Urinary/reproductive

48問 • 1年前

問題一覧

When caring for a male client who is to receive chemotherapy for a cancerous condition, at which time should the nurse consider that spermatogenesis occurs?

At the time of puberty

A nurse is caring for a client with an undescended testicle. The nurse teaches the client that the main reason why the testicles are suspended in the scrotum is to:

protect the sperm from high abdominal temperatures.

A client is admitted to the hospital with a tentative diagnosis of urinary retention related to benign prostatic hyperplasia. There is a secondary diagnosis of delirium related to urosepsis. The health care provider prescribes the insertion of an indwelling urinary retention catheter. What nursing action is most important for this client’s safety?

Determine if any unsafe behavior patterns exist.

A nurse is caring for a client with a diagnosis of cancer of the prostate. Which serum level should the nurse teach the client to have monitored to follow the course of the disease?

Prostate-specific antigen

A nurse is caring for a client with a diagnosis of benign prostatic hyperplasia (BPH). Which information about this condition is important for the nurse to consider when caring for this client?

It predisposes to hydronephrosis.

A nurse is caring for a male client who is scheduled for a dilation of the urethra. Which structure surrounding the male urethra should the nurse include in a teaching program when explaining the procedure?

Prostate gland

A nurse is counseling a woman who had recurrent urinary tract infections. What factor should the nurse explain is the reason why women are at a greater risk than men for contracting a urinary tract infection?

Proximity of the urethra to the anus

A routine urinalysis is ordered for a client. What should the nurse do if the specimen cannot be sent immediately to the laboratory?

Refrigerate the specimen.

A client with a urinary retention catheter reports discomfort in the bladder and urethra. What should the nurse do first?

Check the patency of the catheter.

A client experiences difficulty in voiding after an indwelling urinary catheter is removed. To what does the nurse determine that this is most probably related?

Interruption in previous voiding habits

A client with urge incontinence is receiving oxybutynin (Ditropan XL) 30 mg orally. Each tablet contains 5 mg. How many tablets should the nurse administer? Record your answer using a whole number.

6 tablets

A client with cancer of the prostate requests the urinal at frequent intervals but either does not void or voids in very small amounts. What does the nurse conclude is most likely the causative factor?

Retention

Which nursing action can best prevent infection from a urinary retention catheter?

Cleansing around the meatus routinely

A nurse is caring for a client with a continuous bladder irrigation. Which is the most important nursing action?

Subtracting irrigant from output to determine urine volume

A nurse is providing client teaching to a woman who has recurrent urinary tract infections. Which information should the nurse include concerning the reason why women are more susceptible to urinary tract infections than men?

The length of the urethra

A client in a nursing home is diagnosed with urethritis. What should the nurse plan to do before initiating antibiotic therapy prescribed by the health care provider?

Obtain a urine specimen for culture and sensitivity.

A nurse is assessing the urine of a client with a urinary tract infection. For which characteristic should the nurse assess each specimen of urine?

Clarity

Nitrofurantoin (Macrobid) 0.1 gm is prescribed for a client with a urinary tract infection. Each tablet contains 50 mg. How many tablets should the nurse administer? Record your answer using a whole number.

2 tablets

A nurse is caring for a client with glomerulonephritis. What should the nurse instruct the client to do to prevent recurrent attacks?

Seek early treatment for respiratory tract infections.

A nurse is caring for a client who is admitted with ureteral colic and hematuria. The client also has stage 1 hypertension and is overweight. The decrease of which clinical indicator associated with this client’s status should the nurse be most concerned about at this time?

Pain

A nurse is caring for a client with a ureteral calculus. Which are the most important nursing actions? Select all that apply.

Monitoring intake and output, Straining the urine at each voiding, Administering the prescribed analgesic

The pathology report states that a client’s urinary calculus is composed of uric acid. Which nutrients should the nurse instruct the client to avoid? Select all that apply.

Organ meats, Meat extracts

A lithotripsy to break up renal calculi is unsuccessful, and a nephrolithotomy is performed. Which postoperative clinical indicator should the nurse report to the health care provider?

Urine output of 20 to 30 mL/hr

A nurse is caring for a client with a diagnosis of renal calculi of calcium phosphate composition. Which type of diet should the nurse explore with the client when providing discharge information?

Low calcium

A pathology report states that a client’s urinary calculus is composed of uric acid. Which should the nurse instruct the client to avoid?

Liver

A nurse is caring for a client with end-stage renal disease. Which clinical indicators of end-stage renal disease should the nurse expect? Select all that apply.

