The client is being treated with gentamicin. The students demonstrate understanding of the material when they identify which of the following as a voiding dysfunction? Which of the following terms is used to refer to inflammation of the renal pelvis? After the physician diagnoses poststreptococcal glomerulonephritis, the client is admitted to the medical-surgical unit. A nurse is assessing a male client diagnosed with gonorrhea. "Drink at least eight 8-oz (240 mL) glasses of fluid daily. "Your health care provider will take a urine culture.". Following percutaneous nephrolithotomy, the client is at greatest risk for which nursing diagnosis? ensuring that the metformin has been withheld for 48 hours prior to the scan. A client had a percutaneous nephrolithotomy to remove a kidney stone. "I should limit my intake of meat and fish.". She has just undergone an appendectomy. retain the enema for 30 minutes to allow for sodium exchange; afterward, the client should have diarrhea. Which statement by the client indicates the client understands the prescribed diet? The client is diagnosed with genital herpes and is being treated for a urinary tract infection (UTI). The nurse is caring for a client diagnosed with bladder cancer and requiring a cystectomy. "My fallopian tubes will be tied off through a small abdominal incision.". Which of the following should the nurse include? Which of the following is the most common symptom of bladder cancer? The client with pyelonephritis asks the nurse, "How will I know whether the antibiotics are treating my infection?" The nurse working with a patient after an ileal conduit notices that the pouching system is leaking small amounts of urine. A client is frustrated and embarrassed by urinary incontinence. A client had a cystoscopy to remove a renal stone. A client with chronic kidney disease (CKD) has a blood urea nitrogen (BUN) of 100 mg/dL, serum creatinine of 6.5 mg/dL, potassium of 6.1 mEq/L, and lethargy. The nurse's postoperative plan of care should include which of the following? Which steps should a nurse follow to insert a straight urinary catheter? The nurse is caring for a client with polydipsia and large amounts of urine with a specific gravity of 1.003. Pass the NCLEX®-RN/LPN exam with our comprehensive nursing review classes online. What should the patient be encouraged to do? Need to urinate after engaging in sexual intercourse. Which assessment finding is most suggestive of a malignant tumor of the bladder? In this procedure, an ultrasonic probe inserted through a nephrostomy tube into the renal pelvis generates ultra-high-frequency sound waves to shatter renal calculi. The physician tentatively diagnoses right ureterolithiasis (renal calculi). "This medication will relieve your pain.". Which diet regimen should the nurse recommend to the client on days between dialysis? Decreased pelvic muscle tone due to multiple pregnancies. Which of the following instructions would the nurse give the client? What information should the nurse give to the client about managing this health problem? A nurse is caring for a client with acute pyelonephritis. A client with type 2 diabetes mellitus who is taking metformin is scheduled for a computed tomography (CT) with contrast of the abdomen tomorrow. The client keeps the drainage bag below the bladder at all times. Which action by the nurse would be the most effective to address this question? What should the nurse tell the client? "I should take at least 1,000 mg of vitamin C each day.". Which of the following directions should the nurse include? "Would you like me to let the client know you said hello?". What type of diet does the nurse discuss with the patient? What should the nurse do first? • "I'm so glad I don't have to make any changes in my diet.". The nurse suspects that the client is experiencing which type of incontinence? Which assessment is the priority? The nursing assistant places the drainage bag on the client's abdomen for transport. What is a priority nursing intervention in a client with this disorder? Correct administration and the effects of this enema should include having the client. A nurse is caring for a client in acute renal failure. Which laboratory value should be closely monitored? Nursing assessment findings reveal abdominal pain, absence of bowel sounds, fever, tachycardia, and tachypnea. "The fertilization procedure can be done anytime during my cycle.". A patient who has been treated with uric acid for stones is being discharged from the hospital. The nurse is planning care for a client with stress incontinence. A group of students are reviewing information about disorders of the bladder and urethra. The nurse should expect hypertonic glucose, insulin infusions, and sodium bicarbonate to be used to treat: A client has a ureteral catheter in place after renal surgery. Ensure that the catheter is draining freely. The most significant sign of acute renal failure is: A nurse is reviewing a report of a client's routine urinalysis. The nurse should give the client these drugs when he demonstrates signs of which symptom? The nurse is teaching an older adult with a urinary tract infection about the importance of increasing fluids in the diet. A coworker asks the nurse about how the client is doing. The nurse understands that this is most likely due to: Loss of motor control of the detrusor muscle. A patient has been diagnosed with a UTI