Exam (elaborations) NURS 1102 PASSPOINT GENITOURINARY

NURS 1102 PASSPOINT GENITOURINARY Question 1 See full question A client is scheduled for a creatinine clearance test. What should the nurse do? You Selected:  Instruct the client about the need to collect urine for 24 hours. Correct response:  Instruct the client about the need to collect urine for 24 hours. Explanation: Remediation: Question 2 See full question The nurse is teaching a 17-year-old girl who has a severe gonorrheal infection. The nurse realizes that the girl understands the implications of her disease when she tells the nurse: You Selected:  "I could have trouble getting pregnant." Correct response:  "I could have trouble getting pregnant." Explanation: Remediation: Question 3 See full question A nurse is admitting an older female client to the gynecology surgical unit. When the nurse asks the client what medication she is taking at home, the client responds that she is taking a little red pill in the morning and a white capsule at night for her blood pressure. What action by the nurse is focused on safe, effective care of this client? You Selected:  Consult the previous medical record from 2 years ago, and notify the health care provider (HCP) regarding medications that must be prescribed. Correct response:  Ask a family member to bring the medications from home in the original vials for proper identification and administration times. Explanation: Question 4 See full question NURS 1102 PASSPOINT GENITOURINARY An unlicensed assistive personnel (UAP) tells the nurse, “I think the client is confused. He keeps telling me he has to void, but that is not possible because he has a catheter in place that is draining well.” The nurse should tell the UAP: You Selected:  "His catheter is probably plugged. I will irrigate it in a few minutes." Correct response:  "The urge to void is usually created by the large catheter, and he may be having some bladder spasms." Explanation: Remediation: Question 5 See full question The client in acute renal failure has an external cannula inserted in the forearm for hemodialysis. Which nursing measure is appropriate for the care of this client? You Selected:  Use the unaffected arm for blood pressure measurements. Correct response:  Use the unaffected arm for blood pressure measurements. Explanation: Remediation: Question 6 See full question A 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, the nurse asks the surgeon which prostatectomy procedure will be done. What is the most widely used procedure for prostate gland removal? You Selected:  Transurethral resection of the prostate (TURP) Correct response:  Transurethral resection of the prostate (TURP) Explanation: Remediation: Question 7 See full question A client undergoes extracorporeal shock wave lithotripsy. Before discharge, the nurse should provide which instruction? You Selected:  "Be aware that your urine will be cherry-red for 5 to 7 days." Correct response:  "Increase your fluid intake to 2 to 3 L per day." Explanation: Remediation: Question 8 See full question A client is admitted to an acute care facility after an episode of status epilepticus. After the client is stabilized, what is the best question for the nurse to ask? You Selected:  Ask the client about his or her recent stress level. Correct response:  Ask the client what medications he or she takes on a daily basis. Explanation: Remediation: Question 9 See full question A male client enters the oncology clinic for an evaluation. The nurse explains that the healthcare provider has ordered a prostate-specific antigen (PSA) test. The client asks the nurse, "How will this test tell if I have prostate cancer?" Which of the following is the nurse's best response? You Selected:  ”The evidence shows that individuals who have levels under 4 ng/mL need yearly follow-up." Correct response:  “Individuals who have a PSA higher than 10 have a 60–70% chance of having prostate cancer.” Explanation: Remediation: Question 10 See full question A client requires behavioral therapies to decrease or eliminate urinary incontinence. Which procedures would the nurse expect to include in the teaching plan for this client? Select all that apply. You Selected:  Scheduled voiding.  Kegel exercises.  Post void residual monitoring.  Biofeedback. Correct response:  Kegel exercises.  Scheduled voiding.  Biofeedback. Question 1 See full question A client with acute pyelonephritis receives a prescription for co-trimoxazole P.O. twice daily for 10 days. Which finding best demonstrates that the client has followed the ordered regimen? You Selected:  Bacteria are absent on urine culture. Correct response:  Bacteria are absent on urine culture. Explanation: Remediation: Question 2 See full question A client with chronic renal failure who receives hemodialysis three times weekly has a hemoglobin (Hb) level of 7 g/dl (70mmol/L). The most therapeutic pharmacologic intervention would be to administer: You Selected:  epoetin alfa. Correct response:  epoetin alfa. Explanation: Remediation: Question 3 See full question The nurse instructs the unlicensed assistive personnel on how to collect a 24-hour urine specimen. Which of the following instructions is correct for a collection that is scheduled to start at 7 a.m. (0700) Monday and end at 7 a.m. (0700) Tuesday? You Selected:  Keep each day's urine collection in separate containers. Correct response:  Collect and save the urine voided at 7 a.m. (0700) on Tuesday. Explanation: Remediation: Question 4 See