Ch.46 Flashcards
A 46-year-old female patient returns to the clinic with recurrent dysuria after being treated with trimethoprim and sulfamethoxazole (Bactrim) for 3 days. Which action will the nurse plan to take?
a. Teach the patient to take the prescribed Bactrim for 3 more days.
b. Remind the patient about the need to drink 1000 mL of fluids daily.
c. Obtain a midstream urine specimen for culture and sensitivity testing.
d. Suggest that the patient use acetaminophen (Tylenol) to treat the symptoms.
c. Obtain a midstream urine specimen for culture and sensitivity testing.
The nurse determines that instruction regarding prevention of future urinary tract infections (UTIs) has been effective for a 22-year-old female patient with cystitis when the patient states which of the following?
a. “I can use vaginal antiseptic sprays to reduce bacteria.”
b. “I will drink a quart of water or other fluids every day.”
c. “I will wash with soap and water before sexual intercourse.”
d. “I will empty my bladder every 3 to 4 hours during the day.”
d. “I will empty my bladder every 3 to 4 hours during the day.”
Which information will the nurse include when teaching the patient with a urinary tract infection (UTI) about the use of phenazopyridine (Pyridium)?
a. Pyridium may cause photosensitivity
b. Pyridium may change the urine color.
c. Take the Pyridium for at least 7 days.
d. Take Pyridium before sexual intercourse.
b. Pyridium may change the urine color.
Which finding by the nurse will be most helpful in determining whether a 67-year-old patient with benign prostatic hyperplasia has an upper urinary tract infection (UTI)?
a. Bladder distention
b. Foul-smelling urine
c. Suprapubic discomfort
d. Costovertebral tenderness
d. Costovertebral tenderness
The nurse determines that further instruction is needed for a patient with interstitial cystitis when the patient says which of the following?
a. “I should stop having coffee and orange juice for breakfast.”
b. “I will buy calcium glycerophosphate (Prelief) at the pharmacy.”
c. “I will start taking high potency multiple vitamins every morning.”
d. “I should call the doctor about increased bladder pain or odorous urine.”
c. “I will start taking high potency multiple vitamins every morning.”
It is most important that the nurse ask a patient admitted with acute glomerulonephritis about
a. history of kidney stones.
b. recent sore throat and fever.
c. history of high blood pressure.
d. frequency of bladder infections.
b. recent sore throat and fever
Which finding for a patient admitted with glomerulonephritis indicates to the nurse that treatment has been effective?
a. The patient denies pain with voiding.
b. The urine dipstick is negative for nitrites.
c. The antistreptolysin-O (ASO) titer is decreased.
d. The periorbital and peripheral edema is resolved.
d. The periorbital and peripheral edema is resolved.
The nurse will anticipate teaching a patient with nephrotic syndrome who develops flank pain about treatment with
a. antibiotics.
b. antifungals.
c. anticoagulants.
d. antihypertensives.
c. anticoagulants.
A 56-year-old female patient is admitted to the hospital with new onset nephrotic syndrome. Which assessment data will the nurse expect?
a. Poor skin turgor
b. Recent weight gain
c. Elevated urine ketones
d. Decreased blood pressure
b. Recent weight gain
To prevent recurrence of uric acid renal calculi, the nurse teaches the patient to avoid eating
a. milk and cheese.
b. sardines and liver.
c. legumes and dried fruit.
d. spinach, chocolate, and tea.
b. sardines and liver.
The nurse teaches a 64-year-old woman to prevent the recurrence of renal calculi by
a. using a filter to strain all urine.
b. avoiding dietary sources of calcium.
c. choosing diuretic fluids such as coffee.
d. drinking 2000 to 3000 mL of fluid a day.
d. drinking 2000 to 3000 mL of fluid a day.
A 34-year-old male patient seen at the primary care clinic complains of feeling continued fullness after voiding and a split, spraying urine stream. The nurse will ask about a history of
a. recent kidney trauma.
b. gonococcal urethritis.
c. recurrent bladder infection.
d. benign prostatic hyperplasia.
b. gonococcal urethritis.
