lOMoARcPSD|3013804
Chapter 61 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 61: Concepts of Care for Patients With Urinary Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse assesses a client who has possible bladder cancer. What common assessment
finding associated with this type of cancer would the nurse expect?
a.
Urinary retention
b.
Urinary incontinence
c.
Painless hematuria
d.
Difficulty urinating
ANS: C
The classic and most common finding in clients who have bladder cancer is painless and
intermittent hematuria that can be with gross or microscopic. Dysuria, frequency, and
urgency occur in clients who have bladder infection or obstruction.
DIF: Remembering TOP: Integrated Process: Nursing Process: Assessment
KEY: Bladder cancer, Signs and symptoms
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. A nurse reviews the laboratory findings of a client with a urinary tract infection (bacterial
cystitis). The laboratory report notes a “shift to the left” in the client’s white blood cell count.
What action would the nurse take?
a.
Request that the laboratory perform a differential analysis on the white blood cells.
b.
Notify the primary health care provider and start an intravenous line for parenteral
antibiotics. GRADESLAB.COM
c.
Ask assistive personnel (AP) to strain the client’s urine for renal calculi.
d.
Assess the client for a potential allergic reaction and anaphylactic shock.
ANS: B
An increase in band cells creates a “shift to the left.” A left shift most commonly occurs with
urosepsis and is seen rarely with uncomplicated urinary tract infections. The nurse will be
administering antibiotics, most likely via IV, so he or she would notify the primary health
care provider and prepare to give the antibiotics. The shift to the left is part of a differential
white blood cell count. The nurse would not need to strain urine for stones. Allergic reactions
are associated with elevated eosinophil cells, not band cells.
DIF: Applying TOP: Integrated Process: Nursing Process: Analysis
KEY: Cystitis, Diagnostic tests
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse cares for a postmenopausal client who has had two episodes of bacterial urethritis in
the last 6 months. The client asks, “I never have urinary tract infections. Why is this
happening now?” How would the nurse respond?
a.
“Your immune system becomes less effective as you age.”
b.
“Low estrogen levels can make the tissue more susceptible to infection.”
c.
“You should be more careful with your personal hygiene in this area.”
d.
“It is likely that you have an untreated sexually transmitted disease.”
Chapter 61 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 61: Concepts of Care for Patients With Urinary Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse assesses a client who has possible bladder cancer. What common assessment
finding associated with this type of cancer would the nurse expect?
a.
Urinary retention
b.
Urinary incontinence
c.
Painless hematuria
d.
Difficulty urinating
ANS: C
The classic and most common finding in clients who have bladder cancer is painless and
intermittent hematuria that can be with gross or microscopic. Dysuria, frequency, and
urgency occur in clients who have bladder infection or obstruction.
DIF: Remembering TOP: Integrated Process: Nursing Process: Assessment
KEY: Bladder cancer, Signs and symptoms
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
2. A nurse reviews the laboratory findings of a client with a urinary tract infection (bacterial
cystitis). The laboratory report notes a “shift to the left” in the client’s white blood cell count.
What action would the nurse take?
a.
Request that the laboratory perform a differential analysis on the white blood cells.
b.
Notify the primary health care provider and start an intravenous line for parenteral
antibiotics. GRADESLAB.COM
c.
Ask assistive personnel (AP) to strain the client’s urine for renal calculi.
d.
Assess the client for a potential allergic reaction and anaphylactic shock.
ANS: B
An increase in band cells creates a “shift to the left.” A left shift most commonly occurs with
urosepsis and is seen rarely with uncomplicated urinary tract infections. The nurse will be
administering antibiotics, most likely via IV, so he or she would notify the primary health
care provider and prepare to give the antibiotics. The shift to the left is part of a differential
white blood cell count. The nurse would not need to strain urine for stones. Allergic reactions
are associated with elevated eosinophil cells, not band cells.
DIF: Applying TOP: Integrated Process: Nursing Process: Analysis
KEY: Cystitis, Diagnostic tests
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse cares for a postmenopausal client who has had two episodes of bacterial urethritis in
the last 6 months. The client asks, “I never have urinary tract infections. Why is this
happening now?” How would the nurse respond?
a.
“Your immune system becomes less effective as you age.”
b.
“Low estrogen levels can make the tissue more susceptible to infection.”
c.
“You should be more careful with your personal hygiene in this area.”
d.
“It is likely that you have an untreated sexually transmitted disease.”
