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Med surg Urinary System

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The nurse understands that a major function of the kidneys is to remove potentially toxic waste products from the blood. Which function is inaccurate? Regulate blood pressure through the conservation of fluids. The nurse is providing care for a patient admitted for a suspected kidney infection. Which area of the body does the nurse expect the patient to identify as a source of pain? Bilateral flanks A patient's urinalysis results are WBCs 100+/bpf; RBC 4/bpf; bacteria, moderate amount; nitrite, positive; specific gravity, 1,025; and urine, cloudy. What should the nurse recognize these findings indicate? Urinary Tract Infection An older male patient expresses frustration at need to urinate often, dribbling of urine, and feelings of inability to empty his bladder. Which suggestion by the nurse is most helpful to the patient? Encourage an appointment with a urologist The nurse is making a visit to the home of a patient with functional incontinence. Which observation indicates that teaching about the disorder has been effective? Patient is wearing sweat pants A patient shares a long-standing problem of urinary incontinence with the nurse. Which intervention does the nurse recognize as taking priority? Providing caring support to the patient. A home health nurse visits a patient who is 82 years old, uses a cane, and is continent. Which of the following interventions should be included in the plan of care, based on normal age-related changes of the urinary system, to promote patient safety? Provide a nightlight in the bathroom The nurse is caring for a patient with acute kidney injury. Which of the following actions should the nurse take to obtain the most accurate assessment of fluid balance for the patient? Obtain daily weight The nurse is caring for a patient who is to have a urine culture and sensitivity done. Which of the following should be included in patient teaching for collecting a midstream clean-catch urine specimen for culture and sensitivity?

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Med surg Urinary System

The nurse understands that a major function of the kidneys is to remove potentially toxic waste
products from the blood. Which function is inaccurate?

Regulate blood pressure through the conservation of fluids.

The nurse is collecting data on a patient who experienced a sport injury to the lower back area. Which
finding will cause the nurse greatest concern?

Flank edema and bloody urine

The formation of urine is a critical physiological function. The nurse is aware that multiple processes are
involved. Which process does the nurse recognize as not part of the formation of urine?

Micturition

The nurse is providing care for a patient with a diagnosis of kidney disease. The patient's last lab result
indicates metabolic acidosis. Which kidney activity does the nurse recognize for the condition?

The kidneys are unable to excrete hydrogen ions.

The nurse is providing care for a patient with a thoracic spinal cord injury. For which reason does the
nurse understand the presence of a suprapubic catheter?

The patient is unable to detect the need to urinate.

The nurse is testing the urine pH for a patient in the HCP's office. The test indicates a pH of 7.0. Which
question does the nurse ask the client?

"Are you following a vegetarian diet?"

The nurse is reviewing the lab results for a patient. Which question does the nurse ask the patient if the
creatinine level is elevated?

"How much do you exercise?"

A patient with pneumonia has a BUN of 32 mg/dL and creatinine of 0.8 mg/dL. What should the nurse
realize is the most probable explanation for this finding?

The patient is dehydrated

The nurse is collecting information from an older adult patient in the health care provider's office. The
patient reports frequent urination. Which effect of aging does the nurse recognize?

Decreased bladder size and muscle tone

The nurse is providing care for a patient who is on fluid restrictions due to renal failure. The patient's
intake and output should be carefully measured. Which substance does the nurse exclude from the
intake total?

Mashed potatoes and creamed corn

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