and is prescribed an antibiotic. The nurse is teaching the client how to recognize infection in the shunt. A patient is admitted to a hospital with a diagnosis of spastic, neurogenic bladder. A client with a urinary tract infection is ordered co-trimoxazole. What action by the new graduate indicates the need for further teaching about handling the client's soiled linens? A client with renal insufficiency is admitted to the hospital with pneumonia. The nurse is aware that the pathophysiology of this condition is primarily due to which of the following occurrences? performing meticulous perineal care daily with soap and water. A client with urinary tract infection is prescribed phenazopyridine (Pyridium). A client with chronic renal failure (CRF) is receiving a hemodialysis treatment. The nurse should assess the client for which alteration in fluid and electrolyte balance? The nurse is educating a patient with urolithiasis about preventative measures to avoid another occurrence. The nurse auscultates bilateral crackles and observes jugular vein distention. Which priority nursing assessment is done before the procedure? Which nursing intervention is the most important? The catheterization should occur 4 to 6 hours and before bedtime. A nulliparous client tells the nurse that during her last pelvic examination, the health care provider said that her uterus was in a severe retroverted position. Which nursing diagnosis is appropriate for the client with a new ileal conduit? The nurse determines that the participants understand the teaching when they identify which of the following as risk factors for urinary incontinence? A comprehensive program that incorporates timed voiding and urinary urge inhibition is referred to as: A nurse who is taking care of a patient with a spinal cord injury documents the frequency of reflex incontinence. Behavioral interventions for urinary incontinence can be coordinated by a nurse. The nurse should provide which medication instruction? The nurse interprets this as which finding? A patient who had surgery for creation of an ileal conduit 3 days ago will not look at the stoma and requests that only the ostomy nurse specialist does the stoma care. Which of the following signs/symptoms is diagnostic for bladder cancer? A nurse is reviewing the history and physical examination of a client with a suspected malignant tumor of the bladder. Make sure the urinal is within the client's reach. Call the laboratory to see how the specimen was obtained. The nurse notes that the dialysate drainage of a client receiving peritoneal dialysis is cloudy. Why do I say those things?" Which immediate action should the nurse take? Which statement by the client indicates a need for further teaching? Sign up today or call 212-679-2300. Which of the following factors should the nurse assess before beginning a bladder training program for the patient? A nurse is caring for a client who is a hospital employee. Prepare the client and equipment, create a sterile field, put on gloves, clean the urinary meatus, and insert the catheter until urine flows. Which diagnostic test results are consistent with CRF? The nurse is obtaining a health history from a client describing urinary complications. what she can eat and drink before admission. Take the antibiotic for 3 days as prescribed. Reducing stressful life events may decrease the incidence of herpetic outbreaks. The nurse should intervene if the UAP: A nurse is providing postprocedure care for a client who underwent percutaneous lithotripsy. A nurse is teaching a female client with a history of multiple urinary tract infections (UTIs). She has a purulent vaginal discharge that is sometimes frothy. Which assessment finding suggests that the client is experiencing acute renal failure (ARF)? Determine if the prostatic palpation was done before or after the blood sample was drawn. Which of the following should be the primary medical management goal. Which of the following body structures would the nurse instruct as the most frequent cause of women's urinary tract infections? a white blood cell count of 14,000 mm/dL (14.00 x 109/L). Which statements by a female client would indicate that she is at high risk for a recurrence of cystitis? The nurse is instructing a client with an ileal conduit. A client with chronic renal failure receives hemodialysis treatments through a mature arteriovenous (AV) fistula. If an indwelling catheter is necessary, the nursing interventions that should be implemented to prevent infection include. The nurse is caring for a client who is scheduled for the creation of an ileal conduit. A client receiving dialysis directs profanities at the nurse and then abruptly hangs his head and pleads, "Please forgive me. Which of the following should the nurse include in the assessment before beginning a bladder training program? The nurse is assisting in the transport of a client with an indwelling catheter to the diagnostic studies unit. A client with chronic renal failure (CRF) is admitted to the urology unit. Select all that apply. Which client action indicates an accurate understanding of this information? The nurse is observing an unlicensed assistive personnel (UAP) give care to a client after gynecologic surgery. What is the most common first symptom of a malignant tumor of the bladder? fluid is being infused at 150 ml/hour. Which nursing action is most appropriate for a client