MedSurg | Genitourinary

A nurse is caring for a client who has an order for a CT scan with contrast. Which of the following medication orders would require further clarification from the provider?

A client is brought to the trauma bay after sustaining multiple gunshot wounds to the left flank and abdomen. Assessment reveals gross hematuria and an expanding palpable mass to the left flank. Vital Signs are the following: HR 145 BP 78/42 RR 36 O2 sat 96% The nurse anticipate which of the following diagnosis?

The nurse is caring for a client who has suffered an acute kidney injury. Which of the following nursing interventions are appropriate? Select all that apply.

A client has acute renal failure. Which of the following is the most serious complication of acute renal failure?

The nurse is caring for a client who has been diagnosed with nephrotic syndrome. Which of the following assessment findings would be inconsistent with this diagnosis?

The client has a sudden onset of decreased urine output, proteinuria, increased serum BUN, and increased creatinine. What are some potential causes? Select all that apply.

The nurse is managing a client’s care who has kidney disease. Which of the following interventions are appropriate because of this condition? Select all that apply.

A client is admitted to the unit with glomerulonephritis. Which of the following answers is a common cause of this condition?

The nurse is caring for a client scheduled for plasmapheresis. Which of the following information is true regarding this procedure? Select all that apply.

The nurse is caring for a client with glomerulonephritis. Which of the following orders would the nurse question for this client?

A client presents to the clinic with a history of kidney stones. The client states he is having symptoms of kidney stones again. The nurse knows that which of the following symptom is consistent with this condition?

The nurse is caring for a client with multiple kidney stones in the renal pelvis. The urologist has determined that the client can pass the stones without surgical intervention. The nurse anticipates which medication to assist with discomfort?

A client presents to the clinic with a renal calculus. The nurse knows that which of the following components most commonly makes up a renal calculus?

The provider has ordered a nephrostomy tube for a client in the nurse’s care. How should the nurse explain the procedure for nephrostomy tube placement to the client?

The nurse is caring for a client who has a kidney stone. Which of the following foods should the nurse teach the client to avoid? Select all that apply.

An 89-year old client has been diagnosed with a urinary tract infection. Which of the following is the first sign of a urinary tract infection in the older adult?

A nurse is assessing a client with an indwelling urinary catheter for signs of a catheter-associated urinary tract infection (CAUTI). Which assessment finding would best help to identify a CAUTI?

The nurse is assessing a client in the urgent care clinic who is complaining of burning with urination. The urinalysis shows that the client has a urinary tract infection (UTI). Which of the following medications is an appropriate medication to treat this client’s UTI?

The nurse is caring for a client who has had an indwelling urinary catheter for 2 weeks. The nurse suspects that the client is developing a urinary tract infection. Which of the following assessment findings is inconsistent with this disease process?

A client who had an indwelling catheter has developed a urinary tract infection that has spread to the kidneys. The nurse should include which of the following information as part of her teaching?

The nurse is caring for a client who has been diagnosed with a urinary tract infection. Which of the following isolation precautions should be implemented?

An 80-year-old client is confused because he has developed a urinary tract infection. The client cowers and screams when the nurse enters the room. Which action of the nurse best demonstrates that she is attempting to minimize the client’s fear in this situation?

A nurse is caring for a client diagnosed with cystitis. What signs and symptoms are expected with this diagnosis? Select all that apply.

A client delivered her third baby via cesarean section 1 day ago. The client needed an indwelling urinary catheter placed because she had an epidural for the procedure. Which nursing intervention would best prevent a catheter-associated urinary tract infection (CAUTI) in this client?

A client is complaining of chest pain. After reviewing the client’s lab values and medical history, the nurse knows which of the following conditions is likely contributing to the client’s condition?

A client with severe, uncontrolled hypertension is being evaluated for chronic kidney disease. The provider checks the glomerular filtration rate and determines that it is 22 mL/min. Which stage of chronic kidney disease does this GFR place the client?

A nurse is discussing options for home hemodialysis with a client who has kidney disease. Which of the following is correct regarding home hemodialysis? Select all that apply.

