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N368 Med/Surg
Chapter 28 Urinary NCLEX Review Quiz
15
Nursing
Undergraduate 3
11/29/2009

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Cards

Term
A client diagnosed with pyelonephritis asks the nurse “What is the disease?” The nurse’s best response “Pyelonephritis is an:
Definition
inflammation of the kidney and renal pelvis.”
Term
The nurse is planning to teach the client about the signs and symptoms of a urinary tract infection. The nurse should include: (Mark all that apply)
Definition
dysuria.

foul smelling cloudy urine.

urgency.
Term
A male client is complaining of urinary frequency, dysuria, pain, fever and chills for the third time in 9 months. The nurse should expect which diagnostic test to be ordered since this is the third infection in 9 months?
Definition
Intravenous pyelography
Term
The client with a history of recurrent urinary tract infections due to renal calculi is to undergo extra corpeal shock wave lithotripsy. Post procedure, the nurse will need to evaluate the client for:
Definition
bleeding.
Term
The nurse is developing a teaching plan for the sexually active woman for preventing urinary tract infections. The nurse should instruct the client to: (Mark all that apply)
Definition
wear cotton briefs.

void before and after intercourse.

increase fluids to 2.5 quarts per day.
Term
A client with a history of urinary tract infection should be instructed by the nurse to avoid:
Definition
tea and coffee.
Term
The client is experiencing urolithiasis composed of Struvite. The nurse would teach the client that the cause of these stones is:
Definition
bacteria.
Term
A client has been diagnosed with renal obstruction due to calculi. The nurse should evaluate the client for the complication of:
Definition
hydronephosis.
Term
A client has just been diagnosed with bladder cancer. The nurse should develop a plan of care which includes:
Definition
smoking cessation classes.
Term
The most appropriate nursing diagnosis one day for the client who has had a radical cystectomy and urinary diversion for the nurse to develop a plan of care for is:
Definition
disturbed body image.
Term
The nurse is caring for a client with an ileal conduit. The nurse should assess for which complication that the client is most at risk for?
Definition
Skin breakdown
Term
A client with a nuerogenic bladder is taking oxybutynin (Ditropan). The nurse would evaluate the client for which adverse effects? (Mark all that apply)
Definition
Dry mouth, blurred vision
Term
The nurse should instruct the client with stress or urge urinary incontinence to: (Mark all that apply)
Definition
perform kegel exercises.

keep a voiding log.
Term
A client has had surgery and a continent ileal conduit (Kock’s Pouch) created. The nurse must instruct the client to:
Definition
self catheterize the stoma every 2 to 4 hours.
Term
The nurse would conclude that the education goals of a client with stress incontinence have been met when the client: (Mark all that apply)
Definition
returns to previous level of activity.

remains dry between voidings.

maintains a bladder voiding program every three hours.
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