NCLEX-PN
Genitourinary NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The client who has undergone an exploratory laparotomy and subsequent removal of a large intestinal tumor has a nasogastric tube (NGT) in place and an IV running at 150 mL/hr via an IV pump. Which data should be reported to the HCP?
Correct Answer: C
Rationale: Crackles and rhonchi suggest pulmonary edema, a critical complication possibly due to fluid overload, requiring immediate HCP notification. Pump alarms, intake/output, and edema status are less urgent unless associated with other critical findings.
Question 2 of 5
Which of the following findings is the most significant information to report when caring for a client undergoing peritoneal dialysis?
Correct Answer: C
Rationale: An elevated body temperature may indicate infection, a serious complication of peritoneal dialysis, and must be reported.
Question 3 of 5
Which statement indicates discharge teaching has been effective for the client who is postoperative TURP?
Correct Answer: A
Rationale: Difficulty urinating post-TURP may indicate obstruction or complications, requiring prompt reporting. Proscar is typically discontinued post-TURP, fluid restriction is unnecessary, and routine pain meds are not advised.
Question 4 of 5
The nurse is caring for a client diagnosed with ARF. Which laboratory values are most significant for diagnosing ARF?
Correct Answer: A
Rationale: 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 5 of 5
Which intervention should the nurse implement when caring for the client with a nephrostomy tube?
Correct Answer: D
Rationale: Assessing for kinks ensures patency of the nephrostomy tube, preventing urine backup and complications. Dressings are changed regularly, Betadine is not used for tubing, and bleach cleaning is inappropriate.