Urinary System Disorders | NCLEX Quiz 112
All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.The nurse is preparing to care for the client following a renal scan. Which of the following would the nurse include in the plan of care?
- A.
Place the client on radiation precautions for 18 hours
- B.
Save all urine in a radiation safe container for 18 hours
- C.
Limit contact with the client to 20 minutes per hour.
- D.
No special precautions except to wear gloves if in contact with the client’s urine.
- 2.The client passes a urinary stone. and lab analysis of the stone indicates that it is composed of calcium oxalate. Based on this analysis. which of the following would the nurse specifically include in the dietary instructions?
- A.
Increase intake of meat. fish. plums. and cranberries
- B.
Avoid citrus fruits and citrus juices
- C.
Avoid green. leafy vegetables such as spinach.
- D.
Increase intake of dairy products.
- 3.The client returns to the nursing unit following a pyelolithotomy for removal of a kidney stone. A Penrose drain is in place. Which of the following would the nurse include in the client’s postoperative care?
- A.
Sterile irrigation of the Penrose drain
- B.
Frequent dressing changes around the Penrose drain
- C.
Weighing the dressings
- D.
Maintaining the client’s position on the affected side
- 4.The nurse is caring for a client following a kidney transplant. The client develops oliguria. Which of the following would the nurse anticipate to be prescribed as the treatment of oliguria?
- A.
Encourage fluid intake
- B.
Administration of diuretics
- C.
Irrigation of Foley catheter
- D.
Restricting fluids
- 5.A week after kidney transplantation the client develops a temperature of 101. the blood pressure is elevated. and the kidney is tender. The X-ray results the transplanted kidney is enlarged. Based on these assessment findings. the nurse would suspect which of the following?
- A.
Acute rejection
- B.
Chronic rejection
- C.
Kidney infection
- D.
Kidney obstruction
- 6.The client with BPH undergoes a transurethral resection of the prostate. Postoperatively. the client is receiving continuous bladder irrigations. The nurse assesses the client for signs of transurethral resection syndrome. Which of the following assessment data would indicate the onset of this syndrome?
- A.
Bradycardia and confusion
- B.
Tachycardia and diarrhea
- C.
Decreased urinary output and bladder spasms
- D.
Increased urinary output and anemia
- 7.The client is admitted to the hospital with BPH. and a transurethral resection of the prostate is performed. Four hours after surgery the nurse takes the client’s VS and empties the urinary drainage bag. Which of the following assessment findings would indicate the need to notify the physician?
- A.
Red bloody urine
- B.
Urinary output of 200 ml greater than intake
- C.
Blood pressure of 100/50 and pulse 130.
- D.
Pain related to bladder spasms.
- 8.A client has passed a renal calculus. The nurse sends the specimen to the laboratory so it can be analyzed for which of the following factors?
- A.
Antibodies
- B.
Type of infection
- C.
Composition of calculus
- D.
Size and number of calculi
- 9.A client who has been diagnosed with bladder cancer is scheduled for an ileal conduit. Preoperatively. the nurse reinforces the client’s understanding of the surgical procedure by explaining that an ileal conduit:
- A.
Is a temporary procedure that can be reversed later.
- B.
Diverts urine into the sigmoid colon. where it is expelled through the rectum.
- C.
Conveys urine from the ureters to a stoma opening in the abdomen.
- D.
Creates an opening in the bladder that allows urine to drain into an external pouch.
- 10.After surgery for an ileal conduit. the nurse should closely evaluate the client for the occurrence of which of the following complications related to pelvic surgery?
- A.
Peritonitis
- B.
Thrombophlebitis
- C.
Ascites
- D.
Inguinal hernia
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