Chapter 31

The nurse is caring for a patient who has an order for a 24-hour urine specimen collection. The patient asks, "Why do I have to collect my urine for 24 hours?" The best response by the nurse is

"A 24-hour urine test is often done to evaluate how your kidneys function."

The nurse is caring for a patient with stress incontinence. Teaching has been effective if the patient states

"I need to do Kegel exercises to help strengthen the muscles that control the urine."

The nurse is providing care for a patient who recently had bladder surgery. The patient is being discharged and will need to perform self-catheterization six times daily and as needed. Which of the following statements will the nurse include in the discharge teaching?

"The red rubber catheter will be inserted through the urethra and into the bladder to allow urine to be emptied."

The nurse is caring for a patient who is being evaluated for urinary retention. Approximately 10 minutes after the patient voids, the nurse uses the bladder scan and determines that the patient has 80 mL of urine remaining in the bladder. The best statement by the nurse is

"There is still some urine in your bladder, but it is within the limit of what is considered normal."

The nurse is caring for a patient with incontinence who has a new order for a urine specimen to evaluate the presence of a urinary tract infection. It would be appropriate for the nurse to use

A straight catheter

The nurse receives a report on a patient who just returned from surgery following a transurethral prostatectomy. The nurse is told that the patient has a urinary catheter. The nurse will most likely find

A three-way catheter.

The nurse is providing care for a patient with pyelonephritis. Which of the following would be included in the patient's discharge teaching? Select all that apply.

Avoid consuming caffeine. Avoid baths. Increase oral fluid intake. avoid drinking alcohol

The nurse is preparing to place a Foley catheter. First the nurse should

Clean the urinary meatus with soap and water

The nurse is caring for a patient with a large abdominal wound who was scheduled to go to a long-term care facility, but who has developed a urinary tract infection (UTI) after the insertion of an indwelling catheter and needs to be started on intravenous antibiotics. The patient's Medicare insurance will pay the

Cost of dressing supplies.

The nurse is caring for a patient who has a three-way catheter with continuous bladder irrigation after a transurethral prostatectomy. The patient notifies the nurse of an increased need to void and pain. The nurse should first

Determine if the catheter is draining effectively.

The nurse is caring for a patient with pyelonephritis. Output is tallied at the end of the shift and the nurse notes the patient has voided 280 mL in the past 8 hours. Next the nurse should

Document the amount.

The nurse receives a new order for a 24-hour urine collection. The best action by the nurse is to

Instruct the patient to void.

Which of the following tests can be identified with the use of a dipstick? Select all that apply.

Nitrate Bilirubin Glucose White blood cells pH

The nurse is caring for a patient who has a new order for a Foley catheter. The nurse collects a standard catheter kit and then notes that the patient has a latex allergy. The nurse should

Obtain a silicone catheter from central supply.

The nurse recognizes that which of the following symptoms may be indicative of a urinary tract infection in a young child? Select all that apply.

Poor feeding Sleeplessness Vomiting diarrhea

The nurse is providing care for a patient with diabetes mellitus who is unable to ambulate to the bathroom. After the client uses the bedside commode, the nurse should

Pour the urine into a graduated container to obtain a measurement

While working night shift and caring for a patient with a 24-hour urine collection that was started at 3:00 PM, the nursing assistant spills the container. The nurse should

Restart the test the next time the patient voids.

In providing bladder training for a patient with incontinence, the nurse would include instructions to (select all that apply):

Set a timer and void shortly after meals. Avoid coffee, tea, or colas with caffeine. Go to the bathroom at least every 2 hours. Drink less in the evening to avoid nighttime difficulties.

The nurse is caring for a patient with a suspected kidney stone. The patient's plan of care will most likely include

Straining all urine

The nurse is providing home care for a patient who performs self-catheterization. The nurse would be most concerned if

The client puts on gloves without washing his or her hands.

The nurse is caring for a patient with an ileal conduit. Which of the following would be most concerning to the nurse?

The skin around the stoma is red and tender.

The nurse recognizes that teaching has been effective if the client selects which of the following beverages while undergoing treatment for a urinary tract infection (UTI)?

cranberry juice

The nurse is providing teaching for a woman who is being treated for a urinary tract infection (UTI). The nurse would instruct the patient to contact the physician with which of the following symptoms?

flank pain

While caring for a patient who was newly diagnosed with diabetes mellitus, the nurse expects to see which of the following results in the patient's urinalysis? Select all that apply.

glucose and ketones

The nurse is caring for a patient who is being monitored for kidney function. Which of the following laboratory tests does the nurse expect to be ordered? Select all that apply.

hemoblobin and creatine

While assessing for the risk of stress incontinence, the nurse would recognize which of the following as a contributing factor?

history of vaginal surgery

While caring for a patient with a urinary tract infection, the nurse recognizes that teaching has been effective if the patient selects which of the following beverages? Select all that apply

milk cranberry juice lemon lime soda water

The nurse is caring for a patient whose urine is notably reddish-brown in color. The most likely reason for this symptom is

sulfa medication

While evaluating the potential presence of a urinary tract infection (UTI), the nurse would be most interested in which of the following laboratory values?

urine pH