NCLEX-PN
Genitourinary NCLEX Questions Questions
Extract:
Question 1 of 5
The client diagnosed with renal calculi is scheduled for a 24-hour urine specimen collection. Which interventions should the nurse implement? Select all that apply.
Correct Answer: A,B,C
Rationale: For a 24-hour urine collection, ensure diet/medication orders are followed, discard the first void to start the collection period, and collect all subsequent urine. Catheters are unnecessary, and UAP notification is not standard.
Question 2 of 5
When administering the bladder instillation containing the chemotherapeutic drug, which safety precaution is most important for the nurse to take?
Correct Answer: A
Rationale: Wearing two pairs of latex gloves protects the nurse from exposure to the chemotherapeutic drug during instillation.
Question 3 of 5
Which information should the nurse include when explaining the management of the client's urolithiasis? Select all that apply.
Correct Answer: A,B,C,F
Rationale: Increasing fluid intake, straining urine, taking analgesics, and reporting fever or chills are key management strategies for urolithiasis to promote stone passage and prevent complications.
Question 4 of 5
Considering the amount of time the client must remain in bed, why is it imperative for the nurse to monitor for a urinary tract infection?
Correct Answer: B
Rationale: Prolonged bed rest can lead to incomplete bladder emptying, increasing the risk of urinary stasis and subsequent urinary tract infections.
Question 5 of 5
Because of the client's impaired urine elimination, which potential skin problem will require additional team planning?
Correct Answer: D
Rationale: Pronounced itching is a common skin problem in renal failure due to uremia and phosphate accumulation.