REVIEWER NUR 155
When caring for the patient with interstitial cystitis, what can the nurse teach the patient to
do?*
1/1
A. Avoid foods that make the urine more alkaline.
B. Use high-potency vitamin therapy to decrease the autoimmune effects of the disorder.
C. Always keep a voiding diary to document pain, voiding frequency, and patterns of
nocturia.
D. Use the dietary supplement calcium glycerophosphate (Prelief) to decrease bladder
irritation. -
D
Calcium glycerophosphate (Prelief) alkalinizes the urine and can help to relieve the irritation
from acidic foods. A diet low in acidic foods is recommended and if a multivitamin is used,
high-potency vitamins should be avoided because these products may irritate the bladder. A
voiding diary is useful in diagnosis but does not need to be kept indefinitely.
A female patient reports that she is experiencing burning on urination, frequency, and
urgency. The nurse notes that a clean-voided urine specimen is markedly cloudy. The
probable cause of these symptoms and findings is:*
1/1
A. Cystitis.
B. Hematuria.
C. Pyelonephritis.
D. Dysuria. -
A
Signs and symptoms of cystitis are as follows: Abdominal or flank pain/tenderness,
frequency and urgency of urination, Pain on voiding, Nocturia, Nausea, Fever, Cloudy urine,
Hematuria, Vomiting
In cystitis to minimize experiencing nocturia, the nurse would teach the patient to:*
1/1
A. Perform perineal hygiene after urinating.
B. Set up a toileting schedule.
C. Double void.
D. Limit fluids before bedtime. -
D
With nocturia the patient has to get up during the night to urinate. Limiting fluids 2 hours
before bedtime minimizes nocturia.
An older male patient states that he is having problems starting and stopping his stream of
urine and he feels the urgency to void. The best way to assist this patient is to*
1/1
A. Help him stand to void.
B. Place a condom catheter.
C. Have him practice Credé's method.
D. Initiate Kegel exercises. -
D
1|Page
,Kegel exercises strengthen pelvic floor muscles and are effective in urine control in patients
with urge incontinence and difficulty starting and stopping urination.
A 24-year-old female client comes to an ambulatory care clinic in moderate distress with a
probable diagnosis of acute cystitis. When obtaining the client's history, the nurse should ask
the client if she has had:*
1/1
A. Fever and chills.
B. Frequency and burning on urination.
C. Flank pain and nausea.
D. Hematuria. -
B
The classic symptoms of cystitis are severe burning on urination, urgency, and frequent
urination. Systemic symptoms, such as fever and nausea and vomiting, are more likely to
accompany pyelonephritis than cystitis. Hematuria may occur, but it is not as common as
frequency and burning.
A client who has been diagnosed with renal calculi reports that the pain is intermittent and
less colicky. Which of the following nursing actions is most important at this time?*
1/1
A. Report hematuria to the physician.
B. Strain the urine carefully.
C. Administer meperidine (Demerol) every 3 hours.
D. Apply warm compresses to the flank area. -
B
Intermittent pain that is less colicky indicates that the calculi may be moving along the
urinary tract. Fluids should be encouraged to promote movement, and the urine should be
strained to detect passage of the stone. Hematuria is to be expected from the irritation of the
stone. Analgesics should be administered when the client needs them, not routinely. Moist
heat to the flank area is helpful when renal colic occurs, but it is less necessary as pain is
lessened.
The client is scheduled for an intravenous pyelogram (IVP) to determine the location of the
renal calculi. Which of the following measures would be most important for the nurse to
include in pretest preparation?*
1/1
A. Ensuring adequate fluid intake on the day of the test.
B. Preparing the client for the possibility of bladder spasms during the test.
C. Checking the client's history for allergy to iodine.
D. Determining when the client last had a bowel movement. -
C
A client scheduled for an IVP should be assessed for allergies to iodine and shellfish. Clients
with such allergies may be allergic to the IVP dye and be at risk for an anaphylactic reaction.
Adequate fluid intake is important after the examination. Bladder spasms are not common
during an IVP. Bowel preparation is important before an IVP to allowvisualization of the
ureters and bladder, but checking for allergies is most important.
After an intravenous pyelogram (IVP), the nurse should anticipate incorporating which of the
following measures into the client's plan of care?*
1/1
2|Page
,A. Maintaining bed rest.