full question To reduce urethral irritation, where should the nurse tape the female client's Foley catheter? You Selected:  inner thigh Correct response:  inner thigh Explanation: Remediation: Question 5 See full question During a clinic visit, the mother of an infant with hydrocele states that the infant's scrotum is smaller now than when he was born. After teaching the mother about the infant's condition, which statement by the mother indicates that the teaching has been effective? You Selected:  "It seems like the fluid is being reabsorbed." Correct response:  "It seems like the fluid is being reabsorbed." Explanation: Remediation: Question 6 See full question Two days after a herniorrhaphy, the client reports that his scrotum is swollen and painful. To promote comfort, the nurse should instruct the client to: You Selected:  elevate the scrotum and place ice bags on the area intermittently. Correct response:  elevate the scrotum and place ice bags on the area intermittently. Explanation: Remediation: Question 7 See full question The nurse should tell a client who is to obtain a midstream urine specimen to: You Selected:  void directly into the sterile specimen container after voiding a small amount into the toilet. Correct response:  void directly into the sterile specimen container after voiding a small amount into the toilet. Explanation: Remediation: Question 8 See full question Which client is at highest risk for developing a hospital-acquired infection? You Selected:  A client with an indwelling urinary catheter Correct response:  A client with an indwelling urinary catheter Explanation: Remediation: Question 9 See full question An elderly male client has been taking doxazosin 2 mg daily for 4 weeks for treatment of benign prostatic hypertrophy. The client reports feeling dizzy. The nurse should first: You Selected:  take his blood pressure lying, standing, and sitting. Correct response:  take his blood pressure lying, standing, and sitting. Explanation: Remediation: Question 10 See full question A nurse is discharging a client diagnosed with a urinary tract infection. Which information should the nurse include in the discharge teaching? Select all that apply. You Selected:  Avoid coffee, tea, and alcohol  Take all antibiotics as prescribed Correct response:  Take all antibiotics as prescribed  Avoid coffee, tea, and alcohol Question 1 See full question A menopausal woman is taking hormone replacement therapy. The nurse teaches the client that a warning sign for endometrial cancer that needs to be reported is: You Selected:  irregular vaginal bleeding. Correct response:  irregular vaginal bleeding. Explanation: Remediation: Question 2 See full question The nurse should specifically assess a client with prostatic hypertrophy for: You Selected:  difficulty starting the flow of urine. Correct response:  difficulty starting the flow of urine. Explanation: Remediation: Question 3 See full question Which is likely to provide the most relief from the pain associated with renal colic? You Selected:  applying moist heat to the flank area Correct response:  administering meperidine Explanation: Remediation: Question 4 See full question Which abnormal blood value would not be improved by dialysis treatment? You Selected:  decreased hemoglobin concentration Correct response:  decreased hemoglobin concentration Explanation: Remediation: Question 5 See full question A client with a urinary tract infection is to take nitrofurantoin four times each day. The client asks the nurse, "What should I do if I forget a dose?" What should the nurse tell the client? You Selected:  "Take the prescribed dose as soon as you remember it, and if it is very close to the time for the next dose, delay that next dose." Correct response:  "Take the prescribed dose as soon as you remember it, and if it is very close to the time for the next dose, delay that next dose." Explanation: Remediation: Question 6 See full question A nurse is reviewing a report of a client's routine urinalysis. Which value requires further investigation? You Selected:  Urine pH of 3.0 Correct response:  Urine pH of 3.0 Explanation: Remediation: Question 7 See full question A client presents to the emergency department complaining of a dull, constant ache along the right costovertebral angle along with nausea and vomiting. The most likely cause of the client's symptoms is: You Selected:  renal calculi. Correct response:  renal calculi. Explanation: Remediation: Question 8 See full question A client admitted with a gunshot wound to the abdomen is transferred to the intensive care unit after an exploratory laparotomy. I.V. fluid is being infused at 150 ml/hour. Which assessment finding suggests that the client is experiencing acute renal failure (ARF)? You Selected:  Blood urea nitrogen (BUN) level of 22 mg/dl (1.2 mmol/L) Correct response:  Urine output of 250 ml/24 hours Explanation: Remediation: Question 9 See full question When a client with an indwelling urinary catheter wants to walk 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? You Selected:  The client keeps the drainage bag below the bladder at all times. Correct response:  The client keeps the drainage bag below the bladder at all times. Explanation: Remediation: Question 10 See full question A client with end-stage renal failure has an internal arteriovenous fistula in the left arm for vascular access during hemodialysis. What should the nurse instruct the client to do? Select all that apply. You Selected:  Avoid sleeping on the left arm.  