Quiz
CH 89 - Urinary Disorders
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Questions in this quiz (42)
1A nurse is caring for a client receiving hemodialysis. Which possible complications may occur in this client? SATA
- AIncrease in body temp
- BDifficulty in swallowing
- CLife-threatening hemorrhage
- DHepatitis infection
- EIncrease in BP
2A nurse has to assist the healthcare provider perform an intravenous pyelogram (IVP) in a diabetic client. What measure should the nurse employ in this client?
- AAssess the client for allergy to lidocaine
- BGive the client a low-residue diet a day before test
- CAssist the client to void while the x-ray films are taken
- DProvide at least 2 to 4 L of fluids for 24 hours after the test
3A nurse is assisting the healthcare provider to perform a needle biopsy of a client's kidney. What measure should the nurse employ?
- AAvoid applying pressure to the biopsy site after the procedure
- BAssess the client for sedation before the provider administers local anesthesia
- CAllow the client to remain flat after the procedure for 8 to 12 hours
- DAssist the client to a side-lying position with a sandbag under the shoulder
4A nurse is caring for a female client being treated for a urinary tract infection (UTI). What instruction should the nurse provide the client to help prevent recurrence?
- AUse soap to clean the perineal area
- BConsume a diet rich in carbs
- CWear well-fitting, nonabsorbent underwear
- DVoid immediately after sexual intercourse
5A nurse is documenting the urinalysis reports of a client. The presence of what indicates an infection?
- AWBCs
- BKetones
- CRBCs
- DBilirubin
6A physician suspects a client presenting with oliguria may be in acute renal failure. The nurse can anticipate that the physician will order which laboratory tests? SATA
- ACreatinine
- BChloride (Cl)
- CHematocrit (HCT)
- DSodium (Na)
- EBUN
7A client has been diagnosed with bladder cancer. The nurse is providing preoperative teaching for surgery scheduled to remove the urinary bladder. Which form of urinary diversion is the most common?
- AKock pouch
- BIleal conduit
- CNeobladder
- DCutaneous ureterostomy
8Which treatment is often used for OVERFLOW incontinence?
- ACrede maneuver
- BSurger
- CKegel exercise
- DLitotripsy
9Which nursing consideration should the nurse encourage for a client undergoing a cystoscopy?
- AThe client should report episodes of diarrhea
- BThe client should monitor daily weights
- CThe client should manage pruritus
- DThe client should drink plenty of fluids
10A young client presents to the afterhours clinic reporting right flank pain. The healthcare provider diagnoses the client with renal calculi. Why would the client be instructed to strain all urine?
- AStraining provides for client's comfort
- BStraining the urine aids in moving the stones through the urinary tract
- CStraining assists in identifying passage of stones
- DStraining determines the progress of the client's condition
11A nurse is caring for a client who is experiencing a flare-up of chronic glomerulonephritis. Which measure should the nurse employ when caring for this client?
- AEncourage the client to drink plenty of fluids
- BPlace the client in the orthopenic position
- CProvide the client with a protein rich diet
- DEncourage the client to remain ambulatory
12A nurse is caring for a client who is receiving peritoneal dialysis. What measure should the nurse take after the procedure?
- AAsk the client to avoid breathing deeply
- BPlace the client flat for 24 hours
- CAssess the client for constipation
- DEncourage increased fluid intake for 24 hours
13A female client is required to provide a urine sample for a culture and sensitivity test. Which intervention should the nurse perform?
- AAsk the client to insert a container and start voiding
- BSend the urine sample to the laboratory within 24 hours
- CInstruct the client to clean the perineal area before voiding
- DGive the client nothing by mouth (NPO) for 8 to 10 hours before the test
14A nurse is preparing a client for a cystoscopy procedure. Which information should the nurse provide the client?
- AVoiding may be uncomfortable for 1 to 2 weeks
- BSalt and fluid intake should be restricted after the procedure
- CUrine is sent for culture immediately after the procedure
- DUrine may be reddish after cystoscopy
15A nurse is caring for a client with end-stage renal disease (ESRD). What measures should the nurse employ when caring for this client?
- AEncourage fluid intake
- BProvide a sodium-rich diet
- CWeigh the client daily
- DKeep the room cool and breezy
16A nurse is caring for a client with renal calculi. Which objective should the nurse include in the short-term goals for a client with renal calculi?
- APain that is of tolerable level
- BUrination without difficulty or pain
- CEvidence of passage of stone
- DReduced urine output each time
17A nurse is caring for a client with ESRD. What should the nurse monitor this client for? Select all that apply
- AIncreased appetite
- BAnasarca
- CUremic frost
- DHypotention
- EBleeding disorders
18When educating the client who is a heavy smoker about his increased risk of developing various kinds of cancer, what should the nurse instruct the client to watch out for as the first sign of bladder cancer?
