NR 325 Exam 1 Chamberlain
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NR 325 Exam 1 Chamberlain
A female patient with a suspected urinary tract infection (UTI) is to provide a
clean-catch urine specimen for culture and sensitivity testing. To obtain the
specimen, the nurse will
a. have the patient empty the bladder completely, then obtain the next urine
specimen that the patient is able to void.
b. teach the patient to clean the urethral area, void a small amount into the
toilet, and then void into a sterile specimen cup.
c. insert a short sterile "mini" catheter attached to a collecting container into
the urethra and bladder to obtain the specimen.
d. clean the area around the meatus with a povidone-iodine (Betadine) swab,
and then have the patient void into a sterile container.
ANS: B
This answer describes the technique for obtaining a clean-catch specimen.clean the
area around the meatus with a povidone-iodine (Betadine) swab, and then have the
patient void into a sterile container
The nurse is caring for a 68-year-old hospitalized patient with a decreased
glomerular filtration rate who is scheduled for an intravenous pyelogram (IVP).
Which action will be included in the plan of care?
a. Monitor the urine output after the procedure.
b. Assist with monitored anesthesia care (MAC).
c. Give oral contrast solution before the procedure.
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d. Insert a large size urinary catheter before the IVP.
ANS: A
Patients with impaired renal function are at risk for decreased renal function after IVP
because the contrast medium used is nephrotoxic, so the nurse should monitor the
patient's urine output.
Which nursing action is essential for a patient immediately after a renal
biopsy?
a. Check blood glucose to assess for hyperglycemia or hypoglycemia.
b. Insert a urinary catheter and test urine for gross or microscopic hematuria.
c. Monitor the blood urea nitrogen (BUN) and creatinine to assess renal
function.
d. Apply a pressure dressing and keep the patient on the affected side for 30
minutes.
ANS: D
A pressure dressing is applied and the patient is kept on the affected side for 30 to
60 minutes to put pressure on the biopsy side and decrease the risk for bleeding.
A male patient in the clinic provides a urine sample that is red-orange in color.
Which action should the nurse take first?
a. Notify the patient's health care provider.
b. Teach correct midstream urine collection.
c. Ask the patient about current medications.
d. Question the patient about urinary tract infection (UTI) risk factors.
ANS: C
A red-orange color in the urine is normal with some over-the-counter (OTC)
medications such as phenazopyridine (Pyridium).
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A female patient being admitted with pneumonia has a history of neurogenic
bladder as a result of a spinal cord injury. Which action will the nurse plan to
take first?
a. Ask about the usual urinary pattern and any measures used for bladder
control.
b. Assist the patient to the toilet at scheduled times to help ensure bladder
emptying.
c. Check the patient for urinary incontinence every 2 hours to maintain skin
integrity.
d. Use intermittent catheterization on a regular schedule to avoid the risk of
infection.
ANS: A
Before planning any interventions, the nurse should complete the assessment and
determine the patient's normal bladder pattern and the usual measures used by the
patient at home.
Which information from a patient's urinalysis requires that the nurse notify the
health care provider?
a. pH 6.2
b. Trace protein
c. WBC 20 to 26/hpf
d. Specific gravity 1.021
ANS: C
The increased number of white blood cells (WBCs) indicates the presence of urinary
tract infection or inflammation
Which statement by a patient who had a cystoscopy the previous day should
be reported immediately to the health care provider?
a. "My urine looks pink."
b. "My IV site is bruised."