Azotemia, Hypertension

A client has a heminephrectomy and returns from the postanesthesia care unit with a nephrostomy tube and an indwelling urinary catheter. The client’s urinary output is 50 mL/hr. What is the nurse’s next action?

Record the findings.

A client is diagnosed with bladder cancer, and a cystectomy and an ileal conduit are scheduled. What should the nurse plan to do preoperatively?

Administer cleansing enemas and laxatives as ordered.

A nurse is caring for a client after surgical creation of a conduit diversion. What is the major disadvantage of a conduit diversion that the nurse should consider when caring for this client?

Urine continuously drains from it

After a nephrectomy a client arrives in the postanesthesia care unit in the supine position. Which action should be employed by the nurse to assess the client for signs of hemorrhage?

Turn the client to observe the dressings.

A client had a suprapubic prostatectomy. Which type of tube can the nurse expect the client to have when he returns to his room from the postanesthesia care unit?

Cystostomy

A client who had a suprapubic prostatectomy returns from the postanesthesia care unit and accidentally pulls out the urethral catheter. What should the nurse do first?

Notify the health care provider.

A nurse is caring for a client with an indwelling urinary catheter. What is the most important action for the nurse to implement when irrigating the bladder?

Use sterile equipment

What should the nurse do to obtain an accurate urine output for a client with a continuous bladder irrigation (CBI)?

Subtract the volume of irrigant from the total drainage.

A nurse is assessing a client with a diagnosis of kidney failure for clinical indicators of metabolic acidosis. What should the nurse conclude is the reason why metabolic acidosis develops with kidney failure?

Inability of the renal tubules to secrete hydrogen ions and conserve bicarbonate

A nurse is caring for a client with acute kidney failure who is receiving a protein restricted diet. The client asks why this diet is necessary. What information should the nurse include in a response to the client’s questions?

This supplies only essential amino acids, reducing the amount of metabolic waste products, thus decreasing stress on the kidneys.

A client with acute kidney failure states, “Why am I twitch- ing and my fingers and toes tingling?” The nurse should respond, “This is caused by:

calcium depletion.”

A client with acute kidney failure becomes confused and irritable. Which does the nurse determine is the most likely cause of this behavior?

An increased blood urea nitrogen level

A nurse is caring for a client with chronic kidney failure. Which clinical findings should the nurse expect when assess- ing this client? Select all that apply.

Lethargy, Muscle twitching

A student nurse is caring for a client with chronic kidney failure who is to be treated with continuous ambulatory peritoneal dialysis (CAPD). Which statement by the student nurse indicates to the primary nurse that the student nurse understands the purpose of this therapy?

“It uses the peritoneum as a semipermeable membrane to clear toxins by osmosis and diffusion.”

A nurse is evaluating a client’s understanding of peritoneal dialysis. Which information in the client’s response indicates an understanding of the purpose of the procedure?

Remove toxins in addition to other metabolic wastes

A nurse is caring for a client with a diagnosis of chronic kidney failure who has just been told by the health care provider that hemodialysis is necessary. Which clinical man- ifestation indicates the need for hemodialysis?

Hyperkalemia

When receiving hemodialysis, the complication of the removal of too much sodium may occur. For which clinical findings associated with hyponatremia should the nurse assess the client? Select all that apply.

Muscle cramps, Extreme fatigue

A nurse is caring for a client with end-stage renal disease who has a mature arteriovenous (AV) fistula. What nursing care should be included in the client’s plan of care? Select all that apply.

Auscultate for a bruit, Palpate the site to identify a thrill, Avoid drawing blood from the affected extremity

A client is to have hemodialysis. What must the nurse do before this treatment?

Weigh the client to establish a baseline for later comparison

When assessing a client during peritoneal dialysis, a nurse observes that drainage of the dialysate from the peritoneal cavity has ceased before the required volume has returned. What should the nurse instruct the client to do?

Turn from side to side.

A client with an invasive carcinoma of the bladder is receiv- ing radiation to the lower abdomen in an attempt to shrink the tumor before surgery. What should the nurse do consid- ering the side effects of radiation?

Observe feces for the presence of blood.

During the postoperative period after surgery for a kidney transplant, the client’s creatinine level is 3.1 mg/dL. What should the nurse do first in response to this laboratory result?

Assess for decreased urine output.

Astignars random QS

Kyla Angelique Son · 19問 · 1年前

Astignars random QS