Chapter 45 Flashcards
- The clinic nurse is teaching a young wife about preventing recurrent urinary tract infections. What information should the nurse include?
A. Bathe daily.
B. Avoid voiding immediately after sexual intercourse.
C. Drink liberal amounts of fluids.
D. Void every 6 to 8 hours.
- A 42-year-old woman comes to the clinic complaining of intermittent urinary incontinence when she sneezes. The clinic nurse is aware this is what type of incontinence?
A. Stress incontinence
B. Reflex incontinence
C. Overflow incontinence
D. Functional incontinence
- A nurse is caring for a female patient with urinary retention. The nurse teaches this patient to follow which principle for self-catheterization?
A. Assume a supine position for self-catheterization.
B. Use a clean technique at home to catheterize.
C. Insert the catheter 1 to 2 inches into the urethra.
D. Self-catheterize every 2 hours at home.
- A 52-year-old patient is scheduled to undergo ileal conduit surgery. The patient has several appropriate questions. What would be the most appropriate nursing diagnosis for this patient?
A. Self-care deficit related to the surgical procedure and creation of an ileal conduit
B. Knowledge deficit about the surgical procedure and postoperative care
C. Fear and anxiety related to the surgical procedure
D. Risk of infection related to the surgical procedure
- The educator on your unit is working with a patient who has been diagnosed with oxalate renal calculi. When planning this patient’s teaching what nutritional guidelines would the educator include?
A. Restrict protein intake to 60 g/d.
B. Restrict sodium intake to 5 to 6 g/d.
C. Follow a low-calcium diet.
D. Encourage intake of oxalates (peanuts, wheat bran, strawberries, rhubarb, tea, and spinach).
- The nurse is caring for a patient who underwent percutaneous lithotripsy earlier in the day. 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. What instruction should the nurse give the patient?
A. Limit oral fluid intake for 1 to 2 weeks.
B. Report the presence of fine, sandlike particles through the nephrostomy tube.
C. Notify the physician about cloudy or foul-smelling urine.
D. Report bright pink urine within 24 hours after the procedure.
- A new patient has been admitted to your unit. The patient’s laboratory data has been posted in the computer and the nurse is reviewing the data. The nurse recognizes the patient has a bacteriuria when the bacteria count in the urine exceeds:
A. 10^2 colonies/mL of clean-catch midstream urine
B. 10^3 colonies/mL of clean-catch midstream urine
C. 10^4 colonies/mL of clean-catch midstream urine
D. 10^5 colonies/mL of clean-catch midstream urine
- The clinic nurse is preparing a plan of care for a patient complaining of stress incontinence. The plan of care incorporates behavioral therapy as an approach to the management of stress incontinence. What role will the nurse have in implementing the behavioral therapy approach?
A. Provide medication teaching related to pseudoephedrine sulfate.
B. Teach the patient to perform pelvic floor muscle exercises.
C. Prepare the patient for an anterior vaginal repair procedure.
D. Provide information on the semipermanent procedure, periurethral bulking.
- You are caring for a patient admitted to your unit with renal calculi. A renal ultrasound indicates that the patient does not have hydronephrosis and the physician writes orders to increase the patient’s fluid intake. The nurse instructs the patient to increase her fluid intake to a level where the patient produces at least how many mL/day of urine?
A. 500 mL urine/day
B. 1000 mL urine/day
C. 1500 mL urine/day
D. 2000 mL urine/day
- A patient with cancer of the bladder has just returned to the unit from the PACU after surgery to create an ileal conduit. The nurse is monitoring the patient’s urine output hourly and notifies the physician when the hourly output is less than what?
A. 30 mL/hour
B. 50 mL/hour
C. 100 mL/hour
D. 125 mL/hour
- The nurse is caring for a patient with an indwelling urinary catheter. The nurse is aware that what nursing action helps prevent infection in a patient with an indwelling catheter?
