm (2in) after urine begins to flow
A nurse is caring for a client who has cholelithiasis with bile duct obstruction. The nurse should expect which of the following findings when obtaining the client's urine specimen? -pale yellow -bright orange -red -amber
amber
A client who is taking nitrofurantoin for a urinary tract infection voices a concern to the clinic nurse about voiding brown-colored urine. Which of the following is an appropriate response by the nurse? -drinking more fluid will prevent your urine from becoming brown -the provider will change your medication because your infection is not resolving with nitrofurantoin -an increase of RBC destruction in your blood can result in brown-colored urine -brown-colored urine is a harmless side effect of the medication
brown-colored urine is a harmless side effect of the medication
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 -check for flank pain -observe for extravasation of tissue surrounding the biopsy site -encourage ambulation -administer aspirin PRN for pain
monitor for hematuria 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 hypertension -check the client's temperature for hypothermia -monitor the client for bleeding -check the client for increased urine output
monitor the client for bleeding
A nurse is reinforcing nutrition teaching for a client who has chronic kidney disease about limiting foods high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply) -orange juice -watermelon -bananas -corn flakes cereal -white rice
orange juice bananas
