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Fundamentals Exam 2
| Question | Answer |
|---|---|
| A patient is experiencing oliguria. Which action should the nurse perform first? | Assess for bladder distention. |
| The nurse knows that indwelling catheters are placed before a cesarean because | Spinal anesthetics can temporarily disable urethral sphincters. |
| The nurse knows that urinary tract infection (UTI) is the most common health care–associated infection because | Escherichia coli pathogens are transmitted during surgical or catheterization procedures. |
| When caring for a patient with urinary retention, the nurse would anticipate an order for | A urinary catheter. |
| Upon palpation, the nurse notices that the bladder is firm and distended; the patient expresses an urge to urinate. The nurse should follow up by asking | “When was the last time you voided?” |
| Which of the following is the primary function of the kidney? | Maintaining fluid and electrolyte balance |
| Which nursing diagnosis related to alternations in urinary function in an older adult should be a nurse’s first priority? | Risk of infection |
| A patient asks about treatment for urge urinary incontinence. The nurse’s best response is to advise the patient to | Perform pelvic floor exercises. |
| To obtain a clean-voided urine specimen for a female patient, the nurse should teach the patient to | Hold the labia apart while voiding into the specimen cup |
| When viewing a urine specimen under a microscope, what would the nurse expect to see in a patient with a urinary tract infection? | Bacteria |
| What signs and symptoms would the nurse expect to observe in a patient with excessive white blood cells present in the urine? | Fever and chills |
| The nurse would anticipate an order for which diagnostic test for a patient who has severe flank pain and calcium phosphate crystals revealed on urinalysis? | KUB x-ray |
| Which statement by the patient about an upcoming computed tomography (CT) scan indicates a need for further teaching? | “I will be anesthetized so that I lie perfectly still during the procedure.” |
| The nurse anticipates preparing a patient who is allergic to shellfish for an arteriogram by | Administering an antihistamine medication to the patient |
| A nurse anticipates urodynamic testing for a patient with which symptom? | Involuntary urine leakage |
| Many individuals have difficulty voiding in a bedpan or urinal while lying in bed because they | Would feel more comfortable assuming a normal voiding position. |
| The nurse would anticipate inserting a Coudé catheter for which patient? | A 56-year-old male admitted for bladder irrigation |
| The nurse knows that which indwelling catheter procedure places the patient at greatest risk for acquiring a urinary tract infection? | Placing the drainage bag on the side rail of the patient’s bed |
| When caring for a hospitalized patient with a urinary catheter, which nursing action best prevents the patient from acquiring an infection? | Performing hand hygiene before and after providing perineal care |
| An 86-year-old patient asks the nurse what lifestyle changes will reduce the chance of a urinary tract infection. Which response is accurate? | Increasing consumption of acidic foods such as cranberry juice will reduce the chance of infection. |
| To reduce patient discomfort during closed catheter irrigation, the nurse should | Use room temperature irrigation solution. |
| Which observation by the nurse best indicates that bladder irrigation for urinary retention has been effective? | Recording an output that is larger than the amount instilled |
| The nurse anticipates urinary diversion from the kidneys to a site other than the bladder for which patient? | A 12-year-old female with severe abdominal trauma |
| Which nursing actions are acceptable when collecting a urine specimen? (Select all that apply.) | |
| The nurse properly obtains a 24-hour urine specimen collection by (Select all that apply.) | |
| Which of the following are indications for irrigating a urinary catheter? (Select all that apply.) | |
| Which of the following symptoms are most closely associated with uremic syndrome? (Select all that apply.) | |
| The nurse understands that peritoneal dialysis and hemodialysis use which processes to clean the patient’s blood? (Select all that apply.) | Osmosis Diffusion |
Created by:
Julaine_13
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