The nurse is aware that the following findings would be further evidence of a urethral injury in a male client during rectal examination? A. A low-riding prostate B. The presence of a boggy mass C. Absent sphincter tone D. A positive Hemoccult Correct Answer: B. The presence… Read More »
After having transurethral resection of the prostate (TURP), Mr. Lim returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client’s catheter is occluded? A. The urine in the drainage bag appears red to pink. B. The client reports bladder spasms and the… Read More »
A male client in the short-procedure unit is recovering from renal angiography in which a femoral puncture site was used. When providing post-procedure care, the nurse should: A. Keep the client’s knee on the affected side bent for 6 hours. B. Apply pressure to the puncture site for 30 minutes. C. Check… Read More »
A male client develops acute renal failure (ARF) after receiving I.V. therapy with a nephrotoxic antibiotic. Because the client’s 24-hour urine output totals 240 ml, Nurse Billy suspects that the client is at risk for: A. Cardiac arrhythmia. B. Paresthesia. C. Dehydration. D. Pruritus. Correct Answer: A.… Read More »
A female client is admitted for treatment of chronic renal failure (CRF). Nurse Julian knows that this disorder increases the client’s risk of: A. Water and sodium retention secondary to a severe decrease in the glomerular filtration rate. B. A decreased serum phosphate level secondary to kidney failure. C. An increased serum… Read More »
After undergoing transurethral resection of the prostate to treat benign prostatic hyperplasia, a male client returns to the room with continuous bladder irrigation. On the first day after surgery, the client reports bladder pain. What should Nurse Anthony do first? A. Increase the I.V. flow rate. B. Notify the physician immediately. C.… Read More »
Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a female client’s uremia. Which finding signals a significant problem during this procedure? A. Potassium level of 3.5 mEq/L B. Hematocrit (HCT) of 35% C. Blood glucose level of 200 mg/dl D. White blood cell (WBC) count of 20,000/mm3 … Read More »
When performing a scrotal examination, Nurse Payne finds a nodule. What should the nurse do next? A. Notify the physician. B. Change the client’s position and repeat the examination. C. Perform a rectal examination. D. Transilluminate the scrotum. Correct Answer: D. Transilluminate the scrotum. A nurse who… Read More »
For a male client in the oliguric phase of acute renal failure (ARF), which nursing intervention is most important? A. Encouraging coughing and deep breathing. B. Promoting carbohydrate intake. C. Limiting fluid intake. D. Providing pain-relief measures. Correct Answer: C. Limiting fluid intake. During the oliguric phase… Read More »
A male client who has been treated for chronic renal failure (CRF) is ready for discharge. Nurse Billy should reinforce which dietary instruction? A. “Be sure to eat meat at every meal.” B. “Monitor your fruit intake, and eat plenty of bananas.” C. “Increase your carbohydrate intake.” D. “Drink plenty of… Read More »