Urinary

Question 1

A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for the development of bacterial cystitis?

Answer 1

A 58-year-old female who is not taking estrogen replacement

Question 2

A nurse reviews the laboratory findings of a client with a urinary tract infection. The laboratory report notes a shift to the left in a clients white blood cell count. Which action should the nurse take?

Answer 2

Notify the provider and start an intravenous line for parenteral antibiotics.

Question 3

A nurse cares for a postmenopausal client who has had two episodes of bacterial urethritis in the last 6 months. The client asks, I never have urinary tract infections. Why is this happening now? How should the nurse respond?

Answer 3

Low estrogen levels can make the tissue more susceptible to infection.

Question 4

After teaching a client with bacterial cystitis who is prescribed phenazopyridine (Pyridium), the nurse assesses the clients understanding. Which statement made by the client indicates a correct understanding of the teaching?

Answer 4

An orange color in my urine should not alarm me.

Question 5

After teaching a client who has stress incontinence, the nurse assesses the clients understanding. Which statement made by the client indicates a need for additional teaching?

Answer 5

I will limit my total intake of fluids.

Question 6

A nurse cares for adult clients who experience urge incontinence. For which client should the nurse plan a habit training program?

Answer 6

A 78-year-old female who is confused

Question 7

After delegating care to an unlicensed assistive personnel (UAP) for a client who is prescribed habit training to manage incontinence, a nurse evaluates the UAPs understanding. Which action indicates the UAP needs additional teaching?

Answer 7

Changing the clients incontinence brief when wet

Question 8

A nurse plans care for a client with overflow incontinence. Which intervention should the nurse include in this clients plan of care to assist with elimination?

Answer 8

Use the Valsalva maneuver.

Question 9

A confused client with pneumonia is admitted with an indwelling catheter in place. During interdisciplinary rounds the following day, which question should the nurse ask the primary health care provider?

Answer 9

Can we discontinue the indwelling catheter?

Question 10

After teaching a client with a history of renal calculi, the nurse assesses the clients understanding. Which statement made by the client indicates a correct understanding of the teaching?

Answer 10

I should drink at least 3 liters of fluid every day.

Question 11

A nurse cares for a client who has kidney stones from secondary hyperoxaluria. Which medication should the nurse anticipate administering?

Answer 11

Allopurinol (Zyloprim)

Question 12

A nurse assesses a client who is recovering from extracorporeal shock wave lithotripsy for renal calculi. The nurse notes an ecchymotic area on the clients right lower back. Which action should the nurse take?

Answer 12

Apply an ice pack to the site.

Question 13

A nurse cares for a client admitted from a nursing home after several recent falls. What prescription should the nurse complete first?

Answer 13

Obtain urine sample for culture and sensitivity.

Question 14

A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for bladder cancer?

Answer 14

An 86-year-old male with a 50pack-year cigarette smoking history

Question 15

A nurse assesses a client with bladder cancer who is recovering from a complete cystectomy with ileal conduit. Which assessment finding should alert the nurse to urgently contact the health care provider?

Answer 15

The ileostomy stoma is pale and cyanotic in appearance.

Question 16

A nurse obtains the health history of a client with a suspected diagnosis of bladder cancer. Which question should the nurse ask when determining this clients risk factors?

Answer 16

Do you smoke cigarettes?

Question 17

A nurse cares for a client who is scheduled for the surgical creation of an ileal conduit. The client states, I am anxious about having an ileal conduit. What is it like to have this drainage tube? How should the nurse respond?

Answer 17

Would you like to speak with someone who has an ileal conduit?

Question 18

A nurse teaches a young female client who is prescribed amoxicillin (Amoxil) for a urinary tract infection. Which statement should the nurse include in this clients teaching?

Answer 18

Use a second form of birth control while on this medication.

Question 19

A nurse teaches a client with functional urinary incontinence. Which statement should the nurse include in this clients teaching?

Answer 19

Buy slacks with elastic waistbands that are easy to pull down.

Question 20

An emergency department nurse assesses a client with a history of urinary incontinence who presents with extreme dry mouth, constipation, and an inability to void. Which question should the nurse ask first?

Answer 20

What medications are you taking?

Question 21

A nurse teaches a client who is starting urinary bladder training. Which statement should the nurse include in this clients teaching?

Answer 21

Try to consciously hold your urine until the scheduled toileting time.

Question 22

A nurse plans care for clients with urinary incontinence. Which client is correctly paired with the appropriate intervention?

