Deck 5: Elimination

Question 1

The nurse is providing care to a client at a local clinic. The nurse suspects that the client is experiencing a urinary tract infection. Which urinalysis result supports the nurse's suspicions?

A)pH 5.2
B)Negative glucose
C)WBC 10-15
D)Specific gravity 1.012

Answer 1

WBC 10-15

Question 2

The charge nurse is observing a newly licensed nurse conduct an abdominal assessment on a client admitted with an abdominal mass that is affecting bowel elimination. Which actions by the newly licensed nurse would require the charge nurse to intervene? Select all that apply.

A)Performing palpation before auscultation
B)Performing auscultation before palpation
C)Using inspection, auscultation, percussion, and palpation during the abdominal assessment of the client
D)Using only inspection, percussion, and palpation during the abdominal assessment of the client
E)Using deep palpation during the assessment process

Answer 2

Performing palpation before auscultation
Using only inspection, percussion, and palpation during the abdominal assessment of the client
Using deep palpation during the assessment process

Question 3

The nurse is providing care to a client who is experiencing urinary retention. Which diagnostic tool does the nurse anticipate will be ordered for this client?

A)Ultrasonic bladder scan
B)Urinalysis
C)Intravenous pyelography (IVP)
D)Cystoscopy

Answer 3

Ultrasonic bladder scan

Question 4

The nurse is providing care to a client who is experiencing urinary incontinence. Which independent nursing intervention is the most appropriate for this client?

A)Encouraging increased fluid intake
B)Providing catheter care
C)Instructing on self-catheterization
D)Teaching hygiene care

Question 5

The nurse is caring for a client with a history of urinary tract infections (UTIs). Which action by the nurse would decrease the risk of the client experiencing future UTIs?

A)Instruct the client to avoid delaying urination.
B)Tell the client to increase caffeine in the diet.
C)Encourage the client to use the pelvic floor muscles to force urine flow.
D)Remind the client to wipe from back to front.

Question 6

The nurse is conducting education regarding urinary health at an assisted living facility. When planning topics to include in the session, which are appropriate for the nurse to consider? Select all that apply.

A)Full urinary control usually occurs at 4 or 5 years of age.
B)Due to neuromuscular immaturity in infancy, voluntary urinary control is absent.
C)The kidneys reach maximum size between 35 and 40 years of age.
D)Renal blood flow decreases because of vascular changes and a decrease in cardiac output.
E)Urinary incontinence may occur because of mobility problems or neurological impairments.

Question 7

The nurse is providing care to newborns in the nursery. When assessing the newborns' urinary output, which does the nurse anticipate as normal daily urinary output?

A)15-60 mL
B)100-300 mL
C)250-450 mL
D)400-500 mL

Question 8

A client is diagnosed with high blood pressure that is not responding to medications. The nurse suspects renal stenosis. When assessing for this condition, which location will the nurse use for auscultation?

A)Renal arteries
B)Bladder
C)Ureters
D)Internal urethral sphincter

Question 9

The client is experiencing urinary urgency and frequency. Which medication should the nurse anticipate may be prescribed by the healthcare provider?

A)Furosemide
B)Bumetanide
C)Oxybutynin
D)Bethanechol chloride

Question 10

The nurse is assigned to a postpartum client who had an anesthetic block during labor and delivery. When providing care for this client, which does the nurse anticipate?

A)Nocturnal enuresis
B)Risk for hyperkalemia
C)Residual urine
D)Glycosuria

Question 11

A client presents in the emergency department exhibiting signs indicative of the onset of a bowel obstruction. Which bowel sounds should the nurse anticipate when auscultating the client's abdomen?

A)Gurgling or clicking sounds
B)High-pitched tinkling, rushing, or growling sounds
C)Absence of sounds
D)Continuous medium-pitched hum

Question 12

Inadequate fluid intake slows the passage of chyme along the intestines. This slowed passage increases the absorption of fluid from the chyme. How does this decreased intake and increased passage time affect the feces expelled from the body?

A)It is drier and harder than normal.
B)It is more watery and more soft than normal.
C)It is more watery and harder than normal.
D)It is drier and more soft than normal.

