Nokea
The nurse is teaching the female client diagnosed with tuberculosis of the urinary tract prior to discharge. Which information should the nurse include specific to this diagnosis?
- A. Instruct the client to take the medication with food.
- B. Explain condoms should be used during treatment.
- C. Discuss the need for follow-up chest x-rays.
- D. Encourage a well-balanced diet and fluid intake.
Correct Answer: B
Rationale: Urinary TB can spread to sexual partners, so condoms are recommended during treatment. Medication timing, chest x-rays (for pulmonary TB), and diet/fluids are general or less specific.
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The elderly client recovering from a prostatectomy has been experiencing stress incontinence. Which independent nursing intervention should the nurse discuss with the client?
- A. Establish a set voiding frequency of every two (2) hours while awake.
- B. Encourage a family member to assist the client to the bathroom to void.
- C. Apply a transurethral electrical stimulator to relieve symptoms of urinary urgency.
- D. Discuss the use of a 'bladder drill,' including a timed voiding schedule.
Correct Answer: D
Rationale: A bladder drill with timed voiding strengthens bladder control and reduces stress incontinence post-prostatectomy. Voiding every 2 hours is part of it, family assistance reduces independence, and electrical stimulators are not standard.
The client diagnosed with cancer of the bladder is undergoing intravesical chemotherapy. Which instruction should the nurse provide the client about the pretherapy routine?
- A. Instruct the client to remain NPO after midnight before the procedure.
- B. Explain the use of chemotherapy in bladder cancer.
- C. Teach the client to administer Neupogen, a biologic response modifier.
- D. Have the client take Tylenol, an analgesic, before coming to the clinic.
Correct Answer: B
Rationale: Explaining intravesical chemotherapy (instilled into the bladder) ensures the client understands the procedure and its purpose. NPO is unnecessary, Neupogen is unrelated, and Tylenol is not routinely required.
Which urinary change provides the best evidence that the phenazopyridine (Pyridium) is achieving its intended therapeutic effect?
- A. Urinary frequency is decreased.
- B. Urinary urgency is decreased.
- C. Urinary burning is decreased.
- D. Urine output is increased.
Correct Answer: C
Rationale: Phenazopyridine is prescribed to relieve urinary burning, so a decrease in this symptom indicates the medication is effective.
The client diagnosed with ARF is placed on bedrest. The client asks the nurse, 'Why do I have to stay in bed? I don’t feel bad.' Which scientific rationale supports the nurse’s response?
- A. Bedrest helps increase the blood return to the renal circulation.
- B. Bedrest reduces the metabolic rate during the acute stage.
- C. Bedrest decreases the workload of the left side of the heart.
- D. Bedrest aids in reduction of peripheral and sacral edema.
Correct Answer: B
Rationale: Bedrest reduces the body’s metabolic demands, minimizing stress on the kidneys during the acute phase of ARF. It does not directly increase renal blood flow, reduce heart workload, or address edema in this context.
Which statement indicates the client diagnosed with calcium phosphate renal calculi understands the discharge teaching for ways to prevent future calculi formation?
- A. I should increase my fluid intake, especially in warm weather.'
- B. I should eat foods containing cocoa and chocolate.'
- C. I will walk about a mile every week and not exercise often.'
- D. I should take one (1) vitamin a day with extra calcium.'
Correct Answer: A
Rationale: Increased fluid intake dilutes urine, reducing calcium phosphate stone formation, especially in warm weather when dehydration risk is higher. Cocoa/chocolate, minimal exercise, and extra calcium increase stone risk.