Urinary Discussion Questions

A patient with end-stage chronic renal failure is admitted to the hospital with a serum potassium level of 7 mEq/L. In what order of priority from first to last does the nurse perform the orders? All options must be used. 1)Provide all needed teaching in one extended session. 2)Validate the patient's understanding of the material frequently. 3)Conduct a 1:1 session with the patient. 4)Use video clips to reinforce the material as needed

4,2,1,3

When teaching a patient with an UTI about taking a prescribed antibiotic for 7 days, the nurse should tell the patient to report which symptoms to the healthcare provider (HCP)? (Select all that apply). 1)Cloudy urine for the first few days 2)Blood in the urine 3)Rash 4)Mild nausea 5)Fever above 100 F 6)urinating every 3-4 hours.

-Blood in the urine -Rash -Fever above 100F

A patient has been prescribed allopurinol for renal calculi that are caused by high uric acid levels. Which symptoms indicate the patient is experiencing adverse effects from this drug? (Select all that apply). 1)Nausea 2)Rash 3)Constipation 4)Flushed skin 5)Bone marrow depression

-Nausea -Rash -Bone Marrow Depression

The patient's serum potassium level is elevated in acute renal failure, and the nurse administers sodium polystyrene sulfonate. The mechanism of action for this drug is to: 1)Increase potassium excretion from the colon. 2)Release hydrogen ions for sodium ions. 3)Increase calcium absorption in the colon. 4)Exchange sodium for potassium ions in the colon.

Exchange sodium for potassium ions in the colon

Which of the responsibilities r/t the care of a patient with a Foley catheter are appropriate for the nurse to delegate to the unlicensed assistive personnel: (Select all that apply). 1)Flush the catheter as needed to ensure patency. 2)Empty drainage bag, and record output at specified times. 3)Apply catheter-securing device to patient's leg. 4)Perform bladder irrigation as prescribed. 5)Provide Foley catheter and perineal care each shift. 6)Ensure the urine drainage bag is below the level of the bladder at all times.

-Empty drainage bag and record output at specified times -Apply catheter-securing device to patient's leg -Provide Foley catheter and perineal care each shift -Ensure the urine drainage bag is below the level of the bladder at all times.

An elderly patient admitted with new onset confusion, headache, poor skin turgor, bounding pulse and urinary incontinence has been drinking copious amounts of water. Upon reviewing the lab results, the nurse discovers a sodium level of 122 mEq/:. A report to the healthcare provider should include what recommendations? (select all that apply). 1)Fluid restriction. 2)Encourage fluids. 3)Vital signs every 4 hours instead of every shift. 4)Bed alarm. 5)Foley catheter 6)Strict intake and output 7)Repeat electrolytes, urine for sodium and specific gravity in the morning 8)2g sodium diet.

-Fluid restriction -Vital signs every 4 hours instead of every shift -Bed alarm -Foley catheter -Strict intake and output -Repeat electrolytes, urine for sodium and specific gravity in the morning

A patient has a ureteral catheter in place after renal surgery. A priority nursing action for care of the ureteral catheter is to: 1)irrigate the catheter with 30 mL of normal saline every 8 hours. 2)Ensure that the catheter is draining freely. 3)Clamp the catheter every 2 hours for 30 minutes. 4)Ensure that the catheter drains at least 30 mL/hour.

Ensure that the catheter is draining freely

Prior to discharging a patient with end-stage cancer of the bladder from the hospital, what should the nurse do? (Select all that apply). 1)Determine if the patient is likely to become suicidal. 2)Give a list of the patient's medications to the patient before discharge. 3)Instruct the patient to update information when medications are discontinued, doses are changed, or new medications are added. 4)Explain the need to carry medication information with the client at all times. 5)Instruct the patient that the use of over-the-counter products need not be reported to the healthcare provider (HCP).