Question 13

The nurse is caring for a group of clients on a medical-surgical unit. Which client does the nurse anticipate to be at the greatest risk for alterations in urinary elimination?

A)The client with hypertension who takes a diuretic to manage blood pressure
B)An 80-year-old male client reporting frequent urination at night
C)A 25-year-old female client with low self-esteem
D)A client who had bladder cancer and now has a newly created ileal conduit

Question 14

A nurse is caring for a client with congestive heart failure. The healthcare provider prescribes propranolol (Inderal)for the client. Which instruction should the nurse include when administering a beta-adrenergic like propranolol (Inderal)to the client?

A)"This medication must be taken on an empty stomach."
B)"You will need to discontinue the medication when your symptoms subside."
C)"This medication causes constipation. You should take a laxative every day."
D)"It is important to notify the healthcare provider if you experience urinary retention."

Question 15

Clients experiencing diarrhea often lose electrolytes. Which of the following best describes the reason for this loss?

A)Decreased secretion of intestinal mucus inhibits the absorption of electrolytes from the chyme by the intestine.
B)Pathogenic microorganisms that cause diarrhea consume the electrolytes in the chyme, resulting in fewer electrolytes being available for absorption.
C)Diarrhea causes rapid passage of chyme through the large intestine, reducing the time available for absorption of electrolytes.
D)Intestinal bacteria break down electrolytes during diarrhea and make them unfit for absorption by the intestine.

Question 16

The nurse is caring for a client diagnosed with benign prostatic hyperplasia (BPH)who is experiencing an increase in symptoms. Which statement by the client would best explain the source of the increased symptoms?

A)"I have decreased oral intake at night."
B)"I recently had a vasectomy."
C)"I am using an over-the-counter cold medication for a cold."
D)"I am drinking very little caffeine."

Question 17

The nurse is caring for an older adult client on a medical-surgical unit. The client tells the nurse, "I don't get any sleep at night because I have to get up and use the bathroom every couple of hours!" When providing an explanation for the nocturia, which statement by the nurse is the most appropriate?

A)"As you get older, there is a decrease in number of nephrons."
B)"As you get older, there is a decrease in the blood supply to your bladder."
C)"As you get older, you may have a decreased bladder capacity."
D)"As you get older, there is a decrease in cardiac output, causing these symptoms."

Question 18

The nurse admits a client to the medical unit for a urinary disorder. Which questions are appropriate for the nurse to include when assessing the client's voiding pattern? Select all that apply.

A)How many times do you urinate in a 24-hour period?
B)Has your pattern of urination changed recently?
C)How often do you get out of bed at night to urinate?
D)What color is your urine?
E)Does your urine have any type of odor?

Question 19

The nurse is interviewing a client who is experiencing constipation. During the interview, the client states, "I don't understand what is going on. I feel the urge to go to the bathroom but, once I am in there and I begin pushing with my abdominal muscles, nothing happens." Which of the following represents the nurse's best response to the client?

A)"Try taking an over-the-counter medication containing bismuth salts, such as Kaopectate or Pepto-Bismol. If your symptoms don't subside in 2 days, come back to the office."
B)"Stop taking all medications until you have reestablished a normal elimination routine. Medication usage often leads to constipation."
C)"Make sure that you are taking proper care of the skin in the anal area. Skin breakdown can result in hesitancy when defecating."
D)"Try to avoid straining with the abdominal muscles during defecation. Doing so may actually close the anal sphincter, preventing feces from passing through."

Question 20

The nurse is reviewing information about four clients who are coming in to the office today due to concerns about bowel elimination. Which of these clients is most likely to have a daily stool softener added to their treatment regimen?

A)A 3-month-old client who is exclusively breastfed
B)A 43-year-old client who takes opioid medication for chronic pain
C)A 92-year-old client who experiences frequent leakage of feces from the anus
D)A 28-year-old client who is anemic and has blood in the stool

Question 21

The nurse is working in a urology clinic and is providing care for a client with stress urinary incontinence. The nurse has chosen the diagnosis of Stress Urinary Incontinence related to sphincter incompetence. Which is the desired outcome for a client with this diagnosis?

