Deck 53: Urinary Dysfunction: Nursing Management

Question 1

A client is hospitalized with kidney trauma resulting in lacerations to the parenchyma. Which of the following would be included in the management of this client's care?

A) Bed rest with antibiotic therapy
B) Restrict fluids
C) Encourage early ambulation
D) Nephrectomy

Answer 1

Bed rest with antibiotic therapy

Question 2

A client is surprised to learn that his acute pain is caused by a kidney stone. The nurse should instruct the client that the most common type of renal calculi is composed of:

A) calcium.
B) cystine.
C) struvite.
D) uric acid.

Answer 2

calcium.

Question 3

An elderly client is diagnosed with a urinary tract infection. Which of the following will the nurse most likely assess in this client?

A) Jaundice
B) Vomiting
C) Poor eating habits
D) Change in mental status

Answer 3

Change in mental status

Question 4

The nurse is reviewing a client's risk factors for the development of renal cancer. Which of the following would be considered a risk factor for the development of this disease?

A) Cigarette smoking
B) Being underweight
C) History of hypotension
D) History of type 2 diabetes mellitus

Question 5

A client is diagnosed with nephrotic syndrome. Which of the following is the nurse most likely going to assess in this client?

A) Glucosuria
B) Proteinuria
C) Hematuria
D) Oliguria

Question 6

A client is diagnosed with an upper urinary tract infection. Which structures are affected by this infection? (Select all that apply.)

A) Bladder
B) Kidney
C) Prostate
D) Ureters
E) Urethra
F) Rectum

Question 7

A client is scheduled for surgery to remove the bladder and create a urinary diversion. If the client has a history of complications after surgery, the type of urinary diversion that might be indicated would be:

A) continent diversion with a surgical opening to the abdomen.
B) continent diversion with a replacement bladder made out of intestine.
C) noncontinent diversion with anastomose of the ureters to the anterior wall.
D) noncontinent diversion with anastomose of the ureters to the rectum.

Question 8

A client with a urinary tract infection is being discharged with a prescription for ciprofloxacin. The nurse should include which of the following discharge instructions?

A) "Do not take within 2 hours of antacid use."
B) "Limit fluids."
C) "Restrict activity"
D) "Expect to be nauseated with this medication."

Question 9

The nurse is assessing a client diagnosed with glomerulonephritis. Which of the following findings is consistent with this disorder?

A) Brown urine
B) Hip pain
C) Hypotension
D) Bradycardia

Question 10

A client is diagnosed with renal vein thrombosis. The nurse realizes that which of the following could be indicated in this client's plan of care? (Select all that apply.)

A) Corticosteroids
B) Nephrectomy
C) Anticoagulants
D) Antihypertensives
E) Surgical intervention
F) Antibiotics

Question 11

A client is being treated for interstitial cystitis. Which of the following medications would not be prescribed for this client?

A) Cortisone acetate (Cortone)
B) Dimethyl sulfoxide (DMSO)
C) Pimecrolimus (Elidel)
D) Polysulfate sodium (Elmiron)

Question 12

The nurse is instructing a client on ways to prevent urinary tract infections. Which of the following should be included in these instructions? (Select all that apply.)

A) Drink cranberry juice.
B) Drink eight glasses of water.
C) Take baths instead of showers.
D) Urinate before and after intercourse.
E) In women, wipe back to front after voiding.
F) Take the prescribed medication until the symptoms subside

Question 13

The nurse is reviewing the health history of a client diagnosed with glomerulonephritis. Which of the medical conditions would be a risk factor for developing glomerulonephritis?

A) Asthma
B) Hypertension
C) Recent "strep throat"
D) Renal failure

Question 14

A client is being evaluated for a lower urinary tract infection. Which of the following symptoms would the nurse expect to find?

A) Cloudy urine
102)9°F
B) Flank pain
C) Nausea
D) Temperature

Question 15

A nurse is collecting a post-void residual urine volume for a client. Which of the following volumes would be abnormal?

A) 30 mL
B) 60 mL
C) 95 mL
D) 125 mL

Question 16

After being diagnosed, a client asks the nurse "What is pyelonephritis?" The nurse should respond:

A) "Pyelonephritis is an infection of the bladder."
B) "Pyelonephritis is an infection of the urethra."
C) "Pyelonephritis is an infection of the prostate."
D) "Pyelonephritis is a common infection that needs to be treated to prevent complications."

Question 17

A client is prescribed trimethoprim-sulfamethoxazole for a urinary tract infection. Which of the following instructions would not be appropriate for this medication?

A) Complete all the medication even if you feel better.
B) Drink extra water during the day.
C) Take on an empty stomach with water.
D) Take with an antacid.

Question 18

The nurse is assessing a client for type of urinary incontinence. Which of the following are considered types of this disorder? (Select all that apply.)

A) Stress
B) Radical
C) Urge
D) Temporary
E) Overflow
F) Functional

Question 19

A client is recovering from a cystoscopy. The nurse would expect to assess which of the following regarding the client's urine after the procedure?

A) Anuria
B) Blood clots
C) Hematuria
D) Pink-tinged