Answer 22

A 58-year-old postmenopausal client who is not taking estrogen therapy Electrical stimulation

Question 23

A nurse assesses a client who presents with renal calculi. Which question should the nurse ask?

Answer 23

Do any of your family members have this problem?

Question 24

A nurse assesses a male client who is recovering from a urologic procedure. Which assessment finding indicates an obstruction of urine flow?

Answer 24

Overflow incontinence

Question 25

A nurse cares for a client with urinary incontinence. The client states, I am so embarrassed. My bladder leaks like a young childs bladder. How should the nurse respond?

Answer 25

I can teach you strategies to help control your incontinence.

Question 26

A nurse provides phone triage to a pregnant client. The client states, I am experiencing a burning pain when I urinate. How should the nurse respond?

Answer 26

Make an appointment with your provider to have your infection treated.

Question 27

A nurse assesses a client who has had two episodes of bacterial cystitis in the last 6 months. Which questions should the nurse ask? (Select all that apply.) a. How much water do you drink every day? b. Do you take estrogen replacement therapy? c. Does anyone in your family have a history of cystitis? d. Are you on steroids or other immune-suppressing drugs? e. Do you drink grapefruit juice or orange juice daily?

Answer 27

A, B, D

Question 28

A nurse teaches a client about self-catheterization in the home setting. Which statements should the nurse include in this clients teaching? (Select all that apply.) a. Wash your hands before and after self-catheterization. b. Use a large-lumen catheter for each catheterization. c. Use lubricant on the tip of the catheter before insertion. d. Self-catheterize at least twice a day or every 12 hours. e. Use sterile gloves and sterile technique for the procedure. f. Maintain a specific schedule for catheterization.

Answer 28

A, C, F

Question 29

A nurse teaches clients about the difference between urge incontinence and stress incontinence. Which statements should the nurse include in this education? (Select all that apply.) a. Urge incontinence involves a post-void residual volume less than 50 mL. b. Stress incontinence occurs due to weak pelvic floor muscles. c. Stress incontinence usually occurs in people with dementia. d. Urge incontinence can be managed by increasing fluid intake. e. Urge incontinence occurs due to abnormal bladder contractions.

Answer 29

B, E

Question 30

A nurse assesses a client with a fungal urinary tract infection (UTI). Which assessments should the nurse complete? (Select all that apply.) a. Palpate the kidneys and bladder. b. Assess the medical history and current medical problems. c. Perform a bladder scan to assess post-void residual. d. Inquire about recent travel to foreign countries. e. Obtain a current list of medications.

Answer 30

B, E

Question 31

A nurse cares for clients with urinary incontinence. Which types of incontinence are correctly paired with their clinical manifestation? (Select all that apply.) a. Stress incontinence Urine loss with physical exertion b. Urge incontinence Large amount of urine with each occurrence c. Functional incontinence Urine loss results from abnormal detrusor contractions d. Overflow incontinence Constant dribbling of urine e. Reflex incontinence Leakage of urine without lower urinary tract disorder

Answer 31

A, B, D

Question 32

A nurse teaches a client with a history of calcium phosphate urinary stones. Which statements should the nurse include in this clients dietary teaching? (Select all that apply.) a. Limit your intake of food high in animal protein. b. Read food labels to help minimize your sodium intake. c. Avoid spinach, black tea, and rhubarb. d. Drink white wine or beer instead of red wine. e. Reduce your intake of milk and other dairy products.

Answer 32

A, B, E

Question 33

A nurse teaches a client about self-care after experiencing a urinary calculus treated by lithotripsy. Which statements should the nurse include in this clients discharge teaching? (Select all that apply.) a. Finish the prescribed antibiotic even if you are feeling better. b. Drink at least 3 liters of fluid each day. c. The bruising on your back may take several weeks to resolve. d. Report any blood present in your urine. e. It is normal to experience pain and difficulty urinating.

Answer 33

A, B, C

Question 34

A nurse teaches a female client who has stress incontinence. Which statements should the nurse include about pelvic muscle exercises? (Select all that apply.) a. When you start and stop your urine stream, you are using your pelvic muscles. b. Tighten your pelvic muscles for a slow count of 10 and then relax for a slow count of 10. c. Pelvic muscle exercises should only be performed sitting upright with your feet on the floor. d. After you have been doing these exercises for a couple days, your control of urine will improve. e. Like any other muscle in your body, you can make your pelvic muscles stronger by contracting them.

Answer 34

A, B, E