Review Questions 44
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The first 1 to 2 days following surgery the nurse expects the client’s urine output to ________ (increase/decrease) as a result of the adaptation response to surgery.
A. Increase
B. Decrease - B
- A client has had a total knee replacement and was placed on patient-controlled analgesia (PCA), which has been used an average of 4 times per hour. The nurse has assisted the client on and off the bedpan 2 to 3 times an hour for the past 2 hours. Urine o
- A
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The nurse recognizes that the organism that most frequently causes urinary tract infections in women is:
A. Escherichia coli
B. Staphylococcus aureus
C. Aspergillus
D. Streptococcus - A
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The nurse is about to insert a urinary catheter into an uncircumcised client. After retracting the foreskin and inserting and securing the catheter, it is essential that the nurse:
A. Clean the urinary meatus with betadine
B. Secure the cath - C
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A client is scheduled for an intravenous pyelogram (IVP). Before the test the most important assessment the nurse performs is asking about:
A. Previous experience with an IVP
B. Ability to remain still during the procedure
C. Family hi - D
- A client has the following fluid documentation for the past 4 hours: intravenous (IV) fluids of 125 ml/hour; urine output of 150 ml; 50 ml of irrigation fluid via nasogastric (NG) tube; 120 ml of NG drainage; and 52 ml of bile from biliary drain. Calcula
- POSITIVE FLUID BALANCE
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female client is having difficulty voiding following childbirth. The nurse implements the following interventions to promote voiding. (Select all that apply.)
A. Offer the client a large glass of cranberry juice.
B. Position the client on a - C,D,E
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A client reports to the nurse that he wakes up early because of a need to urinate. The nurse recommends that the client avoid the following liquids after 8 PM. (Select all that apply.)
A. Coffee
B. Tea
C. Cola
D. Wine - A,B,C,D
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The nurse is teaching a group of young (20- to 25-year-old) women how to prevent UTIs. Which of the following foods does the nurse recommend to reduce the incidence of UTIs? (Select all that apply.)
A. Cranberry juice
B. Grapefruit juice - A,C,D
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A client with multiple sclerosis is being taught how to perform self-catheterization. The nurse includes in the teaching that the client (select all that apply):
A. May use clean technique
B. Must use sterile technique
C. Should increa - A,C
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The normal adult urine output is.
1. 1000 ml/day
2. 1500 to 1600 ml/day
3. 3000 to 3200 ml/day
4. 4000 ml/day - 2. 1500 to 1600 ml/day
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Renal alteration result from factors that cause injury directly to the glomeruli or renal tubule, interferring with their normal filtering, reabsorptive and secretory functions. Selected causes include:
1. Transfusion reactions
2. Dehydration - 1. Transfusion reactions
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Postrenal alterations result from obstruction to the flow of urine in the urinary collecting system caused by
1. dehydration
2. blood clots
3. hemorrhage
4. diabetes mellitus - 2. blood clots
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The most common hospital-acquired (nosocomial) infections are:
1. urethral
2. bladder
3. kidney
4. urinary tract - 4. urinary tract
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Hospital-acquired UTI's are often related to poor hand washing and:
1. urinary drainage bags
2. poor perineal hygiene
3. improper catheter care
4. poor urinary output - 3. improper catheter care
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The urine appears concentrated and cloudy becasue of the presence of white blood cells or:
1. bacteria
2. urinary drainage bags
3. blood clots
4. poor perineal hygiene - 1. bateria
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Some medications change the color of urine Pyridium colors of urine
1. blue
2. bright orange to rust
3. yellow
4. brown - 2. bright orange to rust
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To minimize nocturia, clients should avoid fluids
1. 4 hours before bedtime
2. after lunch
3. 2 hours before bedtime
4. In the late afternoon - 3. 2 hours before bedtime
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Maintaining a Foley Catheter drainage bag in the dependent position prevents
1. urinary reflux
2. urinary retention
3. reflex incontinence
4. urinary incontinence - 1. urinary reflux
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When applying a condom catheter, it is important to secure the catheter in the penile shaft in such a manner that the catheter is:
1. tight and drainage well
2. dependent and draining well
3. secured with adhesive tape applied in a circul - 4. snug and secure, but does not cause constriction to blood flow