Genitourinary NCLEX Questions Quizlet
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Question 1 of 5.
Which intervention should the nurse implement for the client who has had an ileal conduit?
A. Pouch the stoma with a one (1)-inch margin around the stoma.
B. Refer the client to the United Ostomy Association for discharge teaching.
C. Report to the health-care provider any decrease in urinary output.
D. Monitor the stoma for signs and symptoms of infection every shift.
Explanation: Monitoring the stoma for infection (e.g., redness, discharge) prevents complications. Pouching requires a precise fit, not a 1-inch margin; ostomy referrals are secondary; and decreased output is monitored but not always reported immediately.
Question 2 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 3 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 4 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 5 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.
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