Renal urinary nclex questions

Renal & urinary nclex questions Leave the first rating Students also studied Terms in this set (24) Science MedicineNursing Save Renal NCLEX Questions 30 terms lilnurseangelPreview NCLEX Questions for Renal Disorder...40 terms mdunlap5920Preview Fluid and Electrolytes NCLEX Quest...33 terms Alex_Hassiepen Preview Renal a 20 terms mr2 You're assessing your patients during morning rounding.Which patient below is at MOST risk for developing a urinary tract infection?

• A 25 year old patient who finished a regime of

antibiotics for strep throat 10 weeks ago.

• A 55 year old female who is post-opt day 7 from hip

surgery.

• A 68 year old male who is experiencing nausea and

vomiting.

• A 87 year old female with Alzheimer's disease who is

experiencing bowel incontinence.

• A 87 year old female with Alzheimer's disease who is experiencing bowel

incontinence.A 36 year old female, who is 29 weeks pregnant, reports she is experiencing burning when voiding. The physician orders a urinalysis. Which statement by the patient demonstrates she understands how to collect the specimen?

• "I'll hold the cup firmly against the urethra while

collecting the sample."

• "I will cleanse back to front with the antiseptic wipe

before peeing in the cup."

• "First, I will pee a small amount of urine in the toilet

and then collect the rest in the cup."

• "I will be sure to drink a lot of fluids to keep the urine

diluted before peeing into the cup."

• "First, I will pee a small amount of urine in the toilet and then collect the rest in

the cup."

During a head-to-toe assessment on a patient with a possible urinary tract infection, you perform costovertebral angle percussion. The costovertebral angle is found?

• between the bottom of the 12th rib and spine
• between the right upper quadrant and umbilicus
• between the sternal notch and angle of Louis
• between the ischial spine and umbilicus
• between the bottom of the 12th rib and spine

A 76 year old female is admitted due to a recent fall. The patient is confused and agitated. The family members report that this is not normal behavior for the patient.They explain that the patient is very active in the community and cares for herself. Based on the information you have gathered about the patient, which physician's order takes priority?

• "Collect a urinalysis"
• "Collect a T3 and T4 level"
• "Insert a Foley Catheter"
• "Keep patient NPO"
• "Collect a urinalysis"

The physician orders a urine culture on your patient in room 5505 with a urinary tract infection. In addition, the patient is ordered to start IV Bactrim (Sulfamethoxazole/Trimethoprim). How will you proceed with following this order?

• First, hang the antibiotic, and then collect the urine

culture.

• First, hang the antibiotic and when the antibiotic is

finished infusing collect the urine culture.

• First, collect the urine culture, and then hang the

antibiotic.

• First, collect the urine culture and then hold the dose

of the antibiotic until the urine culture is back from the lab.

• First, collect the urine culture, and then hang the antibiotic.

You're providing discharge teaching to a female patient on how to prevent urinary tract infections. Which statement is INCORRECT?

• "Void immediately after sexual intercourse."
• "Avoid wearing tight fitting underwear."
• "Try to void every 2-3 hours."
• "Use scented sanitary napkins or tampons during

menstruation."

• "Use scented sanitary napkins or tampons during menstruation."

A patient, who is having spasms and burning while urinating due to a UTI, is prescribed "Pyridium" (Phenazopyridine). Which option below is a normal side effect of this drug?

• Hematuria
• Crystalluria
• Urethra mucous
• Orange colored urine
• Orange colored urine

You're caring for a patient with an indwelling catheter.The patient complains of spasm like pain at the catheter insertion site. Which of the following options below are other signs and symptoms the patient could experience or the nurse could observe if a urinary tract infection was

present? SELECT-ALL-THAT-APPLY:

• Increased WBC
• Crystalluria
• Positive McBurney's Sign
• Feeling the need to void even though a catheter is

present

• Dark and cloudy urine
• Cramping

A, D, E, & F

• On your nursing care plan for a patient with a urinary

tract infection, which of the following would be appropriate nursing interventions? SELECT-ALL-THAT-

APPLY:

• Encourage voiding every 2-3 hours while awake.
• Restrict fluid intake to 1-2 liters per day.
• Monitor intake and output daily.
• The patient verbalizes the importance of using vaginal

sprays to decrease reoccurrence of urinary tract infections prior to discharge home.A & C (but for the test only A) The nurse monitoring a client receiving peritoneal dialysis notes that the client's outflow is less than the inflow. The nurse should take which actions? Select all that apply.

• Check the level of the drainage bag.
• Reposition the client to his or her side.
• Place the client in good body alignment.
• Check the peritoneal dialysis system for kinks.
• Contact the primary health provider
• Increase the flow of the peritoneal dialysis solution

A, B, C, D

The client newly diagnosed with chronic kidney disease recently has begun hemodialysis. Knowing that the client is at risk for disequilibrium syndrome, the nurse should assess the client during dialysis for which associated manifestations?

• Hypertension, tachycardia, and fever
• Hypotension, bradycardia, and hypothermia
• Restlessness, irritability, and generalized weakness
• Headache, deteriorating level of consciousness, and

twitching

• Headache, deteriorating level of consciousness, and twitching

A client with acute kidney injury has a serum potassium level of 7.0 mEq/L. The nurse should plan which actions as a priority? Select all that apply.

• Place the client on a cardiac monitor
• Notify the HCP
• Put the client on NPO status except for ice chips
• Review the client's medications to determine if any

contain or retain potassium

• Allow an extra 500 mL of intravenous fluid intake to

dilute the electrolyte concentration

A, B, D

The nurse is assessing the patency of a client's left arm arteriovenous fistula prior to initiating hemodialysis.Which finding indicates that the fistula is patent?

• Palpation of a thrill over the fistula
• Presence of a radial pulse in the left wrist
• Visualization of enlarged blood vessels on the fistula

site

• Capillary refill less than 3 seconds in the nail beds of

the fingers on the left hand

• Palpation of a thrill over the fistula

The nurse is collecting data from a client. Which symptom described by the client is characteristic of an early symptom of benign prostatic hyperplasia?

• Nocturia
• Scrotal edema
• Occasional constipation
• Decreased force in the stream of urine
• Decreased force in the stream of urine

Which of the following symptoms and/or conditions are associated with disequilibrium syndrome related to a patient with chronic kidney disease beginning his first hemodialysis treatment?

• Headache, vomiting, and restlessness
• Fever and weakness
• Pulmonary edema and difficulty breathing
• Peritonitis, tachycardia, and decreased blood pressure
• Headache, vomiting, and restlessness