Renal and Urologic Problems
Which complication in a patient requiring long-term catheterization would the nurse identify as
being most commonly associated with health care facilities? Infection Bladder spasms
Hematuria Stones -correct answer_Infection Which item is important to include when gathering
supplies to insert an indwelling urinary catheter on a patient with acute urinary retention?
Empty 10-mL syringe Irrigation kit Specimen collection cup Sterile gloves -correct
answer_Sterile gloves Which action by the assistive personnel (AP) would the nurse recognize
as appropriate when caring for a patient who had an incontinent bowel movement and has a
urinary catheter? Remove the catheter as it is soiled by stool and can no longer be used.
Teach catheter care to the patient. Provide perineal care with soap and water, avoiding
powders and lotion. Disconnect the catheter to ensure it is fully cleaned with no stool residue.
-correct answer_Provide perineal care with soap and water, avoiding powders and lotion.
Which patient statement demonstrates understanding of what the purpose of the ureteral
catheter is? "The ureteral catheter is used after surgery as a splint to prevent ureter
obstruction from swelling." "This will need to be repeated in 2 months." "There will be a small
incision in my abdomen." "I have to change the catheter every month." -correct answer_"The
ureteral catheter is used after surgery as a splint to prevent ureter obstruction from swelling."
Which order would the nurse anticipate when caring for a patient with a nephrostomy tube that
has stopped draining? Keep the patient on bed rest. Use 5 mL of sterile saline to irrigate. Use
30 mL of water to gently irrigate. Have the patient turn from side to side. -correct answer_Use
5 mL of sterile saline to irrigate. Which education would the nurse include when teaching a
patient about performing intermittent catheterization for acute urinary retention? "This is to
prevent urinary retention; it will not remain in the bladder once the urine is drained." "We are
unable to utilize this type of catheter due to your history of obesity." "This technique must only
be performed sterile, so I need you to lay as still as possible." "This is not something you will
have to do at home as it is only a procedure we can complete in the hospital." -correct
answer_"This is to prevent urinary retention; it will not remain in the bladder once the urine is
drained." Which statement describes the conventional open approach method for a
nephrectomy? An incision will be made on either side in the lower pelvis. The incision may be
anywhere from 8 to 12 inches. There may be extra puncture sites for different access points.
This is a less painful approach than laparoscopic. -correct answer_The incision may be
anywhere from 8 to 12 inches. Which statement made by the nurse would be included in
patient teaching about renal surgery? "If the surgeon ends up making an incision in the flank
area, you may be repositioned to a side-lying position." "No fluids for a full 12 hours." "You
should feel little pain or discomfort in postsurgery." "Measure any urine output up until you
come into surgery." -correct answer_"If the surgeon ends up making an incision in the flank
area, you may be repositioned to a side-lying position." Which nursing action would the nurse
include for a patient who has undergone renal surgery? Keep the catheter tube clamped. Keep
the incision(s) covered until the surgeon assesses them first. Weigh the patient daily on the
, same scale in the same type of clothing. Keep the patient on bedrest. -correct answer_Weigh
the patient daily on the same scale in the same type of clothing. Which term describes the
urinary diversion the nurse would suspect in a patient who is at the clinic to get their external
collection device? Incontinent urinary diversion Continent urinary diversion Orthotopic
neobladder Neurogenic bladder -correct answer_Incontinent urinary diversion Which
statement made by a patient indicates an understanding of education regarding a newly
placed external collection device after incontinent urinary diversion? "I'll never be able to
exercise again because this pouch is going to get in the way." "I know there are resources for
me to learn how to cope with these changes." "The odor that comes with it will have to be dealt
with and cannot be controlled." "I will have to come back to the hospital or visit an outpatient
clinical to get help, supplies, and advice." -correct answer_"I know there are resources for me
to learn how to cope with these changes." Which nursing intervention would the nurse include
when caring for a patient who is postoperative from urinary diversion surgery? Inform the
patient any mucus in the urine must be reported immediately. Advance the patient's diet as
tolerated. Monitor skin for irritation. Avoid irrigating the pouch to decrease the likeliness of skin
irritation. -correct answer_Monitor skin for irritation. Which technique is the best way for the
nurse to prevent the opportunity for a catheter-associated urinary tract infection when inserting
an indwelling catheter? Inserting catheter using a clean technique Maintaining a sterile, closed,
drainage system Performing aspiration for urine culture using large volumes through the
sampling port Using only saline or sterile water when cleaning the irrigation bag -correct
answer_Maintaining a sterile, closed, drainage system Which aspect of care would the nurse
implement when caring for a patient with an indwelling catheter? Perineal care is only being
performed when the patient requests it. The catheter stays at the same level as the patient.
The drainage bag should only be emptied at the end of the shift. The securement device
continues to be properly placed to ensure the catheter is draining properly. -correct
answer_The securement device continues to be properly placed to ensure the catheter is
draining properly. Which information would the nurse keep in mind when caring for a patient
with a chronic catheter? A Coudé-catheter is often used in chronic situations. The patient is
unable to ambulate independently. A double-J catheter is often used. If output decreases,
increase fluid intake. -correct answer_A double-J catheter is often used. Which nursing action
would the nurse perform for a patient who has a chronic suprapubic catheter and is
experiencing poor drainage? Encourage the patient to get out of bed and walk. Milk the tube.
Ensure all the drainage tubing is below the patient's bladder. Irrigate the catheter per nursing
judgment. -correct answer_Milk the tube. Which action would the nurse take while irrigating a
patient's nephrostomy tube? Instill 5 mL at a time. Utilize a clean procedure process. Use tap
water for irrigation. Irrigate as often as needed. -correct answer_Instill 5 mL at a time. Which
action would the nurse include as preoperative care for a patient that will undergo renal
surgery? Measure urine output every one to two hours. Educate the patient their pain will be
minimal postop. Ensure adequate fluid intake and electrolyte balance. Weigh the patient.