who has urge incontinence? Reflux of urine from the urethra into the bladder. When describing the types of bladder tumors that may occur, which type would the nurse identify as most common? A client comes to the emergency department complaining of severe pain in the right flank, nausea, and vomiting. The nurse is caring for a client who is describing urinary symptoms of needing to go to the bathroom with little notice. A 64-year-old man is seeing his urologist for an annual check-up, post prostatectomy. What first-line fluoroquinolone antibacterial agent for UTIs has been found to be significantly effective? To facilitate effective communication, what should the nurse do? monitoring laboratory values, especially WBCs. What should the nurse tell the client? What should the nurse tell the client causes cystitis? The client should wear a condom during anal intercourse. A client comes to the emergency department reporting a sudden onset of sharp, severe, radiating pain in the lumbar and left flank regions. The nurse states that many members of the health care team (including a mental health practitioner) will see the client. "You need to wear your appliance all the time.". The nurse understands that this drug is an effective treatment because it: An ileal conduit is created for a client after a radical cystectomy. Select all that apply. A client with benign prostatic hypertrophy has an elevated prostate-specific antigen (PSA) level. Which of the following accounts for the majority of ureteral injuries? I.V. Something just came over me. What should the nurse do to provide safe care of the ureteral catheter? Based on these findings, which of the following should the nurse administer? The nurse creates a plan of care for which of the following conditions? In gathering information for the client, which urinary diversion would the nurse select? Which action, made by the nursing assistant, would require instruction? The nurse observes a client's uric acid level of 9.3 mg/dL. A client comes to the clinic for a follow-up visit. The nurse assesses a client's outflow is less than the inflow during a peritoneal dialysis exchange. The nurse is participating in a bladder retraining program for a patient who had an indwelling catheter for 2 weeks. • Deficient knowledge: management of urinary diversion. The nurse is assisting in the development of a protocol for bladder retraining following removal of an indwelling catheter. The nurse recognizes that urinalysis results that most likely indicate a urinary tract infection include: The most common presenting objective symptoms of a urinary tract infection in older adults, especially in those with dementia, include? After hemodialysis, the nurse knows that the client is most likely to experience: Two weeks after being diagnosed with a streptococcal infection, a client develops fatigue, a low-grade fever, and shortness of breath. Select all the nursing actions that apply. Which finding is an early indicator of bladder cancer? The nurse is caring for a client with recurrent urinary tract infections. The appropriate nursing intervention is to do which of the following? A client with a new ileal conduit asks the nurse when he needs to wear his appliance. Urinalysis reveals red and white blood cells and protein. The nurse is caring for a postoperative client who has a Kock pouch. Ms. Simpson, age 72 years, is being seen in the clinic with a suspected bladder tumor. Select all that apply. Increase fluid intake so that the patient can excrete 2,500 to 4,000 mL every day, which will help prevent additional stone formation. A client is scheduled to undergo surgical creation of an ileal conduit. Which of the following would be included in a teaching plan for a patient diagnosed with a urinary tract infection? Patient's inability to exert motor control. After teaching a group of students about the types of urinary incontinence and possible causes, the instructor determines that the student have understood the material when they identify which of the following as a cause of stress incontinence? Which of the following would the nurse include in the presentation? The nurse states that many members of the health care team (including a mental health practitioner) will see the client. An 18-year-old female takes birth control pills and is sexually active with her boyfriend. "It is important to observe the color and odor of my urine.". A client with a history of renal calculi formation is being discharged after surgery to remove the calculus. A couple has completed testing and is a candidate for in vitro fertilization. What would you suspect is the problem? Which disorder is anticipated? What should the nurse do next? What information should the nurse include in the teaching plan about the likely cause of epididymitis? What actions will the nurse use to increase peritoneal dialysis outflow? A client presents at the clinic with complaints of urinary retention. When planning this client's care, the nurse should assign the highest priority to which nursing diagnosis? The nurse determines that interventions for decreasing fluid retention have been effective when the nurse makes which assessment in child with nephrotic syndrome? What instructions should the nurse include in the client's discharge teaching plan? A client has nephrotic syndrome. The nurse knows that this is most likely due to which of the following? What should the