Medical, Pharmaceutical & Health Sciences
NursingSurgical NursingMedical Surgical NursingPractice Set 37
NursingSurgical NursingMedical Surgical NursingPractice Set 37Nursing Management Renal And Urologic Problems
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- Introduction to Medical-Surgical Nursing Practice in CanadaCultural Competence and Health Equity in Nursing CareHealth History and Physical ExaminationPatient and Caregiver TeachingChronic IllnessCommunity-Based Nursing and Home CareOlder AdultsStress and Stress ManagementSleep and Sleep DisordersPainSubstance UseComplementary and Alternative TherapiesPalliative Care at the End of LifeInflammation and Wound HealingGeneticsAltered Immune Response and TransplantationInfection and Human Immunodeficiency Virus InfectionCancerFluidNursing Management Preoperative CareNursing Management Intraoperative CareNursing Management Postoperative CareNursing Assessment Visual and Auditory SystemsNursing Management Visual and Auditory ProblemsNursing Assessment Integumentary SystemNursing Management Integumentary ProblemsNursing Management BurnsNursing Assessment Respiratory SystemNursing Management Upper Respiratory ProblemsNursing Management Lower Respiratory ProblemsNursing Management Obstructive Pulmonary DiseasesNursing Assessment Hematological SystemNursing Management Hematological ProblemsNursing Assessment Cardiovascular SystemNursing Management HypertensionNursing Management Coronary Artery Disease and Acute Coronary SyndromeNursing Management Heart FailureNursing Management DysrhythmiasNursing Management Inflammatory and Structural Heart DisordersNursing Management Vascular DisordersNursing Assessment Gastro-intestinal SystemNursing Management Nutritional ProblemsNursing Management ObesityNursing Management Upper Gastro-intestinal ProblemsNursing Management Lower Gastro-intestinal ProblemsNursing Management LiverNursing Assessment Urinary SystemNursing Management Renal and Urologic ProblemsNursing Management Acute Kidney Injury and Chronic Kidney DiseaseNursing Assessment Endocrine SystemNursing Management Endocrine ProblemsNursing Management Diabetes MellitusNursing Assessment Reproductive SystemNursing Management Breast DisordersNursing Management Sexually Transmitted InfectionsNursing Management Female Reproductive ProblemsNursing Management Male Reproductive ProblemsNursing Assessment Nervous SystemNursing Management Acute Intracranial ProblemsNursing Management StrokeNursing Management Chronic Neurological ProblemsNursing Management DeliriumNursing Management Peripheral Nerve and Spinal Cord ProblemsNursing Assessment Musculo-skeletal SystemNursing Management Musculo-skeletal Trauma and Orthopedic SurgeryNursing Management Musculo-skeletal ProblemsNursing Management Arthritis and Connective Tissue DiseasesNursing Management Critical Care EnvironmentNursing Management ShockNursing Management Respiratory Failure and Acute Respiratory Distress SyndromeNursing Management Emergency Care SituationsEmergency Management and Disaster Planning
Question 1
Free
Multiple Choice
Aclient returns to the clinic with recurrent dysuria after being treated with trimethoprim-sulfamethoxazole for 3 days. Which of the following actions should the nurse plan to take?
Choose correct answer/s
Remind the client about the need to drink 1 000 mL of fluids daily.
Obtain a midstream urine specimen for culture and sensitivity testing.
Teach the client to take the prescribed trimethoprim-sulfamethoxazole for at least 3 more days.
Suggest that the client use acetaminophen to treat the symptoms.
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Question 2
Free
Multiple Choice
The nurse is providing client teaching to a client with cystitis regarding prevention of future urinary tract infections (UTIs). Which of the following client statements indicate that teaching has been effective?
Choose correct answer/s
"I can use vaginal sprays to reduce bacteria."
"I will drink a quart of water or other fluids every day."
"I will wash with soap and water before sexual intercourse."
"I will empty my bladder every 2-4 hours during the day."
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Question 3
Free
Multiple Choice
The nurse is caring for a client who has had a segmental cystectomy. Which of the following information should the nurse include in the postoperative teaching for the client?
Choose correct answer/s
Limit fluid intake for at least 7 days.
Urine should be amber and not contain blood clots.
In about one week urine will have rust-coloured flecks.
Avoid sitz baths for a week after surgery.
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Question 4
Free
Multiple Choice
The nurse is caring for a client with benign prostatic hyperplasia who has chills, fever, and is vomiting. Which of the following findings by the nurse is most helpful in determining whether the client has an upper urinary tract infection (UTI)?
Choose correct answer/s
Suprapubic pain
Bladder distention
Foul-smelling urine
Costovertebral tenderness
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Question 5
Free
Multiple Choice
The nurse is teaching a client with interstitial cystitis about management of the condition. Which of the following client statements indicate that further instruction is required?
Choose correct answer/s
"I will have to stop having coffee and orange juice for breakfast."
"I should start taking a high potency multiple vitamin every morning."
"I will buy some calcium glycerophosphate (Prelief) at the pharmacy."
"I should call the doctor about increased bladder pain or odorous urine."
