RN Medical Surgical. Renal and
Urinary
A nurse is caring for a client who has a diagnosis of renal calculi and reports severe
flank pain which of the following is a priority nursing action?
A) Relieve the client's pain
B) Encourage the client to increase fluid intake
C) Monitor the client's I and O
D) Strain the clients urine – answer A) Relieve the client's pain
The nurse should apply the urgent versus non-urgent priority-setting framework when
caring for the client. Using this framework, the nurse should consider urgent needs to be
the priority because they pose a greater threat to the client. The nurse might also need
to use Maslow's hierarchy of needs, the ABC priority-setting framework, or nursing
knowledge to identify which finding is the most urgent. The pain associated with renal
calculi is severe and can lead to shock; therefore, this is the priority action.
A nurse is providing teaching to a client who has a history of urinary tract infections.
Which of the following statements should indicate to the nurse the need for additional
teaching?
A) " I will empty my bladder every four hours"
B) "I will drink 2 L of fluids per day"
C) " I will use a vaginal douche daily"
D) " I will wear cotton underwear" - answerC) "I will use a vaginal douche daily"
The client should avoid vaginal douches, bubble baths, and any substances that can
increase the risk for UTIs. The client should use mild soap and water to wash the
perineal area.
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse notes that
the client's dialysate output is less than the input, and his abdomen is distended. Which
of the following actions should the nurse take?
A) Insert an indwelling urinary catheter
B) administer pain medication to the client
C) change the clients position
D) place the drainage bag above the clients abdomen - answerC) change the client's
position
The client is retaining the dialysate solution after the dwell time. The nurse should
ensure that the clamp is open and the tubing is not kinked, and reposition the client to
facilitate the drainage of the solution from the peritoneal cavity.
, A nurse is teaching a newly licensed nurse about caring for a client who has a new left
arteriovenous fistula. Which of the following statements should the nurse make?
A) Check the fistula site daily for a vibration
B) Instruct the client to restrict movement of his left arm
C) avoid taking blood pressure on the clients left arm
D) instruct the client to sleep on his left side - answerC) avoid taking blood pressure on
the clients left arm
The nurse should avoid taking blood pressure measurements on the client's left arm,
which can decrease blood flow and cause clotting.
A nurse is teaching a client about the prostate specific antigen test. Which of the
following statements should the nurse make?
A) you should fast for eight hours after the PSA test
B) annual PSA screening should begin at age 40
C) expected PSA values will decrease as you get older
D) you should not ejaculate for 24 hours prior to the PSA test - answerD) you should not
ejaculate for 24 hours prior to the PSA test
PSA is a glycoprotein that is manufactured in the prostate and is used to screen for
prostate cancer. Ejaculation within 24 hours prior to the test can cause falsely elevated
levels of PSA.
A nurse is teaching a client who is pre-operative for a cytoscopy. Which of the following
statements should the nurse make?
A) you will need to keep the sutures clean after this procedure
B) you will be placed on your left side for this procedure
C) expect to be on bed rest for 24 hours after this procedure
D) expect to have pink tinged urine after this procedure - answerD) expect to have pink
tinged urine after this procedure
A cystoscopy is a procedure in which a scope is inserted into the urethra to diagnose or
treat bladder problems. Following the procedure, pink-tinged urine is expected.
A nurse is assessing a client who is post operative following a transurethral resection of
the prostate. After the nurse discontinues the clients urinary catheter which of the
following findings should the nurse report to the provider?
A) pink tinged urine
B) Report of burning upon urination
C) stress incontinence
D) decreased urine output - answerD) decreased urine output
A decrease in urine output after TURP indicates obstruction to urine flow by a clot or
residual prostatic tissue and should be reported to the provider.
Urinary
A nurse is caring for a client who has a diagnosis of renal calculi and reports severe
flank pain which of the following is a priority nursing action?
A) Relieve the client's pain
B) Encourage the client to increase fluid intake
C) Monitor the client's I and O
D) Strain the clients urine – answer A) Relieve the client's pain
The nurse should apply the urgent versus non-urgent priority-setting framework when
caring for the client. Using this framework, the nurse should consider urgent needs to be
the priority because they pose a greater threat to the client. The nurse might also need
to use Maslow's hierarchy of needs, the ABC priority-setting framework, or nursing
knowledge to identify which finding is the most urgent. The pain associated with renal
calculi is severe and can lead to shock; therefore, this is the priority action.
A nurse is providing teaching to a client who has a history of urinary tract infections.
Which of the following statements should indicate to the nurse the need for additional
teaching?
A) " I will empty my bladder every four hours"
B) "I will drink 2 L of fluids per day"
C) " I will use a vaginal douche daily"
D) " I will wear cotton underwear" - answerC) "I will use a vaginal douche daily"
The client should avoid vaginal douches, bubble baths, and any substances that can
increase the risk for UTIs. The client should use mild soap and water to wash the
perineal area.
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse notes that
the client's dialysate output is less than the input, and his abdomen is distended. Which
of the following actions should the nurse take?
A) Insert an indwelling urinary catheter
B) administer pain medication to the client
C) change the clients position
D) place the drainage bag above the clients abdomen - answerC) change the client's
position
The client is retaining the dialysate solution after the dwell time. The nurse should
ensure that the clamp is open and the tubing is not kinked, and reposition the client to
facilitate the drainage of the solution from the peritoneal cavity.
, A nurse is teaching a newly licensed nurse about caring for a client who has a new left
arteriovenous fistula. Which of the following statements should the nurse make?
A) Check the fistula site daily for a vibration
B) Instruct the client to restrict movement of his left arm
C) avoid taking blood pressure on the clients left arm
D) instruct the client to sleep on his left side - answerC) avoid taking blood pressure on
the clients left arm
The nurse should avoid taking blood pressure measurements on the client's left arm,
which can decrease blood flow and cause clotting.
A nurse is teaching a client about the prostate specific antigen test. Which of the
following statements should the nurse make?
A) you should fast for eight hours after the PSA test
B) annual PSA screening should begin at age 40
C) expected PSA values will decrease as you get older
D) you should not ejaculate for 24 hours prior to the PSA test - answerD) you should not
ejaculate for 24 hours prior to the PSA test
PSA is a glycoprotein that is manufactured in the prostate and is used to screen for
prostate cancer. Ejaculation within 24 hours prior to the test can cause falsely elevated
levels of PSA.
A nurse is teaching a client who is pre-operative for a cytoscopy. Which of the following
statements should the nurse make?
A) you will need to keep the sutures clean after this procedure
B) you will be placed on your left side for this procedure
C) expect to be on bed rest for 24 hours after this procedure
D) expect to have pink tinged urine after this procedure - answerD) expect to have pink
tinged urine after this procedure
A cystoscopy is a procedure in which a scope is inserted into the urethra to diagnose or
treat bladder problems. Following the procedure, pink-tinged urine is expected.
A nurse is assessing a client who is post operative following a transurethral resection of
the prostate. After the nurse discontinues the clients urinary catheter which of the
following findings should the nurse report to the provider?
A) pink tinged urine
B) Report of burning upon urination
C) stress incontinence
D) decreased urine output - answerD) decreased urine output
A decrease in urine output after TURP indicates obstruction to urine flow by a clot or
residual prostatic tissue and should be reported to the provider.
