STUVIA 2024/2025
NGN URINARY
• A client who has a polycystic kidney disease (PKD) presents to the emergency department with
reports of a severe headache. Which of the following complications should the nurse expect? - ✔✔
• A nurse is caring for four clients on the urology unit. Which of the following data gathered by the
nurse leads them to suspect renal calculi - ✔✔The client admitted to the hospital who has clinical
finding of sever flank pain, nausea, and vomiting.
• A patient with cystitis is receiving phenazopyridine (Pyridium) for pain and is voiding a bright
red-orange urine. What should the nurse do? - ✔✔Explain to the patient that this is a normal finding
• A patient, age 78, has admitted to the hospital with dehydration and electrolyte
imbalance. She is confused and incontinent of urine on admission. Which nursing intervention does
the nurse include in developing a plan of care? - ✔✔Apply absorbent incontinence pads
• The home health nurse suggests the use of a complementary and alternative therapies to prevent
and/ or treat urinary tract infection (UTI). Which of the following is an example of such therapies ? -
✔✔Cranberry juice
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• The nurse is teaching a group of nursing students about risk factors of chronic kidney disease
(CKD). Which of the following conditions is a common risk factor of CKD - ✔✔Diabetes mellitus
• The patient is scheduled for a transurethral resection of the prostate. During preoperative teaching,
what should the nurse emphasize about what the patient can expect after the procedure - ✔✔Red
drainage from the catheter
A nurse is assisting the nurse manager at a skilled nursing facility with decreasing the facility's rate of
increasing UTI's. Which of the following should the nurse and nurse manager teach the nursing sta^?
Select all that apply - ✔✔Encourage adequate fluid intake everyday.
Remind clients to urinate right away when they have an urge and to completely empty their bladder.
Obtain orders from the health care provider to discontinue catheters as soon
as possible.
Continue prescribed antibiotics even if the clients symptoms have subsided
A nurse is assisting the registered nurse provide discharge teaching to a client who will be performing
continuous ambulatory peritoneal dialysis at home. Which of following client statements indicate
understanding of this type of dialysis management? Select all that apply -
✔✔ImustwashmyhandseverytimebeforeIconnectthetubingtothecatheter in my stomach
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, STUVIA 2024/2025
I will weigh myself daily and keep track of my weight in my dialysis record
I will check my blood pressure and follow the instructions related to changes I might need to do based
on the results
A nurse is assisting with an assessment in the clinic for a female client who reports foul-smelling urine
and pain with urination. The client states, "I bet I have a UTI. Why do I tend to get urinary tract
infections? Which of the following statements should the nurse include in the explanation? - ✔✔As a
female, you have a shorter urethra creating an easier way for bacteria to invade your bladder.
A nurse is caring for a client admitted for pyelonephritis The client's history includes frequent urinary
tract infections (UTI). Which of the following statements by the client indicates that they are suffering
from a psychosocial e^ect from frequent UTI - ✔✔When I have one of these infections, I can't go to
my grandkids school activities like I normally do.
A nurse is caring for a client admitted for renal calculus. Which of the following assessment findings
should the nurse associate with renal calculi? Select all that apply - ✔✔Flank pain.
Fever gastrointestinal upset
A nurse is caring for a client in a clinic who has foul-smelling urine, a low-grade fever of 37.7 census
(100 F), and pain with urination. Which of the following should the nurse expect the health care
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provider to order? Select all that apply - ✔✔o WBCcount
o Aclean-catchurinalysisandurineculture.
A nurse is caring for a client in the clinic who has a distended bladder with discomfort over the area
and sense of fullness. Which of the following test should the nurse expect the health care provider to
order to determine if the client has urinary retention select all that apply -
✔✔BladderscanBloodureanitrogen(BUN)Creatinine
A nurse is caring for a client in the emergency department with a diagnosis of renal calculi. Which of
the following areas of the renal system does most renal calculi begin forming? - ✔✔Renal papilla
A nurse is caring for a client who has a newly diagnosed polycystic kidney disease (PKD). The client
asks, "Did I do something to my body to get this disease?" Which of the following statements from the
nurse is the most accurate response? - ✔✔This disease is a genetic disorder and could not have
been prevented.
A nurse is caring for a client who has an admitted diagnosis of renal calculi and medical history of
hypertension and gout. The client works 6 days of the week outside in temperature between 32.2
census (90 to 100 F). Which of the following should the nurse tell the client to prevent a reoccurrence
of renal calculi? - ✔✔Drink plenty of fluids during the day
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