NCLEX-PN
Genitourinary NCLEX Questions Quizlet Questions
Extract:
Question 1 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 2 of 5
The client diagnosed with CKD has a new arteriovenous fistula in the left forearm. Which intervention should the nurse implement?
Correct Answer: A
Rationale:
To protect the new AV fistula, the client should avoid stress on the left arm. Carrying heavy objects with the right arm prevents fistula damage. Blood tests should avoid the fistula arm, lying on it risks compression, and hand exercises are encouraged to promote fistula maturation.
Question 3 of 5
The nurse is preparing a plan of care for the client diagnosed with acute glomerulonephritis. Which statement is an appropriate long-term goal?
Correct Answer: C
Rationale: Maintaining normal renal function is the ultimate long-term goal for acute glomerulonephritis, as it indicates resolution of renal damage. Normal BP and no proteinuria are intermediate goals, and clear lung sounds are unrelated.
Question 4 of 5
Which nursing intervention is most important before attempting to catheterize a client?
Correct Answer: C
Rationale: Verifying latex allergy prevents allergic reactions during catheterization, as many catheters are latex-based. Catheter history, anxiety, and sensation/voiding ability are important but secondary to safety.
Question 5 of 5
Which diagnostic test, considered a sensitive indicator of advanced kidney disease, will need to be closely monitored by the nursing team?
Correct Answer: A
Rationale: Serum creatinine is a sensitive indicator of kidney function, as it rises with advanced kidney disease due to impaired filtration.