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Question 6
Multiple Choice
The nurse is admitting a client with acute glomerulonephritis. Which of the following assessments is most important for the nurse to include?
Choose correct answer/s
Recent sore throat and fever
History of high blood pressure
Frequency of bladder infections
Family history of kidney stones
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Question 7
Multiple Choice
Which of the following findings by the nurse for a client admitted with glomerulonephritis indicates that treatment has been effective?
Choose correct answer/s
The client denies pain with voiding.
The urine dipstick is negative for nitrites.
Peripheral and periorbital edema is resolved.
The antistreptolysin-O (ASO) titre is decreased.
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Question 8
Multiple Choice
The nurse is caring for a client with nephrotic syndrome who develops flank pain. Which of the following medication classifications should the nurse anticipate including in the client teaching plan?
Choose correct answer/s
Antibiotics
Anticoagulants
Corticosteroids
Antihypertensives
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Question 9
Multiple Choice
The nurse is admitting a client with new onset nephrotic syndrome. Which of the following findings should the nurse expect to assess related to this illness?
Choose correct answer/s
Poor skin turgor
High urine ketones
Recent weight gain
Low blood pressure
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Question 10
Multiple Choice
The nurse is caring for a client whose renal calculus is analyzed as being very high in uric acid. To prevent recurrence of stones, which of the following foods should the nurse teach the client to avoid eating?
Choose correct answer/s
Milk and dairy products
Legumes and dried fruits
Organ meats and sardines
Spinach, chocolate, and tea
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Question 11
Multiple Choice
Which of the following actions should the nurse teach to a client to help prevent the recurrence of renal calculi?
Choose correct answer/s
Use a filter to strain all urine.
Avoid dietary sources of calcium.
Drink diuretic fluids such as coffee.
Have 2 000-3 000 mL of fluid a day.
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Question 12
Multiple Choice
The nurse is planning teaching for a client with benign nephrosclerosis. Which of the following information should the nurse include in the teaching plan?
Choose correct answer/s
Monitor and record blood pressure daily.
Obtain and document daily weights.
Measure daily intake and output amounts.
Prevent bleeding caused by anticoagulants.
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Question 13
Multiple Choice
The nurse is caring for a young adult female client who is diagnosed with polycystic kidney disease. Which of the following information should the nurse include in teaching at this time?
Choose correct answer/s
Importance of genetic counselling
Complications of renal transplantation
Methods for treating chronic and severe pain
Differences between hemodialysis and peritoneal dialysis
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Question 14
Multiple Choice
The nurse is assessing a male client with symptoms of a feeling of incomplete bladder emptying and a split, spraying urine stream. Which of the following conditions should the nurse question the client about when taking a health history?
Choose correct answer/s
Bladder infection
Recent kidney trauma
Gonococcal urethritis
Benign prostatic hyperplasia
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Question 15
Multiple Choice
The nurse is obtaining the health history for a client who smokes two packs of cigarettes daily. Which of the following conditions should the nurse include in the teaching plan that the client is at an increased risk for developing?
Choose correct answer/s
Kidney stones
Bladder cancer
Bladder infection
Interstitial cystitis
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Question 16
Multiple Choice
The nurse is admitting an older-adult client with dehydration who is confused and incontinent of urine. Which of the following nursing actions is best to include in the plan of care?
Choose correct answer/s
Apply absorbent incontinent pads.
Restrict fluids after the evening meal.
Insert an in-dwelling catheter until the symptoms have resolved.
Assist the client to the bathroom every 2 hours during the day.
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Question 17
Multiple Choice
A female client asks the nurse for a perineal pad, stating that laughing or coughing causes leakage of urine. Which of the following interventions is best to include in the care plan?
Choose correct answer/s
Assist the client to the bathroom q3hr.
Place a commode at the client's bedside.
Demonstrate how to perform the Credé manoeuvre.
Teach the client how to perform Kegel exercises.
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Question 18
Multiple Choice
The nurse is caring for a client following rectal surgery who voids about 50 mL of urine every 30-60 minutes. Which of the following nursing actions is best?
Choose correct answer/s
Use a bladder scan device to check the postvoiding residual.
Monitor the client's intake and output over the next few hours.
Have the client take small amounts of fluid frequently throughout the day.
Reassure the client that this is normal after rectal surgery because of anesthesia.
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Question 19
Multiple Choice
The nurse is caring for a client who has a history of functional urinary incontinence. Which of the following nursing actions should be included in the plan of care?
Choose correct answer/s
Place a bedside commode near the client's bed.
Demonstrate the use of the Credé manoeuvre to the client.
Use an ultrasound scanner to check postvoiding residuals.
Teach the use of Kegel exercises to strengthen the pelvic floor.
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Question 20
Multiple Choice
The home health nurse is teaching a client with a neurogenic bladder how to use intermittent catheterization for bladder emptying. Which of the following client statements indicates that the teaching has been effective?
Choose correct answer/s
"I will use a sterile catheter and gloves for each time I self-catheterize."
"I will clean the catheter carefully before and after each catheterization."
"I will need to buy seven new catheters weekly and use a new one every day."
"I will need to take prophylactic antibiotics to prevent any urinary tract infections."
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