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Apply Your Knowledge

This chapter includes much needed information to help the nurse apply knowledge of genitourinary disorders to the NCLEX exam. The following questions test your knowledge regarding the safe, effective care and management of the client with various genitourinary disorders.

Exam Questions

1.The nurse is collecting a 24-hour urine sampling for creatinine clearance on a client hospitalized with acute glomerulonephritis. While making rounds, the nurse learns that the client discarded the 2 a.m. voiding. The nurse should:
  1. Continue the collection as ordered by the physician

  2. Discard the collected urine, obtain a new bottle, and begin the collection again

  3. Record the information in the client’s chart and continue the collection

  4. Extend the collection time to replace the last voiding

2.A client with end stage renal failure has received a renal transplant. Which statement describes hyperacute graft rejection in the client with a renal transplant?
  1. Hyperacute graft rejection is due to chronic inflammation and scaring.

  2. Hyperacute graft rejection is a cellular response that occurs 1–3 weeks after transplantation.

  3. Hyperacute graft rejection is more likely in clients who have received multiple blood transfusions.

  4. Hyperacute graft rejection is managed by use of immunosuppressive medications.

3.The nurse is assessing an infant with polycystic kidney disease. Which structural anomaly is typical in the infant with polycystic kidney disease?
  1. Webbed neck

  2. High arched palate

  3. Scaphoid abdomen

  4. Low-set ears

4.Which meal selection is suitable for the client hospitalized with nephrotic syndrome?
  1. Tuna sandwich, pickle spear, potato chips, and iced tea

  2. Ham slice, tossed salad with dressing, gelatin, and coffee

  3. Tomato soup, crackers, peanut butter sandwich, and milk

  4. Hamburger steak, baked potato, lima beans, and milk

5.The physician has ordered fluid restrictions for a client with acute glomerulonephritis. The nurse knows that the client’s oral intake will be limited to the amount of urinary output plus:
  1. 100 mL

  2. 300 mL

  3. 500 mL

  4. 700 mL

6.The nurse is preparing to administer Sandimmune (cyclosporine) oral solution. The nurse should avoid mixing the medication with:
  1. Chocolate milk

  2. Grapefruit juice

  3. Orange juice

  4. Milk

7.The physician has ordered several diagnostic measures for a client with suspected renal calculi. Which diagnostic measure has the highest sensitivity for detecting renal calculi?
  1. Magnetic resonance imaging

  2. Ultrasonography

  3. Noncontrast helical computerized tomography

  4. X-ray of the kidneys, ureter, and bladder

8.The nurse is teaching a client with recurrent cystitis regarding ways to decrease bladder infections. The nurse should tell the client to:
  1. Increase her intake of milk and dairy products.

  2. Avoid taking bubble baths

  3. Use underwear made from nylon

  4. Drink orange juice for breakfast

9.A client with hydroureteronephrosis has been scheduled for a nephrostomy. When caring for the client with a nephrostomy, the nurse should:
  1. Clamp the tubing for 15 minutes every hour

  2. Irrigate the tubing with normal saline to remove clots

  3. Avoid clamping or kinking the tubing

  4. Suspend the tubing above the level of the abdomen

10.Which medication is indicated for the client with hyperkalemia due to chronic glomerulonephritis?
  1. Kayexalate (sodium polystyrene sulfonate)

  2. K-Dur (potassium chloride)

  3. Cephulac (lactulose)

  4. PhosLo (calcium acetate)


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