MCA I FINAL EXAM – Questions With Complete
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Terms in this set (101)
In teaching a patient with d. an ascending infection
pyelonephritis about the disorder,
the nurse informs the patient that the Rationale: The organisms that usually cause urinary
organisms that cause pyelonephritis tract infections (UTIs) are introduced via the
most commonly reach the kidneys ascending route from the urethra, and the infections
through originate in the perineum.
a. the bloodstream
b. the lymphatic system
c. a descending infection
d. an ascending infection
The nurse teaches the female patient b. urinate before and after sexual intercourse
who has frequent UTIs that she
should Rationale: When teaching a patient to prevent a
recurrence of a urinary tract infection, the nurse
a. take tub baths with bubble bath should explain the importance of emptying the
b. urinate before and after sexual bladder before and after sexual intercourse.
intercourse
c. take prophylactic sulfonamides for
the rest of her life
d. restrict fluid intake to prevent the
need for frequent voiding
,A patient is admitted to the hospital a. administer opioids as prescribed
with severe renal colic. The nurse's
first priority in management of the Rationale: Pain management and patient comfort are
patient is to primary nursing responsibilities in managing an
obstructing stone and renal colic.
a. administer opioids as prescribed
b. obtain supplies for straining all urine
c. encourage fluid intake of 3 to 4
L/day
d. keep the patient NPO in
preparation for surgery
The nurse identifies a risk factor for b. tobacco use
kidney and bladder cancer in a
patient who relates a history of Rationale: Cigarette smoking is the most significant
risk factor for renal cell carcinoma. An increased
a. aspirin use incidence has also been identified in first-degree
b. tobacco use relatives of patients with this condition. Other risk
c. chronic alcohol abuse factors include obesity, hypertension, and exposure
d. use of artificial sweeteners to asbestos, cadmium, and gasoline. Risk for renal
cancer is also increased in individuals who have
acquired cystic disease of the kidney in association
with end-stage renal disease. Risk factors for bladder
cancer include smoking, exposure to dyes used in
the rubber and cable industries, and chronic abuse
of phenacetin-containing analgesics.
,In planning nursing interventions to a. teaching the patient to use Kegel exercises
increase bladder control in the
patient with urinary incontinence, the Rationale: Pelvic floor muscle training (i.e., Kegel
nurse includes exercises) is used to manage stress, urge, or mixed
urinary incontinence.
a. teaching the patient to use Kegel
exercises
b. clamping and releasing a catheter
to increase bladder tone
c. teaching the patient biofeedback
mechanisms to suppress the urge to
void
d. counseling the patient concerning
choice of incontinence containment
device
The nurse is caring for a 73-yr-old D. Nitrites and leukocyte esterase are present in the
male patient with a history of benign urine.
prostatic hyperplasia and symptoms
of a urinary tract infection. Which
diagnostic finding would support this
diagnosis?
A. White blood cell count is 7500
cells/µL.
B.Antistreptolysin-O (ASO) titer is 106
Todd units/mL.
C. Glucose, protein, and ketones are
present in the urine.
D. Nitrites and leukocyte esterase are
present in the urine.
, A patient with type 2 diabetes is A. Ciprofloxacin
reporting a second urinary tract
infections(UTI)within the past month. This UTI is a complicated UTI because the patient has
Which medication should the nurse type 2 diabetes and the UTI is recurrent.
expect to be ordered for the Ciprofloxacin would be used for a complicated UTI.
recurrent infection? Fosfomycin, nitrofurantoin, and
trimethoprim/sulfamethoxazole should be used for
A. Ciprofloxacin uncomplicated UTIs.
B. Fosfomycin
C. Nitrofurantoin
D. Trimethoprim-sulfamethoxazole
Which nursing diagnosis is a priority A. Acute pain
in the care of a patient with renal
calculi? Urinary stones are associated with severe abdominal
or flank pain. Deficient fluid volume is unlikely to
A. Acute pain result from urinary stones, and constipation is more
B. Deficient fluid volume likely to be an indirect consequence rather than a
C. Risk for constipation primary clinical manifestation of the problem. The
D. Risk for powerlessness presence of pain supersedes powerlessness as an
immediate focus of nursing care.
The nursing activity "encourage C. prevents urinary stasis.
increased fluid intake" is beneficial to
patients with any type of urinary Acute intervention for a patient with a UTI includes
tract infection because it ensuring adequate fluid intake if it is not
contraindicated. It is sometimes difficult to get the
A. decreases residual urine. patient to maintain an adequate fluid intake because
B. prevents urinary reflux. the person may think it will worsen the discomfort
C. prevents urinary stasis. and frequency associated with a UTI. Tell patients
D. alters urinary pH. that fluids will increase frequency of urination at first
but will also dilute the urine, making the bladder less
irritable. Fluids help to flush out bacteria before they
have a chance to colonize in the bladder.
