GENITO URINARY SYSTEM Name_____________________________________
1. The physician orders hourly urine measurement for postoperative client. The nurse records the following amounts for 2 consecutive hours: 8 1m., 50 ml; 9am., 60 ml. Based on these amounts, which action should the nurse take? A.
Continue to monitor and record the clients hourly urine output. B.
Notify the physician C.
Irrigate the indwelling urinary catheter. D.
Increase the I.V. fluid infusion rate
2. The nurse is recording a client’s complaint
of painful urination. When documenting this symptoms, the nurse should use which of the following terms? A.
Dysuria 3. A client with chronic renal failure is admitted to the hospital. The physician orders arterial blood gases to be drawn. Which of the following should the nurse expect? A.
Metabolic Alkalosis B.
Metabolic acidosis C.
Respiratory alkalosis D.
Respiratory acidosis 4. After the nurse has completed the preoperative
teaching for client who’s having surgery for an ileal
conduit, the client asks the nurse when the ileal conduit can be reversed. The nurse would base an answer on the knowledge that: A.
3months after the bowel has had time to heal, it may be re anastomosed. B.
The reversal can be done 3 weeks after antibiotics take effect. C.
This procedure is permanent. D.
Most surgical procedure's are reversible 5. The nurse is assigned to care for a new pediatric admission, a 5 year old child with nephrotic syndrome. Which of the following nursing diagnoses should be added to the child's care plan? A.
Imbalanced nutrition: More than body requirements related to weight gain. B.
Activity intolerance related to increased use of sedatives C.
Disturbed body image related to loss of hair D.
Excess fluid volume related to glomerular damage 6. A client in acute renal failure is admitted to the nephrology unit. The period of oliguria in clients with this condition usually lasts about 10 days. Which of the following assessments of kidney function would the nurse make during the oliguric phase A.
No urine output because the kidneys would be in a state of suppression B.
Urine output of 30 to 60 ml/hr C.
Urine output of less than 400 to 600 ml in 24hours D.
Urine output that would be directly related to the amount of I.V. fluids infused 7. While providing client teaching, the nurse recognizes that the client on peritoneal dialysis has an understanding of peritonitis when states: A.
I’ll call you immediately if I notice that my
dialysate outflow is cloudy. B.
It’s normal for my dialysate to be bloody.
Abdominal pain will occur when I perform my daily dialysis fluid exchanges D.
I have no control over catheter connection site contamination during a dialysis fluid exchange. 8. The client with acute renal failure has a serum potassium level of 6.0 mEq/L. The nurses would plan which of the following as a priority action? A.
Check the sodium level B.
Place the client on a cardiac monitor C.
Encourage increased vegetables in the client D.
Allow an extra 500ml of fluid intake to dilute the electrolyte concentration. 9. The client with Chronic renal failure who is scheduled for hemodialysis this morning is due to receive a daily dose of enalapril (Vasotec). The nurse should plan to adminester this medication: A.
During dialysis B.
Just before dialysis C.
The day after dialysis D.
On the return from dialysis 10. The client with chronic renal failure has an indwelling abdominal catheter for peritoneal dialysis. The client spills water on the catheter dressing while bathing. The nurse should immediately: A.
Change the dressing B.
Reinforce the dressing C.
Flush the peritoneal dialysis catheter D.
Scrub the catheter with providone iodine 11. The nurse has completed client teaching wit the hemodialysis client about self monitoring between hemodialysis treatments. The nurse determines that the client best understands the information if the client states to record daily the: A.
Amount of activity B.
Pulse and respiratory rate C.
Intake and output and weight D.
Blood urea nitrogen and creatinine levels 12. The client with an external arteriovenous shunt in place for hemodialysis is at risk for bleeding. The priority nursing action would be to A.
Check the shunt for the presence of bruit and thrill B.
Observe the site once as time permits during the shift C.
Check the results of the prothrombin time as they are determined. D.
Ensure that small clamps are attached to the arteriovenous shunt dressing 13. The nurse is inserting a Foley catheter into the bladder of a female adult client. The nurse slips the catheter into an opening for four-5 inches and no urine is obtained. The most probable reason for this is that A) there is no urine present in the bladder B) the catheter is in the vagina C) the catheter is not inserted in far enough D) the bladder is over distended