- Determine if the patient is likely to be come suicidal -Give a list of the patient's medications to the patient before discharge -Instruct the patient to update information when medications are discontinued, doses are changed, or new medications are added

A patient with end stage renal failure has an internal arteriovenous fistula in the left arm for vascular access during hemodialysis. What should the nurse instruct the patient to do? (Select all that apply). 1)Remind healthcare providers to draw blood from veins on the left side. 2)Avoid sleeping on the left arm. 3)Wear a wristwatch on the right arm. 4)Assess fingers on the left arm for warmth

-Avoid sleeping on the left arm -Wear a wristwatch on the right arm -Assess fingers on the left arm for warmth

What should the nurse do to prevent catheter-associated urinary tract infection (CAUTI)? (Select all that apply). 1)Change the catheter daily. 2)Provide perineal care several times a day. 3)Monitor the temperature as an indicator of the infection. 4)Encourage the patient to drink 3,000 mL fluids daily 5)Recommend the healthcare provider (HCP) prescribe antibiotics.

-Provide perineal care several times a day -Monitor the temperature as an indicator of the infection

A patient had a lithotripsy to treat real calculi. The patient is having ureteral spasms and hematuria. What should the nurse do? (Select all that apply). 1)Strain all urine 2)Apply a heating pad to the lower back area. 3)Contact the healthcare provider (HCP) to report hematuria. 4)Encourage fluid intake of 1,000 mL/day. 5)Assess pain level

-Strain all urine -Apply a heating pad to the lower back area -Assess pain level

The nurse is to administer 1,200 mg of an antibiotic. The drug is prepared with 6 g of the drug in 2 mL of solution. The nurse should administer how many mL of the drug?

0.4 mL

A patient who weighs 207 lbs (94.1 kg) is to receive 1.5 mg/kg of gentamicin sulfate IV 3x each day. How many mg of medication should the nurse administer for each dose? (Round to the nearest whole number).

141 mg

The patient with acute renal failure asks the nurse for a snack. Because the patient's potassium level is elevated, which snack is most appropriate? 1)A gelatin dessert 2)Yogurt 3)An orange. 4)Peanuts

A gelatin dessert

A patient is admitted to the hospital with a diagnosis of renal calculi. The patient is experiencing severe flank pain and nausea; the temperature is 100.6 F. Which outcome is a priority for the patient? 1)Prevention of urinary tract complications. 2)Alleviation of nausea. 3)Alleviation of pain. 4)Maintenance of fluid and electrolyte balance.

Alleviation of pain

The primary goal of nursing care for a patient with stress incontinence is to: 1)Help the patient adjust to the frequent episodes of incontinence. 2)Eliminate all episodes of incontinence. 3)Prevent the development of urinary tract infections. 4)Decrease the number of incontinence episodes.

Decrease the number of incontinence episodes

A nurse is assessing a patient with a urinary tract infection who takes an antihypertensive drug. The nurse reviews the patient's urinalysis results. The nurse should: pH -6.8 RBC - 3 per high power field Color - yellow Specific gravity 1.030 1)Encourage the patient to increase fluid intake. 2)Withhold the next dose of antihypertensive medication. 3)Restrict the patient's sodium intake. 4)Encourage the patient to eat at least half of a banana per day.

Encourage the patient to increase fluid intake

A patient is diagnosed with pyelonephritis. Which nursing action is a priority for care now? 1)Monitor hemoglobin levels. 2)Insert a urinary catheter. 3)Stress importance of use of long-term antibiotics. 4)Ensure sufficient hydration.

Ensure sufficient hydration

Which nursing action is most appropriate for a patient who has urge incontinence? 1)Have the patient urinate on a timed schedule. 2)Provide a bedside commode. 3)Administer prophylactic antibiotics. 4)Teach the patient intermittent self-catheterization techniques.

Have the patient urinate on a timed schedule

Which factor would put the patient at increased risk for pyelonephritis? 1)History of hypertension 2)Intake of large quantities of cranberry juice. 3)Fluid intake of 2,000 mL/day. 4)History of DM.

History of DM

The patient has urge incontinence. When obtaining the health history, the nurse should ask if the patient has: 1)Inability to empty the bladder. 2)Loss of urine when coughing. 3)Involuntary urination with minimal warning. 4)Frequent dribbling of urine.

Involuntary urination with minimal warning

The nurse is instructing the patient with chronic renal failure to maintain adequate nutritional intake. Which diet would be most appropriate? 1)High-carbohydrate, high-protein. 2)High-calcium, high-potassium, high-protein. 3)Low-protein, low-sodium, low-potassium 4)Low-protein, high-potassium.

