NCLEX 10000 GENITOURINARY

NCLEX 10000 GENITOURINARY

MULTIPLE EXAM RATED A

A nurse is reviewing a client's fluid intake and output record. Fluid intake and urine output should relate in which way? Answer -Fluid intake should be about equal to the urine output.

A physician enters a computer order for a nurse to irrigate a client's nephrostomy tube every 4 hours to maintain patency. The nurse irrigates the tube using sterile technique.After irrigating the tube, the nurse decides that she can safely use the same irrigation set for her 8-hour shift if she covers the set with a paper, sterile drape. This action by the nurse is: Answer -inappropriate because irrigation requires strict sterile technique.

A couple is inquiring about vasectomy as a permanent method of contraception. Which teaching statement would the nurse include in the teaching plan? Answer -"Another method of contraception is needed until the sperm count is 0."

A 39-year-old multigravid client asks the nurse for information about female sterilization with a tubal ligation. Which client statement indicates effective teaching? Answer -My fallopian tubes will be tied off through a small abdominal incision."

When instructing a client about the proper use of condoms for pregnancy prevention, the nurse should include which instructions to ensure maximum effectiveness?Answer -Place the condom over the erect penis before coitus.

A nurse is admitting an older female client to the gynecology surgical unit. When the nurse asks the client what medication she is taking at home, the client responds that she is taking a little red pill in the morning and a white capsule at night for her blood pressure. What action by the nurse is focused on safe, effective care of this client?Answer -Ask a family member to bring the medications from home in the original vials for proper identification and administration times.

On the second day following an abdominal hysterectomy, a client reports she has had three brown, loose stools in moderate amount. The morning medications include an order for 100 mg of docusate sodium daily or as needed. What should the nurse do next? Answer -Withhold the medication, and document the client's report of loose stools.

Which abnormal blood value would not be improved by dialysis treatment? Answer - decreased hemoglobin concentration

The client with pyelonephritis asks the nurse, "How will I know whether the antibiotics are effectively treating my infection?" What should the nurse tell the client? Answer - "Your health care provider will take a urine culture."

The nurse teaches the client with chronic renal failure when to take aluminum hydroxide gel. Which statement indicates that the client understands the teaching? Answer -"I will take it with meals and bedtime snacks."

The nurse is instructing the client with chronic renal failure to maintain adequate nutritional intake. Which diet would be most appropriate? Answer -ow-protein, low- sodium, low-potassium

A client undergoes extracorporeal shock wave lithotripsy. Before discharge, the nurse should provide which instruction? Answer -Increase your fluid intake to 2 to 3 L per day."

A client with chronic renal failure (CRF) is admitted to the urology unit. Which diagnostic test results are consistent with CRF? Answer -Blood urea nitrogen (BUN) 100 mg/dl and serum creatinine 6.5 mg/dl

A female client reports to a nurse that she experiences a loss of urine when she jogs.The nurse's assessment reveals no nocturia, burning, discomfort when voiding, or urine leakage before reaching the bathroom. The nurse explains to the client that this type of

problem is called: Answer -stress incontinence.

A client is scheduled to undergo surgical creation of an ileal conduit. The primary nurse educates the client about surgery and the postoperative period. The nurse informs the client that many members of the health care team (including a mental health practitioner) will see him. A mental health practitioner should be involved in the client's care to: Answer -help the client cope with the anxiety associated with changes in body image.

The nurse teaches the client how to recognize an infection in the shunt by telling the

client to assess the shunt each day for: Answer -swelling at the shunt site.

Which statements by a female client would indicate that she is at high risk for a recurrence of cystitis? Answer -"I can usually go 8 to 10 hours without needing to empty my bladder."

Nitrofurantoin, 75 mg four times per day, has been prescribed for a client with a lower urinary tract infection. The medication comes in an oral suspension of 25 mg/5 mL. How many milliliters should the nurse administer for each dose? Record your answer using a whole number.

15 Answer -

What are important nursing care measures for a client with diabetes who is admitted with end-stage renal failure? Answer -Restrict sodium and potassium and restrict fluids as ordered.