A)The client will stop the flow of urine when voiding.
B)The client will improve her incontinence within 1 month.
C)The client will empty her bladder every time she voids.
D)The client will perform 4-5 squeezes (Kegel exercises)for 10-15 seconds.

Question 22

A client is diagnosed with benign prostatic hyperplasia (BPH). Which topics are appropriate for the nurse to include in the teaching session related to the client's condition? Select all that apply.

A)Self-care
B)Nutrition
C)Surgical approaches to treatment
D)Pharmacologic approaches to treatment
E)Permanent urinary catheterization

Question 23

The nurse is assessing an adult client in a urology clinic. The client reports that she has been having "accidents" and expresses frustration about this "normal part of aging." Which response by the nurse is the most appropriate?

A)"Tell me more about the incontinence you are experiencing."
B)"You may need to have surgery to manage this problem."
C)"I understand you are frustrated about this occurrence."
D)"Unfortunately, aging and incontinence go hand in hand."

Question 24

A client is recovering from prostate surgery on a medical-surgical unit. The client will be ready for discharge within the next few days. Which teaching point is appropriate for this client?

A)The client should not drive for 6 weeks after surgery.
B)The client should call the healthcare provider immediately for any bleeding.
C)The client should incorporate fruit juice in his diet.
D)The client should avoid heavy lifting for 2 weeks after surgery.

Question 25

The nurse is providing care to a client in the healthcare clinic. The client's brother was recently diagnosed with benign prostatic hyperplasia (BPH), and the client wants to know if he is also at risk. Which item in the client's history increases the risk for BPH?

A)Decreased levels of progesterone
B)Increased levels of estrogen
C)35 years of age
D)Testicle removal due to cancer

Question 26

The client admitted with benign prostatic hyperplasia (BPH)is prescribed an alpha-adrenergic blocker, prazosin (Minipress), for the treatment of BPH. When providing care to this client, which assessment is a priority related to this medication?

A)Blood pressure
B)Pain rating
C)Respiratory rate
D)Temperature

Question 27

The nurse is caring for a middle-aged male client who is experiencing urinary retention. The client asks the nurse if it is possible that he is experiencing benign prostatic hyperplasia (BPH). During the client history, the client reports that he is of Japanese descent. Which response by the nurse is the most appropriate?

A)"No, you are not old enough to have BPH."
B)"Your symptoms are not consistent with BPH."
C)"You are considered low-risk for BPH."
D)"Where did you get an idea that you might have BPH?"

Question 28

The nurse is providing follow-up care for a client was recently diagnosed with benign prostatic hyperplasia (BPH). Which nursing diagnosis is the priority for the nurse to include in the client's plan of care?

A)Chronic Pain
B)Impaired Urinary Elimination
C)Constipation
D)Diarrhea

Question 29

The nurse is caring for a client with a history of chronic urinary tract infections. The nurse is planning care for this client based on the priority nursing diagnosis of urinary retention related to scarring. Based on this data, which treatment does the nurse anticipate from the healthcare provider?

A)Antibiotic therapy
B)An anticholinergic medication
C)Intermittent straight catheterization
D)Removal of bladder stones

Question 30

The nurse is providing care to a client who is diagnosed with benign prostatic hyperplasia (BPH). Which items in the client's health history indicate a risk factor for this diagnosis? Select all that apply.

A)Excessive exercise
B)Decreased fluid intake
C)Diet high in milk
D)70 years of age
E)African American ethnicity

Question 31

A client with BPH is experiencing urinary retention and bladder distention. The nurse understands that, without proper treatment, the client is at risk for complications such as diverticula, hydroureter, and hydronephrosis. Which issue related to the client's condition is most important to address in order to reduce the risk for these complications?

A)The enlarging mass of prostatic tissue must be reduced.
B)Straining during urination must be avoided.
C)Bladder pain must be managed.
D)The weak urinary stream must be strengthened.

Question 32

Which statement most accurately describes why benign prostatic hyperplasia is more common in older men than in younger men?

