Renal And Urinary Medical Surgical Rn

RENAL AND URINARY MEDICAL SURGICAL RN
EXAMINABLE QUESTIONS WITH CORRECT
ANSWERS



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" - ANSWER-C) "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 - ANSWER-C) 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 - ANSWER-C) 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 - ANSWER-D) 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 - ANSWER-D) 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.