Welcome to the NCLEX Renal Questions. Before you begin answering this questions, I recommend that you start from the beginning:
Online Nursing Practice Test about Renal Disorders (1-7)
46. The client is admitted to the emergency department following a motor vehicle accident. The client was wearing a lap seat belt when the accident occurred and now the client has hematuria and lower abdominal pain. To assess further whether the pain is caused by bladder trauma, the nurse asks the client if the pain is referred to which of the following area?
a) hip
b) shoulder
c) umbilicus
d) costovertebral angle
47. The female client is admitted to the emergency department following a fall from a horse and the physician orders insertion of a foley catheter. While preparing for the procedure, the nurse notes blood at the urinary meatus. The nurse should:
a) notify the physician
b) use a smaller size of catheter
c) administer pain medication before inserting the catheter
d) use extra povidone-iodine solution in cleansing the meatus
48. A nurse is assessing the patency of a client's left arm arteriovenous fistula prior to initiating hemodialysis. Which finding indicates that he fistula is patent?
a) palpation of a thrill over the fistula
b) presence of a radial pulse in the left wrist
c) absence of a bruit on auscultation of the fistula
d) capillary refill less than 3 seconds in the nail beds of the fingers on the left hand
49. The male client has a tentative diagnosis of urethritis. The nurse assesses the client for which of the following manifestations of the disorder?
a) hematuria and pyuria
b) dysuria and proteinuria
c) hematuria and urgency
d) dysuria and penile discharge
50. The nurse is planning teaching for a female client diagnosed with urethritis caused by chlamydial infection. The nurse would plan to include which of the following points in the teaching session?
a) altering the perineal pH using a spermicide with a condom
b) keeping follow-up appointments for repeat cultures in 4 to 7 days
c) discontinuing antibiotics after 3 weeks of uninterrupted administration
d) identifying sexual partners for the last 12 months so they can be treated
NCLEX Renal Questions:
ANSWERS AND RATIONALE
46) B
- Bladder trauma or injury is characterized by lower abdominal pain that may radiate to one of the shoulders. Bladder injury pain does not radiate to the umbilicus, costovertebral angle, or hip.47) A
- The presence of blood at the urinary meatus may indicate urethral trauma or disruption. The nurse notifies the physician, knowing that the client should not be catheterized until the cause of the bleeding is determined by diagnostic testing. Therefore, options B, C, and D are incorrect.48) A
- The nurse assesses the patency of the fistula by palpating for the presence of a thrill or auscultating for a bruit. The presence of a thrill and bruit indicate patency of the fistula. Although the presence of a radial pulse in the left wrist and capillary refill shorter than 3 seconds in the nail beds of the fingers on the left hand are normal findings, they do not assess fistula patency.49) D
- Urethritis in the male client often results from chlamydial infection and is characterized by dysuria, which is accompanied by a clear to mucopurulent discharge. Because this disorder often coexists with gonorrhea, diagnostic tests are done for both and include culture and rapid assays.50) B
- Follow-up cultures are typically done in 4 to 7 days to evaluate the effectiveness of the medication. Using a spermicide does not change the perineal pH. The infection can be prevented by the use of latex condoms. Chlamydial infection is treated with doxycycline for 7 days or with azithromycin (Zithromax) as a single dose. All sexual partners during the 30 days before diagnosis should be notified, examined, and treated as necessary.After you reviewed your answers through its rationale, you can now proceed to the next set of questions:
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