nurse do next? A mental health practitioner should be involved in the client's care to: The nurse is caring for a client with a cystectomy and ileal conduit (urostomy) for prior bladder cancer. Measure the circumference of both calves and note the difference. Which of the following would the nurse expect to include in the client's plan of care? What goal is realistic for the nurse to establish with the client? Which of the following is a factor contributing to UTI in older adults? Which value requires further investigation? When obtaining the health history, the nurse should ask the client about which factors that could precipitate incontinence? Which type of incontinency refers to the involuntary loss of urine due to medications? The nurse receives a report of a serum potassium level on an infant of 5.4 mEq/L (5.4 mmol/L). What sign should the nurse tell the client to assess each day? During rounds, a client admitted with gross hematuria asks the nurse about the physician's diagnosis. What statement should the nurse make to the caregiver about urinary incontinence in the older adult? "I'll have to wear an external collection pouch for the rest of my life.". The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. The nurse is conducting a community education program on UTIs. During the exchange, the nurse observes that the flow of dialysate stops before all the solution has drained out. The client is being discharged with drainage tubes from the kidney. The nurse is teaching a patient how to perform self-catheterization. Instruct the client to hold the sildenafil and contact the healthcare provider. To aid in the resolution of the client's edema, the health care provider prescribes 25% albumin. Examination of a client's bladder stones reveal that they are primarily composed of uric acid. The nurse is teaching the caregiver of an older adult client about urinary incontinence. The nurse is reviewing the procedure with them and realizes that further instruction is needed when the client makes which statement? A woman comes to her health care provider's office with signs and symptoms of kidney stones. A client has urge incontinence. The nurse determines that the client may experience which complication? During a routine physical examination, a male client informs the nurse that he frequently participates in anal intercourse with his sexual partner. Which classification of medication is anticipated for clients having difficulty with urinary incontinence? b. disturbed body image related to change in function. A client with acute renal failure has the following laboratory results. a low-protein diet with a prescribed amount of water. Which of the following is the procedure of choice for men with recurrent or complicated UTIs? Which finding would the nurse identify as the most common initial symptom? A client is to receive belladonna and opium suppositories, as needed, postoperatively after transurethral resection of the prostate (TURP). Which clinical finding should a nurse look for in a client with chronic renal failure? Which statement indicates that the client has understood the instructions contained in the pamphlet? The nurse should reinforce which dietary instruction? The nurse is giving discharge instructions to the client with uric acid renal calculi. Intravenous fluids are infusing at 125 mL/hr, urinary catheter has drained 170 mL since surgery, and the client reports pain as a 3 out of 10. A mental health practitioner should be involved in the client's care to: help the client cope with the anxiety associated with changes in body image. What is your response to her situation as ordered by the physician? Which statement by the client provides evidence that client teaching was effective? Ileal conduit is a surgical technique that uses an excised piece of the client's ileum to create … A client is scheduled to undergo surgical creation of an ileal conduit. "I can go 8 to 10 hours without emptying my bladder.". What is the priority nursing assessment? What question should the nurse ask to obtain additional information about the client's complaint? Mr. Roth has developed urinary incontinence and is beginning bladder training to regain control over his urine elimination. What should the nurse instruct the client to do after the procedure? A client is diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). A client is diagnosed with genital herpes (herpes simplex virus type 2, or HSV-2). The primary nurse educates the client about surgery and the postoperative period. A client is prescribed amitriptyline, an antidepressant for incontinence. Which information will be mostimportant for the nurse to give to the client prior to admission to the hospital? The nurse determines that the participants understand the teaching when they identify which of the following as a contributing factor for UTIs in older adults? Which of the following is a priority nursing diagnosis for the client presenting with pelvic inflammatory disease? The client is six hours post-open hysterectomy. What intervention will the nurse include in the care plan? Which symptom most likely prompted the client to seek medical attention? Implementing a 2- to 3-hour voiding schedule. Report the findings to the health care provider (HCP) immediately. Which measure should the nurse include in a bladder retraining program? The nurse is caring for a client with acute renal failure and