Renal and Urinary Exam Review with Complete Solution 2022/2023

Document Content and Description Below

A client with benign prostatic hypertrophy (BPH) undergoes a transurethral resection of the prostate (TURP) and is receiving continuous bladder irrigations postoperatively. Which are the signs/symptom... s of transurethral resection (TUR) syndrome? 1.Tachycardia and diarrhea 2.Bradycardia and confusion 3.Increased urinary output and anemia 4.Decreased urinary output and bladder spasms - ANSWER 2.Bradycardia and confusion A client is diagnosed with polycystic kidney disease, and the nurse provides information to the client about the treatment plan. The nurse determines that the client needs further teaching if the client states that which component is part of the treatment plan? 1.Sodium restriction 2.Genetic counseling 3.Increased water intake 4.Antihypertensive medications - ANSWER 1.Sodium restriction The nurse is caring for a client with epididymitis. The nurse anticipates noting which group of findings on data collection? 1.Diarrhea, groin pain, and scrotal edema 2.Fever, diarrhea, groin pain, and ecchymosis 3.Fever, nausea and vomiting, and painful scrotal edema 4.Nausea, vomiting, and scrotal edema with widespread ecchymosis - ANSWER 3.Fever, nausea and vomiting, and painful scrotal edema The nurse is reinforcing instructions to a client about the types of fluids that assist in prevention and treatment of urinary tract infections (UTIs). The nurse instructs the client to consume which fluids? Select all that apply. 1.Milk 2.Soda 3.Prune juice 4.Apple juice 5.Cranberry juice - ANSWER 3.Prune juice 4.Apple juice 5.Cranberry juice The nurse is assisting in planning a diet for a client with acute kidney injury (AKI). The nurse plans to restrict which dietary component from this client's diet? 1.Fats 2.Vitamins 3.Potassium 4.Carbohydrates - ANSWER 3.Potassium A client has undergone a transurethral resection of the prostate (TURP) a few hours ago to treat symptoms of benign prostatic hypertrophy. The nurse notes bright red blood and clots in the urinary catheter drainage bag. Which response should be the nurse's initial action? 1.Contact the client's surgeon to report the bleeding. 2.Remove a small amount of fluid from the retention bulb. 3.Increase the flow rate of the continuous bladder irrigation. 4.Remove the indwelling catheter and encourage increased oral fluids. - ANSWER 3.Increase the flow rate of the continuous bladder irrigation. Which is an appropriate question to ask to determine the specific type of incontinence? 1."Do you feel pain when you urinate?" 2."Do you have any difficulty in starting your stream of urine?" 3."Have you needed to empty your bladder more frequently than usual?" 4."Have you been experiencing any urgency accompanied by dribbling or leaking urine?" - ANSWER 4."Have you been experiencing any urgency accompanied by dribbling or leaking urine?" A client is seen in the health care clinic and acute pyelonephritis is suspected. The nurse reviews the client's record and should expect to note which associated signs and symptoms documented? Select all that apply. 1.Chills 2.Low-grade fever 3.Pale, dilute urine 4.General weakness 5.Nausea and vomiting 6.Flank pain on the unaffected side - ANSWER 1.Chills 4.General weakness 5.Nausea and vomiting The use of peritoneal dialysis for the treatment of chronic kidney disease would be contraindicated for which client? 1.The client with hypothyroidism 2.The client with severe emphysema 3.The client with type 2 diabetes mellitus 4.The client with severe peripheral vascular disease - ANSWER 2.The client with severe emphysema Which condition places the client at risk for developing acute postrenal failure? 1.Dehydration 2.Hydronephrosis 3.Rhabdomyolysis 4.Glomerulonephritis - ANSWER 2.Hydronephrosis [Show More]

Last updated: 1 year ago

Preview 1 out of 4 pages