Urinary Complications Practice Quiz (Q&A) 15 questions
Urinary Complications Practice Quiz (Q&A) 15 questions NUR 412
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This 6 page Test Prep (MCAT, SAT...) was uploaded by Caroline on Saturday September 5, 2015. The Test Prep (MCAT, SAT...) belongs to NUR 412 at La Salle University taught by in Summer 2015. Since its upload, it has received 578 views. For similar materials see Nursing Care of Adults, Altered Health 2 in Nursing and Health Sciences at La Salle University.
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Date Created: 09/05/15
Med Surg Question and Answer Practice Quiz 1 Which of the following clients is at highest risk for developing a urinary tract infection a A man with an for incontinence b A woman who has given vaginal birth to two children c A man with a past medical history of renal calculi d A woman with wellcontrolled diabetes mellitus 2 A client is diagnosed with acute pyelonephritis urinary infection Which of the following instructions should the nurse provide to the client about managing the disease a quotUrinate frequently because the bacteria that cause acute pyelonephritis reach the kidneys by means of an infection that progresses upward from lower in the urinary tractquot b quotYou should take antibiotics for the rest of your life to prevent urinary tract infectionsquot c quotTaking frequent bubble baths will decrease the likelihood of further episodes of pyelonephritisquot d quotBy decreasing your uid intake you will decrease the need for frequent urination and the irritating effect of urine in your ureterquot 3 The nurse is assessing a client who has benign prostatic hypertrophy BPH prostate gland is enlarged The nurse should ask the client if he has a Impotence b Dif culty starting the urinary stream c Flank pain d Hematuria 4 A client who is recovering from transurethral resection of the prostate TURP experiences urinary incontinence and has decreased the uid intake because of the incontinence What would be the nurse39s best response to the client After a TURF continuous bladder irrigation check for any bloodclots discontinue irrigation once urine is clear a quotYes limiting your uids can decrease your incontinencequot b quotLimiting your uids will cause kidney stonesquot c quotIf your incontinence continues we will reinsert your catheterquot 1 quotDrink 8 glasses of water a day and urinate every 2 hoursquot 5 Which of the following factors would put the client at increased risk for pyelonephritis a Fluid intake of 2000 mlday b Intake of large quantities of cranberry juice c History of hypertension 1 History of diabetes mellitus 6 The nurse is teaching the client with an ileal conduit how to prevent a urinary tract infection Which of the following measures would be most effective a Use sterile technique to change the appliance b Irrigate the stoma daily c Avoid people with respiratory tract infections 1 Maintain a daily uid intake of 2000 to 3000 ml 7 Which of the following findings in a client s history would most likely increase the client s risk for renal calculi kidney stones a The client had a urinary tract infection within the last 6 months b The client takes large doses of vitamin E c The client eats a diet that meets the daily requirements for calcium 1 The client drinks one to two glasses of uid daily 8 After surgery to create a urinary diversion the client is at risk for a urinary tract infection The nurse should plan to incorporate which of the following interventions into the client39s care a Administer prophylactic antibiotics b Empty the urinary appliance when onethird full c Change the urinary appliance daily d Clamp the urinary appliance at night 9 What should the nurse teach the client to do to prevent stress incontinence Select all that apply a Carry an extra incontinence pad when away from home not preventi0n b Use techniques that strengthen the sphincter and structural supports of the bladder such as Kegel exercises c Avoid dietary irritants eg caffeine alcoholic beverages d Not to laugh when in social gatherings e Obtain a uid intake of 500 ml per day 10 A client has undergone a cystectomy and an ileal conduit diversion What should the nurse incorporate into the discharge instructions Select all that apply a Minimize daily activities b Wear snug clothing over the stoma to encourage urine ow into the drainage bag c Drink at least 3000 ml of uid each day d Avoid odorproducing foods such as onions sh eggs and cheese e Keep urine alkaline to prevent urinary tract infections 11 A client who had a transurethral resection of the prostate TURP 1 day earlier has a threeway Foley catheter inserted for continuous bladder irrigation Which of the following statements best explains why continuous irrigation is used after TURP a To instill antibiotics into the bladder b To prevent bladder distention c To keep the catheter free from clot obstruction d To control bleeding in the bladder 12 A client who had transurethral resection of the prostate TURP 2 days earlier has lower abdominal pain The nurse should a Auscultate the abdomen for bowel sounds b Assess the patency of the urethral catheter c Administer an oral analgesic d Have the client use a sitz bath for 15 minutes 13 A client asks the nurse what PSA is The nurse should reply that it stands for a pneumococcal strep antigen which is a bacteria that causes pneumonia b protein serum antigen which is used to determine protein levels 0 Papanicolaouspecific antigen which is used to screen for cervical cancer 1 prostatespeci c antigen which is used to screen for prostate cancer 14 After a radical prostatectomy for prostate cancer a client has an indwelling catheter removed The client then begins to have periods of incontinence During the postoperative period which intervention should be implemented first a Selfcatheterization b Artificial sphincter use 0 Fluid restriction d Kegel exercises 15 The nurse is performing a digital rectal examination Which of the following findings is a key sign for prostate cancer a Abdominal pain b A nonindurated prostate c A hard prostate localized or diffuse d A boggy tender prostate
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