Question 1

A nurse instructing a patient about how to prevent recurrent cystitis would include the need to: (Select all that apply.)

Accepted Answer

A)  increasing fluid intake to 2500 to 3000 mL/day. 
B)  consuming more citrus fruits and juice. 
C)  wearing cotton underwear. 
D)  wiping the rectal area from front to back after a bowel movement. 
E)  avoiding sitting in a wet bathing suit for extended periods.
F) emptying the bladder every 2 to 3 hours. 
A)  increasing fluid intake to 2500 to 3000 mL/day. 
B)  consuming more citrus fruits and juice. 
C)  wearing cotton underwear. 
D)  wiping the rectal area from front to back after a bowel movement. 
E)  avoiding sitting in a wet bathing suit for extended periods.
F) emptying the bladder every 2 to 3 hours.

Question 2

A patient with a history of cystitis had surgery 24 hours ago and is now unable to void. A bladder scan indicates that he has approximately 400 mL of retained urine. The nurse anticipates that the least invasive intervention the primary care provider will order would be:

Accepted Answer

A)  inserting an indwelling Foley catheter. 
B)  monitoring intake and output. 
C)  obtaining a midstream specimen. 
D)  applying Credé maneuver to the bladder. 
A)  inserting an indwelling Foley catheter. 
B)  monitoring intake and output. 
C)  obtaining a midstream specimen. 
D)  applying Credé maneuver to the bladder.

Question 3

When the patient who has an order to be out of bed complains of feeling too weak to walk to the bathroom, the nurse assists the patient with urination elimination by:

Accepted Answer

A)  acquiring a walker so that the patient can go to the bathroom. 
B)  using a fracture bedpan and keep the patient flat. 
C)  obtaining a raised toilet seat. 
D)  placing a commode at the bedside. 
A)  acquiring a walker so that the patient can go to the bathroom. 
B)  using a fracture bedpan and keep the patient flat. 
C)  obtaining a raised toilet seat. 
D)  placing a commode at the bedside.

Question 4

A patient is being assessed for a possible urinary tract infection in the outpatient clinic. Before sending a urinalysis specimen to the laboratory, the nurse collects a small amount of urine in order to perform a dipstick test in order to detect:

Accepted Answer

A)  protein. 
B)  glucose. 
C)  leukocytes. 
D)  ketones. 
A)  protein. 
B)  glucose. 
C)  leukocytes. 
D)  ketones.

Question 5

An adult patient has an order to have his urinary catheter irrigated with normal saline. The nurse plans to draw up how much solution into the sterile irrigation syringe?

Accepted Answer

A)  1 to 20 mL 
B)  20 to 30 mL 
C)  30 to 40 mL 
D)  50 to 60 mL 
A)  1 to 20 mL 
B)  20 to 30 mL 
C)  30 to 40 mL 
D)  50 to 60 mL

Question 6

A nurse is observing a nursing assistant offering a bedpan to a patient. The nurse will intervene if the nursing assistant:

Accepted Answer

A)  closes the bedside curtain. 
B)  dons clean gloves. 
C)  keeps the head of the bed flat after placing the bedpan. 
D)  asks the patient to bend his knees and press down with his feet. 
A)  closes the bedside curtain. 
B)  dons clean gloves. 
C)  keeps the head of the bed flat after placing the bedpan. 
D)  asks the patient to bend his knees and press down with his feet.

Question 7

A nurse is cleansing the perineal area of a female patient who is having a urinary catheter inserted. The nurse should use the last povidone iodine-soaked cotton ball to cleanse downward over the:

Accepted Answer

A)  urinary meatus. 
B)  left labia. 
C)  right labia. 
D)  perirectal area. 
A)  urinary meatus. 
B)  left labia. 
C)  right labia. 
D)  perirectal area.

Question 8

A nurse would modify the urine collection technique when a urine sample is needed from an infant by:

Accepted Answer

A)  placing the infant on a bedpan after removing the diaper. 
B)  removing the diaper after the infant voids and send the diaper to the laboratory. 
C)  attaching a bag with adhesive backing to the skin surrounding the genitals. 
D)  applying a very small condom catheter. 
A)  placing the infant on a bedpan after removing the diaper. 
B)  removing the diaper after the infant voids and send the diaper to the laboratory. 
C)  attaching a bag with adhesive backing to the skin surrounding the genitals. 
D)  applying a very small condom catheter.

Question 9

To help reduce a patient's risk of recurrent cystitis, the nurse teaches the patient to:

Accepted Answer

A)  eat citrus fruits to alkalinize the urine. 
B)  always wipe the perineal area from back to front. 
C)  take long, warm bubble baths. 
D)  wear cotton underwear and avoid nylon or constrictive clothing. 
A)  eat citrus fruits to alkalinize the urine. 
B)  always wipe the perineal area from back to front. 
C)  take long, warm bubble baths. 
D)  wear cotton underwear and avoid nylon or constrictive clothing.

Exam 29: Promoting Urinary Elimination

A nurse instructing a patient about how to prevent recurrent cystitis would include the need to: (Select all that apply.)

A patient with a history of cystitis had surgery 24 hours ago and is now unable to void. A bladder scan indicates that he has approximately 400 mL of retained urine. The nurse anticipates that the least invasive intervention the primary care provider will order would be:

When the patient who has an order to be out of bed complains of feeling too weak to walk to the bathroom, the nurse assists the patient with urination elimination by:

A patient is being assessed for a possible urinary tract infection in the outpatient clinic. Before sending a urinalysis specimen to the laboratory, the nurse collects a small amount of urine in order to perform a dipstick test in order to detect:

An adult patient has an order to have his urinary catheter irrigated with normal saline. The nurse plans to draw up how much solution into the sterile irrigation syringe?

A nurse is observing a nursing assistant offering a bedpan to a patient. The nurse will intervene if the nursing assistant:

A nurse is cleansing the perineal area of a female patient who is having a urinary catheter inserted. The nurse should use the last povidone iodine-soaked cotton ball to cleanse downward over the:

A nurse would modify the urine collection technique when a urine sample is needed from an infant by:

To help reduce a patient's risk of recurrent cystitis, the nurse teaches the patient to:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

The Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse Patient Relationship

Patient Education and Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, and End-of-Life Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Safe Lifting, Moving, and Positioning of Patients

Assisting with Hygiene Personal Care Skin Care and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting Transferring and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid-Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Nutritional Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Bowel Elimination

Pain Comfort and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Older Adult

Common Psychosocial Care Problems of Older Adults

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