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NCLEX 3000 GENITOURINARY DISORDERS QUESTIONS
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NCLEX 3000 GENITOURINARY DISORDERS QUESTIONS
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NCLEX 3000 GENITOURINARY DISORDERSQUESTIONS & ANSWERS
The nurse is caring for a client with acute pyelonephritis. Which nursing intervention is
most important? - Answers- Increasing fluid intake to 3 L/day
The nurse is teaching a client with genital herpes. Education for this client should
include an explanation of: - Answers- the importance of informing his partner of the
disease.
When a client with an indwelling urinary catheter insists on walking to the hospital lobby
to visit with family members, the nurse teaches him how to do this without
compromising the catheter. Which client action indicates an accurate understanding of
this information? - Answers- The client keeps the drainage bag below the bladder at all
times.
(SELECT ALL THAT APPLY) The nurse is teaching a client how to collect a 24-hour
urine specimen for creatinine clearance. Which of the following directions should the
nurse give the client? - Answers- (2), "Discard the first voiding and record the time.", (4)
"Refrigerate the urine sample or keep it on ice.", (5) "At the end of 24 hours, void and
save the urine."
A client is admitted with a diagnosis of acute renal failure. The nurse should monitor
closely for: - Answers- drug toxicity.
The red blood cell (RBC) production in a client with chronic renal failure (CRF) has
decreased. The nurse should monitor this client for: - Answers- fatigue and weakness.
The nurse is caring for a client who had a stroke. Which nursing intervention promotes
urinary continence? - Answers- Encouraging intake of at least 2 L of fluid daily
A client with chronic renal failure who receives hemodialysis three times weekly has a
hemoglobin (Hb) level of 7 g/dl. The most therapeutic pharmacologic intervention would
be to administer: - Answers- epoetin alfa (Epogen)
Which steps should the nurse follow to insert a straight urinary catheter? - Answers-
Prepare the client and the equipment, create a sterile field, put on gloves, clean the
urinary meatus, and insert the catheter until urine flows.
The nurse is reviewing the report of a client's routine urinalysis. Which value should the
nurse consider abnormal? - Answers- Urine pH of 3.0
Which of the following clinical findings would the nurse look for in a client with chronic
renal failure? - Answers- Uremia
, A client with suspected renal insufficiency is scheduled for a comprehensive diagnostic
workup. After the nurse explains the diagnostic tests, the client asks which part of the
kidney "does the work." Which answer is correct? - Answers- The nephron
A client with decreased urine output refractory to fluid challenges is evaluated for renal
failure. Which condition may cause the intrinsic (intrarenal) form of acute renal failure? -
Answers- Nephrotoxic injury secondary to use of contrast media
A client diagnosed with a sexually transmitted disease has been feeling poorly. A friend
of the client's who is employed by the hospital asks a nurse why her friend is
hospitalized. How should the nurse respond? - Answers- Explain that although she is a
friend of the client, the nurse can't violate client confidentiality.
The nurse 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: - Answers- retain the enema for 30 minutes
to allow for sodium exchange; afterward, the client should have diarrhea.
A client with dysuria is prescribed phenazopyridine (Pyridium). The nurse should advise
the client that his urine will: - Answers- appear orange.
A client with benign prostatic hyperplasia (BPH) doesn't respond to medical treatment
and is admitted to the facility for surgical intervention. Before providing preoperative and
postoperative instructions to the client, the nurse asks the surgeon which prostatectomy
procedure will be done. What is the most widely used procedure for treatment of BPH? -
Answers- Transurethral resection of the prostate (TURP)
Which statement describes the therapeutic action of loop diuretics? - Answers- They
block sodium reabsorption in the ascending loop and dilate renal vessels.
The nurse is completing an intake and output record for a client who is receiving
continuous bladder irrigation after transurethral resection of the prostate. How many
milliliters of urine should the nurse record as output for her shift if the client received
1,800 ml of normal saline irrigating solution and the output in the urine drainage bag is
2,400 ml? - Answers- 600
A client receiving total parental nutrition is prescribed a 24-hour urine test. When
initiating a 24-hour urine specimen, the collection time should: - Answers- start after a
known voiding that empties the bladder.
A client is admitted for treatment of chronic renal failure (CRF). The nurse knows that
this disorder increases the client's risk of: - Answers- water and sodium retention
secondary to a severe decrease in the glomerular filtration rate.
The physician prescribes norfloxacin (Noroxin), 400 mg by mouth twice daily, for a client
with a urinary tract infection (UTI). The client asks the nurse how long to continue taking
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