EXAM #2- Urinary

The patient who is two days postoperative ileal conduit loop informs the nurse that there is mucus in the urine. Which is the correct response by the nurse?

"This is a normal occurrence."

A patient has undergone a lithotripsy procedure for removal of renal calculi. When teaching the patient about postoperative care, what does the nurse include in the instructions? Select all that apply.

-Initial urine is bright red in color. -Take antibiotics as per the prescription.

A patient is suspected of having struvite urinary calculi. What appropriate actions should the nurse perform to manage this patient? Select all that apply.

-Measure urine pH. -Take measures to acidify the urine. -Administer antimicrobial agents.

A patient has undergone a surgical procedure for a bladder tumor resection. When teaching this patient about postoperative care, what are the important instructions that the nurse should include? Select all that apply.

-Observe urine for color and consistency. -For the first few days, the urine will be pink. -After 10 days, rust-colored specks can be seen in the urine.

When assessing a patient with renal colic, which findings would indicate the possibility of urinary calculi? Select all that apply.

-The patient has nausea and vomiting. -The patient is unable to be in one position. -The patient has sharp and severe pain in the flank area, back, or lower abdomen.

Which medication is prescribed for a patient with alkaline urine and struvite stones in the kidney?

Acetohydroxamic acid

While caring for a patient with a nephrostomy tube, the nurse finds excessive drainage around the tube. Which is the most appropriate nursing intervention in this situation?

Checking the catheter for patency

The nurse is attending to a patient with obstructing urinary calculi. The patient is treated with tamsulosin to help ease passage of the stones. In addition, opioids are administered to relieve colic pain. What actions should the nurse perform to ensure treatment effectiveness and patient safety? Select all that apply.

Encourage the patient to move. Strain all urine voided by the patient. Avoid letting the patient ambulate unattended.

The patient questions why anesthesia is needed when the lithotripsy being done is noninvasive. The nurse explains that the anesthesia is required to ensure the position is maintained during the procedure. The nurse knows that this type of lithotripsy is called:

Extracorporeal shock-wave lithotripsy (ESWL)

A patient has undergone a lithotripsy procedure. When preparing this patient for the postoperative period, what does the nurse inform this patient to expect after the procedure? Select all that apply.

Hematuria can be observed. A ureteral stent will be placed. The ureteral stent is removed within two weeks.

A nephrostomy tube (catheter) has been inserted in a patient with ureteric obstruction, and irrigation has been ordered. What precautions should the nurse take regarding care for the nephrostomy tube? Select all that apply.

Irrigation must be done under strict aseptic prec. The catheter should not be kinked, compressed, or clamped. Attention should be given to any complaints of excessive pain in the area.

A patient with bladder cancer is scheduled for surgery to create an ileal conduit. How should the nurse explain the ileal conduit?

It conveys urine from the ureters to a stoma opening on the abdomen.

The nurse is managing a patient who has undergone a nephrectomy. Which actions should the nurse perform during the postoperative period? Select all that apply.

Observe color and consistency of urine. Measure urine output at least every one or two hours. Measure the drainage from the catheters and on the dressing

A patient has undergone a nephrectomy due to a renal tumor. What nursing interventions are appropriate for the postoperative care of this patient? Select all that apply.

Record urine output. Monitor abdominal distention. Provide adequate pain relief through analgesics. Weigh the patient daily.

A patient has undergone a lithotripsy procedure and is at risk of obstruction of the ureter by edema. Which catheter should be used for preventing obstruction of the ureter?

Ureteral catheter

The nurse is caring for a patient with a nephrostomy tube. The tube has stopped draining. After receiving prescriptions, what should the nurse do?

Use 5 mL of sterile saline to irrigate