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Urolithiasis, BPH and Prostate Cancer

Total questions: 20

Worksheet time: 11mins

Name
Class
Date
1.

The nurse is conducting an interview of an older client and is concerned about the possibility of benign prostatic hyperplasia (BPH). Which are characteristics of this disorder? Select all that apply.

a)

Nocturia

b)

Incontinence

c)

Enlarged prostate.

d)

Nocturnal emissions

e)

Decreased desire for sexual intercourse

2.

The nurse is collecting data from a client. Which symptom described by the client is characteristic of an early symptom of benign prostatic hyperplasia?

a)

Nocturia

b)

Scrotal edema

c)

Occasional constipation

d)

Decreased force in the stream of urine.

3.

A client with severe back pain and hematuria is found to have hydronephrosis due to urolithiasis. The nurse anticipates which treatment will be done to relieve the obstruction? Select all that apply.

a)

Peritoneal dialysis

b)

Analysis of the urinary stone

c)

Intravenous opioid analgesics

d)

Insertion of a nephrostomy tube

e)

Placement of a ureteral stent with ureteroscopy

4.

The nurse is monitoring a client who has just returned from surgery after a transurethral resection of the prostate (TURP) to treat prostate cancer. The client has a three-way Foley catheter in place for ongoing bladder irrigation. The nurse is observing the color of the client's urine and would expect which urine color during the immediate postoperative period?

a)

Pale pink urine

b)

Dark pink urine

c)

Tea-colored urine

d)

Bright red blood with small clots in the urine

5.

The nurse is reviewing the medical record of a client with a diagnosis of pyelonephritis. Which disorder, if noted on the client's record, would the nurse identify as a risk factor for this disorder?

a)

Hypoglycemia

b)

Diabetes mellitus

c)

Coronary artery disease

d)

Orthostatic hypotension

6.

The nursing student is caring for a client with benign prostatic hyperplasia (BPH). The nursing instructor asks the student to identify the clinical manifestations associated with this condition. The student needs further teaching if the student states that which finding is an early symptom of BPH?

a)

Nocturia

b)

Hematuria

c)

Decreased force of urine stream

d)

Difficulty initiating urine stream

7.

The nurse provides discharge instructions to a client after prostatectomy. What is the priority discharge instruction for this client?

a)

Avoid driving a car for at least 1 week.

b)

Increase fluid intake to at least 2.5 L/day.

c)

Avoid lifting any objects greater than 30 lb (13.6 kg).

d)

Contact the primary health care provider (PHCP) if small clots are noticed in the urine.

8.

The nurse is caring for a client just after ureterolithotomy for treatment of calculi and is monitoring the drainage from the ureteral catheter hourly. Suddenly, the catheter stops draining. The nurse assesses the client and determines that which could be the cause of the problem? Select all that apply.

a)

Blood clots

b)

Mucous shreds

c)

Ureteral edema

d)

Chemical sediment

e)

Catheter displacement

9.

The nurse is assessing a client who has returned from the postanesthesia care unit after transurethral resection of the prostate (TURP) to treat prostate cancer. The nurse would assess for which color in the urinary drainage tubing that indicates proper irrigation and adequate functioning of the device?

a)

Pale pink

b)

Dark pink

c)

Bright red

d)

Red with clots

10.

The nurse caring for a client immediately after transurethral resection of the prostate (TURP) notices that the client has suddenly become confused and disoriented. Which is the priority nursing action for this client?

a)

Reorient the client.

b)

Notify the surgeon.

c)

Ensure that a clock and calendar are in the room.

d)

Increase the flow rate of the intravenous infusion.

11.

The nurse is admitting a client from the postanesthesia care unit who has had percutaneous nephrolithotomy for calculi in the renal pelvis. The nurse anticipates that the client's care will most likely involve monitoring which device?

a)

Ureteral stent

b)

Suprapubic tube

c)

Nephrostomy tube

d)

Jackson-Pratt drain

12.

Tamsulosin hydrochloride is prescribed for a client. The nurse would suspect that this medication is prescribed to relieve which condition?

a)

Constipation

b)

Muscle spasms

c)

Urinary obstruction

d)

Respiratory congestion

13.

Tamsulosin hydrochloride has been prescribed for a client with benign prostatic hypertrophy (BPH). How would the nurse instruct the client to take the medication?

a)

With breakfast

b)

With a glass of milk

c)

With the lunchtime meal

d)

Thirty minutes after a meal

14.

The nurse is performing an assessment on a client after a cystoscopy. Which assessment finding indicates a need to notify the primary health care provider (PHCP)?

a)

A temperature of 99.4° F (37.4° C)

b)

Grossly bloody urine with clots

c)

A bluish or green tinge to the urine

d)

A blood pressure of 120/82 mm Hg

15.

A client passes a urinary stone, and laboratory analysis of the stone indicates that it is composed of calcium oxalate. On the basis of these data, which would the nurse specifically include in the dietary instructions?

a)

Increase intake of dairy products.

b)

Avoid citrus fruits and citrus juices.

c)

Avoid green, leafy vegetables such as spinach.

d)

ncrease intake of meat, fish, plums, and cranberries.

16.

The nurse is providing dietary instructions to a client with an oxalate kidney stone. The nurse would instruct the client to avoid which food?

a)

Breads

b)

Poultry

c)

Chocolate

d)

Prune juice

17.

The client diagnosed with benign prostatic hyperplasia (BPH) is scheduled for a transrectal ultrasound examination and a test to measure the level of prostate-specific antigen (PSA). The client says to the nurse, "I can't remember . . . can you tell me again why I need these tests to be done?" The nurse responds, knowing that these tests are done for which purpose?

a)

Specifically, to predict the course of BPH

b)

Help to rule out the possibility of cancer

c)

Pinpoint the likelihood of developing a urinary obstruction

d)

Give an indication of whether intermittent self-catheterization is needed

18.

A client with benign prostatic hyperplasia undergoes a transurethral resection of the prostate. Postoperatively the client is receiving continuous bladder irrigations. The nurse assesses the client for manifestations of transurethral resection syndrome. Which assessment data would indicate the onset of this syndrome?

a)

Tachycardia and diarrhea

b)

Bradycardia and confusion

c)

Increased urinary output and anemia

d)

Decreased urinary output and bladder spasms

19.

The nurse is caring for a client who has just returned from having a cystoscopy. The nurse would recognize which as an abnormal assessment finding for this client?

a)

The nurse notes bright red urine output.

b)

The nurse notes pink-tinged urine output.

c)

The client reports having urinary frequency.

d)

The client complains of burning when urinating.

20.

The nurse is assessing a client with a left-sided renal calculi. Which clinical manifestations of this condition would the nurse expect? Select all that apply.

a)

Severe pain

b)

Restlessness

c)

Somnolence

d)

Pain with gradual onset

e)

Pain located in the flank area