A nurse cares for a postmenopausal client who has had two episodes of bacterial urethritis in the last 6 months. The client asks, I never have urinary tract infections. Why is this happening now? How should the nurse respond?
a. Your immune system becomes less effective as you age.
b. Low estrogen levels can make the tissue more susceptible to infection.
c. You should be more careful with your personal hygiene in this area.
d. It is likely that you have an untreated sexually transmitted disease.
Question 2After teaching a client with bacterial cystitis who is prescribed phenazopyridine (Pyridium), the nurse assesses the client's understanding. Which statement made by the client indicates a correct understanding of the teaching?
a. I will not take this drug with food or milk.
b. If I think I am pregnant, I will stop the drug.
c. An orange color in my urine should not alarm me.
d. I will drink two glasses of cranberry juice daily.
Question 3A nurse assesses clients on the medical-surgical unit. Which clients are at risk for kidney problems? (Select all that apply.)
a. A 24-year-old pregnant woman prescribed prenatal vitamins
b. A 32-year-old bodybuilder taking synthetic creatine supplements
c. A 56-year-old who is taking metformin for diabetes mellitus
d. A 68-year-old taking high-dose nonsteroidal anti-inflammatory drugs (NSAIDs) for chronic back pain
e. A 75-year-old with chronic obstructive pulmonary disease (COPD) who is prescribed an albuterol nebulizer
Question 4A nurse assesses a client recovering from a cystoscopy. Which assessment findings should alert the nurse to urgently contact the health care provider? (Select all that apply.)
a. Decrease in urine output
b. Tolerating oral fluids
c. Prescription for metformin
d. Blood clots present in the urine
e. Burning sensation when urinating
Question 5A nurse prepares a client for a percutaneous kidney biopsy. Which actions should the nurse take prior to this procedure? (Select all that apply.)
a. Keep the client NPO for 4 to 6 hours.
b. Obtain coagulation study results.
c. Maintain strict bedrest in a supine position.
d. Assess for blood in the client's urine.
e. Administer antihypertensive medications.
Question 6A nurse plans care for an older adult client. Which interventions should the nurse include in this client's plan of care to promote kidney health? (Select all that apply.)
a. Ensure adequate fluid intake.
b. Leave the bathroom light on at night.
c. Encourage use of the toilet every 6 hours.
d. Delegate bladder training instructions to the unlicensed assistive personnel (UAP).
e. Provide thorough perineal care after each voiding.
f.
Assess for urinary retention and urinary tract infection.
Question 7A nurse reviews a client's laboratory results. Which results from the client's urinalysis should the nurse identify as normal? (Select all that apply.)
a. pH: 6
b. Specific gravity: 1.015
c. Protein: 1.2 mg/dL
d. Glucose: negative
e. Nitrate: small
f.
Leukocyte esterase: positive
Question 8After delegating to an unlicensed assistive personnel (UAP) the task of completing a bladder scan examination for a client, the nurse evaluates the UAP's performance.
Which action by the UAP indicates the nurse must provide additional instructions when delegating this task?
a.
Selecting the female icon for all female clients and male icon for all male clients
b.
Telling the client, This test measures the amount of urine in your bladder.
c.
Applying ultrasound gel to the scanning head and removing it when finished
d.
Taking at least two readings using the aiming icon to place the scanning head
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