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Question 1 of 20
1. Question
The nurse is preparing to care for the client following a renal scan. Which of the following would the nurse include in the plan of care?
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Question 2 of 20
2. Question
The client passes a urinary stone, and lab analysis of the stone indicates that it is composed of calcium oxalate. Based on this analysis, which of the following would the nurse specifically include in the dietary instructions?
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Question 3 of 20
3. Question
The client returns to the nursing unit following a pyelolithotomy for removal of a kidney stone. A Penrose drain is in place. Which of the following would the nurse include in the client’s postoperative care?
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Question 4 of 20
4. Question
The nurse is caring for a client following a kidney transplant. The client develops oliguria. Which of the following would the nurse anticipate to be prescribed as the treatment of oliguria?
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Question 5 of 20
5. Question
A week after kidney transplantation the client develops a temperature of 101, the blood pressure is elevated, and the kidney is tender. The X-ray results show the transplanted kidney is enlarged. Based on these assessment findings, the nurse would suspect which of the following?
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Question 6 of 20
6. Question
The client with BPH undergoes a transurethral resection of the prostate. Postoperatively, the client is receiving continuous bladder irrigations. The nurse assesses the client for signs of transurethral resection syndrome. Which of the following assessment data would indicate the onset of this syndrome?
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Question 7 of 20
7. Question
The client is admitted to the hospital with BPH, and a transurethral resection of the prostate is performed. Four hours after surgery the nurse takes the client’s VS and empties the urinary drainage bag. Which of the following assessment findings would indicate the need to notify the physician?
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Question 8 of 20
8. Question
Which of the following symptoms is the most common clinical finding associated with bladder cancer?
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Question 9 of 20
9. Question
A client who has been diagnosed with bladder cancer is scheduled for an ileal conduit. Preoperatively, the nurse reinforces the client’s understanding of the surgical procedure by explaining that an ileal conduit:
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Question 10 of 20
10. Question
After surgery for an ileal conduit, the nurse should closely evaluate the client for the occurrence of which of the following complications related to pelvic surgery?
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Question 11 of 20
11. Question
The nurse is assessing the urine of a client who has had an ileal conduit and notes that the urine is yellow with a moderate amount of mucus. Based on the assessment data, which of the following nursing interventions would be most appropriate at this time?
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Question 12 of 20
12. Question
When teaching the client to care for an ileal conduit, the nurse instructs the client to empty the appliance frequently, primarily to prevent which of the following problems?
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Question 13 of 20
13. Question
The client with an ileal conduit will be using a reusable appliance at home. The nurse should teach the client to clean the appliance routinely with what product?
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Question 14 of 20
14. Question
The nurse is evaluating the discharge teaching for a client who has an ileal conduit. Which of the following statements indicates that the client has correctly understood the teaching? Select all that apply.
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Question 15 of 20
15. Question
A female client with a urinary diversion tells the nurse, “This urinary pouch is embarrassing. Everyone will know that I’m not normal. I don’t see how I can go out in public anymore.” The
- Anxiety related to the presence of urinary diversion.
appropriate nursing diagnosis for this patient is:
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Question 16 of 20
16. Question
The nurse teaches the client with a urinary diversion to attach the appliance to a standard urine collection bag at night. The most important reason for doing this is to prevent:
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Question 17 of 20
17. Question
The nurse teaches the client with an ileal conduit measure to prevent a UTI. Which of the following measures would be most effective?
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Question 18 of 20
18. Question
A client who has been diagnosed with calculi reports that the pain is intermittent and less colicky. Which of the following nursing actions is most important at this time?
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Question 19 of 20
19. Question
A client has a ureteral catheter in place after renal surgery. A priority nursing action for care of the ureteral catheter would be to:
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Question 20 of 20
20. Question
Which of the following interventions would be most appropriate for preventing the development of a paralytic ileus in a client who has undergone renal surgery?
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