URINARY DISORDERS NCLEX EXAM QUESTIONS WITH CORRECT DETAILED AND ANSWERS

URINARY DISORDERS NCLEX EXAM QUESTIONS WITH CORRECT DETAILED AND ANSWERS The patient who has just undergone knee surgery has been found to have not peed in six hours. The nurse can do all of the following to encourage the patient to void except? A) Apply a warm compress to perineum B) Offering hot fluids C) Run water in background D) Helping the patient onto the bedpan - Answer-Answer: D. The bedpan is evil for people with urinary retention. It is much more comfortable to pee in a sitting or standing position. Warmth in the form of compresses and hot beverages can help stimulate urination. Running water from a faucet may also trigger the patient to pee. IF the patient cannot void, the bladder should be scanned and catheterization may be necessary. The client you are taking care of has just been diagnosed with nephrolithiasis. Upon assessment, which priority question should the nurse ask the client? A) Have you seen any blood in your urine? B) Are you have any pain? C) What is your typical diet? D) Have you had any burning pea? - Answer-Answer: D. This question assesses for the possibility of developing an infection, a complication of nephrolithiasis (kidney stones). Pain and hematuria would be expected in this patient. Diet can be helpful in preventing kidney stone formation, but it is not a priority question. The patients passed his kidney stone! During stone analysis, it is determined that the stone is composed of uric acid. Which of the following dietary restrictions would be recommended for this patient? A) Avoiding all shellfish B) Limiting calcium intake C) Restricting protein intake D) Drinking less than 1000 ml of water - Answer-Answer: A. Stones that are composed of uric acid can be prevented by consuming a low-purine diet (similar for gout). Foods high in purine include shellfish, organ meat, asparagus, and mushrooms. Limiting calcium or protein intake may be appropriate for the stone composed of calcium. Patients with previous kidney stones should be encouraged to drink plenty of fluids, more than 2 L a day The nurse is teaching the patient who has just been given a urinary diversion (ileal conduit). Which of the following statements, if made by the patient, indicates the need for further teaching? A) I should not expect to feel pain at the stoma B) The stoma could bleed when I clean it C) I should report any signs of mucous in the urine to my doctor D) The stoma should be pink and moist - Answer-Answer: C. Because a segment of the GI system is typically used to create a urinary diversion, mucous would be expected in the urine. The stoma is vascular, and could bleed when cleaned. There are no nerve endings at the stoma, so there should be no pain. The stoma should be pink and moist like the inside of the mouth.