Urinary System Disorders | NCLEX Quiz 113
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 assessing the urine of a client who has had an ileal conduit and notes that the urine is yellow with a moderate amount of mucus. Based on the assessment data. which of the following nursing interventions would be most appropriate at this time?
- A.
Change the appliance bag
- B.
Notify the physician
- C.
Obtain a urine specimen for culture
- D.
Encourage a high fluid intake
- 2.When teaching the client to care for an ileal conduit. the nurse instructs the client to empty the appliance frequently. primarily to prevent which of the following problems?
- A.
Rupture of the ileal conduit
- B.
Interruption of urine production
- C.
Development of odor
- D.
Separation of the appliance from the skin
- 3.The client with an ileal conduit will be using a reusable appliance at home. The nurse should teach the client to clean the appliance routinely with what product?
- A.
Baking soda
- B.
Soap
- C.
Hydrogen peroxide
- D.
Alcohol
- 4.The nurse is evaluating the discharge teaching for a client who has an ileal conduit. Which of the following statements indicates that the client has correctly understood the teaching? Select all that apply.
- A.
“If I limit my fluid intake I will not have to empty my ostomy pouch as often.”
- B.
“I can place an aspirin tablet in my pouch to decrease odor.”
- C.
“I can usually keep my ostomy pouch on for 3 to 7 days before changing it.”
- D.
“I must use a skin barrier to protect my skin from urine.”
- E.
“I should empty my ostomy pouch of urine when it is full.”
- 5.A female client with a urinary diversion tells the nurse. “This urinary pouch is embarrassing. Everyone will know that I’m not normal. I don’t see how I can go out in public anymore.” The most appropriate nursing diagnosis for this patient is:
- A.
Anxiety related to the presence of urinary diversion.
- B.
Deficient Knowledge about how to care for the urinary diversion.
- C.
Low Self-Esteem related to feelings of worthlessness
- D.
Disturbed Body Image related to creation of a urinary diversion.
- 6.The nurse teaches the client with a urinary diversion to attach the appliance to a standard urine collection bag at night. The most important reason for doing this is to prevent:
- A.
Urine reflux into the stoma
- B.
Appliance separation
- C.
Urine leakage
- D.
The need to restrict fluids
- 7.The nurse teaches the client with an ileal conduit measures to prevent a UTI. Which of the following measures would be most effective?
- A.
Avoid people with respiratory tract infections
- B.
Maintain a daily fluid intake of 2.000 to 3.000 ml
- C.
Use sterile technique to change the appliance
- D.
Irrigate the stoma daily.
- 8.A client who has been diagnosed with calculi reports that the pain is intermittent and less colicky. Which of the following nursing actions is most important at this time?
- A.
Report hematuria to the physician
- B.
Strain the urine carefully
- C.
Administer meperidine (Demerol) every 3 hours
- D.
Apply warm compresses to the flank area
- 9.A client has a ureteral catheter in place after renal surgery. A priority nursing action for care of the ureteral catheter would be to:
- A.
Irrigate the catheter with 30 ml of normal saline every 8 hours
- B.
Ensure that the catheter is draining freely
- C.
Clamp the catheter every 2 hours for 30 minutes.
- D.
Ensure that the catheter drains at least 30 ml an hour
- 10.Which of the following interventions would be most appropriate for preventing the development of a paralytic ileus in a client who has undergone renal surgery?
- A.
Encourage the client to ambulate every 2 to 4 hours
- B.
Offer 3 to 4 ounces of a carbonated beverage periodically.
- C.
Encourage use of a stool softener
- D.
Continue intravenous fluid therapy
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