- ALoss of body weight
- BPain in the flanks
- CSensation of a mass in the flanks
- DBlood in the urine without any pain
19A nurse is caring for a client with prerenal failure. The nurse is required to record the client's fluid intake and output. Which of these measures of 24-hour urine output would the nurse document as oliguria?
- A75 mL/day
- B250 mL/day
- C2.5 L/day
- D7.5 L/day
20A female client reports urinating incontinently when coughing, laughing, or sneezing. What instructions should the nurse reinforce to initially manage the incontinence?
- ABiofeedback
- BKegel exercise
- CCare of the indwelling catheter
- DAdministration of tolterodine
21The nurse is preparing a client for a renal biopsy. What position will the nurse assist the client to maintain during the procedure?
- AHigh-folwer
- BLithotomy
- CSupine with the head flat
- DProne position with sandbags under the abdomen
22The nurse is preparing a client for discharge after having a cystoscopy. What statement made by the client demonstrates an understanding of the discharge instructions?
- AI should expect a slight infection after the procedure
- BI cannot use a tub bath for 1 week
- CI will limit my fluid intake for 24 hours
- DI will report blood in my urine if it occurs over 24 hours
23The urinary tract can be divided into two parts. Which tract assist with micturition?
- Aupper tract
- Blower tract
24Which of the following prefixes means "pertaining to any bladder"?
- Acysto(o)-
- Blith(o)-
- Cnephr(o)-
- Dpyel(o)-
25An urinalysis was ordered for a client. Which of the following substance would indicate hepatitis?
- ABilirubin
- BProtein
- CKetones
26The normal pH level of urine is [blank_start]4.6-8[blank_end]
- A4.6-8
27The normal specific gravity of urine is [blank_start]1.010-1.025[blank_end]
- A1.010-1.025
28What should the nurse document as an abnormality when reading a urinalysis? SATA
- ApH 3
- Bspecific gravity of 1.020
- CGFR rate of 30 mL/min
- DPresence of WBC
- EPresence of glucose
29Which of the following incontinence is defined as urinary leakage that is nearly continuous?
- ATrue (total)
- BTransient
- CStress
- DReflex
30Which of the following is true regarding stress incontinence? SATA
- AClients can almost always tell the healthcare provider when it occurs
- BPrimarily affects women caused by childbrith
- CMen frequently have stress incontinece after prostate surgery
- DClients usually cannot stop their urinary stream once it starts and often cannot get to a bathroom in time
- EClient uses the toilet frequently and void small amounts to prevent incontinent episodes
31A client is prescribed phenazopyridine for UTI. Which of the following should be taught to the client?
- AIt can cause the urine to appear orange-red
- BA side effect is difficulty breathing
- CIt is an antibiotic that needs to be taken twice daily
32Which of the following is a result from glomerulonephritis and is characterized by marked protein in the urine and edema of the eyelids, feet, and abdomen?
- ANephritic syndrome
- BInterstitial cystitis
- CPyelonephritits
- DTumor
33What develops when urinary obstructions block the outflow of kidneys?
- AHydronephrosis
- BTransient incontinence
- CCytitis
34A client with ureterolithiasis is taught to avoid foods containing oxalate. Which food should the client aviod? SATA
- ANuts
- BChocolate
- CFruits
- DVegetables
- EHigh doses of vitamin D
35The bladder is the most common site of urinary system cancer. Which of the following is a risk factor that is associated with increased incidence of bladder cancer?
- ALung cancer
- BHereditary
- CDiet
36What laboratory values would the nurse expect to find in a client with acute kidney injury? SATA
- ADecreased serum sodium
- BIncreased BUN levels
- CIncreased creatinine levels
- DIncreased WBC levels
- EDecreased RBC levels
37What type of diet should the nurse consider when caring for a client with acute kidney injury? SATA
- AAvoid foods with extra sodium
- BAvoid potassium rich foods
- CEncourage phosphorus rich foods
38What should the nurse consider when caring for a client with end-stage renal disease? SATA
- AEncourage fluids
- BEncourage a diet high in fat and carbs
- CWeight the client daily
- DUse soap and tepid water to relieve any itching
- EPrevent chilling and exposure to infections
39A nurse is caring for a client with peritoneal dialysis. Which of the following can be complications of peritoneal dialysis? SATA
- AChemical peritonitis
- BShortness of breath
- CInfection
- DAnemia
- EDiarrhea
40What is the benefit of a CAPD (Peritoneal dialysis)? Select all that apply
- ALess time traveling and sitting for dialysis
- BStable blood chemistry are easily achieved
- CThe process is shorter and less expensive
- DTraining is less complicated
41What should the nurse consider when caring for a dialysis client who has a cannula placement?
- AMake sure to have two clamps always attached to the dressing
- BMake sure the client is in the prone position
42What should the nurse look for when a "Guaiac all stools" is ordered for a client with dialysis?
- ABlood occult
- BHigh WBC count
- CParasitic infections
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- Nursing Quiz on CH 89 - Urinary Disorders, created by Maichia Lee on 07/08/2018.
- Author
- Maichia Lee
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- English
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