PHT 2162 Genitourinary Exam Latest Exam With
Rationale (Guaranteed Pass 100%)
A 39-year-old multigravid client asks the nurse for information about female
sterilization with a tubal ligation. Which client statement indicates effective
teaching? - ANSWER: "My fallopian tubes will be tied off through a small abdominal
incision."
The client asks the nurse, "Is it really possible to lead a normal life with an
ileostomy?" Which action by the nurse would be the most effective to address this
question? - ANSWER: Arrange for a person with an ostomy to visit the client
preoperatively.
A client with chronic renal failure (CRF) is admitted to the urology unit. Which
diagnostic test results are consistent with CRF? - ANSWER: Blood urea nitrogen
(BUN) 100 mg/dl and serum creatinine 6.5 mg/dl
The nurse is teaching the client how to recognize infection in the shunt. What sign
should the nurse tell the client to assess each day? - ANSWER: swelling at the shunt
site
A client with chronic renal failure receives hemodialysis treatments through a
mature arteriovenous (AV) fistula. What intervention will the nurse include in the
care plan? - ANSWER: Auscultate the AV fistula for a bruit.
During rounds, a client admitted with gross hematuria asks the nurse about the
physician's diagnosis. To facilitate effective communication, what should the nurse
do? - ANSWER: Provide privacy for the conversation.
The client will have an abdominal hysterectomy tomorrow. Which information will
be mostimportant for the nurse to give to the client prior to admission to the
hospital? - ANSWER: what she can eat and drink before admission
A client with benign prostatic hypertrophy has an elevated prostate-specific antigen
(PSA) level. What should the nurse do next? - ANSWER: Determine if the prostatic
palpation was done before or after the blood sample was drawn.
A client is frustrated and embarrassed by urinary incontinence. Which measure
should the nurse include in a bladder retraining program? - ANSWER: assessing
present voiding patterns
Which statements by a female client would indicate that she is at high risk for a
recurrence of cystitis? - ANSWER: "I can go 8 to 10 hours without emptying my
bladder."
, A client receiving dialysis directs profanities at the nurse and then abruptly hangs his
head and pleads, "Please forgive me. Something just came over me. Why do I say
those things?" The nurse interprets this as which finding? - ANSWER: emotional
lability
A client is to receive belladonna and opium suppositories, as needed,
postoperatively after transurethral resection of the prostate (TURP). The nurse
should give the client these drugs when he demonstrates signs of which symptom? -
ANSWER: pain from bladder spasms
The nurse is instructing a client with an ileal conduit. What should the nurse instruct
the client to do to prevent urine leakage when changing the appliance? - ANSWER:
Insert a gauze wick into the stoma.
The client with pyelonephritis asks the nurse, "How will I know whether the
antibiotics are treating my infection?" What should the nurse tell the client? -
ANSWER: "Your health care provider will take a urine culture."
A client is scheduled to undergo surgical creation of an ileal conduit. The primary
nurse educates the client about surgery and the postoperative period. The nurse
states that many members of the health care team (including a mental health
practitioner) will see the client. A mental health practitioner should be involved in
the client's care to: - ANSWER: help the client cope with the anxiety associated with
changes in body image.
Which of the following is a priority nursing diagnosis for the client presenting with
pelvic inflammatory disease? - ANSWER: Acute pain.
A client with a history of renal calculi formation is being discharged after surgery to
remove the calculus. What instructions should the nurse include in the client's
discharge teaching plan? - ANSWER: Increase daily fluid intake to at least 2 to 3 L.
The nurse gives a pamphlet that describes Kegel exercises to a client with stress
incontinence. Which statement indicates that the client has understood the
instructions contained in the pamphlet? - ANSWER: "I can do these exercises sitting
up, lying down, or standing."
A nurse is caring for a client who is a hospital employee. The client is diagnosed with
genital herpes and is being treated for a urinary tract infection (UTI). A coworker asks
the nurse about how the client is doing. What is the nurse's best response? -
ANSWER: "Would you like me to let the client know you said hello?"
During a routine physical examination, a male client informs the nurse that he
frequently participates in anal intercourse with his sexual partner. What education is
important for the nurse to include with health teaching? - ANSWER: The client
should wear a condom during anal intercourse.