A)An increase in androgen production occurs with age, and increased androgens trigger prostatic growth.
B)Hyperplasia of stromal and epithelial cells in the prostate gland occurs over a long period of time.
C)A decrease in estrogen levels occurs over time and results in an increase in the size of the individual cells within the prostate.
D)Frequency of urinary tract infections increases with age, and frequent UTIs contribute to changes in the prostate.

Question 33

A client is recovering from minimally invasive surgery due to a diagnosis of benign prostatic hyperplasia (BPH). After assessing the client, the nurse expects which outcome for this client?

A)Bowel continence
B)Absence of pain
C)No postoperative treatment
D)Urinary continence

Question 34

The nurse conducts education for a client who is experiencing urinary incontinence. Which statement by the client indicates the need for further education?

A)"Relaxation of pelvic muscles may be a factor in incontinence."
B)"Reduced urethral resistance can be a cause of incontinence."
C)"Incontinence is normal with aging."
D)"A disturbance of my bladder is a factor in the development of incontinence."

Question 35

A client presents to the urologist with complaints of getting up to urinate several times a night and difficulty starting a stream of urine. After medical testing is completed, a diagnosis of benign prostatic hyperplasia (BPH)is made. After conducting teaching regarding BPH, which statement by the client indicates the need for further education?

A)"Alpha blockers can be used to control my symptoms."
B)"I know I will get cancer of the prostate because of this."
C)"As my condition progresses, I may need to consider surgical management."
D)"There are nonsurgical treatment options available."

Question 36

The nurse is providing care to a client who is diagnosed with benign prostatic hyperplasia (BPH). The client's primary concern is burning and difficulty when urinating. Based on this data, which nursing diagnosis is the priority for this client?

A)Fluid Volume Overload
B)Fluid Volume Deficit
C)Acute Pain
D)Deficient Knowledge

Question 37

The nurse is providing care to a client who is diagnosed with stress incontinence. Which data would nurse expect to collect during the client's health history and physical assessment? Select all that apply.

A)Urine leakage while talking
B)Urine leakage while coughing
C)Urine leakage while laughing
D)Skin breakdown on the buttock
E)A urinary catheter

Question 38

The nurse is providing care to a client who is diagnosed with mild benign prostatic hyperplasia (BPH)who is experiencing urinary retention. Which goal is the most appropriate for this client?

A)The client will increase fluid intake to at least 2-3 liters daily.
B)The client lists over-the-counter medications to be avoided.
C)The client will voice an understanding of the importance of the use of antiembolic stockings and compression devices.
D)The client will use a T-binder or scrotal support properly.

Question 39

The nurse is providing care to a client who is diagnosed with mild benign prostatic hyperplasia (BPH). Which lifestyle change is appropriate for this client?

A)Increasing caffeine intake
B)Increasing alcohol intake
C)Urinating at first urge
D)Using over-the-counter antihistamines

Question 40

The nurse is caring for a client who will be discharged with an indwelling catheter. The nurse has provided education to the client and family in regard to catheter care once the client is discharged. Which client or family action indicates a correct understanding of the information presented?

A)Hanging the drainage bag on a towel rod
B)Taking a shower each day instead of taking a tub bath
C)Restricting the amounts of fluids per day
D)Emptying the drainage bag twice a day

Question 41

The charge nurse is observing a newly licensed nurse catheterize an older adult client admitted with an enlarged prostate. Which action by the newly licensed nurse requires intervention from the charge nurse?

A)The newly licensed nurse injects 10 mL of 2% lidocaine gel into the client's urethra.
B)The newly licensed nurse inserts a 16 French coudé-tipped catheter.
C)The newly licensed nurse uses sterile technique to place the catheter.
D)The newly licensed nurse clamps the catheter after draining 800 mL.

Question 42

Fecal impaction is a mass or collection of hardened feces in the folds of the rectum or colon as a result of prolonged retention and accumulation of fecal material. Which clinical manifestation is common in cases of fecal impaction?