B. Encouraging adequate fluid intake.
C. Assessing for hematuria.
D. Administering a laxative. -
B
After an IVP, the nurse should encourage fluids to decrease the risk of renal complications
caused by the contrast agent. There is no need to place the client on bed rest or administer a
laxative. An IVP would not cause hematuria.
Because a client's renal stone was found to be composed of uric acid, a low-purine, alkaline-
ash diet was ordered. Incorporation of which of the following food items into the home diet
would indicate that the client understands the necessary diet modifications?*
1/1
A. Milk, apples, tomatoes, and corn.
B. Eggs, spinach, dried peas, and gravy.
C. Salmon, chicken, caviar, and asparagus.
D. Grapes, corn, cereals, and liver. -
A
Because a high-purine diet contributes to the formation of uric acid, a low-purine diet is
advocated. An alkaline-ash diet is also advocated because uric acid crystals are more likely to
develop in acid urine. Foods that may be eaten as desired in a low-purine diet include milk,
all fruits, tomatoes, cereals, and corn. Foods allowed on an alkaline-ash diet include milk,
fruits (except cranberries, plums, and prunes), andm vegetables (especially legumes and
green vegetables). Gravy, chicken, and liver are high in purine.
Allopurinol (Zyloprim), 200 mg/ day, is prescribed for the client with renal calculi to take at
home. The nurse should teach the client about which of the following adverse effects of this
medication?*
1/1
A. Retinopathy.
B. Maculopapular rash.
C. Nasal congestion.
D. Dizziness. -
B
Allopurinol (Zyloprim) is used to treat renal calculi composed of uric acid. Adverse effects of
allopurinol include drowsiness, maculopapular rash, anemia, abdominal pain, nausea,
vomiting, and bone marrow depression. Clients should be instructed to report rashes and
unusual bleeding or bruising. Retinopathy, nasal congestion, and dizziness are not adverse
effects of allopurinol.
A 16-year-old sexually active female patient with a history of pelvic inflammatory disease
(PID) presents to the emergency room with complaints of sudden right-sided lower
abdominal pain and gastrointestinal distress. She cannot recall the date of her last menstrual
period, but states she knows that she's "late." Her exam demonstrates a unilateral, right
adnexal mass. The nurse knows that this patient likely has which of these prenatal
complications?*
0/1
A. gestational trophoblastic disease (GTD)
B. spontaneous abortion
C. ectopic pregnancy
3|Page
, D. premature rupture of membranes (PROM) -
B
Which statement by the nurse demonstrates effective communication techniques when
initiating a discussion about sex with a 25-year-old female client?*
1/1
A. "Do you know how to properly apply a male condom?"
B. "What questions do you have related to your sexual health?"
C. "Have you had sex with more than one partner?"
D. "Why didn't you start receiving annual Pap tests at an earlier age?" -
B
While caring for a client who is being treated for severe pelvic inflammatory disease (PID),
the nurse insists on keeping her in a semi sitting position. What would be the best possible
reason for the nurse's advice?*
1/1
A. To prevent nosocomial infections to other clients
B. To facilitate easy distraction of the client
C. To prevent movement as it increases pain
D. To facilitate pelvic drainage and to minimize the upward extension of infection -
D
While caring for a patient who is being treated for severe pelvic inflammatory disease (PID),
which of the following nursing actions minimizes transmission of infection?*
1/1
A. Keeping the patient in a sitting position
B. Performing hand hygiene when entering the room
C. Strictly adhering to the no visitation policy
D. Implementing reverse isolation precautions -
B
The nurse is obtaining the history from a client who is suspected of having pelvic
inflammatory disease (PID). Which client statement would help support the suspicion of
PID?*
1/1
A. "I haven't had sex with anyone else except my current partner."
B. "My partner and I use condoms during sexual intercourse."
C. "I was 15 years old when I first had sex."
D. "I've never had any sexually transmitted infection." -
C
The nurse is assessing a client who is suspected of experiencing an enlarging prostate gland
(BPH). The nurse expects the enlarging prostate in BPH to be manifested by which of the
following symptoms?*
1/1
A. Bowel elimination
B. Skin integrity
C. Peripheral vascular function
D. Urinary elimination -
D
4|Page
When caring for the patient with interstitial cystitis, what can the nurse teach the patient to
do?*
1/1
A. Avoid foods that make the urine more alkaline.
B. Use high-potency vitamin therapy to decrease the autoimmune effects of the disorder.
C. Always keep a voiding diary to document pain, voiding frequency, and patterns of
nocturia.
