Urinary/Reproductive Systems Evolve
A client who is diagnosed with sexual dysfunction makes a comment to the nurse, "Well, I guess my sex life is over." What is the most appropriate response by the nurse?
"You are concerned about your sex life?"
The night before a scheduled extracorporesal shock wave lithotripsy, the client frequently uses the call light and has many demands. In response, which statement would the nurse use in this statement
"You are facing a new experience tomorrow; tell me what concerns you have."
A client with chronic renal failure has been on hemodialysis for two years. The client communicates with the nurse in the dialysis unit in an angry, critical manner and is frequently noncompliant with medications and diet. Which explanation would the nurse associate with the client's behavior before intervening?
A defense against underlying depression and fear
when a client reports receptive anal intercourse with a sexual partner recently diagnosed with gonorrhea, for which manifestation would the nurse assess
Anal itching
The nurse reviews the medical records of four male clients and concludes that the client that is at highest risk of developing prostate cancer is the:
Black 55-year-old
Twenty-four hours after a penile implant the client's scrotum is edematous and painful. What should the nurse do?
Elevate the scrotum using a soft support
A female client has a history of frequent urinary tract infections (UTIs). To decrease the incidence of the infections, the nurse instructs the client to increase fluid intake and:
Empty the bladder every three hours
For a client with urinary retention catheter reporting bladder and urethra discomfort, the nurse providing care would take which action?
Check the patency of the catheter.
which physiological response would the nurse expect when providing care for a client receiving furosemide to relieve edema
Excessive loss of potassium ions
The nurse recalls that what scientific principle is basic to caring for a client with an indwelling urinary catheter?
Gravity
when teaching a client, scheduled for a renal transplant, about the need for immunosuppressive medications, which clients statement indicates understanding of the nurses teachings
I must take these medications: For the rest of my life
The nurse is caring for a client with ureteral colic. To prevent the development of renal calculi in the future, the client's plan of care should include:
Instructing the client to drink 8 to 10 glasses of water daily
An obese client who is mildly hypertensive is hospitalized with a diagnosis of ureteral colic and hematuria. What is the immediate focus of nursing care for this client?
Pain
which structure would the nurse include when describing external genitalia?
Penis and Scrotum
To help prevent a cycle of recurring urinary tract infections, which action would the nurse discuss with the client?
Urinate as soon as possible after intercourse
vasopressin causes which physiological response?
Reabsorption of water into the caprillaries
A client is diagnosed as having invasive cancer of the bladder, and radiation therapy is scheduled. What should the nurse expect the client to demonstrate that indicates success of radiation therapy?
Shrinkage of the tumor on scanning
A nurse is notified that the latest potassium level for a client in acute renal failure is 6.2 mEq. What action should the nurse take?
Take vital signs and notify the primary health care provider
The nurse provides discharge instructions to a male client that had a ureterolithotomy. The client has a history of recurrent urinary tract infections (UTIs). The teaching should include that indicators of a UTI are:
Urgency or frequency of urination
A client who is recovering from deep partial-thickness burns develops chills, fever, flank pain, and malaise while recovering from deep partial-thickness burns, which prescribed diagnostic tests would the nurse anticipate?
Urinalysis and urine culture and sensitivity
A client is taught how to change the dressing and care for a recently inserted nephrostomy tube. On the day of discharge, the client states "I hope i can handle all this at home. It's a lot to remember." Which response would nurse utilize?
You seem to be nervous about going home
a client is scheduled for a transurethral resection of the prostate, which information would the nurse provide regarding postsurgical expectations
an indwelling catheter is required for at least a day
which term may the nurse use to refer to the cowper gland
bulbourethral glands
Which appearance would the nurse associate with the urine of a client with a urinary tract infection
cloudy
When teaching a class about anatomy, the nurse explains the structure, identified in the given figure, has which function?
holds the testes
a client, injured in a motor vehicle accident and admitted for observation, has observation, has obvious bladder damage. Which finding would lead the nurse to conclude the client is at increased risk of bladder rupture
not having void 6 hours
to encourage voiding by hospitalized clients, the nurse recalls which action as the most effective
provide prvacy
if unable to send a specimen for a routine urinalysis to the laboratory immediately, which action would the nurse take
refrigerate the urine sample
A nurse is caring for a client with an indwelling urinary catheter. What is the most important action for the nurse to implement when irrigating the bladder?
use sterile equipment
To determine the therapeutic effectiveness of trimethoprim-sulfamethoxazole, administered to a client with a urinary tract infection, for which parameter would the nurse monitor?
white blood cell count