Issues
NURS 2211: Urological and Renal
Issues
When teaching a client about techniques to manage urinary incontinence, which instructions should the
nurse include as important? Select all that apply. - ANSWER 1. Practice timed voiding.
2. Perform pelvic floor muscle training.
3. Use incontinence protective pads.
The nurse is performing a physical examination on a client suspected of having urinary tract calculi.
Which primary manifestation should the nurse be observant for during the assessment? - ANSWER
Sharp pain in the flanks.
A pediatric client is newly diagnosed with acute post-streptococcal glomerular nephritis. Which health
teaching strategies should the nurse provide to the parents? Select all that apply. - ANSWER "Reduce
your child's salt intake."
"Restrict the amount of fluid intake."
"Ensure that your child completes the full course of antibiotics."
"Ensure that your child gets plenty of rest until the symptoms subside."
The nurse is assessing a client with a diagnosis of upper urinary tract infection (UTI). Which symptoms
should the nurse expect to find? Select all that apply. - ANSWER Fever
Chills
,NURS 2211: Urological and Renal
Issues
Flank pain
Nurses have a major role in prevention of urinary tract infections (UTIs). Which guidelines can help
prevent health-care acquired UTIs? Select all that apply. - ANSWER Avoid unnecessary catheterization.
Wash hands before and after contact with each client.
Routine and thorough perineal hygiene for all hospitalized clients.
The client with type 2 diabetes mellitus has a second urinary tract infection (UTI) within one month of
being treated for a previous UTI. Which medication should the nurse expect to teach the client about
taking for this infection? - ANSWER Ciprofloxacin
A client with recurrent urinary tract infections comes to the clinic. Which objective assessments should
the nurse perform? Select all that apply. - ANSWER Palpate the kidneys.
Ask about the surgical history.
A physician prescribes Nitrofurantoin twice daily for a client with a urinary tract infection. What health
teaching will the nurse provide? Select all that apply. - ANSWER Avoid sunlight and wear sunscreen plus
protective clothing.
Seek medical attention if a rash and shortness of breath develop.
Notify the physician if any numbness or tingling of the fingers develops.
Which nursing diagnosis is a priority in the care of a client with renal calculi? - ANSWER Acute pain
A client has undergone a lithotripsy procedure and is at risk of obstruction of the ureter by edema.
Which catheter should be used for preventing obstruction of the ureter? - ANSWER Ureteral
, NURS 2211: Urological and Renal
Issues
The nurse is teaching a client about measures to prevent the recurrence of urinary tract infections
(UTIs). Which instructions should the nurse include? Select all that apply. - ANSWER Maintain an
adequate daily fluid intake.
Urinate regularly, approximately every 2-4 hours during the day.
Cleanse the perineal area with warm soapy water after each bowel movement.
When managing a client with urinary calculi, which conditions associated with renal stones would
indicate a need for lithotripsy? Select all that apply. - ANSWER Stones that are 9 mm in diameter.
Stones causing impaired renal function.
Stones associated with symptomatic infection.
A client has undergone a lithotripsy procedure. When preparing this client for the postoperative period,
which information should the nurse inform this client to expect after the procedure? Select all that
apply. - ANSWER Hematuria can be observed.
A ureteral stent will be placed.
The ureteral stent is removed within 2 weeks.
The client has scleroderma and is experiencing hypertension. The nurse should know that this finding
could be related to which renal problem? - ANSWER Chronic glomerulo-nephritis
The nurse is caring for a client with nephrotic syndrome. Which nursing interventions should the nurse
implement for this client? Select all that apply. - ANSWER Weighing the client daily.