12 Q Packet Ch. 6

The nurse is assisting in cystometrography. Place in chronological order the sequences of events for this procedure. 1. Client is asked to void normally 2. Urinary catheter is inserted 3. Any residual urine is noted 4. Fluid is instilled into the urinary catheter 5. Client is asked to void following instillation 6. Urge to void is recorded

1, 2, 4, 6, 5, 3

A nurse is explaining menstruation to a class. Place the pathophysiologic steps of the menstral cycle listed below in the correct sequential order.

...

A nurse is caring for a client with chronic renal failure. The laboratory results indicate hypocalemia and hyperphosphatemia. When assessing the client, the nurse should be alert for which of the following? 1. Trousseau's sign 2. Cardiac arrhythmias 3. Constipation 4. Decreased clotting time 5. Drowsiness and lethargy 6. Fractures

1, 2, 6 Hypocalcemia is a calcium deficit that causes nerve fiber irritability and repetitive muscle spasms. Signs and symptoms of hypocalcemia include Trousseau's sign, cardiac arrhythmias, diarrhea, increased clotting times, anxiety, and irritability.

The nurse is reviewing a client's urine culture and sensitivity test results. Which of the following would the nurse expect to see in normal urine? Select all that apply. 1. Ketones 2. Protein 3. White blood cells 4. Crystals 5. Nitrates 6. Bilirubin

2, 3 Small amount of protein and white blood cells are normal. Ketones, crystals, nitrates, and bilirubin are all abnormal findings.

A nurse is explaining self-catheterization to a female client who has been diagnosed with urogenic bladder. Which instructions should the nurse include in her teaching? Select all that apply. 1. Tampons may remain in place during menstration 2. The meatus should be cleaned with a towelette or soapy washcloth and then rinsed 3. Sterile technique isn't required 4. A new intermittent catheterization set should be used each time 5. Finding the urinary meatus always requires visualization with a mirror

2, 3 Cleaning the meatus with a towlette or soapy washcloth decreases the risk of introducing bacteria into the bladder. Sterile technique isn't required during self-catheterization. Leaving a tampon in place can restrict the urethra and impede catheter insertion. It isn't necessary to use a new intermittent catheter each time; washing the catheter and allowing it to air-dry after each use is sufficient. The urinary meatus can be found using visual or tactile techniques.