What is the name of the yellow structure in this image?

The nurse is admitting a client with a history of chronic kidney disease. Which of the following lab values is inconsistent with chronic kidney disease?

The nurse is caring for a client in end stage renal disease. The client has an internal arteriovenous fistula for dialysis. Which of the following interventions are appropriate in caring for the client with an AV fistula? Select all that apply.

A nurse is caring for a client who is in end-stage renal disease and requires dialysis. Choose which alternative best describes the type of diet the nurse should recommend for this client.

The nurse is caring for a client who has been diagnosed with chronic kidney failure. Which of the following aspects of this client’s history could have contributed to this?

The nurse is caring for a client who has chronic kidney disease. Which of the following medications would the nurse question?

A provider has ordered a serum creatinine test for a client who is being assessed for chronic kidney disease. The client asks the nurse about the test. Which of the following responses correctly explains serum creatinine?

A nurse is caring for a client with diabetes who has experienced a progressive decrease in their kidney function. Which of the following areas will the nurse monitor to track the client’s nephropathy?

Before starting a session of hemodialysis, a nurse assesses her client’s AV fistula. The nurse listens to the fistula with a stethoscope and notes a swishing sound under the skin. Which action of the nurse is most appropriate?

A nurse is caring for a 69-year-old client who has just been diagnosed with disequilibrium syndrome after his first session of hemodialysis. Which symptoms would the nurse expect to see in a client with this syndrome?

A nurse is caring for a client with a newly formed internal arteriovenous fistula. The client asks the nurse about potential complications. Which of the following are common complications for an AV fistula?

A client with end-stage renal disease is getting ready to undergo hemodialysis. Which factors would the nurse assess before the client starts the dialysis session? Select all that apply.

A client who receives peritoneal dialysis has called the nurse to explain that he is unable to infuse the dialysate into the catheter. When the nurse arrives at the client’s home, which method would the nurse use to assess for an occlusion?

The nurse is caring for a client scheduled for dialysis at 0930 and is giving the client’s 0900 medications. Which of the following medications requires further clarification?

Following a client’s first session of hemodialysis, the nurse is providing information to the client and family about care at home. Which of the following information should the client be aware of that will prevent damage to the hemodialysis fistula site?

A nurse is examining a client who has a nursing diagnosis of fluid volume excess due to renal insufficiency. Which of the following clinical signs is most associated with fluid volume excess in the client with renal insufficiency?

A nurse is taking care of a client who has just returned from a session of hemodialysis. The physician has ordered a percutaneous nephrolithotomy for the client and the nurse does not schedule the procedure until 8 hours later. What is the rationale for this?

The clinic nurse is explaining different types of dialysis to a client. Which of the following statements is true regarding dialysis?

A client with end-stage renal disease is to begin peritoneal dialysis (PD), and the nurse is creating a plan of care to lower the risk of complications that could arise. Which of the following interventions would assist in minimizing complications associated with PD? Select all that apply.

A client is undergoing peritoneal dialysis when he develops a fever and abdominal pain and cramping. Which of the following actions should the nurse perform first?

The nurse is caring for a client who is receiving peritoneal dialysis. Which of the following is the most important finding to report to the provider?

The clinic nurse is assessing a client who performs peritoneal dialysis at home. The nurse knows that which lab value is NOT related to dialysis assessment?

A client who is in renal failure must start to use dialysis. Which of the following best describes a difference between hemodialysis and peritoneal dialysis?

A client who has been utilizing peritoneal dialysis for 1 month presents to the clinic with complaints of abdominal pain and nausea. The nurse notes a distended abdomen. Which of the following interventions will the nurse need to do first?

The dialysis nurse is working with a client in the client’s home who is receiving automated peritoneal dialysis (APD). The nurse ensures that which of the following equipment is available for this client? Select all that apply.

The nurse teaches a client about continuous ambulatory peritoneal dialysis (CAPD). Which client statement reflects an appropriate understanding of this type of dialysis?

