ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 66 : Care of Patients with Urinary Problems Questions
Question 1 of 5
A nurse assesses a client who presents with renal calculi. Which question should the nurse ask?
Correct Answer: A
Rationale: There is a strong association between family history and stone formation and recurrence. Nephrolithiasis is associated with many genetic variations; therefore, the nurse should ask whether other family members have also had renal stones.
Question 2 of 5
A nurse assesses a male client who is recovering from a urologic procedure. Which assessment finding indicates an obstruction of urine flow?
Correct Answer: B
Rationale: The most common manifestation of urethral stricture after a urologic procedure is obstruction of urine flow, leading to overflow incontinence with the involuntary loss of urine when the bladder is distended.
Question 3 of 5
A nurse cares for a client with urinary incontinence. The client states, 'I am so embarrassed. My bladder leaks like a young child's bladder.' How should the nurse respond?
Correct Answer: C
Rationale: The nurse should accept and acknowledge the client's concerns and assist the client to learn techniques that will help control urinary incontinence.
Question 4 of 5
A nurse provides phone triage to a pregnant client. The client states, 'I am experiencing a burning pain when I urinate.' How should the nurse respond?
Correct Answer: C
Rationale: Pregnant clients with a urinary tract infection require prompt and aggressive treatment because cystitis can lead to acute pyelonephritis during pregnancy. The nurse should encourage the client to make an appointment and have the infection treated.
Question 5 of 5
A nurse assesses a client who has had two episodes of bacterial cystitis in the last 6 months. Which questions should the nurse ask?
Correct Answer: A,B,D
Rationale: Fluid intake, estrogen levels, and immune suppression all can increase the chance of recurrent cystitis. Family history is usually insignificant, and cranberry juice, not grapefruit or orange juice, has been found to increase the acidity and reduce the risk for bacterial cystitis.