Med Surg Success: Genitourinary Disorders –
Complete Study Guide 2026
The client from a long-term care facility is admitted to the medical unit with a fever, hot flushed skin,
and clumps of white sediment in the indwelling catheter. Which
intervention should the nurse implement first?
1. Start an IV with a 20-gauge catheter.
2. Initiate antibiotic therapy IVPB.
3. Collect a urine specimen for culture.
4. Change the indwelling catheter. - ANSWER ✔✨---4. Unless the nurse can determine the catheter
has been inserted within a few days, the nurse should replace the catheter and then get a specimen.
This will provide the most accurate specimen for analysis.
The nurse is inserting an indwelling catheter into a female client. Which interventions should be
implemented? Rank in the order of performance.
1. Explain the procedure to the client.
2. Set up the sterile field.
3. Inflate the catheter bulb.
4. Place absorbent pads under the client.
5. Clean the perineum from clean to dirty with Betadine. - ANSWER ✔✨---In order of performance:
1, 4, 2, 3, 5.
The procedure should be explained to the client.
,Incontinence pads should be placed under the client before beginning the sterile part of the procedure.
The sterile field must be set up prior to checking the bulb and cleaning the client's perineum.
The bulb of the catheter should be tested to make sure it will inflate and deflate prior to inserting the
catheter into the client.
During the procedure, the perineum is swiped with Betadine swabs from front to back and also down
the middle, then sid
The nurse performs bladder irrigation through an indwelling catheter. The nurse instilled 90 mL of sterile
normal saline. The catheter drained 710 mL. What is the client's output? ________ - ANSWER ✔✨-
--620 mL of urine.
The amount of sterile normal saline is sub- tracted from the total volume removed from the catheter.
The nurse is examining a 15-year-old female who is complaining of pain, frequency, and urgency when
urinating. After asking the parent to leave the room, which question should the nurse ask the client?
1. "When was your last menstrual cycle?"
2. "Have you noticed any change in the color of the urine?"
3. "Are you sexually active?"
4. "What have you taken for the pain?" - ANSWER ✔✨---3. Thesearesymptomsofcystitis,abladder
infection, which may be caused by sexual in- tercourse as a result of the introduction of bacteria into the
urethra during the physi- cal act. A teenager may not want to divulge this information in front of the
parent.
The client is reporting chills, fever, and left costovertebral pain. Which diagnostic test should the nurse
expect the HCP to prescribe first?
1. A midstream urine for culture.
2. A sonogram of the kidney.
3. An intravenous pyelogram for renal calculi.
4. A CT scan of the kidneys. - ANSWER ✔✨---1. Fever, chills, and costovertebral pain are symptoms
of a urinary tract infection (acute pyelonephritis), which requires a urine culture first to confirm the
diagnosis.
The nurse is caring for a client with chronic pyelonephritis. Which assessment data support the diagnosis
of chronic pyelonephritis?
, 1. The client has fever, chills, flank pain, and dysuria.
2. The client complains of fatigue, headaches, and increased urination.
3. The client had a group B beta-hemolytic strep infection last week.
4. The client has an acute viral pneumonia infection. - ANSWER ✔✨---2. Fatigue, headache, and
polyuria as well as loss of weight, anorexia, and exces- sive thirst are symptoms of chronic
pyelonephritis.
The female client in an outpatient clinic is being sent home with a diagnosis of urinary tract infection
(UTI). Which instruction should the nurse teach to prevent a recurrence of a UTI?
1. Clean the perineum from back to front after a bowel movement.
2. Take warm tub baths instead of hot showers daily.
3. Void immediately preceding sexual intercourse.
4. Avoid coffee, tea, colas, and alcoholic beverages. - ANSWER ✔✨---4. Coffee, tea, cola, and
alcoholic beverages are urinary tract irritants.
The nurse is caring for a pregnant client diagnosed with acute pyelonephritis. Which scientific rationale
supports the client being hospitalized for this condition?
1. The client must be treated aggressively to prevent maternal/fetal complications.
2. The nurse can force the client to drink fluids and avoid nausea and vomiting.
3. The client will be dehydrated and there won't be sufficient blood flow to the baby.
4. Pregnant clients historically are afraid to take the antibiotics as ordered. - ANSWER ✔✨---1. A
pregnant client diagnosed with a UTI will be admitted for aggressive IV anti- biotic therapy. After
symptoms subside, the client will be sent home to com- plete the course of treatment with oral
medications.
The nurse is discharging a client with a health- care facility acquired urinary tract infection. Which
information should the nurse include in the discharge teaching?
1. Limit fluid intake so the urinary tract can heal.
2. Collect a routine urine specimen for culture.
3. Take all the antibiotics as prescribed.
4. Tell the client to void every five (5) to six (6) hours. - ANSWER ✔✨---3. The client should be
taught to take all the prescribed medication anytime a prescription is written for antibiotics.
