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Genitourinary Disorders – One

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.

A 24-hour urine collection is scheduled to start at 0100. When should the nurse start the procedure?

a)

At 0100, with or without a specimen

b)

At the first specimen that was voided at 0400

c)

2 hours after the urine was discarded

d)

After discarding the 0100 specimen

2.

What is the normal adult bladder capacity?

a)

50 to 100 mL

b)

100 to 200 mL

c)

300 to 500 mL

d)

600 to 800 mL

3.

Diagnostic testing of an adult client reveals renal glycosuria. The nurse should recognize the need for the client to be assessed for what health problem?

a)

Diabetes insipidus

b)

Syndrome of inappropriate antidiuretic hormone secretion (SIADH)

c)

Diabetes mellitus

d)

Renal carcinoma

4.

A nurse is aware of the high incidence and prevalence of fluid volume deficit among older adults. What related health education should the nurse provide to an older adult?

a)

“If possible, try to drink at least 4 L of fluid daily.”

b)

“Ensure that you avoid replacing water with other beverages.”

c)

“Remember to drink frequently, even if you don't feel thirsty.”

d)

“Make sure you eat plenty of salt in order to stimulate thirst.”

5.

A client with a history of progressively worsening fatigue is undergoing a comprehensive assessment which includes test of renal function relating to erythropoiesis. When assessing the oxygen transport ability of the blood, the nurse should prioritize the review of what blood value?

a)

Hematocrit

b)

Hemoglobin

c)

Erythrocyte sedimentation rate (ESR)

d)

Serum creatinine

6.

The nurse is caring for a client postoperative day 4 following a kidney transplant. When assessing for potential signs and symptoms of rejection, what assessment should the nurse prioritize? Assessment of

a)

the quantity of the client's urine output

b)

the client's incision

c)

the client's abdominal girth

d)

flank or abdominal pain

7.

The nurse is planning client teaching for a client with ESKD who is scheduled for the creation of a fistula. The nurse should teach the client what information about the fistula?

a)

“A vein and an artery in your arm will be attached surgically.”

b)

“The arm should be immobilized for 4 to 6 days.”

c)

“One needle will be inserted into the fistula for each dialysis treatment.”

d)

“The fistula can be used 5 to 7 days after the surgery for dialysis treatment.”

8.

The nurse notes a weight gain of 3 pounds (1.4 kg) over the past 48 hours. What nursing diagnosis is suggested by this assessment finding?

a)

Imbalanced Nutrition: More than body requirements

b)

Excess Fluid Volume

c)

Sedentary Lifestyle

d)

Adult Failure to Thrive

9.

The nurse has identified the nursing diagnosis of “Risk for Infection” in a client who undergoes peritoneal dialysis. What nursing action best addresses this risk?

a)

Maintain aseptic technique when administering dialysate.

b)

Wash the skin surrounding the catheter site with soap and water prior to each exchange.

c)

Add antibiotics to the dialysate as prescribed.

d)

Administer prophylactic antibiotics by mouth or IV as prescribed.

10.

A nurse is caring for a client who is in the diuresis phase of AKI. The nurse should closely monitor the client for what complication during this phase?

a)

Hypokalemia

b)

Hypocalcemia

c)

Dehydration

d)

Acute flank pain