A client with marked oliguria is ordered a test dose of 0.2 g/kg of 15% mannitol solution intravenously over 5 minutes. The client weighs 132 lb. How many grams would the nurse administer? Record your answer as a whole number. Answer -12

A client was treated for a streptococcal throat infection 2 weeks ago. The client now has been diagnosed with acute poststreptococcal glomerulonephritis. The client asks the nurse how he could have prevented this condition. What should the nurse tell the client?Answer -See your health care provider (HCP) for an early diagnosis and treatment of a sore throat."

An 18-year-old female client who is sexually active with her boyfriend has a purulent vaginal discharge that is sometimes frothy. The nurse interprets this as suggesting a: Answer -sexually transmitted infection.

A client with chronic kidney disease (CKD) has a blood urea nitrogen (BUN), 100 mg/dL, serum creatinine 6.5 mg/dL, potassium 6.1 mEq/L, and lethargy. Which of the following is the priority nursing assessment? Answer -Cardiac rhythm

The nurse is completing an intake and output record for a client who is receiving continuous bladder irrigation after transurethral resection of the prostate. How many milliliters of urine should the nurse record as output for her shift if the client received 1,800 ml of normal saline irrigating solution and the output in the urine drainage bag is 2,400 ml? Record your answer using a whole number. Answer -600

Two days after a herniorrhaphy, the client reports that his scrotum is swollen and painful. To promote comfort, the nurse should instruct the client to: Answer -elevate the scrotum and place ice bags on the area intermittently.

A client with a history of bladder retention hasn't voided for 8 hours. A nurse concerned that the client is retaining urine notifies the physician. He orders a bladder ultrasonic scan and placement of an indwelling catheter if the residual urine is greater than 350 ml.The nurse knows that using the bladder ultrasonic scan to measure residual urine instead of placing a straight catheter reduces the risk of: Answer -microorganism transfer.

To reduce urethral irritation, where should the nurse tape the female client's Foley catheter? Answer -inner thigh

A nurse is teaching a female client with a history of multiple urinary tract infections (UTIs). Which statement indicates the client understands the teaching about preventing UTIs? Answer -"I should take at least 1,000 mg of vitamin C each day."

A client is admitted with nausea, vomiting, and diarrhea. His blood pressure on admission is 74/30 mm Hg. The client is oliguric and his blood urea nitrogen (BUN) and creatinine levels are elevated. The physician will most likely write an order for which

treatment? Answer -Start I.V. fluids with a normal saline solution bolus followed by a maintenance dose.

Assessment of a 36-year-old woman who has malaise and dysuria reveals a temperature of 100° F (37.4° C) and painful blisters on the outside of her vagina. The client tells the nurse she had intercourse with a new partner 5 days ago. What should the nurse do? Answer -Refer the client to a health care provider (HCP).

A menopausal woman is taking hormone replacement therapy. The nurse teaches the client that a warning sign for endometrial cancer that needs to be reported is: Answer -irregular vaginal bleeding.

The nurse is collecting data on a client with a urinary tract infection (UTI). Which statements should the nurse expect the client to make? Select all that apply. Answer - "I need to urinate frequently." "It burns when I urinate." "I need to urinate urgently."

The nurse is developing a community health education program about sexually transmitted infections. Which information about women who acquire gonorrhea should be included? Answer -Women with gonorrhea are usually asymptomatic.

Which nursing measure would most likely relieve postoperative gas pains after abdominal hysterectomy? Answer -helping the client walk

After having transurethral resection of the prostate (TURP), a client returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation.Which finding suggests that the client's catheter is occluded? Answer -The client reports bladder spasms and the urge to void.

Which factor would put the client at increased risk for pyelonephritis? Answer -history of diabetes mellitus

During rounds, a client admitted with gross hematuria asks the nurse about the physician's diagnosis. To facilitate effective communication, what should the nurse do?Answer -Provide privacy for the conversation.

The nurse is providing preoperative instructions to a client who is having a transurethral resection of the prostate. The nurse should tell the client: Answer -Expect blood in your urine in the first couple of days following the procedure."

The client will have an abdominal hysterectomy tomorrow. Which information will be most important for the nurse to give to the client prior to admission to the hospital?Answer -what she can eat and drink before admission