Question 1

In addition to strict monitoring of intake and output,nursing interventions for the hospitalized client with acute glomerulonephritis would include which of the following?

Accepted Answer

A) Monitor intake of carbohydrates. 
B) Incorporate a turning schedule that includes range-of-motion exercises. 
C) Allow fluids to be consumed only with meals. 
D) Encourage family and friends to visit whenever possible. 
A) Monitor intake of carbohydrates. 
B) Incorporate a turning schedule that includes range-of-motion exercises. 
C) Allow fluids to be consumed only with meals. 
D) Encourage family and friends to visit whenever possible.

Question 2

Discharge teaching for a client who has been treated for pyelonephritis would include which statement?

Accepted Answer

A) "Report any sudden weight loss of 2 pounds per week." 
B) "Get plenty of rest,even when you are feeling better." 
C) "Avoid crowds where you may become reinfected." 
D) "Practice perineal hygiene by cleansing from back to front." 
A) "Report any sudden weight loss of 2 pounds per week." 
B) "Get plenty of rest,even when you are feeling better." 
C) "Avoid crowds where you may become reinfected." 
D) "Practice perineal hygiene by cleansing from back to front."

Question 3

Which of these statements should the nurse include for clients who have frequent urinary tract infections,to prevent recurrence?

Accepted Answer

A) "Clean the perineum back to front." 
B) "Wear incontinence control products to prevent accidents." 
C) "Douche regularly with pleasantly scented products." 
D) "Void more frequently,especially after sexual intercourse." 
A) "Clean the perineum back to front." 
B) "Wear incontinence control products to prevent accidents." 
C) "Douche regularly with pleasantly scented products." 
D) "Void more frequently,especially after sexual intercourse."

Question 4

A nurse observes that a client's ileal conduit stoma is dark bluish in the immediate postoperative period.Which of these actions should the nurse take?

Accepted Answer

A) Chart the observation. 
B) Have the client assume a semi-Fowler's position. 
C) Remove the pouch,and make the pouch opening larger. 
D) Notify the health care provider immediately. 
A) Chart the observation. 
B) Have the client assume a semi-Fowler's position. 
C) Remove the pouch,and make the pouch opening larger. 
D) Notify the health care provider immediately.

Question 5

A client who has multiple sclerosis develops total urinary incontinence.What initial treatment should the nurse tell the client to expect?

Accepted Answer

A) anticholinergic medications 
B) indwelling catheter to a collection bag 
C) intermittent self-catheterization of the urinary bladder 
D) surgery to create a permanent ileal conduit 
A) anticholinergic medications 
B) indwelling catheter to a collection bag 
C) intermittent self-catheterization of the urinary bladder 
D) surgery to create a permanent ileal conduit

Question 6

What is a major goal in the medical management of a client who has polycystic kidney disease?

Accepted Answer

A) management of hematuria 
B) prevention of urinary retention 
C) relief of bladder spasms 
D) preservation of kidney function 
A) management of hematuria 
B) prevention of urinary retention 
C) relief of bladder spasms 
D) preservation of kidney function

Question 7

A client who had tonsillitis several weeks ago now complains of severe flank pain on the left side,headache,malaise,hematuria,and facial edema.The client describes urine appearing to be "smoky." The nurse should suspect the client has developed which of these conditions?

Accepted Answer

A) acute glomerulonephritis 
B) bladder tumor 
C) chronic renal failure 
D) urolithiasis 
A) acute glomerulonephritis 
B) bladder tumor 
C) chronic renal failure 
D) urolithiasis

Question 8

A client has developed a nosocomial cystitis.Which of these organisms MOST commonly causes cystitis?

Accepted Answer

A) Candida albicans 
B) Clostridium 
C) Escherichia coli 
D) Streptococcus aureus 
A) Candida albicans 
B) Clostridium 
C) Escherichia coli 
D) Streptococcus aureus

Question 9

The nurse explains to the client that several causes of incontinence are reversible.Which of the following should be included? (Select all that apply. )

Accepted Answer

A) restricted mobility 
B) polyuria 
C) infections 
D) delirium 
E) nocturia 
A) restricted mobility 
B) polyuria 
C) infections 
D) delirium 
E) nocturia

Question 10

What is the focus of medical treatment for clients who have postrenal acute renal failure (ARF)?

