Exam 34: Urinary Elimination

A patient has just been diagnosed with diabetes mellitus.The patient voices concerns about possible kidney disease in the future.The patient asks,"In which part of the kidney is urine produced?" The nurse's response is that urine is formed in the:

A patient calls the office to tell you that his or her urine has changed to an orange color.The best response of the nurse is which of the following?

A patient with congestive heart failure reports experiencing increased urination when taking the prescribed medication.The nurse explains that which of the following is true?

A patient is scheduled for an intravenous pyelogram (IVP).What should the nurse do for this diagnostic examination?

A nurse suspects that a patient may be experiencing urinary retention.What should the nurse expect to find on assessment of this patient?

Patients with urinary incontinence are unable to completely empty their bladder.The nurse can assist a patient to void by using which of the following methods? (Select all that apply.)

The nurse is caring for a 45-year-old patient with a suspicious tumor in the bladder.The health care provider has ordered a procedure to identify the tumor tissue.Which test is done to collect tissue specimens?

A patient needs to have a Foley catheter inserted.Place the following steps into the correct order for this procedure.(Separate letters by a comma and space as follows: A,B,C,D.) A) Apply sterile gloves. B) Open the catheterization kit. C) Wash the perineal area with soap and water. D) Position the patient. E) Drape the perineum. f. Clean the urethra.

The health care provider ordered a 24-hour urine specimen to test the renal function of a patient admitted with acute renal failure.The nurse has prepared all the necessary equipment and has asked the patient if he or she needs to void.The nurse knows that the 24-hour collection period will begin:

At a recent staff meeting the staff educator discussed the importance of catheter care for the prevention of urinary tract infections (UTI).What percentage of health care-associated infections result from indwelling catheter use?

A 57-year-old woman has been incontinent of urine for the past 2 months.Her health care provider has scheduled her to have a test to check for stress urinary incontinence.For which of the following tests should the nurse prepare the patient?

The nurse is assessing a 76-year-old man in a nursing home with a diagnosis of UTI.The nurse notes that the patient is complaining of right flank pain.To assess for tenderness,the nurse should gently do which of the following?

A mother has brought her 3-year-old child to the clinic for an annual well-child checkup.The mother tells the nurse that the child is in the process of being potty trained.The child will state that the need to go to the bathroom,but refuses to go on the toilet.What is the nurse's best response?

A 20-year-old female college student who suffers from frequent UTIs visits the student health clinic.The student asks how to decrease the frequency of UTIs.What is the nurse's most appropriate response?

An 80-year-old woman with a history of diabetes and arthritis has made an appointment with her health care provider for complaints of urinary incontinence (UI).The patient states that she has recently become incontinent of urine and thinks it is because of her age.What is the best response from the nurse?

A 56-year-old patient,who has recently become postmenopausal,made an appointment with her health care provider for symptoms of an UTI.The patient has had three previously diagnosed UTIs in the past 4 months.She asks the nurse if this is a normal occurrence with postmenopausal women.What is the best response from the nurse?

A male patient has been admitted with a fever and malaise.The health care provider has ordered a clean catch midstream specimen for urinalysis on this patient.To collect the urine specimen,the nurse should instruct the patient to do which of the following?

A patient with a Foley catheter needs a urine sample for culture and sensitivity.What is the most appropriate action for the nurse to take?

A 34-year-old patient is being seen in the ED for complaints of severe flank pain lasting for 2 days.The ED physician suspects that the patient has hydroureter.Which of the following tests would the nurse expect the health care provider to order?

The nurse on a rehabilitation unit is caring for a 77-year-old patient who had undergone total knee replacement surgery.Since surgery,the patient has had several instances of urinary incontinence.The health care provider is contemplating the order of a Foley catheter.What is the nurse's best response to this suggestion?