NCLEX-PN
Genitourinary NCLEX Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse observes red urine and several large clots in the tubing of the normal saline continuous irrigation catheter for the client who is one (1) day postoperative TURP. Which intervention should the nurse implement?
Correct Answer: B
Rationale: Red urine and clots indicate bleeding. Increasing the irrigation rate clears clots and prevents catheter obstruction. Removing the catheter is premature, and protamine/vitamin K are for anticoagulant reversal, not surgical bleeding.
Question 2 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 3 of 5
Which nursing intervention is most important to add to the client's care plan after removal of the suprapubic catheter?
Correct Answer: C
Rationale: Changing wet dressings prevents infection and promotes healing at the suprapubic site.
Question 4 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.
Question 5 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.