Urinary System Disorders | NCLEX Quiz 113

10 Questions | Total Attempts: 1298

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Urinary System Disorders | NCLEX Quiz 113 - Quiz

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.


Questions and Answers
  • 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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