A)No passage of stool or fecal material of any kind
B)Passage of soft, formed stools
C)Passage of lumpy stools that are hard and dry
D)Passage of liquid, foul-smelling fecal material in the absence of formed stool

Question 43

The nurse provides education and supportive assistance for the family of a preschool-age client diagnosed with encopresis. Which statement indicates parental understanding of appropriate care? Select all that apply.

A)"We will establish a limited schedule of activities that has many breaks to provide opportunities to use the toilet regularly."
B)"We will schedule an appointment with a play therapist to help our older child adjust to our new baby."
C)"We won't change our child's diet because we were afraid it will be stress provoking."
D)"We will work on regular elimination after morning and evening meals."
E)"We will continue to punish our child for having accidents as the behavior is learned and attention seeking."

Question 44

The nurse is reviewing discharge instructions for a client diagnosed with urinary incontinence resulting from a urinary tract infection. Which statement made by the client indicates the need for further education?

A)"I should drink plenty of water to prevent damage to my kidneys while I am on the antibiotics for the infection."
B)"Drinking cranberry juice will decrease the risk for developing urinary tract infections."
C)"I will contact the healthcare provider prior to taking over-the-counter medications while on my antibiotic."
D)"I will continue to hold my urine while in public so that I do not get another infection."

Question 45

The nurse is caring for a client with functional incontinence. Which conditions are factors in the development of this type of incontinence? Select all that apply.

A)Fecal impaction
B)Dementia
C)Confusion
D)Prostate surgery
E)Impaired mobility

Question 46

Urge incontinence is the involuntary loss of urine associated with a strong urge to void and an increased rate of urination. Which condition can contribute to urge incontinence?

A)Weakness of the urethra and surrounding tissue leading to decreased urethral resistance
B)Disruption to neuronal control of the sacral micturition centers due to tissue damage
C)An overactive detrusor muscle leading to increased pressure within the bladder
D)Outlet obstruction leading to the overfilling of the bladder and increased pressure

Question 47

The nurse is providing care to a client who ignores the urge to defecate when at work. The client states, "I don't like to have a bowel movement anywhere but at home." Which response by the nurse is the most appropriate?

A)"This is a common practice, and it will strengthen the reflex later."
B)"You will get the urge later, so you should not worry about it."
C)"If you continue to ignore the urge to defecate, it can lead to problems."
D)"It is better to suppress the urge than to suffer embarrassment at work."

Question 48

The nurse is reviewing discharge instructions with the mother of a toddler who was hospitalized for constipation. Which statement made by the toddler's mother indicates the need for further education?

A)"I should recognize that when my child walks stiffly on his tiptoes, this could indicate withholding."
B)"Rocking and crossing the legs could be a sign of withholding."
C)"I need to make sure my child eats a low-fiber diet."
D)"Soiling could be a sign of withholding because of involuntary overflow."

Question 49

The nurse is preparing to teach a class on the prevention of constipation. Which food choice will the nurse include as an example of a high-fiber food?

A)Raw fruits
B)Cooked vegetables
C)White bread
D)Cooked fruits

Question 50

The nurse is preparing to discharge a client with diarrhea. The healthcare provider prescribes loperamide to manage the client's diarrhea. After providing the client with information on this medication, which client statement indicates the need for further education?

A)"If my diarrhea does not get better within 2 days, I will need to call my healthcare provider for further advice."
B)"I will need to take the medication after each loose stool."
C)"I should continue to take this medication daily until my stools are firm and dry."
D)"If I start to have a fever, I need to contact my healthcare provider about continuing to take this medication."

Question 51

The nurse is caring for an older adult client. The client tells the nurse that he is constipated. What is the nurse's initial action?

A)Encourage the client to increase fluid intake and activity.
B)Assess the client's intake of fiber and fluids.
C)Determine what the client means by constipation.
D)Obtain an order for a laxative and an enema from the physician.

Question 52

The nurse is providing care to a client who is experiencing constipation. The healthcare provider prescribes Metamucil, a bulk-forming laxative. Which is a nursing consideration when administering this medication to the client?

