Question 1

The nurse is preparing to discharge a client who underwent lithotripsy in the treatment of a kidney stone.What should the nurse teach the client to prevent further complications of urinary calculi after discharge?

Accepted Answer

A)  "You will need to increase your oral fluid intake to 1L/day." 
B)  "It will be important that you not drive while taking pain medications." 
C)  "It will be important to maintain a diet high in purines." 
D)  "You will need to monitor for the signs and symptoms of a urinary tract infection (UTI)."

Question 2

A client is diagnosed with benign prostatic hyperplasia (BPH).Which topics are appropriate for the nurse to include in the teaching session related to the client's condition? Select all that apply.

Accepted Answer

A)  Prostate function and location 
B)  BPH diet 
C)  Surgical approaches to treatment 
D)  Pharmacologic approaches to treatment 
E)  Permanent urinary catheterization

Question 3

The nurse is caring for a client with a urinary catheter.Which nursing diagnosis is a priority for this client?

Accepted Answer

A)  Chronic Pain related to an obstruction 
B)  Risk for Impaired Skin Integrity related to incontinence 
C)  Risk for Infection related to catheter placement 
D)  Self-Care Deficit related to presence of urinary catheter

Question 4

The nurse is preparing to teach a class on the prevention of constipation.Which food choice with the nurse include as an example of a high-fiber food?

Accepted Answer

A)  Raw fruits 
B)  Cooked vegetables 
C)  White bread 
D)  Cooked fruits

Question 5

A client presents to the urologist with complaints of getting up to urinate several times a night and difficulty starting a stream of urine.After medical testing is completed,a diagnosis of benign prostatic hyperplasia (BPH)is made.After conducting teaching regarding BPH,which statement by the client indicates the need for further education?

Accepted Answer

A)  "Alpha blockers can be used to control my symptoms." 
B)  "I know I will get cancer of the prostate because of this." 
C)  "As my condition progresses, I may need to consider surgical management." 
D)  "There are nonsurgical treatment options available."

Question 6

The nurse is providing care to a client who is experiencing urinary retention.Which diagnostic tool does the nurse anticipate will be ordered for this client?

Accepted Answer

A)  Ultrasonic bladder scan 
B)  Urinalysis 
C)  Intravenous pyelography (IVP) 
D)  Cystoscopy

Question 7

The nurse is conducting education regarding urinary health at an assisted living facility.When planning topics to include in the session,which are appropriate to the nurse to consider? Select all that apply.

Accepted Answer

A)  Full urinary control usually occurs at 4 or 5 years of age. 
B)  Because of neuromuscular immaturity, voluntary urinary control is absent. 
C)  The kidneys reach maximum size between 35 and 40 years of age. 
D)  Renal blood flow decreases because of vascular changes and a decrease in cardiac output. 
E)  Urinary incontinence may occur because of mobility problems or neurological impairments.

Question 8

The nurse is providing care to a client who is diagnosed with mild benign prostatic hyperplasia (BPH)who is experiencing urinary retention.Which goal is the most appropriate for this client?

Accepted Answer

A)  The client will increase fluid intake to at least 2-3 liters daily. 
B)  The client lists over-the-counter medications to be avoided. 
C)  The client will voice an understanding of the importance of the use of antiembolic stockings and compression devices. 
D)  The client will use a T-binder or scrotal support properly.

Question 9

The nurse is providing care to a client who is diagnosed with stress incontinence.Which data would nurse expect to collect during the client's health history and physical assessment? Select all that apply.

Accepted Answer

A)  Urine leakage while talking. 
B)  Urine leakage while coughing. 
C)  Urine leakage while laughing. 
D)  Skin breakdown on the buttock. 
E)  A urinary catheter.

Question 10

A client admitted to the hospital with a diagnosis of inflammatory bowel disease has also been diagnosed with calcium phosphate renal calculi.When planning care for this client,which medication does the nurse anticipate based on the data?

Accepted Answer

A)  Potassium citrate 
B)  Indomethacin 
C)  Morphine sulfate 
D)  Hydrochlorothiazide

Question 11

A client admitted to the hospital with a diagnosis of gout has also been diagnosed with uric acid renal calculi.When planning meals for this client,which diet will the nurse anticipate?

