Exam 45: Renal and Urologic Problems

After change-of-shift report,which patient should the nurse assess first?

Which nursing action is of highest priority for a patient with renal calculi who is being admitted to the hospital with gross hematuria and severe colicky left flank pain?

A patient who had surgery for creation of an ileal conduit 3 days ago will not look at the stoma and requests that only the ostomy nurse specialist does the stoma care. The nurse identifies a nursing diagnosis of

A patient has been diagnosed with urinary tract calculi that are high in uric acid. Which foods will the nurse teach the patient to avoid ?

A 58-yr-old male patient who is diagnosed with nephrotic syndrome has ascites and 4+ leg edema. Which patient problem is present based on these findings?

A 68-yr-old female patient admitted to the hospital with dehydration is confused and incontinent of urine. Which nursing action should be included in the plan of care?

A patient had a cystectomy with an ileal conduit yesterday. Which new assessment data is most important for the nurse to communicate to the health care provider?

When preparing a female patient with bladder cancer for intravesical chemotherapy,the nurse will teach about

A 68-yr-old male patient who has bladder cancer had a cystectomy with creation of an Indiana pouch. Which topic will be included in patient teaching?

A 76-yr-old with benign prostatic hyperplasia (BPH)is agitated and confused,with a markedly distended bladder. Which intervention prescribed by the health care provider should the nurse implement first?

A young adult male patient seen at the primary care clinic complains of feeling continued fullness after voiding and a split,spraying urine stream. The nurse will ask about a history of

The nurse determines that instruction regarding prevention of future urinary tract infections (UTIs)has been effective for a 22-yr-old female patient with cystitis when the patient states which of the following?

After ureterolithotomy,a patient has a left ureteral catheter and a urethral catheter in place. Which action will the nurse include in the plan of care?

When planning teaching for a patient with benign nephrosclerosis,the nurse should include instructions regarding

To prevent recurrence of uric acid renal calculi,the nurse teaches the patient to avoid eating

Which finding for a patient admitted with glomerulonephritis indicates to the nurse that treatment has been effective?

A 48-yr-old male patient who weighs 242 lb (110 kg)undergoes a nephrectomy for massive kidney trauma from a motor vehicle crash. Which postoperative assessment finding is most important to communicate to the surgeon?

Following rectal surgery,a patient voids about 50 mL of urine every 30 to 60 minutes for the first 4 hours. Which nursing action is most appropriate?

Which assessment finding for a patient who has just been admitted with acute pyelonephritis is most important for the nurse to report to the health care provider?

A patient is unable to void after having an open loop resection and fulguration of the bladder. Which nursing action should be implemented?