Iggy Chpt 68 Urinary questions Flashcards
When planning an assessment of the urethra, what does the nurse do first?
A) Examines the meatus B) Notes any unusual discharge C) Records the presence of abnormalities D) Dons gloves
D
Before examination begins, body fluid precautions (gloves) must be donned first.
The client is scheduled for intravenous urography. During the assessment, the nurse notes a previous reaction of urticaria, itching, and sneezing to contrast dye. Which precautions does the nurse take? Select all that apply.
A) Ensures that an antihistamine and a steroid are prescribed B) Documents the reaction on the chart C) Uses no contrast dye for the procedure D) Cancels the procedure E) Ensures that the health care provider is aware of the reaction
A B E
When caring for the client with uremia, the nurse assesses for which of these symptoms?
A) Tenderness at the costovertebral angle (CVA) B) Cyanosis of the skin C) Nausea and vomiting D) Insomnia
C
Manifestations of uremia include anorexia, nausea, vomiting, weakness, and fatigue.
The nurse recognizes that which of these is the best indicator of kidney function?
A) BUN B) Creatinine C) AST D) Alkaline phosphatase
B
Creatinine excretion, the end product of muscle metabolism, remains relatively steady and therefore is the best indicator of renal function.
When performing bladder scanning to detect residual urine in a female client, the nurse must first assess which of these?
A) Abdominal girth B) Presence of urinary infection C) History of hysterectomy D) Hematuria
C
The scanner must be in the scan mode for female clients to ensure the scanner subtracts the volume of the uterus from the measurement.
The client has returned form a captopril renal scan. Which teaching should the nurse provide when the client returns?
A)"Arise slowly and call for assistance when ambulating." B) "I must measure your intake and output (I&O)." C) "We must save your urine because it is radioactive." D) "I must attach you to this cardiac monitor."
A
The drug can cause severe hypotension during and after the procedure. Warn him or her to avoid rapid position changes and of the risk for falling as a result of orthostatic (positional) hypotension.
Which of the following would alarm the nurse immediately after return of the client from the operating room for cystoscopy performed under conscious sedation?
A) Pink-tinged urine B) Urinary frequency C)Temperature of 100.8 D) Client lethargic
C
Fever, chills, or an elevated white blood cell (WBC) count suggests infection after an invasive procedure; notify the provider.
Which instruction does the nurse give the client who needs a clean catch urine specimen?
A) Save all urine for 24 hours. B) I will collect the first specimen of the morning. C) Do not touch the inside of the container. D) You will receive an isotope injection, then I will collect your urine.
C
A clean catch specimen is used to obtain urine for culture and sensitivity of organisms present; contamination by the client’s hands will alter the specimen and results.
The nurse in the urology clinic is providing teaching for a female client with cystitis. Which of these should be included in the teaching plan? Select all that apply.
A) Cleanse the perineum from back to front after using the bathroom. B) Try to take in 64 ounces of fluid each day. C) Be sure to complete the full course of antibiotics. D) If your urine remains cloudy, call the clinic. E) Expect some flank discomfort until the antibiotic has worked.
B C D
The nurse has the following assignment. Which client should be encouraged to consume 2 to 3 liters of fluid each day?
A) Client with chronic kidney disease B) Client with heart failure C) Client with complete bowel obstruction D) Client with hyperparathyroidism
D
A major feature of hyperparathyroidism is hypercalcemia, which predisposes to kidney stones; this client should remain hydrated.
What should the nurse teach the client who is undergoing a study using contrast media?
A) "You will need to have anesthesia or sedation." B) "A feeling of heat or warmth occurs when the contrast is injected." C) "Expect your urine to have a pink or red tinge after the procedure." D) "You will not be able to eat or drink for 4 to 6 hours after the procedure."
B
Contrast medium causes a sensation of flushing, heat, or warmth as it circulates through the bloodstream.
The client is scheduled for a cystoscopy later this morning. The consent form is not signed, and the client has not had any preoperative medication. The nurse notes that the provider visited the client the day before. What action does the nurse take?
A) Asks the client to sign the informed consent B) Cancels the procedure C) Asks the client's spouse to sign the form D) Notifies the department and the provider
D
The client may be asked to sign the consent form in the department; notifying both the provider and the department ensures communication across the continuum of care, with less likelihood of omission of information.
The older adult woman who reports a change in bladder function says, “I feel like a child who sometimes pees her pants.” What is the nurse’s best response?
A) "Have you tried using the toilet at least every couple of hours?" B) "How does that make you feel?" C) "We can fix that." D) "That happens when we get older."
A
By emptying the bladder on a regular basis, urinary incontinence from overflow may be avoided, which may give the client some sense of control.
The client is in the emergency department (ED) for an inability to void and for bladder distention. What is most important for the nurse to provide to the client?
A) Increased oral fluids B) IV fluids C) Privacy D) Health history forms
C
Provide privacy, assistance, and voiding stimulants, such as warm water over the perineum, as needed, for the client with urinary problems.
The nurse is teaching the client how to provide a “clean catch” urine specimen. Which statement by the client indicates that teaching was effective?
A) "I must clean with the wipes and then urinate directly into the cup." B) "I will have to drink 2 liters of fluid before providing the sample." C) "I'll start to urinate in the toilet, stop, and then urinate into the cup" D) "It is best to provide the sample while I am bathing."
C
To provide a clean catch urine sample, the client should initiate voiding, then stop, then resume voiding into the container. A midstream collection further removes secretions and bacteria because urine flushes the distal portion of the internal urethra.
