Genitourinary NCLEX Questions Quizlet
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Question 1 of 5.
Which recommendations by the nurse are most effective in reducing bacterial growth in a female client's bladder? Select all that apply.
A. Drink a large quantity of fluids.
B. Change underclothing each day.
C. Avoid the use of public restrooms.
D. Use only white toilet tissue.
E. Urinate after having sexual intercourse.
F. Drink fluids that are highly acidic.
Explanation: Drinking plenty of fluids promotes urine flow, flushing bacteria from the bladder, and urinating after intercourse helps remove bacteria introduced during sexual activity.
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.