A male client comes to the emergency department complaining of sudden onset of sharp. severe pain in the lumbar region. which radiates around the side and toward the bladder. The client also reports nausea and vomiting and appears pale. diaphoretic. and anxious. The physician tentatively diagnosed renal calculi and orders flat-plate abdominal X-rays. Renal calculi can form anywhere in the urinary tract. What is their most common formation site?
A female client with acute renal failure is undergoing dialysis for the first time. The nurse in charge monitors the client closely for dialysis equilibrium syndrome. a complication that is most common during the first few dialysis sessions. Typically. dialysis equilibrium syndrome causes:
Confusion. headache. and seizures.
Weakness. tingling. and cardiac arrhythmias.
Hypotension. tachycardia. and tachypnea.
Dr. Grey prescribes norfloxacin (Noroxin). 400 mg P.O. twice daily. for a client with a urinary tract infection (UTI). The client asks the nurse how long to continue taking the drug. For an uncomplicated UTI. the usual duration of norfloxacin therapy is:
Nurse Harry is providing postprocedure care for a client who underwent percutaneous lithotripsy. In this procedure. an ultrasonic probe inserted through a nephrostomy tube into the renal pelvis generates ultra–high-frequency sound waves to shatter renal calculi. The nurse should instruct the client to:
Report the presence of fine. sand-like particles through the nephrostomy tube.
A client is frustrated and embarrassed by urinary incontinence. Which of the following measures should Nurse Ginny include in a bladder retraining program?
After having transurethral resection of the prostate (TURP). a Mr. Lim returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client’s catheter is occluded?
About 1.000 ml of irrigant have been instilled; 1.200 ml of drainage have been returned.
Nurse Pete is reviewing the report of a client’s routine urinalysis. Which value should the nurse consider abnormal?
A 55-year old client with benign prostatic hyperplasia doesn’t respond to medical treatment and is admitted to the facility for prostate gland removal. Before providing preoperative and postoperative instructions to the client. Nurse Gerry asks the surgeon which prostatectomy procedure will be done. What is the most widely used procedure for prostate gland removal?
A female client with suspected renal dysfunction is scheduled for excretory urography. Nurse January reviews the history for conditions that may warrant changes in client preparation. Normally. a client should be mildly hypovolemic (fluid depleted) before excretory urography. Which history finding would call for the client to be well hydrated instead?