edema. Report the finding to the healthcare provider. Severe cramping may occur when the IUD is inserted. What should the nurse do next? A 39-year-old multigravid client asks the nurse for information about female sterilization with a tubal ligation. A client is scheduled to undergo surgical creation of an ileal conduit. The nurse is employed in an urologist office. Which laboratory data warrants immediate intervention by the nurse? "My urine will be eliminated through a stoma.". James Roth, a 63-year-old accountant, is a client on the hospital unit where you practice nursing. Which of the following is a strategy to promote urinary continence? The client asks the nurse, "How did I get this urinary tract infection?" What education is important for the nurse to include with health teaching? Exercises to promote sphincter control are appropriate for an ureterosigmoidoscopy. The nurse identifies a nursing diagnosis of a. anxiety related to effects of procedure on lifestyle. Decrease the number of incontinence episodes. The nurse is evaluating the effectiveness of discharge teaching for a client with an oxalate urinary stone. A client recovering from an abdominal hysterectomy has pain in her right calf. Increase daily fluid intake to at least 2 to 3 L. The nurse gives a pamphlet that describes Kegel exercises to a client with stress incontinence. The nurse should instruct the client to: notify the physician about cloudy or foul-smelling urine. The primary nurse educates the client about surgery and the postoperative period. Select all that apply. The health care provider is concerned with the symptom he finds because it is considered diagnostic for bladder cancer. What is the nurse's priority concern? A nurse preceptor is observing a new graduate nurse during care of a client in contact isolation. What should the nurse instruct the client to do to prevent urine leakage when changing the appliance? A client is frustrated and embarrassed by urinary incontinence. A client with diabetes mellitus has had declining renal function over the past several years. Select all that apply. "I can do these exercises sitting up, lying down, or standing.". • Empty the collection bag at least every 8 hours to reduce bacterial growth. Which of the following medications may be ordered to relieve discomfort associated with a UTI? A patient undergoes surgery for removing a malignant tumor, followed by a urinary diversion procedure. Learn from the best in the industry. The nurse is educating a female patient with a UTI on the pharmacologic regimen for treatment. A nurse has been asked to speak to a local women's group about preventing cystitis. The nurse is conducting a history and assessment related to a patient's incontinence. "Increase your fluid intake to 2 to 3 L per day.". The client also reports nausea and vomiting and appears pale, diaphoretic, and anxious. Which statement indicates the client understands the teaching about preventing UTIs? Blood urea nitrogen (BUN) 100 mg/dl and serum creatinine 6.5 mg/dl. When a client with an indwelling urinary catheter wants to walk to the hospital lobby to visit with family members, the nurse teaches him how to do this without compromising the catheter. Which statements by the client would indicate that teaching has been effective? Arrange for a person with an ostomy to visit the client preoperatively. uses alcohol gel to clean hands after removing gloves. You are asking Ms. Simpson about symptoms that she has had that brought her to the clinic. Which instructions should the nurse include in the teaching plan for a 30-year-old multiparous client who will be using an intrauterine device (IUD) for family planning? The nurse advises the patient with chronic pyelonephritis that he should: Increase fluids to 3 to 4 L/24 hours to dilute the urine. A client is admitted with fever and flank pain and is diagnosed with pyelonephritis. Which nursing diagnosis is the most appropriate for this client? A client undergoes extracorporeal shock wave lithotripsy. The client will have an abdominal hysterectomy tomorrow. In addition to an absence of edema, the nurse should evaluate the client for which expected outcome? The client asks the nurse, "Is it really possible to lead a normal life with an ileostomy?" Which actions should the nurse delegate to an experienced unlicensed assistive personnel (UAP)? A client who has been treated for chronic renal failure (CRF) is ready for discharge. Use of tobacco products is the leading cause of bladder cancer. A client with acute renal failure is undergoing dialysis for the first time. The nurse overhears the physician instructing the client on the presence of a stoma with temporary pouch. A client who is taking sildenafil has been prescribed tamsulosin. The nurse is conducting a community education program on urinary incontinence. Which factor should be checked when evaluating the effectiveness of an alpha-adrenergic blocker given to a client with benign prostatic hyperplasia (BPH)? Which measure should the nurse include in a bladder retraining program? A client undergoes a nephrectomy. A female patient visits her primary health care provider with a complaint of frequency of urination and incontinence when she sneezes. What is important for the nurse to instruct the patient to do? Sympathomimetics have which of the following effects on the body?
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