The nurse is caring for a client in renal failure who has recently learned that she must begin dialysis. Which of the following is an indication that the client would benefit from peritoneal dialysis instead of hemodialysis? Select all that apply.

The dialysis nurse is preparing to start dialysis on a client. The nurse assesses the client’s vascular access site. Which of the following is a finding that would concern the nurse?

The dialysis nurse is educating a client who will begin hemodialysis. Which of the following statements by the client is correct?

The dialysis nurse has initiated a hemodialysis session with the client. Which of the following is most important to monitor?

The nurse is educating a client with renal failure on lifestyle changes necessary to manage this condition. Which of the following is appropriate to include? Select all that apply.

A nurse is performing a bladder irrigation using a syringe. The client has a catheter that is draining urine. Which of the following steps is performed next? Select all that apply.

A recovery room nurse is educating a new nurse about continuous bladder irrigation. Which of the following statements made by the new nurse indicates additional teaching is needed?

The nurse is preparing a male client who is about to have a digital rectal exam to check the prostate. The nurse asks the client if the lab has drawn a blood sample yet. What is the reason for the nurse to ask about a blood draw at this time?

A client has just been admitted to the unit after a transurethral resection of the prostate (TURP) and has an order for continuous bladder irrigation (CBI). Which electrolyte imbalance should the nurse be monitoring most closely for?

The nurse is caring for a client who is experiencing urinary retention. Which nursing intervention encourages urinary elimination?

A provider has ordered a nurse to perform bladder irrigation on a client in the hospital. Which of the following describes a purpose of performing bladder irrigation in a client? Select all that apply.

A client is recovering from surgery for a trans-urethral resection of the prostate (TURP) and has continuous bladder irrigation in place. The nurse notes that the system has a triple-lumen catheter and knows that one of the lumens allows inflow of the irrigation solution. What best describes the purposes of the other two lumens in this situation?

A nurse is caring for a client who is undergoing prostate surgery. Which best describes the elements of informed consent?

Which of the following ethnic backgrounds are at highest risk of developing prostate cancer?

A nurse checks the contents of a client’s indwelling catheter and notes that the urine output has been 10 mL/hr for the last four hours. Which response of the nurse is most appropriate?

The nurse is discussing hormonal analysis with a male client being tested for infertility. Which of the following hormones are tested in this type of hormonal workup? Select all that apply.

The nurse is discussing infertility with a couple in the clinic. Which of the following factors is not a factor that can cause male infertility?

The nurse is caring for a client with a recent diagnosis of male infertility. Which of the following laboratory tests would not be related to this client’s diagnosis?

The nurse is caring for a male client with infertility. The client asks what treatment options are available to treat this condition. Which of the following is correct?

The nurse is caring for a client who takes testosterone to replace a deficiency of the hormone. For which of the following side effects does the nurse teach the client to monitor? Select all that apply.

The nurse is caring for male client who wants more information about what things are tested for in a semen analysis test. Which of the following are not included in a semen analysis test?

The nurse is caring for a client who just had surgery for testicular torsion. Which of the following orders would the nurse question in the post surgical care of this client?

The nurse is providing discharge teaching to a client who has been treated for a testicular torsion. Which of the following is an incorrect teaching point?

The nurse is caring for a client who has been diagnosed with testicular torsion. Which of the following does the nurse understand is not characteristic for the pathophysiology of testicular torsion?

A nurse is caring for a client about to undergo a unilateral orchiectomy. Which statement by the client indicates the need for further teaching?

There are 4 clients in the waiting room that the nurse must see in order of priority. Which of the following clients should the nurse see first based on the chief complaint?

The nurse is caring for a client admitted to the floor following orchiectomy surgery. Which of the following interventions is most important for this nurse to employ?

The nurse is caring for a client with a new diagnosis of testicular torsion. Which of the following are correct about this condition?

When assessing a male client suspected to have testicular torsion, which of the following assessment findings would the nurse understand is not related to the condition?

The nurse is caring for a male client with suspected varicoceles. The client asks questions about how the condition will be diagnosed. Which of the following options are available for diagnosis of a varicocele?