D. Use the dietary supplement calcium glycerophosphate (Prelief) to decrease bladder
irritation. -
D
Calcium glycerophosphate (Prelief) alkalinizes the urine and can help to relieve the irritation
from acidic foods. A diet low in acidic foods is recommended and if a multivitamin is used,
high-potency vitamins should be avoided because these products may irritate the bladder. A
voiding diary is useful in diagnosis but does not need to be kept indefinitely.
A female patient reports that she is experiencing burning on urination, frequency, and
urgency. The nurse notes that a clean-voided urine specimen is markedly cloudy. The
probable cause of these symptoms and findings is:*
1/1
A. Cystitis.
B. Hematuria.
C. Pyelonephritis.
D. Dysuria. -
A
Signs and symptoms of cystitis are as follows: Abdominal or flank pain/tenderness,
frequency and urgency of urination, Pain on voiding, Nocturia, Nausea, Fever, Cloudy urine,
Hematuria, Vomiting
In cystitis to minimize experiencing nocturia, the nurse would teach the patient to:*
1/1
A. Perform perineal hygiene after urinating.
B. Set up a toileting schedule.
C. Double void.
D. Limit fluids before bedtime. -
D
With nocturia the patient has to get up during the night to urinate. Limiting fluids 2 hours
before bedtime minimizes nocturia.
An older male patient states that he is having problems starting and stopping his stream of
urine and he feels the urgency to void. The best way to assist this patient is to*
1/1
A. Help him stand to void.
B. Place a condom catheter.
C. Have him practice Credé's method.
D. Initiate Kegel exercises. -
D
1|Page
,Kegel exercises strengthen pelvic floor muscles and are effective in urine control in patients
with urge incontinence and difficulty starting and stopping urination.
A 24-year-old female client comes to an ambulatory care clinic in moderate distress with a
probable diagnosis of acute cystitis. When obtaining the client's history, the nurse should ask
the client if she has had:*
1/1
A. Fever and chills.
B. Frequency and burning on urination.
C. Flank pain and nausea.
D. Hematuria. -
B
The classic symptoms of cystitis are severe burning on urination, urgency, and frequent
urination. Systemic symptoms, such as fever and nausea and vomiting, are more likely to
accompany pyelonephritis than cystitis. Hematuria may occur, but it is not as common as
frequency and burning.
A client who has been diagnosed with renal calculi reports that the pain is intermittent and
less colicky. Which of the following nursing actions is most important at this time?*
1/1
A. Report hematuria to the physician.
B. Strain the urine carefully.
C. Administer meperidine (Demerol) every 3 hours.
D. Apply warm compresses to the flank area. -
B
Intermittent pain that is less colicky indicates that the calculi may be moving along the
urinary tract. Fluids should be encouraged to promote movement, and the urine should be
strained to detect passage of the stone. Hematuria is to be expected from the irritation of the
stone. Analgesics should be administered when the client needs them, not routinely. Moist
heat to the flank area is helpful when renal colic occurs, but it is less necessary as pain is
lessened.
The client is scheduled for an intravenous pyelogram (IVP) to determine the location of the
renal calculi. Which of the following measures would be most important for the nurse to
include in pretest preparation?*
1/1
A. Ensuring adequate fluid intake on the day of the test.
B. Preparing the client for the possibility of bladder spasms during the test.
C. Checking the client's history for allergy to iodine.
D. Determining when the client last had a bowel movement. -
C
A client scheduled for an IVP should be assessed for allergies to iodine and shellfish. Clients
with such allergies may be allergic to the IVP dye and be at risk for an anaphylactic reaction.
Adequate fluid intake is important after the examination. Bladder spasms are not common
during an IVP. Bowel preparation is important before an IVP to allowvisualization of the
ureters and bladder, but checking for allergies is most important.
After an intravenous pyelogram (IVP), the nurse should anticipate incorporating which of the
following measures into the client's plan of care?*
1/1
2|Page
,A. Maintaining bed rest.
