Renal/Urinary ATI
A nurse is collecting data from a client who is postoperative following a transurethral resection of the prostate
(TURP). After the nurse discontinues the client's urinary catheter, which of the following findings should the
nurse report to the provider?
Pink-tinged urine
Pink-tinged urine and blood clots are an expected finding for several days following a
TURP.
Report of burning upon urination
Burning upon urination and urinary frequency are expected findings after a TURP and
should decrease after several days.
Stress incontinence
Stress incontinence is an expected finding following a TURP due to poor sphincter
control.
Decreased urine output
MY ANSW ER
A decrease in urine output after a TURP indicates obstruction to urine flow by a clot or
residual prostatic tissue and should be reported to the provider.
FLAG
A nurse is reinforcing teaching with a client who is preoperative prior to a transurethral resection of the prostate
(TURP). Which of the following statements indicates an understanding of the information?
"I will not need to have a urinary catheter following this procedure."
The client will require an indwelling urinary catheter following a TURP to monitor urine
output and bleeding.
, "I will expect my urine to be cloudy after having this procedure."
Cloudy urine can be a manifestation of retrograde ejaculation or infection. The client
should report cloudy urine to the provider.
"At least I won't have leakage of urine after having this procedure."
The client might have temporary dribbling and leakage of urine following a TURP. The
nurse should reassure the client that these manifestations will resolve.
"I will feel the urge to urinate following this procedure."
MY ANSW ER
After a TURP, the client will feel the urge to urinate. The nurse should reassure him that
he will receive analgesics to help relieve this discomfort.
FLAG
A nurse is reinforcing dietary teaching with a client who has late-stage chronic kidney disease (CKD). Which of
the following nutrients should the nurse instruct the client to increase in her diet?
Calcium
MY ANSW ER
A client who has CKD can develop hypocalcemia due to the reduced production of active
vitamin D, which is needed for calcium absorption. The client should supplement her diet
with dietary calcium.
Phosphorous
A client who has CKD can develop hyperphosphatemia because excretion of phosphorous
by the kidneys is reduced.
Potassium
A client who has CKD can develop hyperkalemia because excretion of potassium by the
kidneys is reduced.
A nurse is collecting data from a client who is postoperative following a transurethral resection of the prostate
(TURP). After the nurse discontinues the client's urinary catheter, which of the following findings should the
nurse report to the provider?
Pink-tinged urine
Pink-tinged urine and blood clots are an expected finding for several days following a
TURP.
Report of burning upon urination
Burning upon urination and urinary frequency are expected findings after a TURP and
should decrease after several days.
Stress incontinence
Stress incontinence is an expected finding following a TURP due to poor sphincter
control.
Decreased urine output
MY ANSW ER
A decrease in urine output after a TURP indicates obstruction to urine flow by a clot or
residual prostatic tissue and should be reported to the provider.
FLAG
A nurse is reinforcing teaching with a client who is preoperative prior to a transurethral resection of the prostate
(TURP). Which of the following statements indicates an understanding of the information?
"I will not need to have a urinary catheter following this procedure."
The client will require an indwelling urinary catheter following a TURP to monitor urine
output and bleeding.
, "I will expect my urine to be cloudy after having this procedure."
Cloudy urine can be a manifestation of retrograde ejaculation or infection. The client
should report cloudy urine to the provider.
"At least I won't have leakage of urine after having this procedure."
The client might have temporary dribbling and leakage of urine following a TURP. The
nurse should reassure the client that these manifestations will resolve.
"I will feel the urge to urinate following this procedure."
MY ANSW ER
After a TURP, the client will feel the urge to urinate. The nurse should reassure him that
he will receive analgesics to help relieve this discomfort.
FLAG
A nurse is reinforcing dietary teaching with a client who has late-stage chronic kidney disease (CKD). Which of
the following nutrients should the nurse instruct the client to increase in her diet?
Calcium
MY ANSW ER
A client who has CKD can develop hypocalcemia due to the reduced production of active
vitamin D, which is needed for calcium absorption. The client should supplement her diet
with dietary calcium.
Phosphorous
A client who has CKD can develop hyperphosphatemia because excretion of phosphorous
by the kidneys is reduced.
Potassium
A client who has CKD can develop hyperkalemia because excretion of potassium by the
kidneys is reduced.