The nurse is assessing a client with suspected varicoceles. Which of the following assessment findings confirm this condition?

The nurse is assessing a client following a varicocelectomy. Which of the following interventions would be inappropriate?

The nurse is educating a client regarding management of varicoceles. Which of the following recommendations would be inappropriate for varicocele management?

The nurse is assessing a client who presents with painless, palpable veins on his scrotum. Which of the following diagnoses does the nurse suspect?

The nurse is caring for a postoperative client who just underwent an orchiectomy. The nurse understands that which of the following is a risk factor for this client’s condition?

The nurse is answering questions from a client who is diagnosed with epididymitis. Which of the following conditions could have caused epididymitis? Select all that apply.

The nurse is caring for a client admitted to the floor following orchiectomy surgery. Which of the following interventions is most important for this nurse to employ?

The perioperative nurse is reviewing the operating room schedule for the day. Which of the following clients is the most likely candidate for an orchiectomy?

The nurse is educating a client regarding epididymitis. Which of the following pieces of information is not correct regarding this condition?

A nurse is caring for a client about to undergo a unilateral orchiectomy. Which statement by the client indicates the need for further teaching?

The nurse is assessing a male client in the emergency department complaining of intermittent scrotal pain and swelling, and cloudiness in his urine over the past week. The client currently has a fever of 101.5. Given these assessment findings, which of the following conditions would the nurse suspect?

The nurse is taking care of a post-operative client. The client’s post-op care includes interventions such as implementing scrotal support, administering antibiotics and NSAIDs, and applying ice PRN. Which of the following surgeries did the client likely have given these interventions?

Which of the following assessment findings can be seen with pelvic inflammatory disease? Select all that apply.

In which of the following scenarios would hospitalization for pelvic inflammatory disease be expected?

The nurse is repositioning a client diagnosed with pelvic inflammatory disease in bed. Which of the following positions helps with drainage of infection?

The nurse is providing education to a client recently diagnosed with pelvic inflammatory disease. Which of the following answers is not appropriate to include when providing education?

The nurse is caring for a client who complains of yellow vaginal discharge, dysuria, fever, and lower abdominal pain. Which of the following diagnoses do you expect given these assessment findings?

The nurse is caring for a client recently diagnosed with polycystic ovarian syndrome (PCOS) who presents to the emergency department with polydipsia and polyuria. Which of the following nursing interventions should the nurse implement first?

The nurse is caring for a female client of childbearing age who presents with infrequent periods, increased acne, facial hair, and obesity. Which of the following conditions do you expect given these assessment findings?

The nurse is teaching the client diagnosed with polycystic ovarian syndrome about lifestyle modifications for the disease. Which of the following topics is most important for the nurse to teach?

Which of the following hormonal abnormalities prevents the release of an egg during a menstrual cycle in polycystic ovarian syndrome?

A 30-year-old female client has been diagnosed with infertility as a result of polycystic ovary syndrome. The client and her husband have been trying to become pregnant for over a year. The provider prescribes clomiphene citrate. Which of the following best describes how this drug can help to achieve pregnancy?

In which of the following client populations is polycystic ovarian syndrome seen?

When considering treatment options for endometriosis, on which of the following items does treatment depend? Select all that apply.

Which of the following non-surgical treatment options is not indicated for treatment of endometriosis?

The nurse is caring for a 30-year-old female who has three children and does not wish to conceive again. She was recently diagnosed with endometriosis and has ovarian masses as well as severe dysmenorrhea. When exploring surgical treatment options, which of the following surgeries does the nurse expect is indicated in this situation?

The nurse is caring for a 25-year-old female who presents with constant pelvic pain that begins six days before her monthly menses, and lasts two to three days into her menses. This has been happening for several months. Additional symptoms include painful sexual intercourse. Which of the following conditions does that nurse suspect given these presenting symptoms?

The nurse is providing education to a 25 year old client who is newly diagnosed with endometriosis. Which of the following education topics should you review with the client?

Which of the following assessment findings is most commonly seen with menopause?

Which of the following lab test results are consistent with menopause?

The nurse is caring for a 50-year-old client who presents with hot flashes, insomnia, vaginal dryness, and weight gain. Which of the following diagnoses do you suspect given these assessment findings?

A 46-year-old woman is starting to have symptoms of menopause and comes in to the healthcare provider’s clinic. Which element of anticipatory guidance should the nurse include in teaching this client?

Which of the following answers are correct in relation to how hormone replacement therapy is used with menopause?

Which of the following assessment findings are consistent with menopause? Select all that apply.

Which best describes the recommendations from the American Cancer Society regarding initial screening for cervical cancer?

A nurse is providing discharge education to a client with human papilloma virus (HPV). The nurse know that the client has a good understanding when which of the following statements is made?

A nurse is educating a group of middle school students on locations of human papilloma virus (HPV). The nurse is correct in explaining that In addition to the cervix, cancers related to HPV are most commonly found in which of the following sites?

A client tells the nurse, “I am afraid to tell my partner I have HPV because I might be broken up with.” Which of the following is the best response from the nurse?

A nurse is giving education to middle schoolers on preventing human papilloma virus (HPV) and knows that which of the following statements are true? Select all that apply.

During her child’s well visit, a mother asks the nurse for more information on the HPV 9-valent vaccine. What education should the nurse include? Select all that apply.

A nurse working with clients in a reproductive health clinic. The nurse knows that which of the following statements by the client demonstrates an understanding of a syphilis Infection?

A nurse is educating middle school students on sexually transmitted infections and knows that which of the following is true regarding syphilis and HPV infection?

The nurse is caring for a 35-year-old client who reports a history of syphilis infection discovered at age 25. The nurse knows that which of the following is true regarding syphilis at this stage?

A nurse is talking with a client and knows that which of the following statements regarding secondary syphilis is true?

While educating a client at a 30-week prenatal appointment, which of the following statements by the client regarding a primary syphilis infection represents a need for further education?

A client is being treated for syphilis and the nurse knows that which of the following statements regarding tertiary syphilis infection are true? Select all that apply.

An 18-year-old client is seen at a clinic for treatment of a sexually transmitted infection. It is her second time receiving treatment for an STI within the past year. Despite the recent infections, the client tells the nurse that she is being safer than most of her friends. Which of the following responses from the nurse is most appropriate?

During a head-to-toe assessment, the nurse knows which of the following findings is suggestive of a gonorrhea infection?

A nurse is providing education to a client diagnosed with gonorrhea. Which of the following statements by the client demonstrates a need for further education by the nurse?

A nurse working in a reproductive clinic is caring for a client with gonorrhea. The nurse knows that which of the following sexually transmitted infection is most often found to co-exist with this infection?

A nurse is assessing a client and asking about symptoms. The nurse knows that which of the following symptoms would lead the nurse to suspect disseminated gonococcal infection (DGI)?

The nurse is performing an admission assessment on a client who claims to have multiple sexual partners. The client denies any signs or symptoms of a sexually transmitted infection. Which of the following teaching points is true for this client?

A 25-year-old female client having a routine exam tells the nurse about being treated for a chlamydia infection 3 months ago. Which interventions should the nurse anticipate will be done? Select all that apply.

A client presents to the emergency departments complaining of pelvic and lower back pain. The client was recently diagnosed with chlamydia and gonorrhea infections and underwent treatment with the primary healthcare provider. The nurse suspects the client may have pelvic inflammatory disease (PID). The client asks the nurse “Does this mean I won’t be able to have children?” Which of the following therapeutic responses by the nurse is most appropriate?

A nurse is caring for a client with chlamydia. The nurse knows that which of the following statements by the client with Chlamydia demonstrate an understanding of the plan of care?

A client with chlamydia was prescribed an antibiotic and at a routine follow up, it was determined that the client was not taking the antibiotic. The nurse explains to the client that without treatment this infection could cause which of the following?

While working in the reproductive clinic, the nurse receives the following orders for the treatment of a client with chlamydia. Which of the following orders should the nurse seek clarification of?