Genitourinary Disorders 2

A female client has been experiencing recurrent urinary tract infections. What health education should the nurse provide to this client?

• Bathe daily and keep the perineal region clean

• Avoid voiding immediately after sexual intercourse

• Drink liberal amounts of fluids

• Void at least every 6 to 8 hours

A nurse is caring for a female client whose urinary retention has not responded to conservative treatment. When educating this client about self-catheterization, the nurse should encourage what practice?

• Assuming a supine position for self-catheterization

• Using clean technique at home to catheterize

• Inserting the catheter 1 to 2 inches (2.5 to 5 cm) into the urethra

• Self-catheterizing every 2 hours at home

The nurse on a urology unit is working with a client who has been diagnosed with oxalate renal calculi. When planning this client's health education, what nutritional guidelines should the nurse provide?

• Reduce chocolate intake

• Increase intake of potassium-rich foods

• Follow a low-calcium diet

• Encourage intake of food containing oxalates

A client with cancer of the bladder has just returned to the unit from the PACU after surgery to create an ileal conduit. The client weighs 60 kg. The nurse is monitoring the client's urine output hourly and notifies the health care provider when the hourly output is less than what?

• 30 mL

• 50 mL

• 100 mL

• 125 mL

The nurse is teaching a health class about UTIs to a group of older adults. What characteristic of UTIs should the nurse cite?

• Men over age 65 are equally prone to UTIs as women, but are more often asymptomatic

• The prevalence of UTIs in older men approaches that of women in the same age group

• Men of all ages are less prone to UTIs, but typically experience more severe symptoms

• The prevalence of UTIs in men cannot be reliably measured, as men generally do not report UTIs

A nurse is teaching a 53-year-old man about prostate cancer, given the fact that he has a family history of the disease. What information should the nurse provide to best facilitate the early identification of prostate cancer?

• Have a digital rectal examination and prostate-specific antigen (PSA) test done as recommended

• Have a transrectal ultrasound every 5 years

• Perform monthly testicular self-examinations, especially after age 60

• Have a complete blood count (CBC), blood urea nitrogen (BUN), and creatinine assessment performed annually

A client has just returned to the floor following a transurethral resection of the prostate. A triple-lumen indwelling urinary catheter has been inserted for continuous bladder irrigation. What, in addition to balloon inflation, are the functions of the three lumens?

• Continuous inflow and outflow of irrigation solution

• Intermittent inflow and continuous outflow of irrigation solution

• Continuous inflow and intermittent outflow of irrigation solution

• Intermittent inflow of irrigation solution and prevention of hemorrhage

A nurse is providing an educational event to a local men's group about prostate cancer. The nurse should cite an increased risk of prostate cancer in what ethnic group?

• Native Americans/First Nations

• Caucasians

• African American

• Asians

A client is undergoing diagnostic testing for a suspected urinary obstruction. The nurse should know that incomplete emptying of the bladder due to bladder outlet obstruction can cause what?

• Hydronephrosis

• Nephritic syndrome

• Glycosuria

• Nephrotoxicity

A nurse who provides care in a long-term care facility is aware of the high incidence and prevalence of urinary tract infections among older adults. What action has the greatest potential to prevent UTIs in this population?

• Administer prophylactic antibiotics as prescribed

• Limit the use of indwelling urinary catheters

• Encourage frequent mobility and repositioning

• Toilet incontinent residents who are immobile on a scheduled basis