B. Encouraging adequate fluid intake.
C. Assessing for hematuria.
D. Administering a laxative. -
B
After an IVP, the nurse should encourage fluids to decrease the risk of renal complications
caused by the contrast agent. There is no need to place the client on bed rest or administer a
laxative. An IVP would not cause hematuria.
Because a client's renal stone was found to be composed of uric acid, a low-purine, alkaline-
ash diet was ordered. Incorporation of which of the following food items into the home diet
would indicate that the client understands the necessary diet modifications?*
1/1
A. Milk, apples, tomatoes, and corn.
B. Eggs, spinach, dried peas, and gravy.
C. Salmon, chicken, caviar, and asparagus.
D. Grapes, corn, cereals, and liver. -
A
Because a high-purine diet contributes to the formation of uric acid, a low-purine diet is
advocated. An alkaline-ash diet is also advocated because uric acid crystals are more likely to
develop in acid urine. Foods that may be eaten as desired in a low-purine diet include milk,
all fruits, tomatoes, cereals, and corn. Foods allowed on an alkaline-ash diet include milk,
fruits (except cranberries, plums, and prunes), andm vegetables (especially legumes and
green vegetables). Gravy, chicken, and liver are high in purine.
Allopurinol (Zyloprim), 200 mg/ day, is prescribed for the client with renal calculi to take at
home. The nurse should teach the client about which of the following adverse effects of this
medication?*
1/1
A. Retinopathy.
B. Maculopapular rash.
C. Nasal congestion.
D. Dizziness. -
B
Allopurinol (Zyloprim) is used to treat renal calculi composed of uric acid. Adverse effects of
allopurinol include drowsiness, maculopapular rash, anemia, abdominal pain, nausea,
vomiting, and bone marrow depression. Clients should be instructed to report rashes and
unusual bleeding or bruising. Retinopathy, nasal congestion, and dizziness are not adverse
effects of allopurinol.
A 16-year-old sexually active female patient with a history of pelvic inflammatory disease
(PID) presents to the emergency room with complaints of sudden right-sided lower
abdominal pain and gastrointestinal distress. She cannot recall the date of her last menstrual
period, but states she knows that she's "late." Her exam demonstrates a unilateral, right
adnexal mass. The nurse knows that this patient likely has which of these prenatal
complications?*
0/1
A. gestational trophoblastic disease (GTD)
B. spontaneous abortion
C. ectopic pregnancy
3|Page
, D. premature rupture of membranes (PROM) -
B
Which statement by the nurse demonstrates effective communication techniques when
initiating a discussion about sex with a 25-year-old female client?*
1/1
A. "Do you know how to properly apply a male condom?"
B. "What questions do you have related to your sexual health?"
C. "Have you had sex with more than one partner?"
D. "Why didn't you start receiving annual Pap tests at an earlier age?" -
B
While caring for a client who is being treated for severe pelvic inflammatory disease (PID),
the nurse insists on keeping her in a semi sitting position. What would be the best possible
reason for the nurse's advice?*
1/1
A. To prevent nosocomial infections to other clients
B. To facilitate easy distraction of the client
C. To prevent movement as it increases pain
D. To facilitate pelvic drainage and to minimize the upward extension of infection -
D
While caring for a patient who is being treated for severe pelvic inflammatory disease (PID),
which of the following nursing actions minimizes transmission of infection?*
1/1
A. Keeping the patient in a sitting position
B. Performing hand hygiene when entering the room
C. Strictly adhering to the no visitation policy
D. Implementing reverse isolation precautions -
B
The nurse is obtaining the history from a client who is suspected of having pelvic
inflammatory disease (PID). Which client statement would help support the suspicion of
PID?*
1/1
A. "I haven't had sex with anyone else except my current partner."
B. "My partner and I use condoms during sexual intercourse."
C. "I was 15 years old when I first had sex."
D. "I've never had any sexually transmitted infection." -
C
The nurse is assessing a client who is suspected of experiencing an enlarging prostate gland
(BPH). The nurse expects the enlarging prostate in BPH to be manifested by which of the
following symptoms?*
1/1
A. Bowel elimination
B. Skin integrity
C. Peripheral vascular function
D. Urinary elimination -
D
4|Page
