NUR 290 Final Exam Questions With
Correct Answers
UTI |patient |teaching |- |CORRECT |ANSWER✔✔--avoid |tub |baths, |spermicides, |oil-bass |lube, |
perfume |to |peritoneal |area |
-void |after |intercourse |
-cotton |underwear |and |no |tight |fitting |stuff |
-Teach |patient |to |practice |careful |personal |hygiene, |front |to |back |wiping
-Shower |rather |than |bathe |in |a |tub
-Clean |the |perineum |and |urethral |meatus |from |front |to |back |after |each |BM
-Increase |fluid |intake |to |promote |voiding |and |dilution |of |urine |(8-10 |glasses)
-May |be |helpful |to |include |1 |glass |of |cranberry |juice
-Avoid |coffee, |tea, |colas, |and |alcohol |
-Urinate |regularly |and |more |frequently |
-Void |every |2-3 |hours |and |completely |empty |the |bladder |
-Adhere |to |therapeutic |regime
-Take |medication |exactly |as |prescribed |
1000mg |of |ascorbic |acid |may |be |used |to |acidify |the |urine |for |recurrent |infections |
-Lactobacillus |probiotics |can |be |used |to |decrease |recurrence |
-Notify |primary |if |fever |occurs |or |if |s/s |persist |
-Consult |primary |for |follow-up
Nursing |care |for |ileal |conduit |
,risk |for |infection, |risk |for |skin |breakdown, |risk |for |adhesions/obstruction, |risk |for |paralytic |
ileus |- |CORRECT |ANSWER✔✔-Immediate |postop |period- |urine |volumes |are |measured |hourly. |
Monitor |for |complications, |report |s/s |of |them |promptly, |intervene |quickly |to |prevent |
progression
Urine |output |below |0.5mL/kg/hr |may |indicate |dehydration |or |obstruction, |with |possible |
backflow |or |leakage |from |the |ureteroileal |anastomies. |
If |urethral |stents |aren't |draining |they |can |be |flushed |with |5-10mL |sterile |NS |carefully |as |not |to
|dislodge |the |stent. |
Hematuria |may |be |noted |within |the |first |48 |hours |post |op |but |usually |resolves |spontaneously.
|
When |post |op |edema |subsides, |the |nurse |assists |in |selecting |appropriate |changes |for |the |
ostomy |appliance. |The |size |of |the |stoma |is |measured |every |3-6 |weeks |for |the |first |few |months
|postop. |
Permanent |appliance |should |be |no |more |than |1.6mm |larger |than |the |stoma, |and |should |be |
the |same |shape |as |the |stoma. |
WOC |nurse |provides |specialized |care. |
Healthy |stoma |is |pink |to |red. |Purple, |brown, |or |black |suggests |the |vascular |supply |may |be |
compromised. |Surgical |intervention |may |be |necessary. |
The |skin |around |the |stoma |may |become |sensitive |if |urine |or |the |appliance |causes |irritation. |
The |nurse |should |inspect |for |sings |of |irritation |and |bleeding |of |the |stoma, |encrustation |and |
skin |irritation |around |the |stoma |(from |alkaline |urine), |and |wound |infection. |
,Moisture |in |bed |linens |or |clothing |or |the |odor |of |urine |from |the |ptn |should |alert |the |nurse |to |
the |possibility |of |a |leaking |appliance, |potential |infection, |or |problem |in |hygienic |mgmt. |
To |prevent |severe |alkaline |encrustation, |urine |pH |is |kept |below |6.5- |administer |ascorbic |acid |
by |mouth, |test |pH |by |urine |draining |from |stoma. |
Properly |fitted |appliance |is |essential |
Foul |smelling |urine- |catheterize |stoma |to |obtain |specimen |
Encourage |fluids- |ptn |may |excrete |large |amounts |of |mucus- |assure |them |this |is |normal |and |
encourage |fluid |intake |to |flush |the |conduit. |
Select |ost
Acute |pyelonephritis |d/c |teaching |- |CORRECT |ANSWER✔✔-Focuses |on |prevention |of |further |
infection.
|
Consume |adequate |fluids |
Empty |bladder |regularly |and |perform |
recommended |perineal |hygiene |
Take |antimicrobial |meds |exactly |as |prescribed
Keep |follow-up |appointments
S/S |of |cystitis |(UTI) |- |CORRECT |ANSWER✔✔-Burning |on |urination
, Urinary |frequency |
Urgency |(these |can |lead |to |dehydration)
Nocturia
Incontinence |or |voiding |in |small |amounts
Suprapubic |or |pelvic |pain |
Hematuria |
Back |pack |
cloudy, |foul |smelling |urine |
These |symptoms |in |older |adults |are |less |common |(usually |are |confused)
Ptn's |with |complicated |UTI's |may |be |asymptomatic, |or |can |be |septic |shock. |Many |patient's |
with |catheter |associated |UTI's |are |asymptomatic.
