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Question 1 of 25
1. Question
After having transurethral resection of the prostate (TURP), Mr. Lim returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client’s catheter is occluded?
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Question 2 of 25
2. Question
Nurse Mary is inserting a urinary catheter into a client who is extremely anxious about the procedure. The nurse can facilitate the insertion by asking the client to:
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Question 3 of 25
3. Question
A female adult client admitted with a gunshot wound to the abdomen is transferred to the intensive care unit after an exploratory laparotomy. Which assessment finding suggests that the client is experiencing acute renal failure (ARF)?
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Question 4 of 25
4. Question
A 55-year old client with benign prostatic hyperplasia doesn’t respond to medical treatment and is admitted to the facility for prostate gland removal. Before providing preoperative and postoperative instructions to the client, Nurse Gerry asks the surgeon which prostatectomy procedure will be done. What is the most widely used procedure for prostate gland removal?
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Question 5 of 25
5. Question
A female client with suspected renal dysfunction is scheduled for excretory urography. Nurse January reviews the history for conditions that may warrant changes in client preparation. Normally, a client should be mildly hypovolemic (fluid depleted) before excretory urography. Which history finding would call for the client to be well hydrated instead?
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Question 6 of 25
6. Question
Nurse Karen is caring for a client who had a cerebrovascular accident (CVA). Which nursing intervention promotes urinary continence?
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Question 7 of 25
7. Question
When examining a female client’s genitourinary system, Nurse Sandy assesses for tenderness at the costovertebral angle by placing the left hand over this area and striking it with the right fist. Normally, this percussion technique produces which sound?
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Question 8 of 25
8. Question
A male client with chronic renal failure has a serum potassium level of 6.8 mEq/L. What should nurse Olivia assess first?
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Question 9 of 25
9. Question
Nurse Harry is aware that the following is an appropriate nursing diagnosis for a client with renal calculi?
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Question 10 of 25
10. Question
A male client develops acute renal failure (ARF) after receiving I.V. therapy with a nephrotoxic antibiotic. Because the client’s 24-hour urine output totals 240 ml, Nurse Billy suspects that the client is at risk for:
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Question 11 of 25
11. Question
After undergoing transurethral resection of the prostate to treat benign prostatic hyperplasia, a male client returns to the room with continuous bladder irrigation. On the first day after surgery, the client reports bladder pain. What should Nurse Anthony do first?
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Question 12 of 25
12. Question
When performing a scrotal examination, Nurse Payne finds a nodule. What should the nurse do next?
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Question 13 of 25
13. Question
A male client who has been treated for chronic renal failure (CRF) is ready for discharge. Nurse Billy should reinforce which dietary instruction?
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Question 14 of 25
14. Question
Nurse Gil is aware that the following statements describing urinary incontinence in the elderly is true?
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Question 15 of 25
15. Question
The client underwent transurethral resection of the prostate gland 24 hours ago and is on continuous bladder irrigation. Nurse Yonny is aware that the following nursing interventions are appropriate?
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Question 16 of 25
16. Question
A female client with a urinary tract infection is prescribed co-trimoxazole (trimethoprim-sulfamethoxazole). Nurse Dolly should provide which medication instruction?
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Question 17 of 25
17. Question
A male client is admitted for treatment of glomerulonephritis. On initial assessment, Nurse Miley detects one of the classic signs of acute glomerulonephritis of sudden onset. Such signs include:
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Question 18 of 25
18. Question
A client reports experiencing vulvar pruritus. Which assessment factor may indicate that the client has an infection caused by Candida albicans?
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Question 19 of 25
19. Question
A 24-year old female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?
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Question 20 of 25
20. Question
Nurse Vic is monitoring the fluid intake and output of a female client recovering from an exploratory laparotomy. Which nursing intervention would help the client avoid a urinary tract infection (UTI)?
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Question 21 of 25
21. Question
Nurse Eve is caring for a client who had a cerebrovascular accident (CVA). Which nursing intervention promotes urinary continence?
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Question 22 of 25
22. Question
A female client with an indwelling urinary catheter is suspected of having a urinary tract infection. Nurse Angel should collect a urine specimen for culture and sensitivity by:
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Question 23 of 25
23. Question
Nurse Grace is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention?
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Question 24 of 25
24. Question
Nurse Erica is planning to administer a sodium polystyrene sulfonate (Kayexalate) enema to a client with a potassium level of 5.9 mEq/L. Correct administration and the effects of this enema would include having the client:
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Question 25 of 25
25. Question
When caring for a male client with acute renal failure (ARF), Nurse Fatrishia expects to adjust the dosage or dosing schedule of certain drugs. Which of the following drugs would not require such adjustment?
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