NCLEX-PN
Genitourinary NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client diagnosed with a urinary tract infection has a blood pressure of 83/56 mm Hg and a pulse of 122 bpm. Which should the nurse implement first?
Correct Answer: D
Rationale: Hypotension (83/56) and tachycardia (122 bpm) suggest septic shock from the UTI. Increasing IV fluids to 150 mL/hour improves perfusion, stabilizing the client. Notification, antibiotics, and lab checks are secondary to immediate fluid resuscitation.
Question 2 of 5
The nurse is providing discharge teaching to the client diagnosed with polycystic kidney disease. Which statement made by the client indicates the teaching has been effective?
Correct Answer: A
Rationale: Polycystic kidney disease causes enlarged, cystic kidneys prone to rupture. Avoiding trauma (e.g., contact sports) is critical. BP meds are necessary, hematuria is not expected, and burning suggests UTI.
Question 3 of 5
When the client complains about the bland taste of the food, the nurse appropriately recommends substituting salt with a bloodiness?
Correct Answer: D
Rationale: Lemon juice is a low-sodium flavor enhancer, suitable for a sodium-restricted diet, unlike catsup, mustard, or soy sauce.
Question 4 of 5
The nurse is caring for a client with chronic pyelonephritis. Which assessment data support the diagnosis of chronic pyelonephritis?
Correct Answer: B
Rationale: Chronic pyelonephritis presents with subtle symptoms like fatigue, headaches, and polyuria due to long-term renal damage. Acute symptoms (fever, chills) are more typical of acute pyelonephritis. Strep or pneumonia are unrelated.
Question 5 of 5
When the client with an ileal conduit asks about resuming physical activity, which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Resuming activities gradually as tolerated allows the client to regain strength while protecting the stoma.