Priority |nursing |care |for |kidney |stones |- |CORRECT |ANSWER✔✔--Assess |ptn |for |pain |and |
discomfort, |nausea, |vomiting, |diarrhea, |abd |distention. |
-Observe |for |s/s |of |UTI |(fever, |chills, |frequency, |hesitancy) |and |obstruction |(frequent |small |
amounts |of |urine, |oliguria, |anuria). |
-Inspect |urine |for |blood |and |strain |for |stones. |
-MAJOR |GOAL |is |pain |relief, |prevent |reoccurrence |of |stones, |and |absence |of |complications. |
Correct Answers
UTI |patient |teaching |- |CORRECT |ANSWER✔✔--avoid |tub |baths, |spermicides, |oil-bass |lube, |
perfume |to |peritoneal |area |
-void |after |intercourse |
-cotton |underwear |and |no |tight |fitting |stuff |
-Teach |patient |to |practice |careful |personal |hygiene, |front |to |back |wiping
-Shower |rather |than |bathe |in |a |tub
-Clean |the |perineum |and |urethral |meatus |from |front |to |back |after |each |BM
-Increase |fluid |intake |to |promote |voiding |and |dilution |of |urine |(8-10 |glasses)
-May |be |helpful |to |include |1 |glass |of |cranberry |juice
-Avoid |coffee, |tea, |colas, |and |alcohol |
-Urinate |regularly |and |more |frequently |
-Void |every |2-3 |hours |and |completely |empty |the |bladder |
-Adhere |to |therapeutic |regime
-Take |medication |exactly |as |prescribed |
1000mg |of |ascorbic |acid |may |be |used |to |acidify |the |urine |for |recurrent |infections |
-Lactobacillus |probiotics |can |be |used |to |decrease |recurrence |
-Notify |primary |if |fever |occurs |or |if |s/s |persist |
-Consult |primary |for |follow-up
Nursing |care |for |ileal |conduit |
,risk |for |infection, |risk |for |skin |breakdown, |risk |for |adhesions/obstruction, |risk |for |paralytic |
ileus |- |CORRECT |ANSWER✔✔-Immediate |postop |period- |urine |volumes |are |measured |hourly. |
Monitor |for |complications, |report |s/s |of |them |promptly, |intervene |quickly |to |prevent |
progression
Urine |output |below |0.5mL/kg/hr |may |indicate |dehydration |or |obstruction, |with |possible |
backflow |or |leakage |from |the |ureteroileal |anastomies. |
If |urethral |stents |aren't |draining |they |can |be |flushed |with |5-10mL |sterile |NS |carefully |as |not |to
|dislodge |the |stent. |
Hematuria |may |be |noted |within |the |first |48 |hours |post |op |but |usually |resolves |spontaneously.
|
When |post |op |edema |subsides, |the |nurse |assists |in |selecting |appropriate |changes |for |the |
ostomy |appliance. |The |size |of |the |stoma |is |measured |every |3-6 |weeks |for |the |first |few |months
|postop. |
Permanent |appliance |should |be |no |more |than |1.6mm |larger |than |the |stoma, |and |should |be |
the |same |shape |as |the |stoma. |
WOC |nurse |provides |specialized |care. |
Healthy |stoma |is |pink |to |red. |Purple, |brown, |or |black |suggests |the |vascular |supply |may |be |
compromised. |Surgical |intervention |may |be |necessary. |
The |skin |around |the |stoma |may |become |sensitive |if |urine |or |the |appliance |causes |irritation. |
The |nurse |should |inspect |for |sings |of |irritation |and |bleeding |of |the |stoma, |encrustation |and |
skin |irritation |around |the |stoma |(from |alkaline |urine), |and |wound |infection. |
,Moisture |in |bed |linens |or |clothing |or |the |odor |of |urine |from |the |ptn |should |alert |the |nurse |to |
the |possibility |of |a |leaking |appliance, |potential |infection, |or |problem |in |hygienic |mgmt. |
To |prevent |severe |alkaline |encrustation, |urine |pH |is |kept |below |6.5- |administer |ascorbic |acid |
by |mouth, |test |pH |by |urine |draining |from |stoma. |
Properly |fitted |appliance |is |essential |
Foul |smelling |urine- |catheterize |stoma |to |obtain |specimen |
Encourage |fluids- |ptn |may |excrete |large |amounts |of |mucus- |assure |them |this |is |normal |and |
encourage |fluid |intake |to |flush |the |conduit. |
Select |ost
Acute |pyelonephritis |d/c |teaching |- |CORRECT |ANSWER✔✔-Focuses |on |prevention |of |further |
infection.
|
Consume |adequate |fluids |
Empty |bladder |regularly |and |perform |
recommended |perineal |hygiene |
Take |antimicrobial |meds |exactly |as |prescribed
Keep |follow-up |appointments
S/S |of |cystitis |(UTI) |- |CORRECT |ANSWER✔✔-Burning |on |urination
, Urinary |frequency |
Urgency |(these |can |lead |to |dehydration)
Nocturia
Incontinence |or |voiding |in |small |amounts
Suprapubic |or |pelvic |pain |
Hematuria |
Back |pack |
cloudy, |foul |smelling |urine |
These |symptoms |in |older |adults |are |less |common |(usually |are |confused)
Ptn's |with |complicated |UTI's |may |be |asymptomatic, |or |can |be |septic |shock. |Many |patient's |
with |catheter |associated |UTI's |are |asymptomatic.
Priority |nursing |care |for |kidney |stones |- |CORRECT |ANSWER✔✔--Assess |ptn |for |pain |and |
discomfort, |nausea, |vomiting, |diarrhea, |abd |distention. |
-Observe |for |s/s |of |UTI |(fever, |chills, |frequency, |hesitancy) |and |obstruction |(frequent |small |
amounts |of |urine, |oliguria, |anuria). |
-Inspect |urine |for |blood |and |strain |for |stones. |
-MAJOR |GOAL |is |pain |relief, |prevent |reoccurrence |of |stones, |and |absence |of |complications. |
