Deck 26: Nursing Care of People With Urinary Tract Disorders

Question 1

An 80-year-old woman says to the nurse, 'I can't hold my water very well so I don't leave the house much.' Which of the following is an appropriate nursing response?

A)'What do you do at home?'
B)'This is very common in the elderly.'
C)'I guess it's hard getting older.'
D)'This is not something you have to live with. Talk with your doctor about this problem.'

Answer 1

'This is not something you have to live with. Talk with your doctor about this problem.'

Question 2

A man needs to increase the acidity of his urine. Which foods should this person increase in his diet?

A)Dairy products.
B)Green leafy vegetables.
C)Oranges, grapes and tomatoes.
D)Seafood.

Answer 2

Oranges, grapes and tomatoes.

Question 3

Which is the preferred method of bladder emptying for an elderly person who is prone to developing urinary tract infections?

A)Crede manoeuvre.
B)Intermittent catheterisation.
C)Asking the person to void every two hours.
D)Indwelling urinary catheterisation.

Answer 3

Intermittent catheterisation.

Question 4

A middle-aged man comes into the clinic for 'frequency' and 'small amounts of urine at a time.' The nurse realises that this person might be experiencing symptoms of which condition?

A)Benign prostatic hypertrophy.
B)Neurogenic bladder.
C)Renal calculi.
D)Pyelonephritis.

Question 5

A person had a renal stent removed. Which of the following should be included in the care of this person?

A)Ensure an adequate energy intake.
B)Assess blood pressure.
C)Encourage early ambulation.
D)Monitor urine output.

Question 6

A woman is admitted with multiple medical problems and incontinence, regardless of the position or situation. Which type of incontinence is the person most likely experiencing?

A)Functional.
B)Overflow.
C)Stress.
D)Urge.

Question 7

A woman is admitted with an overdistended bladder. Which of the following diagnostic tests can be done to confirm the diagnosis of urinary retention?

A)Cystoscopy.
B)Intravenous pyelography.
C)Bladder scan.
D)Mid-stream urine collection.

Question 8

A man comes into the emergency department with symptoms of renal colic. The nurse realises that this person most likely has a calculus that is obstructing which of the following?

A)Urethra.
B)Renal calyces.
C)Bladder.
D)Ureter.

Question 9

A person is discharged after treatment for a bladder papilloma. Which of the following should be included in this person's discharge instructions? Make an appointment for follow-up:

A)if symptoms return.
B)the following week.
C)in one year.
D)in three months.

Question 10

A man is admitted for removal of a bladder papilloma. Which of the following should the nurse assess in this person?

A)Blood glucose level.
B)History of cigarette smoking.
C)Alcohol intake.
D)Appetite level.

Question 11

A person with an indwelling urinary catheter is demonstrating signs of asymptomatic bacteriuria. Which is the priority action for the nurse to take for this person?

A)Remove the catheter and begin antibiotic therapy.
B)Commence intravenous antibiotic therapy.
C)Remove the catheter and monitor for several days for continued signs of bacteriuria.
D)Begin oral antibiotic therapy.

Question 12

A person who is recovering from spinal surgery had an 'accident' while attempting to reach the bathroom to void. Which type of incontinence has the person most likely experienced?

A)Functional.
B)Overflow.
C)Stress.
D)Urge.

Question 13

A man has a history of calcium calculi. Which of the following medications can be prescribed to help treat this person's condition?

A)Indomethacin.
B)Allopurinol (Progout).
C)A thiazide diuretic.
D)Amoxycillin.

Question 14

While being catheterised for urinary retention, a person becomes diaphoretic and pale. Which of the following can be done to help this person?

A)Clamp the catheter after draining 500 mL of urine.
B)Nothing, as this is a normal response.
C)Remove the urinary catheter.
D)Provide the person with extra fluids.

Question 15

An elderly person with diabetes is diagnosed with a flaccid bladder. Which of the following should be included in the care of this person?

A)Instruction about the Crede method for bladder emptying.
B)Instruction about ways to maintain acidic urine.
C)Instruction about the use of anticholinergic medications.
D)Reminder to increase fluid intake.

Question 16

A person is diagnosed with chronic pyelonephritis. The nurse understands that this person is more susceptible to developing which condition?

A)Renal calculi.
B)Chronic kidney disease.
C)Urinary incontinence.
D)Urinary retention.

Question 17

A woman asks the nurse for ways to prevent recurrent urinary tract infections. Which of the following is an appropriate nursing response?

A)'Restrict fluid intake.'
B)'Wear clean nylon underpants.'
C)'Clean the perineal area from back to front.'
D)'Avoid douching.'

Question 18

A married woman has a history of repeated urinary tract infections. Which of the following should the nurse include while assessing this person?

A)Physical activity level.
B)Height and weight.
C)Type of contraception used.
D)Type of work.

Question 19

A man with a urinary stoma says, 'I looked at it while you were out of the room. It's not so bad.' The nurse realises that this person is demonstrating which of the following?

A)Anger.
B)Coping.
C)Denial.
D)Grief.

Question 20

A person is scheduled for a lithotripsy for renal calculi. What is the purpose of a bowel preparation prior to this procedure? To:

A)ensure maximum visualisation of the kidney and the stones.
B)reduce abdominal discomfort.
C)ensure that there is no constipation prior to the procedure.
D)minimise postoperative pain.

Question 21

A person is participating in bladder retraining activities. Which of the following toileting activities can reduce episodes of incontinence? (Select all that apply.)

A)Use of adult incontinence protection devices.
B)Intermittent straight catheterisation.
C)Habit training.
D)Scheduled toileting.

Question 22

A person is being instructed on how to perform Kegel exercises. Which of the following should be included in these instructions? (Select all that apply.)

A)Tighten the muscles around the anus to resist defecation.
B)These should be performed for at least several months.
C)Take a deep breath and hold while performing the exercises.
D)While voiding, stop the flow of urine and hold for a few seconds.