NURSING 101 Chapter 37. Nursing Care of Patients With Disorders of the Urinary System

Chapter 37. Nursing Care of Patients With Disorders of the Urinary System Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A patient hospitalized for orthopedic surgery had a urinary catheter inserted. The patient later develops a urinary tract infection and asks the nurse what caused it. What is the appropriate response by the nurse? a. “Bacteria probably ascended the catheter, causing the infection.” b. “You probably did not void frequently enough.” c. “There was a change in the pH of your urine.” d. “There are always bacteria on your perineum that enter your urine.” ____ 2. The nurse is reinforcing 24-hour fluid intake teaching for a patient to prevent further urinary tract infections. Which of the following amounts if stated by the client would indicate a correct understanding of the teaching? a. “1.000 mL.” b. “1,000 mL.” c. “2,500 mL.” d. “3,000 mL.” ____ 3. The nurse is reviewing the history and physical of a patient who has an infection. What term would the nurse understand describes an infection of the kidneys? a. Urethritis b. Cystitis c. Pyelonephritis d. Hepatitis ____ 4. The nurse is reinforcing teaching on antibiotic use for a urinary tract infection (UTI). Which of the following statements by the patient would indicate a correct understanding of the teaching? a. “I will take the antibiotics until my urine is no longer cloudy.” b. “I will take the antibiotics whenever I feel discomfort from urinating.” c. “I will take the antibiotics until my temperature has been normal for 3 days.” d. “I will take the antibiotics until they are gone regardless of symptoms.” ____ 5. The nurse is collecting data for a patient who has suspected cancer of the bladder. What finding would the nurse recognize as the most common symptom of cancer of the bladder? a. Pain b. Burning on urination c. Urine retention d. Hematuria ____ 6. The nurse empties urine from an ileal conduit appliance. The urine has strands of mucus in it. What action should the nurse take? a. Notify the physician. b. Send a urine sample to the laboratory for culture. c. Nothing, as the nurse understands that this is a normal finding. d. Ask the patient about a history of urinary tract infections. ____ 7. The nurse is reinforcing teaching on risk factors for the development of bladder cancer. Which of these, if stated by a patient, indicates a correct understanding? a. Diet high in calcium b. Smoking c. Recurrent urinary tract infections d. Hyperlipidemia ____ 8. The nurse is caring for a patient who has renal calculi. Which of these actions is essential for the nurse to take? a. Record blood pressure. b. Obtain a sterile urine specimen. c. Strain all urine. d. Limit fluids at night. ____ 9. The nurse is caring for a patient who has a nephrostomy tube. What action should the nurse take? a. Limit fluids to 1,000 mL per 24 hours. b. Keep collection bag taped to abdomen. c. Ensure tube is not kinked or clamped. d. Remove and clean the tube once daily. ____ 10. A patient hourly urine output is recorded. Which of the following output rates should be brought to the attention of the registered nurse immediately? a. 15 mL/hr b. 40 mL/hr c. 60 mL/hr d. 80 mL/hr