Assess fingers on the left arm for warmth.  Wear wrist watch on the right arm. Correct response:  Avoid sleeping on the left arm.  Wear wrist watch on the right arm.  Assess fingers on the left arm for warmth. Question 1 See full question A woman is using progestin injections for contraception. The nurse instructs the client to return for an appointment in: You Selected:  3 months. Correct response:  3 months. Explanation: Remediation: Question 2 See full question A nurse is assessing a client with nephrotic syndrome. The nurse should assess the client for which condition? You Selected:  massive proteinuria Correct response:  massive proteinuria Explanation: Remediation: Question 3 See full question Eight hours after laparoscopic abdominal surgery, a client has a distended bladder and is unable to void in bed using a urinal. The client can be out of bed as tolerated, but has not done so yet. The nurse should first: You Selected:  notify the health care provider (HCP) to request a prescription for catheterization. Correct response:  assist the client to stand at the bedside to use the urinal. Explanation: Remediation: Question 4 See full question On the second day following an abdominal hysterectomy, a client reports she has had three brown, loose stools in moderate amount. The morning medications include an order for 100 mg of docusate sodium daily or as needed. What should the nurse do next? You Selected:  Withhold the medication, and document the client’s report of loose stools. Correct response:  Withhold the medication, and document the client’s report of loose stools. Explanation: Remediation: Question 5 See full question Which factor would put the client at increased risk for pyelonephritis? You Selected:  history of hypertension Correct response:  history of diabetes mellitus Explanation: Remediation: Question 6 See full question The nurse is observing an unlicensed assistive personnel (UAP) give care to a client after gynecologic surgery. The nurse should intervene if the UAP: You Selected:  has client wear elasticized stockings. Correct response:  massages the client’s legs. Explanation: Remediation: Question 7 See full question During a rectal examination, which finding is evidence of a urethral injury? You Selected:  Absent sphincter tone Correct response:  The presence of a boggy mass Explanation: Question 8 See full question 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 threeway urinary catheter, adjusts the flow rate, and leaves the room. Which important procedural step did the nurse fail to follow? You Selected:  Evaluating patency of the drainage lumen Correct response:  Evaluating patency of the drainage lumen Explanation: Remediation: Question 9 See full question A client who is recovering from transurethral resection of the prostate (TURP) experiences urinary incontinence and has decreased the fluid intake because of the incontinence. What would be the nurse's best response to the client? You Selected:  "If your incontinence continues, we will reinsert your catheter." Correct response:  "Drink eight glasses of water a day and urinate every 2 hours." Explanation: Remediation: Question 10 See full question Two weeks after being diagnosed with a streptococcal infection, a client develops fatigue, a low-grade fever, and shortness of breath. The nurse auscultates bilateral crackles and observes jugular vein distention. Urinalysis reveals red and white blood cells and protein. After the physician diagnoses poststreptococcal glomerulonephritis, the client is admitted to the medical-surgical unit. Which immediate action should the nurse take? You Selected:  Provide a high-protein, fluid-monitored diet. Correct response:  Monitor patient blood pressure. Question 1 See full question A client with renal insufficiency is admitted to the hospital with pneumonia. He's being treated with gentamicin. Which laboratory value should be closely monitored? You Selected:  Alkaline phosphatase Correct response:  Blood urea nitrogen (BUN) Explanation: Remediation: Question 2 See full question A client undergoes cystoscopy with bladder biopsy. After the procedure, which assessment is mostappropriate for the nurse to make? You Selected:  Assess the patency of the Foley catheter. Correct response:  Assess urine for excessive bleeding. Explanation: Remediation: Question 3 See full question A client is planning to be treated for infertility with the zygote intrafallopian transfer (ZIFT) method. Which information should the nurse include when teaching the client about this type of treatment method? You Selected:  Fertilized ova are instilled into the vagina to enter the uterus. Correct response:  Fertilization takes place outside of the body. Explanation: Question 4 See full question Six hours after undergoing an abdominal hysterectomy, a client has a strong urge to void and voids 25 mL into the bedpan. Based on these data, the nurse determines that the client: You Selected:  is probably dehydrated and needs additional intravenous fluids. Correct response:  is experiencing urine retention and needs to be catheterized. Explanation: Remediation: Question 5 See full question A client diagnosed with cancer of the cervix in situ is scheduled to have a conization. Which is a priority during the first 24 postoperative hours? You Selected:  monitoring vaginal bleeding Correct response:  monitoring vaginal bleeding Explanation: Remediation: Question 6 See full question A client comes to the emergency department