Solutions
Save
Terms in this set (101)
In teaching a patient with d. an ascending infection
pyelonephritis about the disorder,
the nurse informs the patient that the Rationale: The organisms that usually cause urinary
organisms that cause pyelonephritis tract infections (UTIs) are introduced via the
most commonly reach the kidneys ascending route from the urethra, and the infections
through originate in the perineum.
a. the bloodstream
b. the lymphatic system
c. a descending infection
d. an ascending infection
The nurse teaches the female patient b. urinate before and after sexual intercourse
who has frequent UTIs that she
should Rationale: When teaching a patient to prevent a
recurrence of a urinary tract infection, the nurse
a. take tub baths with bubble bath should explain the importance of emptying the
b. urinate before and after sexual bladder before and after sexual intercourse.
intercourse
c. take prophylactic sulfonamides for
the rest of her life
d. restrict fluid intake to prevent the
need for frequent voiding
,A patient is admitted to the hospital a. administer opioids as prescribed
with severe renal colic. The nurse's
first priority in management of the Rationale: Pain management and patient comfort are
patient is to primary nursing responsibilities in managing an
obstructing stone and renal colic.
a. administer opioids as prescribed
b. obtain supplies for straining all urine
c. encourage fluid intake of 3 to 4
L/day
d. keep the patient NPO in
preparation for surgery
The nurse identifies a risk factor for b. tobacco use
kidney and bladder cancer in a
patient who relates a history of Rationale: Cigarette smoking is the most significant
risk factor for renal cell carcinoma. An increased
a. aspirin use incidence has also been identified in first-degree
b. tobacco use relatives of patients with this condition. Other risk
c. chronic alcohol abuse factors include obesity, hypertension, and exposure
d. use of artificial sweeteners to asbestos, cadmium, and gasoline. Risk for renal
cancer is also increased in individuals who have
acquired cystic disease of the kidney in association
with end-stage renal disease. Risk factors for bladder
cancer include smoking, exposure to dyes used in
the rubber and cable industries, and chronic abuse
of phenacetin-containing analgesics.
,In planning nursing interventions to a. teaching the patient to use Kegel exercises
increase bladder control in the
patient with urinary incontinence, the Rationale: Pelvic floor muscle training (i.e., Kegel
nurse includes exercises) is used to manage stress, urge, or mixed
urinary incontinence.
a. teaching the patient to use Kegel
exercises
b. clamping and releasing a catheter
to increase bladder tone
c. teaching the patient biofeedback
mechanisms to suppress the urge to
void
d. counseling the patient concerning
choice of incontinence containment
device
The nurse is caring for a 73-yr-old D. Nitrites and leukocyte esterase are present in the
male patient with a history of benign urine.
prostatic hyperplasia and symptoms
of a urinary tract infection. Which
diagnostic finding would support this
diagnosis?
A. White blood cell count is 7500
cells/µL.
B.Antistreptolysin-O (ASO) titer is 106
Todd units/mL.
C. Glucose, protein, and ketones are
present in the urine.
D. Nitrites and leukocyte esterase are
present in the urine.
, A patient with type 2 diabetes is A. Ciprofloxacin
reporting a second urinary tract
infections(UTI)within the past month. This UTI is a complicated UTI because the patient has
Which medication should the nurse type 2 diabetes and the UTI is recurrent.
expect to be ordered for the Ciprofloxacin would be used for a complicated UTI.
recurrent infection? Fosfomycin, nitrofurantoin, and
trimethoprim/sulfamethoxazole should be used for
A. Ciprofloxacin uncomplicated UTIs.
B. Fosfomycin
C. Nitrofurantoin
D. Trimethoprim-sulfamethoxazole
Which nursing diagnosis is a priority A. Acute pain
in the care of a patient with renal
calculi? Urinary stones are associated with severe abdominal
or flank pain. Deficient fluid volume is unlikely to
A. Acute pain result from urinary stones, and constipation is more
B. Deficient fluid volume likely to be an indirect consequence rather than a
C. Risk for constipation primary clinical manifestation of the problem. The
D. Risk for powerlessness presence of pain supersedes powerlessness as an
immediate focus of nursing care.
The nursing activity "encourage C. prevents urinary stasis.
increased fluid intake" is beneficial to
patients with any type of urinary Acute intervention for a patient with a UTI includes
tract infection because it ensuring adequate fluid intake if it is not
contraindicated. It is sometimes difficult to get the
A. decreases residual urine. patient to maintain an adequate fluid intake because
B. prevents urinary reflux. the person may think it will worsen the discomfort
C. prevents urinary stasis. and frequency associated with a UTI. Tell patients
D. alters urinary pH. that fluids will increase frequency of urination at first
but will also dilute the urine, making the bladder less
irritable. Fluids help to flush out bacteria before they
have a chance to colonize in the bladder.