Complete Study Guide 2026
The client from a long-term care facility is admitted to the medical unit with a fever, hot flushed skin,
and clumps of white sediment in the indwelling catheter. Which
intervention should the nurse implement first?
1. Start an IV with a 20-gauge catheter.
2. Initiate antibiotic therapy IVPB.
3. Collect a urine specimen for culture.
4. Change the indwelling catheter. - ANSWER ✔✨---4. Unless the nurse can determine the catheter
has been inserted within a few days, the nurse should replace the catheter and then get a specimen.
This will provide the most accurate specimen for analysis.
The nurse is inserting an indwelling catheter into a female client. Which interventions should be
implemented? Rank in the order of performance.
1. Explain the procedure to the client.
2. Set up the sterile field.
3. Inflate the catheter bulb.
4. Place absorbent pads under the client.
5. Clean the perineum from clean to dirty with Betadine. - ANSWER ✔✨---In order of performance:
1, 4, 2, 3, 5.
The procedure should be explained to the client.
,Incontinence pads should be placed under the client before beginning the sterile part of the procedure.
The sterile field must be set up prior to checking the bulb and cleaning the client's perineum.
The bulb of the catheter should be tested to make sure it will inflate and deflate prior to inserting the
catheter into the client.
During the procedure, the perineum is swiped with Betadine swabs from front to back and also down
the middle, then sid
The nurse performs bladder irrigation through an indwelling catheter. The nurse instilled 90 mL of sterile
normal saline. The catheter drained 710 mL. What is the client's output? ________ - ANSWER ✔✨-
--620 mL of urine.
The amount of sterile normal saline is sub- tracted from the total volume removed from the catheter.
The nurse is examining a 15-year-old female who is complaining of pain, frequency, and urgency when
urinating. After asking the parent to leave the room, which question should the nurse ask the client?
1. "When was your last menstrual cycle?"
2. "Have you noticed any change in the color of the urine?"
3. "Are you sexually active?"
4. "What have you taken for the pain?" - ANSWER ✔✨---3. Thesearesymptomsofcystitis,abladder
infection, which may be caused by sexual in- tercourse as a result of the introduction of bacteria into the
urethra during the physi- cal act. A teenager may not want to divulge this information in front of the
parent.
The client is reporting chills, fever, and left costovertebral pain. Which diagnostic test should the nurse
expect the HCP to prescribe first?
1. A midstream urine for culture.
2. A sonogram of the kidney.
3. An intravenous pyelogram for renal calculi.
4. A CT scan of the kidneys. - ANSWER ✔✨---1. Fever, chills, and costovertebral pain are symptoms
of a urinary tract infection (acute pyelonephritis), which requires a urine culture first to confirm the
diagnosis.
The nurse is caring for a client with chronic pyelonephritis. Which assessment data support the diagnosis
of chronic pyelonephritis?
, 1. The client has fever, chills, flank pain, and dysuria.
2. The client complains of fatigue, headaches, and increased urination.
3. The client had a group B beta-hemolytic strep infection last week.
4. The client has an acute viral pneumonia infection. - ANSWER ✔✨---2. Fatigue, headache, and
polyuria as well as loss of weight, anorexia, and exces- sive thirst are symptoms of chronic
pyelonephritis.
The female client in an outpatient clinic is being sent home with a diagnosis of urinary tract infection
(UTI). Which instruction should the nurse teach to prevent a recurrence of a UTI?
1. Clean the perineum from back to front after a bowel movement.
2. Take warm tub baths instead of hot showers daily.
3. Void immediately preceding sexual intercourse.
4. Avoid coffee, tea, colas, and alcoholic beverages. - ANSWER ✔✨---4. Coffee, tea, cola, and
alcoholic beverages are urinary tract irritants.
The nurse is caring for a pregnant client diagnosed with acute pyelonephritis. Which scientific rationale
supports the client being hospitalized for this condition?
1. The client must be treated aggressively to prevent maternal/fetal complications.
2. The nurse can force the client to drink fluids and avoid nausea and vomiting.
3. The client will be dehydrated and there won't be sufficient blood flow to the baby.
4. Pregnant clients historically are afraid to take the antibiotics as ordered. - ANSWER ✔✨---1. A
pregnant client diagnosed with a UTI will be admitted for aggressive IV anti- biotic therapy. After
symptoms subside, the client will be sent home to com- plete the course of treatment with oral
medications.
The nurse is discharging a client with a health- care facility acquired urinary tract infection. Which
information should the nurse include in the discharge teaching?
1. Limit fluid intake so the urinary tract can heal.
2. Collect a routine urine specimen for culture.
3. Take all the antibiotics as prescribed.
4. Tell the client to void every five (5) to six (6) hours. - ANSWER ✔✨---3. The client should be
taught to take all the prescribed medication anytime a prescription is written for antibiotics.
