NCLEX 3000 – URINARY (QUESTIONS AND ANSWERS)

NCLEX 3000 – URINARY A 25-year-old female client seeks care for a possible urinary tract infection (UTI). Her symptoms include burning on urination and frequent, urgent voiding of small amounts of urine. She's placed on trimethoprim-sulfamethoxazole (Bactrim) to treat the possible infection. Another medication is prescribed to decrease the client's pain and frequency. Which of the following is most likely the second medication prescribed? A client tells a nurse that her ileoconduit appliance won't adhere to her skin. The nurse inspects the site and notes that the area around the stoma is red, moist, and tender to touch. How should the nurse intervene? A client with bladder cancer has had his bladder removed and an ileal conduit created for urine diversion. While changing this client's pouch, the nurse observes that the area around the stoma is red, weeping, and painful. What should the nurse conclude? The nurse is collecting data on a male client diagnosed with gonorrhea. Which symptom likely prompted the client to seek medical attention? Two staff nurses on the urology unit are responsible for the unit schedule. The holidays are nearing, and many staff members would like to take vacation days. Which method might fairly solve the holiday staffing problem? A client with a genitourinary problem is being assessed in the emergency department. When palpating the client's kidneys, the nurse should keep which anatomical fact in mind? A client diagnosed with renal calculi is experiencing severe pain despite having received pain medication. A nurse pages a physician. Which intervention can the nurse perform while awaiting the physician's response? A nurse reviews a client's medical record and notes that a physician ordered an indwelling urinary catheter due to client's urine retention. Which action should the nurse perform first? A physician informs a client that her renal calculus is small enough that she should be able to pass it without surgical intervention. Which action should the nurse take to help the client pass the renal calculus? The nurse is caring for a patient with acute renal failure. Rank in chronological order the phases of acute renal failure. Use all the options. Which of the following laboratory values supports a diagnosis of pyelonephritis? A client reports experiencing vulvar pruritus. Which finding may indicate that the client has an infection caused by Candida albicans? Discharge teaching has been performed for a client who is being discharged with an indwelling urinary catheter. Which action by the client indicates that the teaching was successful? The nurse is caring for a client with acute pyelonephritis. Which nursing intervention is most important? The nurse is teaching a client with genital herpes. Education for this client should include an explanation of: When a client with an indwelling urinary catheter insists on walking to the hospital lobby to visit with family members, the nurse teaches him how to do this without compromising the catheter. Which client action indicates an accurate understanding of this information? (SELECT ALL THAT APPLY) The nurse is teaching a client how to collect a 24-hour urine specimen for creatinine clearance. Which of the following directions should the nurse give the client? A client is admitted with a diagnosis of acute renal failure. The nurse should monitor closely for: The nurse is planning to administer a sodium polystyrene sulfonate (Kayexalate) enema to a client with a potassium level of 5.9 mEq/L. Correct administration and the effects of this enema would include having the client: