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You're assessing your patients during
morning rounding. Which patient below
is at MOST risk for developing a urinary
tract infection?
A. A 25 year old patient who finished a
regime of antibiotics for strep throat 10 D. A 87 year old female with Alzheimer's
weeks ago. disease who is experiencing bowel in-
B. A 55 year old female who is post-opt continence.
day 7 from hip surgery.
C. A 68 year old male who is experienc-
ing nausea and vomiting.
D. A 87 year old female with Alzheimer's
disease who is experiencing bowel in-
continence.
A 36 year old female, who is 29 weeks
pregnant, reports she is experiencing
burning when voiding. The physician or-
ders a urinalysis. Which statement by the
patient demonstrates she understands
how to collect the specimen?
A. "I'll hold the cup firmly against the C. "First, I will pee a small amount of
urethra while collecting the sample." urine in the toilet and then collect the rest
B. "I will cleanse back to front with the in the cup."
antiseptic wipe before peeing in the cup."
C. "First, I will pee a small amount of
urine in the toilet and then collect the rest
in the cup."
D. "I will be sure to drink a lot of fluids to
keep the urine diluted before peeing into
the cup."
During a head-to-toe assessment on a
patient with a possible urinary tract in-
fection, you perform costovertebral angle
percussion. The costovertebral angle is
found?
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, Renal & urinary nclex questions
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A. between the bottom of the 12th rib and
spine
B. between the right upper quadrant and
umbilicus A. between the bottom of the 12th rib and
C. between the sternal notch and angle spine
of Louis
D. between the ischial spine and umbili-
cus
A 76 year old female is admitted due
to a recent fall. The patient is confused
and agitated. The family members report
that this is not normal behavior for the
patient. They explain that the patient is
very active in the community and cares
for herself. Based on the information you
A. "Collect a urinalysis"
have gathered about the patient, which
physician's order takes priority?
A. "Collect a urinalysis"
B. "Collect a T3 and T4 level"
C. "Insert a Foley Catheter"
D. "Keep patient NPO"
The physician orders a urine culture on
your patient in room 5505 with a urinary
tract infection. In addition, the patient is
ordered to start IV Bactrim (Sulfamethox-
azole/Trimethoprim). How will you pro-
ceed with following this order?
C. First, collect the urine culture, and
A. First, hang the antibiotic, and then
then hang the antibiotic.
collect the urine culture.
B. First, hang the antibiotic and when the
antibiotic is finished infusing collect the
urine culture.
C. First, collect the urine culture, and
then hang the antibiotic.
D. First, collect the urine culture and then
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