A)Offering sufficient water
B)Administering rectally
C)Using to treat acute constipation
D)Assessing for tardive dyskinesia

Question 53

A client in the ambulatory care clinic tells the nurse about experiencing frequent constipation. The nurse inquires about the client's diet. Which statement from the client would be of greatest concern for the nurse?

A)"I like to eat a bran muffin and applesauce every morning for breakfast."
B)"I like to eat popcorn for an afternoon snack."
C)"I like to eat cheese, a banana, and a turkey sandwich for lunch."
D)"I like to eat baked chicken, whole grain rolls, and a small salad for dinner."

Question 54

The nurse is providing training for the clinical staff of a skilled care facility that primarily treats elderly clients. The nurse wants to include information on functional incontinence. Which risk factors for functional incontinence will the nurse include in the training? Select all that apply.

A)Limited mobility
B)Impaired vision
C)Lack of access to facilities
D)Dementia
E)Urinary tract infection

Question 55

The nurse at a health fair is educating clients on risk factors associated with urinary incontinence. Which risk factor does the nurse include as a nonmodifiable risk factor for urinary incontinence?

A)Age
B)Obesity
C)Smoking
D)Diabetes

Question 56

The nurse is triaging a client who presents to the urgent care clinic with symptoms of severe flank pain with spasms, nausea, vomiting, and oliguria. The client states that the pain was initially intermittent and radiated from the lower back to the lower quadrants of the abdomen. Which action by the nurse is the most appropriate?

A)Complete the physical assessment.
B)Consult a urologist immediately.
C)Instruct the client to increase fluids.
D)Obtain a urine specimen for culture.

Question 57

The nurse is planning care for a newly admitted bedbound older adult client. Which nursing diagnosis would be most appropriate for this client?

A)Risk of Bowel Incontinence
B)Disturbed Body Image
C)Risk for Diarrhea
D)Risk for Constipation

Question 58

The nurse is caring for a client who is experiencing intermittent constipation. The client has been advised to increase the amount of dietary fiber. Which food selections by the client indicate that teaching has been effective? Select all that apply.

A)Rice
B)Carrot slices
C)Spinach salad
D)Bananas
E)Peas

Question 59

A client presents with acute constipation for the second time in two months. The physician orders a diagnostic barium enema. Based on the testing order, the nurse understands that the client's condition is likely associated with:

A)rectal muscle contractions.
B)completeness of bowel elimination.
C)the efficiency with which the food moves through the gastrointestinal tract.
D)the structure of the bowel or the presence of tumors or diverticula.

Question 60

The nurse is caring for a client with chronic constipation. Which findings in the client's health history could be the cause of the current constipation? Select all that apply.

A)Bedrest
B)High-fiber diet
C)Low-fiber foods
D)Chronic laxative use
E)Depression

Question 61

A nurse is caring for four clients with renal calculi. Of these clients, which one should the nurse identify as having the highest likelihood of requiring surgery to remove the calculi?

A)A 7-year-old with calcium phosphate stones of the bladder
B)A 78-year-old client with struvite stones of the kidney
C)A 31-year-old expectant mother with calcium oxalate stones of the kidney
D)A 46-year-old with uric acid stones of the bladder

Question 62

The nurse is preparing to discharge a client who underwent lithotripsy for the treatment of a kidney stone. What should the nurse teach the client to prevent further complications of urinary calculi after discharge?

A)"You will need to increase your oral fluid intake to 1 L/day."
B)"It will be important that you not drive while taking pain medications."
C)"It will be important to maintain a diet high in purines."
D)"You will need to monitor for the signs and symptoms of a urinary tract infection (UTI)."

Question 63

The nurse is providing care to a client whose medication therapy for the treatment of renal calculi has failed. Based on this data, which treatment option does the nurse anticipate for this client?

A)Lithotripsy
B)Surgical removal
C)Dietary control
D)Initiation of IV fluids

Question 64

A client admitted to the hospital with a diagnosis of inflammatory bowel disease has also been diagnosed with calcium phosphate renal calculi. When planning care for this client, which type of medication does the nurse anticipate based on the data?