Rationale (Guaranteed Pass 100%)
A 39-year-old multigravid client asks the nurse for information about female
sterilization with a tubal ligation. Which client statement indicates effective
teaching? - ANSWER: "My fallopian tubes will be tied off through a small abdominal
incision."
The client asks the nurse, "Is it really possible to lead a normal life with an
ileostomy?" Which action by the nurse would be the most effective to address this
question? - ANSWER: Arrange for a person with an ostomy to visit the client
preoperatively.
A client with chronic renal failure (CRF) is admitted to the urology unit. Which
diagnostic test results are consistent with CRF? - ANSWER: Blood urea nitrogen
(BUN) 100 mg/dl and serum creatinine 6.5 mg/dl
The nurse is teaching the client how to recognize infection in the shunt. What sign
should the nurse tell the client to assess each day? - ANSWER: swelling at the shunt
site
A client with chronic renal failure receives hemodialysis treatments through a
mature arteriovenous (AV) fistula. What intervention will the nurse include in the
care plan? - ANSWER: Auscultate the AV fistula for a bruit.
During rounds, a client admitted with gross hematuria asks the nurse about the
physician's diagnosis. To facilitate effective communication, what should the nurse
do? - ANSWER: Provide privacy for the conversation.
The client will have an abdominal hysterectomy tomorrow. Which information will
be mostimportant for the nurse to give to the client prior to admission to the
hospital? - ANSWER: what she can eat and drink before admission
A client with benign prostatic hypertrophy has an elevated prostate-specific antigen
(PSA) level. What should the nurse do next? - ANSWER: Determine if the prostatic
palpation was done before or after the blood sample was drawn.
A client is frustrated and embarrassed by urinary incontinence. Which measure
should the nurse include in a bladder retraining program? - ANSWER: assessing
present voiding patterns
Which statements by a female client would indicate that she is at high risk for a
recurrence of cystitis? - ANSWER: "I can go 8 to 10 hours without emptying my
bladder."
, A client receiving dialysis directs profanities at the nurse and then abruptly hangs his
head and pleads, "Please forgive me. Something just came over me. Why do I say
those things?" The nurse interprets this as which finding? - ANSWER: emotional
lability
A client is to receive belladonna and opium suppositories, as needed,
postoperatively after transurethral resection of the prostate (TURP). The nurse
should give the client these drugs when he demonstrates signs of which symptom? -
ANSWER: pain from bladder spasms
The nurse is instructing a client with an ileal conduit. What should the nurse instruct
the client to do to prevent urine leakage when changing the appliance? - ANSWER:
Insert a gauze wick into the stoma.
The client with pyelonephritis asks the nurse, "How will I know whether the
antibiotics are treating my infection?" What should the nurse tell the client? -
ANSWER: "Your health care provider will take a urine culture."
A client is scheduled to undergo surgical creation of an ileal conduit. The primary
nurse educates the client about surgery and the postoperative period. The nurse
states that many members of the health care team (including a mental health
practitioner) will see the client. A mental health practitioner should be involved in
the client's care to: - ANSWER: help the client cope with the anxiety associated with
changes in body image.
Which of the following is a priority nursing diagnosis for the client presenting with
pelvic inflammatory disease? - ANSWER: Acute pain.
A client with a history of renal calculi formation is being discharged after surgery to
remove the calculus. What instructions should the nurse include in the client's
discharge teaching plan? - ANSWER: Increase daily fluid intake to at least 2 to 3 L.
The nurse gives a pamphlet that describes Kegel exercises to a client with stress
incontinence. Which statement indicates that the client has understood the
instructions contained in the pamphlet? - ANSWER: "I can do these exercises sitting
up, lying down, or standing."
A nurse is caring for a client who is a hospital employee. The client is diagnosed with
genital herpes and is being treated for a urinary tract infection (UTI). A coworker asks
the nurse about how the client is doing. What is the nurse's best response? -
ANSWER: "Would you like me to let the client know you said hello?"
During a routine physical examination, a male client informs the nurse that he
frequently participates in anal intercourse with his sexual partner. What education is
important for the nurse to include with health teaching? - ANSWER: The client
should wear a condom during anal intercourse.
