NURSING 119-Chapter 44: Assessment of Urinary System Lewis: Medical-Surgical Nursing, 10th Edition

NURSING 119-Chapter 44: Assessment of Urinary System Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. To assess whether there is any improvement in a patient’s dysuria, which question will the nurse ask? a. “Do you have to urinate at night?” b. “Do you have blood in your urine?” c. “Do you have to urinate frequently?” d. “Do you have pain when you urinate?” ANS: D Dysuria is painful urination. The alternate responses are used to assess other urinary tract symptoms: hematuria, nocturia, and frequency. DIF: Cognitive Level: Understand (comprehension) REF: 1025 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 2. When a patient’s urine dipstick test indicates a small amount of protein, the nurse’s next action should be to a. send a urine specimen to the laboratory to test for ketones. b. obtain a clean-catch urine for culture and sensitivity testing. c. inquire about which medications the patient is currently taking. d. ask the patient about any family history of chronic renal failure. ANS: C Normally the urinalysis will show zero to trace amounts of protein, but some medications may give false-positive readings. The other actions by the nurse may be appropriate, but checking for medications that may affect the dipstick accuracy should be done first. DIF: Cognitive Level: Analyze (analysis) REF: 1026 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 3. A hospitalized patient with possible renal insufficiency after coronary artery bypass surgery is scheduled for a creatinine clearance test. Which item will the nurse need to obtain? a. Urinary catheter c. Cleansing towelettes b. Sterile specimen cup d. Large urine container ANS: D Because creatinine clearance testing involves a 24-hour urine specimen, the nurse should obtain a large container for the urine collection. Catheterization, cleaning of the perineum with antiseptic towelettes, and a sterile specimen cup are not needed for this test. DIF: Cognitive Level: Understand (comprehension) REF: 1031 TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity 4. A young adult who is employed as a hairdresser and has a 15 pack-year history of cigarette smoking is scheduled for an annual physical examination. The nurse will plan to teach the patient about the increased risk for a. renal failure. c. pyelonephritis. This study source was downloaded by