Accepted Answer

A)  Low-purine diet 
B)  Low-sodium diet 
C)  A diet high in calcium 
D)  A diet low in calcium

Question 12

The nurse is caring for an older adult client on a medical-surgical unit.The client tells the nurse,"I don't get any sleep at night because I have to get up and use the bathroom every couple of hours!" When providing an explanation for the nocturia,which statement by the nurse is the most appropriate?

Accepted Answer

A)  "As you get older, there is a decrease in number of nephrons." 
B)  "As you get older, there is a decrease in the blood supply to your bladder." 
C)  "As you get older, you may have a decrease in bladder capacity." 
D)  "As you get older, there is a decrease in cardiac output, which can cause your symptoms."

Question 13

The nurse is caring for a client with a history of chronic urinary tract infections.The nurse is planning care for this client based on the priority nursing diagnosis of urinary retention related to scaring.Based on this data,which prescription does the nurse anticipate from the healthcare provider?

Accepted Answer

A)  Antibiotic therapy 
B)  An anticholinergic medication 
C)  Intermittent straight catheterization 
D)  Removal of bladder stones

Question 14

The nurse is providing care to a client who is diagnosed with benign prostatic hyperplasia (BPH).The client's primary concern is burning and difficulty when urinating.Based on this data,which nursing diagnosis is the priority for this client?

Accepted Answer

A)  Fluid Volume Overload 
B)  Fluid Volume Deficit 
C)  Acute Pain 
D)  Deficient Knowledge

Question 15

The nurse is providing care of a client who ignores the urge to defecate when at work.The client states,"I don't like to have a bowel movement anywhere but at home." Which response by the nurse is the most appropriate?

Accepted Answer

A)  "This is a common practice, and it will strengthen the reflex later." 
B)  "You will get the urge later, so you should not worry about it." 
C)  "If you continue to ignore the urge to defecate, it can lead to problems." 
D)  "It is better to suppress the urge than to suffer embarrassment at work."

Question 16

The nurse educator is speaking with a group of students about renal disorders.Which statement is appropriate for the educator to include regarding renal stones?

Accepted Answer

A)  Older adult clients are particularly at risk for urolithiasis. 
B)  Young- or middle-adult men are at an increased risk for stones. 
C)  Women have a greater risk overall than men. 
D)  Frequency is greater in the northern United States.

Question 17

A client is complaining of dull flank pain.List the order of the steps the nurse should take in conducting the physical assessment for this client.
1) Instruct the client.
2) Assess the general appearance.
3) Position the client.
4) Inspect the abdomen for color,contour,symmetry,and distention.

Accepted Answer

The answer of A client is complaining of dull flank...

Question 18

The nurse is caring for a client who will be discharged with an indwelling catheter.The nurse has provided education to the client and family in regards to catheter care once the client is discharged.Which client or family action indicates a correct understanding of the information presented?

Accepted Answer

A)  Hanging the drainage bag on the towel rod 
B)  Taking a shower each day instead of taking a tub bath 
C)  Restricting the amounts of fluids per day 
D)  Emptying the drainage bag twice a day

Question 19

The nurse is working in a urology clinic and is providing care for a client with urinary stress incontinence.The nurse has chosen the diagnosis of Stress Urinary Incontinence related to sphincter incompetence.Which is the desired outcome for a client with this diagnosis?

Accepted Answer

A)  The client will stop the flow of urine when voiding. 
B)  The client will improve her incontinence within 1 month. 
C)  The client will empty her bladder every time she voids. 
D)  The client will perform 4-5 squeezes (Kegel exercises) for 10-15 seconds.

Question 20

The nurse is caring for a client from another culture.The client tells the nurse that he is constipated.What is the nurse's initial action?

Accepted Answer

A)  Encourage the client to increase fluid intake and activity. 
B)  Assess the client's intake of fiber and fluids. 
C)  Determine what the client means by constipation. 
D)  Obtain an order for a laxative and an enema from the physician.

Exam 5: Elimination