Genitourinary Prep-U (EXAM 4) Questions With Complete
Solutions
A 20-year-old female client says, "I feel that my vaginal opening
constricts whenever I am about to have intercourse. I seem to
have no control over it." Which of the following terms should
the nurse use to document the client's condition? Correct
Answers Vaginismus.
A client asks the nurse to explain the meaning of her abnormal
Papanicolaou (Pap) smear result of atypical squamous cells. The
nurse should tell the client that an atypical Pap smear means
that: Correct Answers the cells could cause various conditions
and help identify a problem early.
A client comes to the emergency department complaining of
severe pain in the right flank, nausea, and vomiting. The
physician tentatively diagnoses right ureterolithiasis (renal
calculi). When planning this client's care, the nurse should
assign the highest priority to which nursing diagnosis? Correct
Answers Acute pain
A client diagnosed with cancer of the cervix in situ is scheduled
to have a conization. Which of the following is a priority during
the first 24 postoperative hours? Correct Answers Monitoring
vaginal bleeding.
A client is diagnosed with pyelonephritis. Which nursing action
is a priority for care now? Correct Answers Ensure sufficient
hydration.
, A client is frustrated and embarrassed by urinary incontinence.
Which measure should the nurse include in a bladder retraining
program? Correct Answers Assessing present voiding patterns
A client is ordered continuous bladder irrigation at a rate of 60
gtt/minute. The nurse hangs a 2 L bag of sterile solution with
tubing on a three-legged I.V. pole. She then attaches the tubing
to the client's three-way urinary catheter, adjusts the flow rate,
and leaves the room. Which important procedural step did the
nurse fail to follow? Correct Answers Evaluating patency of the
drainage lumen
A client is receiving continuous ambulatory peritoneal dialysis
(CAPD). The nurse should assess the client for which sign of
peritoneal infection? Correct Answers cloudy dialysate fluid
A client is scheduled to undergo surgical creation of an ileal
conduit. The primary nurse educates the client about surgery and
the postoperative period. The nurse informs the client that many
members of the health care team (including a mental health
practitioner) will see him. A mental health practitioner should be
involved in the client's care to: Correct Answers help the client
cope with the anxiety associated with changes in body image.
A client is voiding small amounts of urine every 30 to 60
minutes. What should the nurse do first? Correct Answers
Palpate for a distended bladder.
A client presents to the emergency department complaining of a
dull, constant ache along the right costovertebral angle along
Solutions
A 20-year-old female client says, "I feel that my vaginal opening
constricts whenever I am about to have intercourse. I seem to
have no control over it." Which of the following terms should
the nurse use to document the client's condition? Correct
Answers Vaginismus.
A client asks the nurse to explain the meaning of her abnormal
Papanicolaou (Pap) smear result of atypical squamous cells. The
nurse should tell the client that an atypical Pap smear means
that: Correct Answers the cells could cause various conditions
and help identify a problem early.
A client comes to the emergency department complaining of
severe pain in the right flank, nausea, and vomiting. The
physician tentatively diagnoses right ureterolithiasis (renal
calculi). When planning this client's care, the nurse should
assign the highest priority to which nursing diagnosis? Correct
Answers Acute pain
A client diagnosed with cancer of the cervix in situ is scheduled
to have a conization. Which of the following is a priority during
the first 24 postoperative hours? Correct Answers Monitoring
vaginal bleeding.
A client is diagnosed with pyelonephritis. Which nursing action
is a priority for care now? Correct Answers Ensure sufficient
hydration.
, A client is frustrated and embarrassed by urinary incontinence.
Which measure should the nurse include in a bladder retraining
program? Correct Answers Assessing present voiding patterns
A client is ordered continuous bladder irrigation at a rate of 60
gtt/minute. The nurse hangs a 2 L bag of sterile solution with
tubing on a three-legged I.V. pole. She then attaches the tubing
to the client's three-way urinary catheter, adjusts the flow rate,
and leaves the room. Which important procedural step did the
nurse fail to follow? Correct Answers Evaluating patency of the
drainage lumen
A client is receiving continuous ambulatory peritoneal dialysis
(CAPD). The nurse should assess the client for which sign of
peritoneal infection? Correct Answers cloudy dialysate fluid
A client is scheduled to undergo surgical creation of an ileal
conduit. The primary nurse educates the client about surgery and
the postoperative period. The nurse informs the client that many
members of the health care team (including a mental health
practitioner) will see him. A mental health practitioner should be
involved in the client's care to: Correct Answers help the client
cope with the anxiety associated with changes in body image.
A client is voiding small amounts of urine every 30 to 60
minutes. What should the nurse do first? Correct Answers
Palpate for a distended bladder.
A client presents to the emergency department complaining of a
dull, constant ache along the right costovertebral angle along
