Genitourinary NCLEX Questions Quizlet

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Question 1 of 5.

The nurse is caring for a client diagnosed with ARF. Which laboratory values are most significant for diagnosing ARF?

A. BUN and creatinine.

B. WBC and hemoglobin.

C. Potassium and sodium.

D. Bilirubin and ammonia level.

Explanation: Elevated blood urea nitrogen (BUN) and creatinine levels indicate impaired kidney function, making them the primary markers for diagnosing ARF. Other labs like WBC, electrolytes, or liver function tests are less specific for ARF diagnosis.

Question 2 of 5.

The nurse is developing a plan of care for a client diagnosed with ARF. Which statement is an appropriate outcome for the client?

A. Monitor intake and output every shift.

B. Decrease of pain by three (3) levels on a 1-to-10 scale.

C. Electrolytes are within normal limits.

D. Administer enemas to decrease hyperkalemia.

Explanation: An appropriate outcome for ARF is achieving normal electrolyte levels, as imbalances like hyperkalemia are common. Monitoring intake/output and administering enemas are interventions, not outcomes, and pain reduction is less specific to ARF.

Question 3 of 5.

The client is admitted to the emergency department after a gunshot wound to the abdomen. Which nursing intervention should the nurse implement first to prevent ARF?

A. Administer normal saline IV.

B. Take vital signs.

C. Place client on telemetry.

D. Assess abdominal dressing.

Explanation: A gunshot wound can cause hypovolemia, leading to prerenal ARF. Administering normal saline IV restores volume and perfusion, preventing ARF. Vital signs, telemetry, and dressing assessment are important but secondary to fluid resuscitation.

Question 4 of 5.

The nurse in the dialysis center is initiating the morning dialysis run. Which client should the nurse assess first?

A. The client who has hemoglobin of 9.8 g/dL and hematocrit of 30%.

B. The client who does not have a palpable thrill or auscultated bruit.

C. The client who is complaining of being exhausted and is sleeping.

D. The client who did not take antihypertensive medication this morning.

Explanation: Absence of a thrill or bruit indicates a non-functioning dialysis access (e.g., AV fistula), which is critical for dialysis and requires immediate assessment to prevent treatment delays or complications. Anemia, exhaustion, or missed medication are less urgent.

Question 5 of 5.

The client diagnosed with CKD has a new arteriovenous fistula in the left forearm. Which intervention should the nurse implement?

A. Teach the client to carry heavy objects with the right arm.

B. Perform all laboratory blood tests on the left arm.

C. Instruct the client to lie on the left arm during the night.

D. Discuss the importance of not performing any hand exercises.

Explanation: To protect the new AV fistula, the client should avoid stress on the left arm. Carrying heavy objects with the right arm prevents fistula damage. Blood tests should avoid the fistula arm, lying on it risks compression, and hand exercises are encouraged to promote fistula maturation.

Question 1 of 5.

The nurse is caring for a client diagnosed with ARF. Which laboratory values are most significant for diagnosing ARF?

A. BUN and creatinine.

B. WBC and hemoglobin.

C. Potassium and sodium.

D. Bilirubin and ammonia level.

Question 2 of 5.

The nurse is developing a plan of care for a client diagnosed with ARF. Which statement is an appropriate outcome for the client?

A. Monitor intake and output every shift.

B. Decrease of pain by three (3) levels on a 1-to-10 scale.

C. Electrolytes are within normal limits.

D. Administer enemas to decrease hyperkalemia.

Question 3 of 5.

The client is admitted to the emergency department after a gunshot wound to the abdomen. Which nursing intervention should the nurse implement first to prevent ARF?

A. Administer normal saline IV.

B. Take vital signs.

C. Place client on telemetry.

D. Assess abdominal dressing.

Question 4 of 5.

The nurse in the dialysis center is initiating the morning dialysis run. Which client should the nurse assess first?

A. The client who has hemoglobin of 9.8 g/dL and hematocrit of 30%.

B. The client who does not have a palpable thrill or auscultated bruit.

C. The client who is complaining of being exhausted and is sleeping.

D. The client who did not take antihypertensive medication this morning.

Question 5 of 5.

The client diagnosed with CKD has a new arteriovenous fistula in the left forearm. Which intervention should the nurse implement?

A. Teach the client to carry heavy objects with the right arm.

B. Perform all laboratory blood tests on the left arm.

C. Instruct the client to lie on the left arm during the night.

D. Discuss the importance of not performing any hand exercises.

Question 1 of 5.

The nurse is caring for a client diagnosed with ARF. Which laboratory values are most significant for diagnosing ARF?

A. BUN and creatinine.

B. WBC and hemoglobin.

C. Potassium and sodium.

D. Bilirubin and ammonia level.

Question 2 of 5.

The nurse is developing a plan of care for a client diagnosed with ARF. Which statement is an appropriate outcome for the client?

A. Monitor intake and output every shift.

B. Decrease of pain by three (3) levels on a 1-to-10 scale.

C. Electrolytes are within normal limits.

D. Administer enemas to decrease hyperkalemia.

Question 3 of 5.

The client is admitted to the emergency department after a gunshot wound to the abdomen. Which nursing intervention should the nurse implement first to prevent ARF?

A. Administer normal saline IV.

B. Take vital signs.

C. Place client on telemetry.

D. Assess abdominal dressing.

Question 4 of 5.

The nurse in the dialysis center is initiating the morning dialysis run. Which client should the nurse assess first?

A. The client who has hemoglobin of 9.8 g/dL and hematocrit of 30%.

B. The client who does not have a palpable thrill or auscultated bruit.

C. The client who is complaining of being exhausted and is sleeping.

D. The client who did not take antihypertensive medication this morning.

Question 5 of 5.

The client diagnosed with CKD has a new arteriovenous fistula in the left forearm. Which intervention should the nurse implement?

A. Teach the client to carry heavy objects with the right arm.

B. Perform all laboratory blood tests on the left arm.

C. Instruct the client to lie on the left arm during the night.

D. Discuss the importance of not performing any hand exercises.

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