Medical Surgical: Renal and Urinary
1. A nurse is reinforcing teaching with a client prior to a
cystoscopy. Which of the following statements should the
nurse make?
Ans: Expect to have pink tinged urine after this procedure.
Rationale: 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.
2. A nurse is caring for a client who is receiving peritoneal
dialysis. The nurse should monitor the client for which of
the following adverse effects?
Ans: Respiratory distress
Rationale: Respiratory distress can occur during peritoneal
dialysis due to fluid overload.
3. A nurse is collecting data from a client who is receiving
continuous ambulatory peritoneal dialysis. Which of the
following findings should the nurse report to the provider?
Ans: Cloudy, yellow drainage
Rationale: Cloudy drainage is an early manifestation of
peritonitis and the nurse should report this finding to the provider.
Other manifestations include fever and abdominal tenderness.
4. A nurse is collecting data from a client who is
postoperative following extracorporeal shockwave
lithotripsy (ESWL). The nurse should identify that which of
the following findings is the priority?
Ans: Report of palpitations
, Rationale: ESWL is the application of sound, laser, or dry
shockwave energies to break a kidney stone into small pieces.
The shock waves are initiated during the R wave of the ECG to
prevent dysrhythmias.
5. A nurse is reinforcing teaching about collecting a 24
hour urine specimen for creatinine clearance with a newly
licensed nurse. Which of the following instructions should
the nurse include?
Ans: Place signs in the bathroom as a reminder about the test in
progress.
6. A nurse is reinforcing teaching with a client who is
preoperative prior
to a transurethral resection of the prostate (TURP). Which
of the following
statements indicates an understanding of the
information?
Ans: I will feel the urge to urinate following this procedure.
After a TURP, the client will feel the urge to urinate. The nurse
should reassure him that he will receive analgesics to help relieve
this discomfort.
7. A nurse is reinforcing dietary teaching with a client who
has late stage
chronic kidney disease (CKD). Which of the following
nutrients should the
nurse instruct the client to increase in her diet?
Ans: Calcium
Rationale: A client who has CKD can develop hypocalcemia due
to the reduced production of active vitamin D, which is needed for
1. A nurse is reinforcing teaching with a client prior to a
cystoscopy. Which of the following statements should the
nurse make?
Ans: Expect to have pink tinged urine after this procedure.
Rationale: 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.
2. A nurse is caring for a client who is receiving peritoneal
dialysis. The nurse should monitor the client for which of
the following adverse effects?
Ans: Respiratory distress
Rationale: Respiratory distress can occur during peritoneal
dialysis due to fluid overload.
3. A nurse is collecting data from a client who is receiving
continuous ambulatory peritoneal dialysis. Which of the
following findings should the nurse report to the provider?
Ans: Cloudy, yellow drainage
Rationale: Cloudy drainage is an early manifestation of
peritonitis and the nurse should report this finding to the provider.
Other manifestations include fever and abdominal tenderness.
4. A nurse is collecting data from a client who is
postoperative following extracorporeal shockwave
lithotripsy (ESWL). The nurse should identify that which of
the following findings is the priority?
Ans: Report of palpitations
, Rationale: ESWL is the application of sound, laser, or dry
shockwave energies to break a kidney stone into small pieces.
The shock waves are initiated during the R wave of the ECG to
prevent dysrhythmias.
5. A nurse is reinforcing teaching about collecting a 24
hour urine specimen for creatinine clearance with a newly
licensed nurse. Which of the following instructions should
the nurse include?
Ans: Place signs in the bathroom as a reminder about the test in
progress.
6. A nurse is reinforcing teaching with a client who is
preoperative prior
to a transurethral resection of the prostate (TURP). Which
of the following
statements indicates an understanding of the
information?
Ans: I will feel the urge to urinate following this procedure.
After a TURP, the client will feel the urge to urinate. The nurse
should reassure him that he will receive analgesics to help relieve
this discomfort.
7. A nurse is reinforcing dietary teaching with a client who
has late stage
chronic kidney disease (CKD). Which of the following
nutrients should the
nurse instruct the client to increase in her diet?
Ans: Calcium
Rationale: A client who has CKD can develop hypocalcemia due
to the reduced production of active vitamin D, which is needed for
