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1)A) A client presents with a complaint of scrotal edema

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1)A) A client presents with a complaint of scrotal edema. Review the possible causes. Design a treatment plan for each suspected diagnosis. B) Most testicular cancers occur between the ages of 20 and 34 years. All men should perform monthly testicular selfexamination from early adolescence onward.

2) Your 75-year-old client has a three-way bladder irrigation system in place following a TURP procedure. Identify the most common complication of TURP and this type of drainage. Describe when to stop continuous irrigation. Develop a teaching plan for the client and his family

3) Which of the following conditions is a life-threatening complication of hemodialysis?

a. Anemia

b. Cramps

c. Exsanguination

d. Hypotension

4) The client with urinary lithiasis should be instructed to:

a. Avoid foods high in protein.

b. Check urine for pus.

c. Drink 1 L of fluid per day.

d. Pour urine through gauze.

5) The client is being discharged from the hospital with chronic glomerulonephritis. The client’s condition would benefit most from a referral to which of the following specialists?

a. Chaplain or spiritual advisor

b. Dietitian

c. Hospice nurse

d. Physical therapy

6) Your client complains of dribbling small amounts of urine when laughing or coughing. She asks you why this happens. You explain:

a. Bladder spasms are causing her to leak urine.

b. Laughing or coughing can cause an increase in intraabdominal pressure, which causes leakage.

c. This is a transient condition and it will pass.

d. She probably has a urinary tract infection

7) The nurse is educating the client to encourage fluids after an IVP. Which of the following would be the correct rationale for the nurse’s comment?

a. Drinking fluids ensures that the kidneys are functioning.

b. Supplemental fluids flush blood from the urinary system

c. It is common for the client to become dehydrated after an IVP.

d. Extra fluids remove the dye from the client’s system.

8)A) Identify the critical elements you would include in a nursing assessment tool to determine urinary function. Explain why each is important. B) A client has renal calculi. Explain how nutritional intake could contribute to the development of different renal calculi C) Discuss when dialysis might be used for clients who are not in chronic renal failure.

9) Which of the following instructions would be most appropriate for a client who has had hepatitis?

a. Avoid large crowds when tired.

b. Follow up every 3 months with the gastroenterologist.

c. Increase vitamin A supplements

d. Do not donate blood.

10) Which of the following side effects is common for antacid preparations that contain magnesium hydroxide (Mylanta)?

a. Acid reflux

b. Anorexia

c. Constipation

d. Vomiting

11) G.Y. has a fractured jaw, which has been wired together to promote bone healing. Which of the following is the most essential nursing intervention?

a. Elevate the head of bed to semi-Fowler’s position.

b. Instruct the client to use saline mouth rinses three times per day.

c. Keep a wire cutter with the client at all times.

d. Provide pain medications, as needed.

12) Which of the following nursing actions would be most appropriate prior to removing a nasogastric tube attached to low intermittent suction?

a. Clamp it temporarily to determine if client can tolerate its absence.

b. Inject 50 mL of sterile water through the tube to clear secretions.

c. Place suction on high to clear the tube of secretions.

d. Push air through the tube while gently pulling on it.