Nursing Assessment Flashcards
A patient’s urine dipstick indicates a small amount of protein in the urine. The next action by the nurse should be to
check which medications the patient is currently taking.
A creatinine clearance test is ordered for a hospitalized patient with possible renal insufficiency. Which equipment will the nurse need to obtain?
Large container for urine
An 82-year-old man has been admitted with benign prostatic hyperplasia. Which of the following is most appropriate to include in the nursing plan of care?
Leave a light on in the bathroom during the night.
How will the nurse assess the flank area of a patient with pyelonephritis for tenderness?
Position one hand flat at the costovertebral angle (CVA) and strike it with the other fist.
The nurse uses auscultation during assessment of the urinary system to
identify renal artery or aortic bruits.
The nurse informs the patient undergoing cystoscopy that following the procedure, the patient
may experience blood-tinged urine and urinary frequency.
When teaching a patient scheduled for a cystogram via a cystoscope about the procedure, the nurse tells the patient,
“Your doctor will insert a lighted tube into the bladder through your urethra, inspect the bladder, and instill a dye that will outline your bladder on x-ray.”
The health care provider orders a clean-catch urine specimen for culture and sensitivity testing for a patient with a suspected urinary tract infection (UTI). To obtain the specimen, the nurse will plan to
teach the patient to clean the urethral area, void a small amount into the toilet, and then void into a sterile specimen cup.
A hospitalized patient with a decreased glomerular filtration rate is scheduled to have an intravenous pyelogram (IVP). Which action will be included in the plan of care?
Monitor the urine output after the procedure
A patient with diabetic nephropathy is admitted for a right renal biopsy. Immediately after the biopsy, which of these is an essential nursing action?
Apply a pressure dressing and keep the patient on the affected side for 30 to 60 minutes.
A patient who had a cystoscopy the previous day calls the urology clinic and gives the nurse all the following information. Which statement by the patient should be reported immediately to the health care provider?
“I have a temperature of 101.”
Following an intravenous pyelogram (IVP), all of the following assessment data are obtained. Which one requires immediate action by the nurse?
The respiratory rate is 38 breaths/minute.
When a patient’s urine dipstick test indicates a small amount of protein, the nurse’s next action should be to
inquire about which medications the patient is currently taking.
What glomerular filtration rate (GFR) would the nurse estimate for a 30-year-old patient with a creatinine clearance result of 60 mL/min?
60 mL/min
The creatinine clearance approximates the GFR. The other responses are not accurate.
A patient gives the nurse health information before a scheduled intravenous pyelogram (IVP). Which item has the most immediate implications for the patient’s care?
The patient lists allergies to shellfish and penicillin. Iodine-based contrast dye is used during IVP and for many computed tomography (CT) scans. The nurse will need to notify the health care provider before the procedures so that the patient can receive medications such as antihistamines or corticosteroids before the procedures are started. The other information is also important to note and document but does not have immediate implications for the patient’s care during the procedures.