The nurse will plan to teach a 27-year-old female who smokes 2 packs of cigarettes daily about the increased risk for
a. kidney stones.
b. bladder cancer.
c. bladder infection.
d. interstitial cystitis.
b. bladder cancer
A 68-year-old female patient admitted to the hospital with dehydration is confused and incontinent of urine. Which nursing action will be best to include in the plan of care?
a. Restrict fluids between meals and after the evening meal.
b. Apply absorbent incontinent pads liberally over the bed linens.
c. Insert an indwelling catheter until the symptoms have resolved.
d. Assist the patient to the bathroom every 2 hours during the day.
d. Assist the patient to the bathroom every 2 hours during the day.
A 55-year-old woman admitted for shoulder surgery asks the nurse for a perineal pad, stating that laughing or coughing causes leakage of urine. Which intervention is most appropriate to include in the care plan?
a. Assist the patient to the bathroom q3hr.
b. Place a commode at the patient’s bedside.
c. Demonstrate how to perform the Credé maneuver.
d. Teach the patient how to perform Kegel exercises.
d. Teach the patient how to perform Kegel exercises.
Following rectal surgery, a patient voids about 50 mL of urine every 30 to 60 minutes for the first 4 hours. Which nursing action is most appropriate?
a. Monitor the patient’s intake and output over night.
b. Have the patient drink small amounts of fluid frequently.
c. Use an ultrasound scanner to check the postvoiding residual volume.
d. Reassure the patient that this is normal after rectal surgery because of anesthesia.
c. Use an ultrasound scanner to check the postvoiding residual volume.
A patient admitted to the hospital with pneumonia has a history of functional urinary incontinence. Which nursing action will be included in the plan of care?
a. Demonstrate the use of the Credé maneuver.
b. Teach exercises to strengthen the pelvic floor.
c. Place a bedside commode close to the patient’s bed.
d. Use an ultrasound scanner to check postvoiding residuals.
c. Place a bedside commode close to the patient’s bed.
The home health nurse teaches a patient with a neurogenic bladder how to use intermittent catheterization for bladder emptying. Which patient statement indicates that the teaching has been effective?
a. “I will buy seven new catheters weekly and use a new one every day.”
b. “I will use a sterile catheter and gloves for each time I self-catheterize.”
c. “I will clean the catheter carefully before and after each catheterization.”
d. “I will need to take prophylactic antibiotics to prevent any urinary tract infections.”
c. “I will clean the catheter carefully before and after each catheterization.”
After a ureterolithotomy, a female patient has a left ureteral catheter and a urethral catheter in place. Which action will the nurse include in the plan of care?
a. Provide teaching about home care for both catheters.
b. Apply continuous steady tension to the ureteral catheter.
c. Call the health care provider if the ureteral catheter output drops suddenly.
d. Clamp the ureteral catheter off when output from the urethral catheter stops.
c. Call the health care provider if the ureteral catheter output drops suddenly
Which information from a patient who had a transurethral resection with fulguration for bladder cancer 3 days ago is most important to report to the health care provider?
a. The patient is voiding every 4 hours.
b. The patient is using opioids for pain.
c. The patient has seen clots in the urine.
d. The patient is anxious about the cancer.
c. The patient has seen clots in the urine.
When preparing a female patient with bladder cancer for intravesical chemotherapy, the nurse will teach about
a. premedicating to prevent nausea.
b. obtaining wigs and scarves to wear.
c. emptying the bladder before the medication.
d. maintaining oral care during the treatments.
c. emptying the bladder before the medication.
Nursing staff on a hospital unit are reviewing rates of hospital-acquired infections (HAI) of the urinary tract. Which nursing action will be most helpful in decreasing the risk for HAI in patients admitted to the hospital?
a. Encouraging adequate oral fluid intake
b. Testing urine with a dipstick daily for nitrites
c. Avoiding unnecessary urinary catheterizations
d. Providing frequent perineal hygiene to patients
c. Avoiding unnecessary urinary catheterizations
Which assessment data reported by a 28-year-old male patient is consistent with a lower urinary tract infection (UTI)?
a. Poor urine output
b. Bilateral flank pain
c. Nausea and vomiting
d. Burning on urination
d. Burning on urination
Which assessment finding for a patient who has just been admitted with acute pyelonephritis is most important for the nurse to report to the health care provider?
a. Complaint of flank pain
b. Blood pressure 90/48 mm Hg
c. Cloudy and foul-smelling urine
d. Temperature 100.1° F (57.8° C)
b. Blood pressure 90/48 mm Hg
