MED SURG URINARY SYSTEM

MED SURG URINARY SYSTEM Med surg Urinary System The nurse understands that a major function of the kidneys is to remove potentially toxic waste products from the blood. Which function is inaccurate? Regulate blood pressure through the conservation of fluids. The nurse is collecting data on a patient who experienced a sport injury to the lower back area. Which finding will cause the nurse greatest concern? Flank edema and bloody urine The formation of urine is a critical physiological function. The nurse is aware that multiple processes are involved. Which process does the nurse recognize as not part of the formation of urine? Micturition The nurse is providing care for a patient with a diagnosis of kidney disease. The patient's last lab result indicates metabolic acidosis. Which kidney activity does the nurse recognize for the condition? The kidneys are unable to excrete hydrogen ions. The nurse is providing care for a patient with a thoracic spinal cord injury. For which reason does the nurse understand the presence of a suprapubic catheter? The patient is unable to detect the need to urinate. The nurse is testing the urine pH for a patient in the HCP's office. The test indicates a pH of 7.0. Which question does the nurse ask the client? "Are you following a vegetarian diet?" The nurse is reviewing the lab results for a patient. Which question does the nurse ask the patient if the creatinine level is elevated? "How much do you exercise?" A patient with pneumonia has a BUN of 32 mg/dL and creatinine of 0.8 mg/dL. What should the nurse realize is the most probable explanation for this finding? The patient is dehydrated The nurse is collecting information from an older adult patient in the health care provider's office. The patient reports frequent urination. Which effect of aging does the nurse recognize? Decreased bladder size and muscle tone The nurse is providing care for a patient who is on fluid restrictions due to renal failure. The patient's intake and output should be carefully measured. Which substance does the nurse exclude from the intake total? Mashed potatoes and creamed corn The nurse is providing care for a patient schedules for diagnostic studies of the gastrointestinal system using contrast medium. Which finding in the patient's medical history warrants the nurse contacting the HCP? The patient has a history of renal dysfunction. The nurse is catheterizing a patient after voiding to determine the amount of residual urine in the bladder. What should the nurse consider as being the normal amount of urine within the bladder after urination? 25 mL The nurse is reinforcing teaching to a client who is preparing to perform intermittent self-catheterization at home. Which information by the nurse in inappropriate? Wear a urinary incontinence pad if away from home. The nurse is providing care for a patient who has undergone placement of a suprapubic catheter. Which post-procedure nursing care is avoided? Change the catheter with sterile technique daily. The nurse is reviewing the results of a patient's urinalysis. Which components does the nurse identify as being abnormal in urine? Select all that apply. Protein RBCs The nurse understands that a major function of the kidneys is to remove potentially toxic waste products from the blood. Which function is inaccurate? Regulate blood pressure through the conservation of fluids. The nurse is providing care for a patient admitted for a suspected kidney infection. Which area of the body does the nurse expect the patient to identify as a source of pain? Bilateral flanks A patient's urinalysis results are WBCs 100+/bpf; RBC 4/bpf; bacteria, moderate amount; nitrite, positive; specific gravity, 1,025; and urine, cloudy. What should the nurse recognize these findings indicate? Urinary Tract Infection An older male patient expresses frustration at need to urinate often, dribbling of urine, and feelings of inability to empty his bladder. Which suggestion by the nurse is most helpful to the patient? Encourage an appointment with a urologist The nurse is making a visit to the home of a patient with functional incontinence. Which observation indicates that teaching about the disorder has been effective? Patient is wearing sweat pants A patient shares a long-standing problem of urinary incontinence with the nurse. Which intervention does the nurse recognize as taking priority? Providing caring support to the patient. A home health nurse visits a patient who is 82 years old, uses a cane, and is continent. Which of the following interventions should be included in the plan of care, based on normal age-related changes of the urinary system, to promote patient safety? Provide a nightlight in the bathroom The nurse is caring for a patient with acute kidney injury. Which of the following actions should the nurse take to obtain the most accurate assessment of fluid balance for the patient? Obtain daily weight The nurse is caring for a patient who is to have a urine culture and sensitivity done. Which of the following should be included in patient teaching for collecting a midstream clean-catch urine specimen for culture and sensitivity? Women should keep the labia separated while voiding. The nurse is caring for a patient who has had a pyelogram with intravenous contrast. Which of the following care should the nurse provide? Select all that apply. Encourage fluids Measure urine output A patient is experiencing stress incontinence with frequent involuntary loss of urine. Which of the following directions would be most appropriate when teaching the patient how to perform Kegel exercises? "Empty bladder then tighten the pelvic floor muscles for 8 seconds, then relax 10 seconds." ... Maintain a closed cathetersystem. The nurse is documenting the patient's shift output. What is the patient's total output as recorded during 0700 to 1500? 0800 voided 165 mL 1130 voided 450 mL 1300 emesis 42 mL 1500 voided 255 mL 912 mL The nurse is reviewing the urinalysis of a patient. Which of the following are abnormal findings to report to the health care provider? Select all that apply. Blood 7/hpf White blood cells 11/hpf Nitrites positive pH 9.0 The nurse is to administer an antibiotic and collect a urine for culture and sensitivity. When should the nurse administer the antibiotic? After collecting the urine specimine Which of the following are post-procedure care for renal biopsy? Select all the apply. Monitor vital signs Observe for bleeding Monitor biopsy site Monitor urine output Which of the following defines stress incontinence? Involuntary urine loss from increasing abdominal pressure Which of these are justifiable reasons for urinary catheterization? Select all that apply. Urinary Tract Infection Neurogenic bladder Urinary Incontinence What type of urinary catheter is inserted through an incision in the lower abdomen and into the bladder? Suprapubic catheter