Accepted Answer

A) administering IV fluids,albumin,plasma,or blood 
B) increasing the effective arterial blood volume (EABV)with dobutamine or Inocor 
C) removing the obstruction 
D) restoring perfusion to the kidney quickly 
A) administering IV fluids,albumin,plasma,or blood 
B) increasing the effective arterial blood volume (EABV)with dobutamine or Inocor 
C) removing the obstruction 
D) restoring perfusion to the kidney quickly

Question 11

A nurse is assessing the fistula in the arm of a client receiving hemodialysis for chronic renal failure.Which of the following indicates that the fistula is patent?

Accepted Answer

A) absence of a bruit on auscultation of the fistula 
B) palpation of a thrill over the fistula 
C) presence of a radial pulse in the wrist 
D) capillary refill of less than 3 seconds 
A) absence of a bruit on auscultation of the fistula 
B) palpation of a thrill over the fistula 
C) presence of a radial pulse in the wrist 
D) capillary refill of less than 3 seconds

Question 12

Which nursing intervention is indicated for a client who had intravesical chemotherapy today?

Accepted Answer

A) Ambulate in the hall each hour. 
B) Change positions every 15 minutes for several hours. 
C) Observe strict bed rest for 24 hours. 
D) Turn and reposition every 2 to 3 hours. 
A) Ambulate in the hall each hour. 
B) Change positions every 15 minutes for several hours. 
C) Observe strict bed rest for 24 hours. 
D) Turn and reposition every 2 to 3 hours.

Question 13

What is the goal of surgery to treat stress urinary incontinence?

Accepted Answer

A) to close the urethra enough to prevent urine from leaking out 
B) to inject collagen into the tissues surrounding the urethra 
C) to perform the Kegel procedure 
D) to restore and reconstruct the support of the pelvic floor muscles 
A) to close the urethra enough to prevent urine from leaking out 
B) to inject collagen into the tissues surrounding the urethra 
C) to perform the Kegel procedure 
D) to restore and reconstruct the support of the pelvic floor muscles

Question 14

Nursing management of a client who has acute glomerulonephritis would include which aspect?

Accepted Answer

A) monitoring skin condition and integrity 
B) weighing client weekly 
C) taking apical pulse daily 
D) assisting client to ambulate and complete activities of daily living (ADLs) 
A) monitoring skin condition and integrity 
B) weighing client weekly 
C) taking apical pulse daily 
D) assisting client to ambulate and complete activities of daily living (ADLs)

Question 15

What are the only early warning signs of bladder cancer?

Accepted Answer

A) dysuria and urgency 
B) gradual-onset oliguria and proteinuria 
C) increased urinary frequency and painless,intermittent hematuria 
D) sudden onset anuria after cystitis 
A) dysuria and urgency 
B) gradual-onset oliguria and proteinuria 
C) increased urinary frequency and painless,intermittent hematuria 
D) sudden onset anuria after cystitis

Question 16

A client who has a renal mass on the right side is scheduled for a right radical nephrectomy.Immediate postoperative nursing care would include all of the following.Which action is MOST important?

Accepted Answer

A) assessing neurological status and lung sounds 
B) monitoring IV fluid infusions 
C) observing the dressing frequently for bleeding 
D) planning several periods of uninterrupted rest each day 
A) assessing neurological status and lung sounds 
B) monitoring IV fluid infusions 
C) observing the dressing frequently for bleeding 
D) planning several periods of uninterrupted rest each day

Question 17

Which of these aspects should a nurse include when teaching a client who has nocturnal enuresis?

Accepted Answer

A) limiting fluid intake after 6:00 P.M. 
B) attaching an external condom 
C) reducing fluid intake volume each day 
D) attempting to void every 2 hours when awake 
A) limiting fluid intake after 6:00 P.M. 
B) attaching an external condom 
C) reducing fluid intake volume each day 
D) attempting to void every 2 hours when awake

Question 18

What is the MOST common cause of urge incontinence?

Accepted Answer

A) an irritated bladder due to infection or very concentrated urine 
B) excessive intake of fluids 
C) loss of perineal muscle tone due to trauma or aging 
D) use of alpha-antagonist medications 
A) an irritated bladder due to infection or very concentrated urine 
B) excessive intake of fluids 
C) loss of perineal muscle tone due to trauma or aging 
D) use of alpha-antagonist medications

Question 19

When weighing a client with acute renal failure,the nurse recognizes that 1 pound of weight gain is equivalent to how many milliliters of retained fluid?