A. Vigorously clean the meatus area daily.
B. Apply powder to the perineal area twice daily.
C. Empty the drainage bag at least every 8 hours.
D. Irrigate the catheter every 8 hours with normal saline.
- The school nurse is teaching a health class to a group of seniors. Today the nurse is talking about urinary tract infections. The nurse is correct when she informs the group that:
A. The prevalence of UTIs in men older than 50 years of age is less than the prevalence of women in the same age group.
B. The prevalence of UTIs in men older than 50 years of age approaches that of women in the same age group.
C. The prevalence of UTIs in men older than 50 years of age is greater than the prevalence of women in the same age group.
D. The prevalence of UTIs in men cannot be measured, as men generally do not report UTIs
- A patient newly admitted to your unit has an ileal conduit. You need to determine the appliance size to order for this patient. What does the nurse measure to determine the size of the appliance needed?
A. The circumference of the stoma
B. The narrowest part of the stoma
C. The widest part of the stoma
D. Half the width of the stoma
- A patient comes to the clinic complaining of difficulty voiding. What nursing action should the nurse take to encourage a patient who is having difficulty voiding?
A. Use a slipper bedpan.
B. Apply a cold compress to the perineum.
C. Have the patient lie in a supine position.
D. Provide privacy for the patient.
- A nurse is caring for an 85-year-old patient experiencing urinary incontinence. This nurse is aware that:
A. Antispasmodics are often prescribed to decrease urinary incontinence.
B. Restricting fluid intake is recommended.
C. Reflux incontinence is common in the elderly.
D. Urinary incontinence is not a consequence of aging.
- You are admitting a patient diagnosed with urinary retention. What question should be included as part of the assessment?
A. “Do you have dribbling urine?”
B. “Are you following a fluid-restricted diet?”
C. “Do you experience shortness of breath?”
D. “Are you experiencing vertigo?”
- A patient with kidney stones is scheduled for extracorporeal shock wave lithotripsy (ESWL). The patient asks the nurse to explain what will be done. What is the nurse’s best response?
A. “Shock waves will break the stones in the kidney to the size of sand grains.”
B. “The surgeon will make an incision in the kidney and remove the stones.”
C. “A scope will be inserted into the kidney and the stones will be removed.”
D. “The surgeon will make an incision and remove the kidney.”
- You are caring for a patient who has undergone creation of a urinary diversion. Forty-eight hours postoperatively the patient verbalizes that the stoma is a dark purplish color. This nurse is aware of what?
A. The stoma is healthy.
B. The stoma is infected.
C. Vascular supply to the stoma may be compromised.
D. The ostomy appliance around the stoma is too loose.
- Where are most uncomplicated UTIs acquired?
A. Hospital
B. Community
C. Through sexual intercourse
D. Nosocomial
- You work in a urology clinic. A patient, 35 years of age, is diagnosed with a urinary tract infection (UTI). What is your role in managing this patient’s treatment?
A. How to identify B. How to reduce fluid intake C. How to improve nutrition D. How to manage prescribed medication regimens E. coli
- You are writing a nursing plan of care for a patient with a UTI. What would be an appropriate nursing diagnosis for this patient?
A. Deficient knowledge about taking hot showers
B. Knowledge deficit related to personal caring
C. Deficient knowledge about factors predisposing to infection
D. Knowledge deficit related to medical decisions about UTIs
- A 35-year-old female with chronic recurrent UTIs is admitted to the hospital for diagnostic testing of an upper urinary tract problem. You know that incomplete emptying of the bladder due to bladder outlet obstruction can cause what?
A. Hydronephrosis
B. Nephritic syndrome
C. Pylonephritis
D. Nephrotitis
- An 82-year-old female is brought to the clinic by her daughter for transient episodes of incontinence. While assessing this patient, what question should be a priority for the nurse to ask the patient and the family?
A. Do these episodes last more than a week?
B. Has there been a change in other systems of the body?
C. Does the patient take bubble baths?
D. What improves the symptoms?
- The nurse is presenting an educational event at a local senior center. You have been asked to talk about “Keeping Your Urinary System Healthy.” What important information should you include in your presentation?
A. “Urinary incontinence, to some degree, is expected in people over 60 years of age.”
B. “Urinary incontinence is easily treated in the older adult.”
C. “Urinary incontinence is more prevalent in the United States than diabetes or ulcer disease.”
D. “Urinary incontinence is overreported and overtreated.”
