Question 1

Which of the following are signs of fluid overload in the patient with nephrosis? (Select all that apply. )

Accepted Answer

Signs and symptoms of fluid overload: changes in pulse rate,respirations,cardiac sounds,and lung fields.Increase in daily morning weights.

Question 2

A patient,age 78,has been admitted to the hospital with dehydration and electrolyte imbalance.She is confused and incontinent of urine on admission.Which nursing intervention does the nurse include in developing a plan of care?

Accepted Answer

Use of protective undergarments may help to keep the patient and the patient's clothing dry.Confused patients are high risk for falls.Restricting fluids will only decrease incontinence during the night and will exacerbate the dehydration and electrolyte imbalance.

Question 3

_____________ is a term for severe generalized edema.

Accepted Answer

The answer of _____________ is a term for severe generalized...

Question 4

Which foods should the home health nurse counsel hypokalemic patients to include in their diet?

Accepted Answer

The use of most diuretics,with the exception of the potassium-sparing diuretics,requires adding daily potassium sources (e.g. ,baked potatoes,raw bananas,apricots,or navel oranges,cantaloupe,winter squash).

Question 5

What should the nurse counsel the young man with chronic prostatitis to avoid?

Accepted Answer

Frequent intercourse may be beneficial to the treatment of chronic prostatitis.Warm baths,stool softeners,and antibiotic therapy are also part of the medical treatment.

Question 6

The patient has end-stage renal disease (ESRD)and is admitted to the hospital with a blood urea nitrogen (BUN)level of 48 mg/dL.An excessive elevation of BUN could result from:

Accepted Answer

If the BUN is elevated,preventive nursing measures should be instituted to protect the patient from possible disorientation or seizures.

Question 7

What should the patient be encouraged to eat during the active phase of acute renal failure?

Accepted Answer

The patient with acute glomerulonephritis would need a high carbohydrate,high fat diet to maintain weight.Potassium and sodium are restricted as well as excess fluids.

Question 8

The patient,age 43,has cancer of the urinary bladder.He has received a cystectomy with an ileal conduit.Which characteristics would be considered normal for his urine?

Accepted Answer

There will be mucus present in the urine from the intestinal secretions.

Question 9

Which action can reduce the risk of skin impairment secondary to urinary incontinence?

Accepted Answer

Frequent toileting of the incontinent patient will prevent retained moisture in undergarments and bed linens and will preserve the integrity of the skin.

Question 10

Why are pediatric patients,especially girls,susceptible to urinary tract infections?

Accepted Answer

Pediatric patients,especially girls,are susceptible to urinary tract infections because of the short urethra.

Question 11

The home health nurse suggests the use of complementary and alternative therapies to prevent and/or treat urinary tract infections (UTIs).Which of the following is an example of such therapies?

Accepted Answer

Cranberry (Cranberry Plus,Ultra Cranberry)has been used to prevent urinary tract infections (UTIs),particularly in women prone to recurrent infection.It has also been used to treat acute UTI.Monitor patients for lack of therapeutic effect.Caffeine and tea will increase diuresis but not prevent UTI.

Question 12

An intravenous pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter of a newly admitted patient.Physician orders include meperidine (Demerol)100 mg IM q4h PRN,strain all urine,and encourage fluids to 4000 mL/day.What should be the nurse's highest priority when planning care for this patient?

Accepted Answer

Nursing diagnoses directed at pain control are of primary importance at the early stages of care.Opioid medications manage the pain well.

Question 13

A patient has nephrotic syndrome.Which statement made by the patient indicates understanding of the necessary diet modifications?

Accepted Answer

Medical management for nephrotic syndrome depends on the extent of tissue involvement and may include the use of corticosteroids and a low-sodium,high-protein diet.

Question 14

Exercises to increase muscle tone of the pelvic floor are known as ____________ exercises.

Accepted Answer

The answer of Exercises to increase muscle tone of the...

Question 15

To help a patient control incontinence,what should the nurse recommend the patient avoid?

Accepted Answer

Incontinence may be improved by omitting spicy foods,alcohol,and caffeine from the diet.

Question 16

A patient with cystitis is receiving phenazopyridine (Pyridium)for pain and is voiding a bright red-orange urine.What should the nurse do?

Accepted Answer

Pyridium will turn the urine reddish-orange.

Question 17

A patient is receiving chlorothiazide (Diuril),a thiazide diuretic for hypertension.What nursing action is most important for prevention of complications?

Accepted Answer

The thiazide diuretic,chlorothiazide (Diuril),affects electrolytes to cause hypokalemia (extreme potassium depletion in blood).

Question 18

The nurse reassures the patient recovering from acute glomerulonephritis that after all other signs and symptoms of the disease subside,it is normal to have some residual (select all that apply):

Accepted Answer

Proteinuria and hematuria may exist microscopically even when other symptoms subside.

Question 19

The nurse is reviewing the urinalysis report on an assigned patient.The nurse recognizes which findings to be normal? (Select all that apply. )

Accepted Answer

The type and size of urinary catheter are determined by the location and cause of the urinary tract problem.

Question 20

Why are urinary tract infections (UTI)common in older adults? (Select all that apply. )

Accepted Answer

Urinary frequency,urgency,nocturia,retention,and incontinence are common with aging.These occur because of weakened musculature in the bladder and urethra,diminished neurologic sensation combined with decreased bladder capacity,and the effects of medications such as diuretics.Older women are at risk for stress incontinence because of hormonal changes and weakened pelvic musculature.Inadequate fluid intake (less than 1000 to 2000 mL per 24 hours)can lead to urinary stasis.

Quiz 10: Care of the Patient with a Urinary Disorder

Which of the following are signs of fluid overload in the patient with nephrosis? (Select all that apply. )

A patient,age 78,has been admitted to the hospital with dehydration and electrolyte imbalance.She is confused and incontinent of urine on admission.Which nursing intervention does the nurse include in developing a plan of care?

_____________ is a term for severe generalized edema.

Which foods should the home health nurse counsel hypokalemic patients to include in their diet?

What should the nurse counsel the young man with chronic prostatitis to avoid?

The patient has end-stage renal disease (ESRD) and is admitted to the hospital with a blood urea nitrogen (BUN) level of 48 mg/dL.An excessive elevation of BUN could result from:

What should the patient be encouraged to eat during the active phase of acute renal failure?

The patient,age 43,has cancer of the urinary bladder.He has received a cystectomy with an ileal conduit.Which characteristics would be considered normal for his urine?

Which action can reduce the risk of skin impairment secondary to urinary incontinence?

Why are pediatric patients,especially girls,susceptible to urinary tract infections?

The home health nurse suggests the use of complementary and alternative therapies to prevent and/or treat urinary tract infections (UTIs) .Which of the following is an example of such therapies?

A patient has nephrotic syndrome.Which statement made by the patient indicates understanding of the necessary diet modifications?

Exercises to increase muscle tone of the pelvic floor are known as ____________ exercises.

To help a patient control incontinence,what should the nurse recommend the patient avoid?

A patient with cystitis is receiving phenazopyridine (Pyridium) for pain and is voiding a bright red-orange urine.What should the nurse do?

A patient is receiving chlorothiazide (Diuril) ,a thiazide diuretic for hypertension.What nursing action is most important for prevention of complications?

The nurse reassures the patient recovering from acute glomerulonephritis that after all other signs and symptoms of the disease subside,it is normal to have some residual (select all that apply) :

The nurse is reviewing the urinalysis report on an assigned patient.The nurse recognizes which findings to be normal? (Select all that apply. )

Why are urinary tract infections (UTI) common in older adults? (Select all that apply. )