Page 1885 - Saunders Comprehensive Review For NCLEX-RN

3. Kidney transplant
4. Bilateral nephrectomy

5. Intense immunosuppression therapy

645. A client is admitted to the emergency department following a fall from a
horse, and the primary health care provider (PHCP) prescribes insertion of a
urinary catheter. While preparing for the procedure, the nurse notes blood at
the urinary meatus. The nurse should take which action?
1. Notify the PHCP before performing the catheterization.
2. Use a small-sized catheter and an anesthetic gel as a lubricant.
3. Administer parenteral pain medication before inserting the
catheter.
4. Clean the meatus with soap and water before opening the
catheterization kit.
646. The nurse is assessing the patency of a client’s left arm arteriovenous fistula
prior to initiating hemodialysis. Which finding indicates that the fistula is
patent?
1. Palpation of a thrill over the fistula.
2. Presence of a radial pulse in the left wrist.
3. Visualization of enlarged blood vessels at the fistula site.
4. Capillary refill less than 3 seconds in the nailbeds of the fingers on
the left hand.
647. A male client has a tentative diagnosis of urethritis. The nurse should assess
the client for which manifestation of the disorder?
1. Hematuria and pyuria
2. Dysuria and proteinuria
3. Hematuria and urgency
4. Dysuria and penile discharge
648. The nurse is assessing a client with epididymitis. The nurse anticipates
which findings on physical examination?
1. Fever, diarrhea, groin pain, and ecchymosis
2. Nausea, painful scrotal edema, and ecchymosis
3. Fever, nausea, vomiting, and painful scrotal edema
4. Diarrhea, groin pain, testicular torsion, and scrotal edema
649. A client complains of fever, perineal pain, and urinary urgency, frequency,
and dysuria. To assess whether the client’s problem is related to bacterial
prostatitis, the nurse reviews the results of the prostate examination for
which characteristic of this disorder?
1. Soft and swollen prostate gland
2. Swollen and boggy prostate gland
3. Tender and edematous prostate gland
4. Tender, indurated prostate gland that is warm to the touch
650. The nurse is collecting data from a client. Which symptom described by the
client is characteristic of an early symptom of benign prostatic hyperplasia?
1. Nocturia
2. Scrotal edema
3. Occasional constipation

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