Chapter 37  6th

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Questions and Answers

A patient hospitalized for orthopedic surgery had a urinary catheter inserted. The patient later develops a urinary tract infection(UTI) and asks the nurse what caused it. What is the appropriate response by the nurse

  • There was a change in the pH of your urine
  • You probably did not void frequently enough
  • Bacteria probably ascended the catheter, causing the infection (correct)
  • There are always bacteria on your perineum that enter your urine

The nurse is reinforcing 24-hour fluid intake teaching for a patient to prevent further urinary tract infections. Which of the following amounts if stated by the client would indicate a correct understanding of the teaching ?

  • 1000 mL
  • 2000 mL
  • 3000 mL (correct)
  • 5000 mL

The nurse is reviewing the history and physical of a patient who has an infection. What term would the nurse understand describes an infection of the kidneys?

  • Urethritis
  • Cystitis
  • Pyelonephritis (correct)
  • Hepatitis

The nurse is reinforcing teaching on antibiotic use for a urinary tract infection(UTI). Which of the following statements by the patient would indicate a correct understanding of the teaching

<p>I will take the antibiotics until they are gone regardless of symptoms (D)</p> Signup and view all the answers

The nurse is collecting data for a patient who has suspected cancer of the bladder. What finding would the nurse recognize as the most common symptom of cancer of the bladder?

<p>Hematuria (D)</p> Signup and view all the answers

The nurse empties urine from an ileal conduit appliance. The urine has strands of mucus in it. What action should the nurse take?

<p>Nothing, as the nurse understands that this is a normal finding (C)</p> Signup and view all the answers

The nurse is reinforcing teaching on risk factors for the development of bladder cancer. Which of these, if stated by a patient, indicates a correct understanding?

<p>Smoking (B)</p> Signup and view all the answers

The nurse is caring for a patient who has renal calculi. Which of these actions is essential for the nurse to take?

<p>Strain all urine (C)</p> Signup and view all the answers

The nurse is caring for a patient who has a nephrostomy tube. What action should the nurse take?

<p>Ensure tube is not kinked or clamped (C)</p> Signup and view all the answers

A patient hourly urine output is recorded. Which of the following output rates should be brought to the attention of the registered nurse immediately

<p>15 mL/hr (A)</p> Signup and view all the answers

The nurse is caring for a patient who has acute kidney injury. Which diagnostic test result would most support this diagnosis?

<p>24-hour creatinine clearance 5 mL/min (B)</p> Signup and view all the answers

A patient who has diabetic nephropathy asks the nurse, "Why am I using smaller doses of insulin than I used to?" What would be the best explanation by the nurse?

<p>Your kidneys are no longer breaking down the insulin as much as before (A)</p> Signup and view all the answers

The nurse is caring for a patient who has chronic kidney disease and is very weak due to low hemoglobin Which of the following does the nurse understand is the best explanation for the anemia?

<p>Secretion of erythropoietin by the diseased kidney is reduced (D)</p> Signup and view all the answers

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