Accepted Answer

A) 250 
B) 500 
C) 750 
D) 1,000 
A) 250 
B) 500 
C) 750 
D) 1,000

Question 20

Which of these observations would a nurse expect in a client who is in the recovery phase of acute tubular necrosis (ATN)?

Accepted Answer

A) a short period of rapid improvement,followed by rapid decline in the client's condition 
B) return of normal urine output 
C) elevated creatinine and blood urea nitrogen (BUN)levels 
D) rapid increase in volume of urinary output 
A) a short period of rapid improvement,followed by rapid decline in the client's condition 
B) return of normal urine output 
C) elevated creatinine and blood urea nitrogen (BUN)levels 
D) rapid increase in volume of urinary output

Exam 39: Urinary System

In addition to strict monitoring of intake and output,nursing interventions for the hospitalized client with acute glomerulonephritis would include which of the following?

Discharge teaching for a client who has been treated for pyelonephritis would include which statement?

Which of these statements should the nurse include for clients who have frequent urinary tract infections,to prevent recurrence?

A nurse observes that a client's ileal conduit stoma is dark bluish in the immediate postoperative period.Which of these actions should the nurse take?

A client who has multiple sclerosis develops total urinary incontinence.What initial treatment should the nurse tell the client to expect?

What is a major goal in the medical management of a client who has polycystic kidney disease?

A client who had tonsillitis several weeks ago now complains of severe flank pain on the left side,headache,malaise,hematuria,and facial edema.The client describes urine appearing to be "smoky." The nurse should suspect the client has developed which of these conditions?

A client has developed a nosocomial cystitis.Which of these organisms MOST commonly causes cystitis?

The nurse explains to the client that several causes of incontinence are reversible.Which of the following should be included? (Select all that apply. )

What is the focus of medical treatment for clients who have postrenal acute renal failure (ARF)?

A nurse is assessing the fistula in the arm of a client receiving hemodialysis for chronic renal failure.Which of the following indicates that the fistula is patent?

Which nursing intervention is indicated for a client who had intravesical chemotherapy today?

What is the goal of surgery to treat stress urinary incontinence?

Nursing management of a client who has acute glomerulonephritis would include which aspect?

What are the only early warning signs of bladder cancer?

A client who has a renal mass on the right side is scheduled for a right radical nephrectomy.Immediate postoperative nursing care would include all of the following.Which action is MOST important?

Which of these aspects should a nurse include when teaching a client who has nocturnal enuresis?

What is the MOST common cause of urge incontinence?

When weighing a client with acute renal failure,the nurse recognizes that 1 pound of weight gain is equivalent to how many milliliters of retained fluid?

Which of these observations would a nurse expect in a client who is in the recovery phase of acute tubular necrosis (ATN)?

Student Nurse Skills for Success

Holistic Care

Nursing History, Education, and Organizations

Legal and Ethical Responsibilities

The Health Care Delivery System

Arenas of Care

Communication

Client Teaching

Nursing Processdocumentationinformatics

Life Span Development

Cultural Considerations

Stress, Adaptation, and Anxiety

Loss, Grief, and Death

Wellness Concepts

Self-Concept

Spirituality

Complementary Alternative Therapies

Basic Nutrition

Rest and Sleep

Safety-Hygiene

Infection Controlasepsis

Standard Precautions and Isolation

Bioterrorism

Fluid, Electrolyte, and Acid-Base Balance

Medication Administration and IV Therapy

Assessment

Pain Management

Diagnostic Tests

Basic Procedures

Intermediate Procedures

Advanced Procedures

Anesthesia

Surgery

Oncology

Respiratory System

Cardiovascular System

Hematologic and Lymphatic Systems

Gastrointestinal System

Musculoskeletal System

Neurological System

Sensory System

Endocrine System

Reproductive System

Sexually Transmitted Diseases

Integumentary System

Immune System

Mental Illness

Substance Abuse

The Older Adult

Ambulatory, Restorative, and Palliative Care in Community Settings

Responding to Emergencies

Integration

Prenatal Care

Complications of Pregnancy

The Birth Process

Postpartum Care

Newborn Care

Basics of Pediatric Care

Infants With Special Needs: Birth to 12 Months