A)Antibiotic
B)Allopurinol
C)Nonsteroidal anti-inflammatory drug (NSAID)
D)Thiazide diuretic

Question 65

In which of the following ways do calcium phosphate stones differ from uric acid and cystine stones?

A)Calcium phosphate stones are associated with alkaline urine, while uric acid and cystine stones are associated with acid urine.
B)Calcium phosphate stones are associated with acid urine, while uric acid and cystine stones are associated with alkaline urine.
C)Calcium phosphate stones are associated with alkaline urine, while uric acid and cystine stones are associated with neutral urine.
D)Calcium phosphate stones are associated with neutral urine, while uric acid and cystine stones are associated with acid urine.

Question 66

A client with urinary calculi is admitted to the hospital. When planning care for this client, which goal is most appropriate?

A)The client will lose 25 pounds in 3 months.
B)The client will ambulate three times a day.
C)The client will request pain medication at the onset of pain.
D)The client will shower independently.

Question 67

A client with a history of urinary calculi presents with frequency, urgency, and dysuria. A urinalysis reveals formation of crystals in the urine, known as nucleation. Based on this finding, which statement is true about the composition of the client's urine?

A)It has a high concentration of citrate and glycoproteins.
B)It has a pH of 7.0.
C)It contains trace amounts of blood.
D)It has a high concentration of insoluble salt.

Question 68

The nurse on the medical unit is admitting an older adult client whose primary symptoms include fatigue, pruritus, and pain in the right flank area. When conducting this client's assessment, which technique is the least appropriate?

A)Palpation over the costovertebral angles and flanks
B)Blunt percussion over the costovertebral angles and flanks
C)Palpation of the lower pole of both kidneys
D)Capturing of both kidneys

Question 69

The nurse is caring for a client with a history of kidney stones. The stones have been analyzed and are all composed of calcium phosphate. Based on this data, which foods should the nurse teach the client to avoid?

A)Chicken, beef, and ham products
B)Organ meats, sardines, and seafood
C)Tomatoes, fruits, and nuts
D)Flour, milk, and ice cream

Question 70

The nurse educator is speaking with a group of students about renal disorders. Which statement is appropriate for the educator to include regarding renal stones?

A)Older adult clients are particularly at risk for urolithiasis.
B)Young- or middle-adult men are at an increased risk for stones.
C)Women have a greater risk overall than men.
D)Frequency of stones is greater in the northern United States.

Question 71

A novice nurse is providing care to clients on a urology unit. When providing care to a group of clients, which client does the novice nurse identify as being at the greatest risk for developing urinary stones?

A)A 35-year-old woman with quadriplegia from an auto accident
B)A 65-year-old man with a recent history of myocardial infarction
C)A 50-year-old man with type 2 diabetes mellitus
D)A 25-year-old woman with several episodes of urinary infection

Question 72

A client is complaining of dull flank pain. List the order of the steps the nurse should take in conducting the physical assessment for this client.
1. Instruct the client.
2. Assess the general appearance.
3. Position the client.
4. Inspect the abdomen for color, contour, symmetry, and distention

Question 73

The nurse is providing care for a client with renal calculi. Which expected outcomes will the nurse include in this client's plan of care? Select all that apply.

A)The client rates pain at a 2 on a scale of 0-10 and states that a 2 is acceptable.
B)The client is able to comfortably perform activities of daily living (ADLs).
C)The client demonstrates a fluid intake of 800-1000mL/day.
D)The client remains free of signs and symptoms of infection.
E)The client chooses the appropriate diet to prevent the reoccurrence of renal calculi.

Question 74

A client admitted to the hospital with a diagnosis of gout has also been diagnosed with uric acid renal calculi. When planning meals for this client, which diet will the nurse anticipate?

A)Low-purine diet
B)Low-sodium diet
C)A diet high in calcium
D)A diet low in calcium

Question 75

A client is admitted to the emergency department and diagnosed with renal colic after experiencing symptoms for 1 week, including those associated with the body's sympathetic response to severe pain. When planning care for this client, which nursing diagnosis is the most appropriate?

A)Risk for Constipation
B)Risk for Disuse Syndrome
C)Imbalanced Nutrition
D)Activity Intolerance