Exam #3 (CH 55 - Mgmnt of Pts W/ Urinary Disorders)

C

1. A patient comes to the clinic suspecting a possible UTI. What symptoms of a UTI would the nurse recognize from the assessment data gathered? a. Rebound tenderness at McBurney's point b. An output of 200mL with each voiding c. Cloudy urine d. Urine with a specific gravity of 1.005-1.022

C

3. A patient with a UTI is having burning and pain when urinating. What urinary analgesic is prescribed for relief of these symptoms? a. Bactrim b. Levaquin c. Pyridium d. Septra

D

9. A patient taking an alpha-adrenergic medication for the treatment of hypertension is having a problem with incontinence. What does the nurse tell the patient? a. The medication has caused permanent damage to the bladder sphincter and will require surgical correction. b. Relaxation of the supporting ligaments has occurred and the patient will need to perform pelvic floor exercises to strengthen them. c. The patient will require a medication regimen to decrease the overactivity of the bladder. d. When the medication is discontinued or changed, the incontinence will resolve.

D

10. The patient has been diagnosed with urge incontinence. What classification of medication does the nurse expect the patient will be placed on to help alleviate the symptoms? a. Antispasmodic agents b. Urinary analgesics c. Antibiotics d. Anticholinergic agents

A

12. The nurse is educating a patient who will be performing self-catheterization at home. What information provided by the nurse will help reduce the incidence of infection? a. Clean the catheter with antibacterial soap thoroughly rinse and dry before reinsertion. b. Sterilize the catheter by boiling it in water for 20 minutes. c. Insert the catheter for urine drainage three times per day. d. A new catheter must be used each time catheterization is required.

A

6. The nurse is caring for a patient with dementia in the long-term care facility when the patient has a change in cognitive function. What should the nurse suspect this patient may be experiencing? a. A UTI b. A stroke c. An aneurysm d. Fecal impaction

C

13. The nurse is caring for a patient with severe pain related to ureteral colic. What medication can the nurse administer with a physician's order that will inhibit the synthesis of prostaglandin E, reducing swelling and facilitating passage of the stone? a. Morphine sulfate b. Aspirin c. Ketoralac (Toradol) d. Meperidine (Demerol)

D

14. A patient who has been treated with uric acid for stones is being discharged from the hospital. What type of diet does the nurse discuss with the patient? a. Low-calcium diet b. High-protein diet c. Low-phosphorus diet d. Low-purine diet

C

15. A patient has had surgery to create an ileal conduit for urinary diversion. What is a priority intervention by the nurse in the postoperative phase of care? a. Turn the patient every 2 hours around the clock. b. Administer pain medication every 2 hours. c. Monitor urine output hourly and report output greater than 30 mL/hr. d. Clean the stoma with soap and water after the patient voids.

B

2. A patient has been diagnosed with a UTI and is prescribed an antibiotic. What first-line fluoroquinolone antibacterial agent for UTIs has been found to be significantly effective? a. Bactrim b. Cipro c. Macrodantin d. Septra

A

4. The nurse is educating a patient with urolithiasis about preventative measures to avoid another occurrence. What should the patient be encouraged to do? a. Increase fluid intake so that the patient can excrete 2,500 to 4,000 mL every day, which will help prevent additional stone formation. b. Participate in strenuous exercises so that the tone of smooth muscle in the urinary tract can be strengthened to help propel calculi. c. Add calcium supplements to the diet to replace losses to renal calculi. d. Limit voiding to every 6 to 8 hours so that increased volume can increase hydrostatic pressure, which will help push stones along the urinary system.

B, C, D

5. The nurse is providing an education program for the nursing assistants in a long-term care facility in order to decrease the number of UTIs in the female population. What interventions should the nurse introduce in the program? (Select all that apply.) a. For those patients who are incontinent, insert indwelling catheters. b. Perform hand hygiene prior to patient care. c. Assist the patients with frequent toileting. d. Provide careful perineal care. e. Encourage patients to wear briefs.

B

7. The nurse is educating a female patient with a UTI on the pharmacologic regimen for treatment. What is important for the nurse to instruct the patient to do? a. Take the antibiotic as well as an antifungal for the yeast infection she will probably have. b. Take the antibiotic for 3 days as prescribed. c. Understand that if the infection reoccurs, the dose will be higher next time. d. Be sure to take the medication with grapefruit juice.

C

8. A patient informs the nurse that every time she sneezes or coughs, she urinates in her pants. What type of incontinence does the nurse recognize the patient is experiencing? a. Urge incontinence b. Functional incontinence c. Stress incontinence d. Iatrogenic incontinence

B, C, E

11. A patient has a suprapubic catheter inserted postoperatively. What would be the advantages of the suprapubic catheter versus a urethral catheter? (Select all that apply.) a. The suprapubic catheter can be kept in longer than a urethral catheter. b. The patient can void sooner than with a urethral catheter. c. The suprapubic catheter allows for more mobility. d. The patient is not at risk for a UTI with a suprapubic catheter. e. The suprapubic catheter permits measurement of residual urine without urethral instrumentation.