Real Exam Questions &Correct Answers (Verified Answers)
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A nurse is caring for a client who has continuous bladder
irrigation following a transurethral resection of the prostate
(TURP). Which of the following findings should the nurse report
to the provider?
A. Output equal to the instilled irrigant
B. Client report of bladder spasms
C. Viscous urinary output with clots
D. Client report of a strong urge to urinate - ANSWER-C.
Viscous urinary output with clots
A nurse is caring for a client who has a diagnosis of renal
calculi and reports severe flank pain. Which of the following is
the priority nursing action?
A. Relieve the client's pain
B. Encourage the client to increase fluid intake
C. Monitor the client's intake and output (I&O)
D. Strain the client's urine - ANSWER-A. Relieve the client's
pain
A nurse is teaching a client with chronic kidney disease about
predialysis dietary recommendations. The nurse should
recommending restricting the intake of which of the following
nutrients?
,A. Protein
B. Carbohydrates
C. Calcium
D. Monounsaturated fats - ANSWER-A. Protein
A nurse is assessing a client who is postoperative following a
transurethral resection of the prostate (TURP) and has
continuous bladder irrigation. The nurse notes no drainage in
the client's urinary drainage bag over 1 hr. Which of the
following actions should the nurse take?
A. Instruct the client to attempt to void around the indwelling
urinary catheter
B. Increase the rate of irrigation fluid instillation
C. Irrigate the indwelling urinary catheter with a syringe
D. Prepare to administer a diuretic - ANSWER-C. Irrigate the
indwelling urinary catheter with a syringe
A nurse is assessing a client who is postoperative following a
transurethral resection of the prostate (TURP). After the nurse
discontinues the client's 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 - ANSWER-D. Decreased urine
output
A nurse is monitoring a client who is undergoing
extracorporeal shockwave lithotripsy (ESWL). The nurse
, should identify that which of the following findings is the
priority?
A. Dysrhythmias
B. Pink-tinged urine
C. Bruising on the flank area
D. Stone fragments in the urine - ANSWER-A. Dysrhythmias
A nurse is providing teaching to a client who is preoperative
prior to a transurethral resection of the prostate (TURP). Which
of the following client statements indicates an understanding
of the information?
A. "I will not need to have a urinary catheter following
this procedure." B. "I will expect my urine to be cloudy
after having this procedure."
C. "At least I won't have leakage of urine after having this
procedure."
D. "I will feel the urge to urinate following this procedure." -
ANSWER-D. "I will feel the urge to urinate following this
procedure."
A nurse is caring for a client who had a nephrostomy tube
inserted 8 hours ago. Which of the following actions should the
nurse include in the client's plan of care?
A. Flush the nephrostomy tube every 4 hours with sterile water.
B. Clamp the nephrostomy tube intermittently to establish
continence.
C. Check the skin at the nephrostomy site for irritation from
urine leakage.