AHN Ch.10 EAQ

A patient visits the clinic complaining of urinary frequency and dysuria. The nurse anticipates which test will be performed?

Urine Culture

A nurse is providing education to a group of women on how to prevent urinary tract infections. Which instruction is best for the nurse to give?

"Drink at least 2000ml of water daily."

A patient has been prescribed methanamine mandelate (Mandelamine) to prevent recurrence of chronic urinary tract infections. Which instruction would the nurse provide to maximize the effectiveness of Mandelamine?

"Drink cranberry juice daily to acidify the urine."

A nurse is providing discharge education to a patient who has been recently prescribed a potassium-sparing diuretic. Which statement, if made by the patient, indicates a need for further education?

"I should reduce my sodium intake by using a potassium chloride salt substitute."

A patient arrives at the clinic complaining of stress incontinence after delivery of her second child. Which suggestion would the nurse make first?

"Perform Kegel exercises four time per day"

A patient tells the nurse. "I'm worried that my urine is a different color." Which questions will the nurse ask the patient to determine the cause of the color change? (select all that apply)

"Tell me more about your diet" "What medications have you been taking?" "How many glasses of water do you drink every day?"

A nurse is caring for a patient with acute renal failure (oliguric phase). Which finding would the nurse expect to assess in a patient with this diagnosis?

Anorexia, nausea, vomiting, and decreased urine output

The nurse is teaching a group of student nurses about the risk for bladder cancer within various groups of the population. Which groups does the nurse expect to have the highest risk for bladder cancer?

Black men who smoke

A nurse is caring for a patient with recurrent, painful urinary tract infections and has been prescribed phenazopyridine (Pyridium). The nurse would inform the patient of which common side effects?

Bright orange urine

The nurse is caring for a patient with a urinary tract infection (UTI). Using the urometer connected to a drainage system, the nurse monitors the patient's urinary output and finds that it is 25ml/hr. Which action should be the immediate response by the nurse?

Check the placement and function of the drainage system.

A nurse has received an order to obtain a urine culture from a patient with an indwelling catheter. The nurse uses two patient identifiers to determine correct patient, performs hand hygiene, and dons gloves. Which action should the nurse perform next?

Clean the drainage port with alcohol, and use a sterile adapter and syringe to withdraw the urine specimen.

A nurse knows that the patient with urinary incontinence is at risk for which complication?

Dehydration

A nurse is preparing to care for a patient with polycystic kidney disease (PKD). The nurse knows this patient is at risk for which fatal disease?

End-stage renal disease

A patient reports a loss of appetite with severe headache and lethargy. On examination, the nurse finds that the patient has dry mucous membranes, urinary output of 400 ml/24 hr, and elevated blood urea nitrogen (BUN) and serum creatinine. Which medications will the nurse expect in the patient prescription?

Furosemide (lasix)

A nurse is observing care provided by an unlicensed assistive personnel (UAP) of a patient with an indwelling catheter. Which action by the UAP would prompt the nurse to intervene immediately?

Lifting the bag above the patient in bed to drain the collection bag

Which catheter is used to drain urine from the renal pelvis of the kidney?

Mushroom catheter

A nurse is preparing to care for a patient who sustained a high thoracic spinal cord injury. The nurse knows the patient will have which condition?

Neurogenic bladder

The nurse is caring for a patient who is experiencing incontinence. Which nursing intervention will the nurse include in the patients plan of care?

Pelvic muscle (kegel) exercises

An elderly male patient arrives at the clinic complaining of urinary incontinence. The nurse would ensure which examination is performed?

Prostate

A 50-year-old patient has a prostate-specific antigen (PSA) level of 6ng/ml. The nurse knows this patient should be evaluated for which condition?

Prostate cancer

The nurse is teaching a 60-year-old female patient about the changes that occur in the urinary system as a result of aging. Which condition would the nurse stress during the teaching session?

Stress incontinence

A patient reports to the nurse that urination is painful. Which clinical findings does the nurse expect to see in the patient's report?

Trauma to urethra

A patient comes tot he clinic complaining of incontinence. The patient states, "I never have enough time between when I first feel I need to void and when I'm incontinent." the nurse documents this as which type of incontinence?

Urge

A patient reports to the nurse, "I frequently feel the urgent need to urinate, but I'm unable to urinate completely." Upon palpation, the health care provider observes an egg-shaped urinary bladder arising suprapubically. Which prescription will the nurse expect from the health care provider?

Urinary catheterization

The nurse is caring for an elderly patient with decreased bladder and muscle tone. Which physical effect does the nurse expect in the patient?

Urinary incontinence