Nursing Assessment: Urinary System Lewis: Medical-Surgical Nursing in Canada, 4th Canadian Edition LATEST UPDATE 2023|2024 RATED A+

MULTIPLE CHOICE 1. The nurse is reviewing a client’s chart and notes that the client has dysuria. To assess whether there is any improvement, which of the following questions should the nurse ask? a. “Do you have any blood in your urine?” b. “Do you have to urinate very frequently?” c. “Do you have any pain when you urinate?” d. “Do you have to get up at night to urinate?” ANS: C Dysuria is painful urination. The alternate responses are used to assess other urinary tract symptoms: hematuria, nocturia, and frequency. DIF: Cognitive Level: Application TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 2. A client’s urine dipstick indicates a small amount of protein in the urine. Which of the following actions should the nurse take next? a. Check which medications the client is currently taking. b. Obtain a clean-catch urine specimen for culture and sensitivity testing. c. Ask the client about any family history of chronic renal failure. d. Send a urine specimen to the laboratory to test for ketones and glucose. ANS: A 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: Application TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 3. A creatinine clearance test is ordered for a hospitalized client with possible renal insufficiency. Which of the following equipment will the nurse need to obtain? a. Sterile specimen cup b. Large container for urine c. Foley catheter and drainage bag d. Towelettes for perineal cleaning ANS: B Since 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.