Low protein, low sodium, low potassium

The nurse is teaching the patient with an ileal conduit how to prevent a urinary tract infection. which measure would be most effective? 1)Avoid people with respiratory tract infections. 2)Maintain a daily fluid intake of 2,000 to 3, 000 mL. 3)Use sterile technique to change the appliance. 4)Irrigate the stoma daily.

Maintain a daily fluid intake of 2,000 to 3,000 mL

Which hospitalized patient is at highest risk for catheter-associated urinary tract infection (CAUTI)? 1)Patient with DM 2)Patient who had one course of antibiotic therapy 3)Patient with a family history of UTI's 4)Patient with a urinary calculus

Patient with DM

If the patient develops lower abdominal pain after a cystoscopy, what should the nurse instruct the patient to do? 1)Apply an ice pack to the pubic area. 2)Massage the abdomen gently. 3)Ambulate as much as possible. 4)Sit in a tub of warm water.

Sit in a tub of warm water

The patient with an ileal conduit will be using a reusable appliance at home. The nurse should teach the patient to clean the appliance routinely with which product? 1)baking soda 2)soap 3)hydrogen peroxide 4)alcohol

Soap

A patient is diagnosed with acute pyelonephritis. What should the nurse instruct the patient to do? 1)Urinate frequently. 2)Take bubble baths instead of showers. 3)Take antibiotics for the rest of the patient's life. 4)Decrease fluid intake.

Urinate frequently

After completion of peritoneal dialysis, the nurse should assess the patient for: 1)Hematuria 2)Weight loss 3)Hypertension 4)Increased urine output

Weight loss

A patient with chronic renal failure who receives hemodialysis 3x per week is experiencing severe nausea. What should the nurse advise the patient to do to manage the nausea? (Select all that apply). 1)Drink fluids before eating solid foods. 2)Have limited amounts of fluids only when thirsty. 3)Limit activity. 4)Keep all dialysis appointments. 5)Eat smaller, more frequent meals.

-Have limited amount os fluids only when thirsty -Keep all dialysis appointments -Eat smaller, more frequent meals

A patient developed cardiogenic shock after a severe myocardial infarction and has now developed acute renal failure. The patient's family asks the nurse why the patient has developed acute renal failure. The nurse should base the response on the knowledge that there was: 1)A decrease of blood flow through the kidneys. 2)An obstruction of urine flow from the kidneys. 3)A blood clot formed in the kidneys. 4)Structural damage to the kidney resulting in acute tubular necrosis.

A decrease of blood flow through the kidneys.

A patient with acute pyelonephritis wants to know the possibility of developing chronic pyelonephritis. The nurse's response is based on knowledge of which disorder that most commonly leads to chronic pyelonephritis? 1)Acute pyelonephritis 2)recurrent UTIs 3)Acute renal failure 4)Glomerulonephritis

Recurrent UTis

A patient who has been diagnosed with renal calculi reports that the pain is intermittent and less colicky. Which nursing action is most important at this time? 1)Report hematuria to the healthcare provider (HCP). 2)Strain the urine carefully. 3)Administer meperidine every 3 hours. 4)Apply warm compresses to the flank area.

Strain the urine carefully

The nurse is discussing concerns about sexual activity with a patient with chronic renal failure. Which strategy would be most useful? 1)Help the patient to accept that sexual activity will be decreased. 2)Suggest using alternative forms of sexual expression and intimacy. 3)Tell the patient to plan rest periods after sexual activity. 4)Refer the patient to a counselor.

Suggest using alternative forms of sexual expression and intimacy

The nurse teaches the patient how to recognize infection in the shunt by telling the patient to assess the shunt each day for: 1)Absence of a bruit. 2)Sluggish capillary refill time. 3)Coolness of the involved extremity. 4)Swelling at the shunt site.

Swelling at the shunt site.

Which teaching approach for the client with chronic renal failure who has difficulty concentrating due to high uremia levels would be most appropriate? 1)Provide all needed teaching in one extended session. 2)Validate the patient's understanding of the material frequently. 3)Conduct a 1:1 session with the patient. 4)Use video clips to reinforce the material as needed

Validate the patient's understanding of the mental frequently