Nursing Management Renal And Urologic Problems

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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
A

Remind the client about the need to drink 1 000 mL of fluids daily.

B

Obtain a midstream urine specimen for culture and sensitivity testing.

C

Teach the client to take the prescribed trimethoprim-sulfamethoxazole for at least 3 more days.

D

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
A

"I can use vaginal sprays to reduce bacteria."

B

"I will drink a quart of water or other fluids every day."

C

"I will wash with soap and water before sexual intercourse."

D

"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?

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A

Limit fluid intake for at least 7 days.

B

Urine should be amber and not contain blood clots.

C

In about one week urine will have rust-coloured flecks.

D

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)?

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A

Suprapubic pain

B

Bladder distention

C

Foul-smelling urine

D

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
A

"I will have to stop having coffee and orange juice for breakfast."

B

"I should start taking a high potency multiple vitamin every morning."

C

"I will buy some calcium glycerophosphate (Prelief) at the pharmacy."

D

"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
A
Recent sore throat and fever
B
History of high blood pressure
C
Frequency of bladder infections
D
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
A
The client denies pain with voiding.
B
The urine dipstick is negative for nitrites.
C
Peripheral and periorbital edema is resolved.
D
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
A
Antibiotics
B
Anticoagulants
C
Corticosteroids
D
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
A
Poor skin turgor
B
High urine ketones
C
Recent weight gain
D
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
A
Milk and dairy products
B
Legumes and dried fruits
C
Organ meats and sardines
D
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
A
Use a filter to strain all urine.
B
Avoid dietary sources of calcium.
C
Drink diuretic fluids such as coffee.
D
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
A
Monitor and record blood pressure daily.
B
Obtain and document daily weights.
C
Measure daily intake and output amounts.
D
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
A
Importance of genetic counselling
B
Complications of renal transplantation
C
Methods for treating chronic and severe pain
D
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
A
Bladder infection
B
Recent kidney trauma
C
Gonococcal urethritis
D
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
A
Kidney stones
B
Bladder cancer
C
Bladder infection
D
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
A
Apply absorbent incontinent pads.
B
Restrict fluids after the evening meal.
C
Insert an in-dwelling catheter until the symptoms have resolved.
D
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
A
Assist the client to the bathroom q3hr.
B
Place a commode at the client's bedside.
C
Demonstrate how to perform the Credé manoeuvre.
D
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
A
Use a bladder scan device to check the postvoiding residual.
B
Monitor the client's intake and output over the next few hours.
C
Have the client take small amounts of fluid frequently throughout the day.
D
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
A
Place a bedside commode near the client's bed.
B
Demonstrate the use of the Credé manoeuvre to the client.
C
Use an ultrasound scanner to check postvoiding residuals.
D
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
A
"I will use a sterile catheter and gloves for each time I self-catheterize."
B
"I will clean the catheter carefully before and after each catheterization."
C
"I will need to buy seven new catheters weekly and use a new one every day."
D
"I will need to take prophylactic antibiotics to prevent any urinary tract infections."
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