-correct answer_Ensure adequate fluid intake and electrolyte balance. Which action would the
Which complication in a patient requiring long-term catheterization would the nurse identify as
being most commonly associated with health care facilities? Infection Bladder spasms
Hematuria Stones -correct answer_Infection Which item is important to include when gathering
supplies to insert an indwelling urinary catheter on a patient with acute urinary retention?
Empty 10-mL syringe Irrigation kit Specimen collection cup Sterile gloves -correct
answer_Sterile gloves Which action by the assistive personnel (AP) would the nurse recognize
as appropriate when caring for a patient who had an incontinent bowel movement and has a
urinary catheter? Remove the catheter as it is soiled by stool and can no longer be used.
Teach catheter care to the patient. Provide perineal care with soap and water, avoiding
powders and lotion. Disconnect the catheter to ensure it is fully cleaned with no stool residue.
-correct answer_Provide perineal care with soap and water, avoiding powders and lotion.
Which patient statement demonstrates understanding of what the purpose of the ureteral
catheter is? "The ureteral catheter is used after surgery as a splint to prevent ureter
obstruction from swelling." "This will need to be repeated in 2 months." "There will be a small
incision in my abdomen." "I have to change the catheter every month." -correct answer_"The
ureteral catheter is used after surgery as a splint to prevent ureter obstruction from swelling."
Which order would the nurse anticipate when caring for a patient with a nephrostomy tube that
has stopped draining? Keep the patient on bed rest. Use 5 mL of sterile saline to irrigate. Use
30 mL of water to gently irrigate. Have the patient turn from side to side. -correct answer_Use
5 mL of sterile saline to irrigate. Which education would the nurse include when teaching a
patient about performing intermittent catheterization for acute urinary retention? "This is to
prevent urinary retention; it will not remain in the bladder once the urine is drained." "We are
unable to utilize this type of catheter due to your history of obesity." "This technique must only
be performed sterile, so I need you to lay as still as possible." "This is not something you will
have to do at home as it is only a procedure we can complete in the hospital." -correct
answer_"This is to prevent urinary retention; it will not remain in the bladder once the urine is
drained." Which statement describes the conventional open approach method for a
nephrectomy? An incision will be made on either side in the lower pelvis. The incision may be
anywhere from 8 to 12 inches. There may be extra puncture sites for different access points.
This is a less painful approach than laparoscopic. -correct answer_The incision may be
anywhere from 8 to 12 inches. Which statement made by the nurse would be included in
patient teaching about renal surgery? "If the surgeon ends up making an incision in the flank
area, you may be repositioned to a side-lying position." "No fluids for a full 12 hours." "You
should feel little pain or discomfort in postsurgery." "Measure any urine output up until you
come into surgery." -correct answer_"If the surgeon ends up making an incision in the flank
area, you may be repositioned to a side-lying position." Which nursing action would the nurse
include for a patient who has undergone renal surgery? Keep the catheter tube clamped. Keep
the incision(s) covered until the surgeon assesses them first. Weigh the patient daily on the
, same scale in the same type of clothing. Keep the patient on bedrest. -correct answer_Weigh
the patient daily on the same scale in the same type of clothing. Which term describes the
urinary diversion the nurse would suspect in a patient who is at the clinic to get their external
collection device? Incontinent urinary diversion Continent urinary diversion Orthotopic
neobladder Neurogenic bladder -correct answer_Incontinent urinary diversion Which
statement made by a patient indicates an understanding of education regarding a newly
placed external collection device after incontinent urinary diversion? "I'll never be able to
exercise again because this pouch is going to get in the way." "I know there are resources for
me to learn how to cope with these changes." "The odor that comes with it will have to be dealt
with and cannot be controlled." "I will have to come back to the hospital or visit an outpatient
clinical to get help, supplies, and advice." -correct answer_"I know there are resources for me
to learn how to cope with these changes." Which nursing intervention would the nurse include
when caring for a patient who is postoperative from urinary diversion surgery? Inform the
patient any mucus in the urine must be reported immediately. Advance the patient's diet as
tolerated. Monitor skin for irritation. Avoid irrigating the pouch to decrease the likeliness of skin
irritation. -correct answer_Monitor skin for irritation. Which technique is the best way for the
nurse to prevent the opportunity for a catheter-associated urinary tract infection when inserting
an indwelling catheter? Inserting catheter using a clean technique Maintaining a sterile, closed,
drainage system Performing aspiration for urine culture using large volumes through the
sampling port Using only saline or sterile water when cleaning the irrigation bag -correct
answer_Maintaining a sterile, closed, drainage system Which aspect of care would the nurse
implement when caring for a patient with an indwelling catheter? Perineal care is only being
performed when the patient requests it. The catheter stays at the same level as the patient.
The drainage bag should only be emptied at the end of the shift. The securement device
continues to be properly placed to ensure the catheter is draining properly. -correct
answer_The securement device continues to be properly placed to ensure the catheter is
draining properly. Which information would the nurse keep in mind when caring for a patient
with a chronic catheter? A Coudé-catheter is often used in chronic situations. The patient is
unable to ambulate independently. A double-J catheter is often used. If output decreases,
increase fluid intake. -correct answer_A double-J catheter is often used. Which nursing action
would the nurse perform for a patient who has a chronic suprapubic catheter and is
experiencing poor drainage? Encourage the patient to get out of bed and walk. Milk the tube.
Ensure all the drainage tubing is below the patient's bladder. Irrigate the catheter per nursing
judgment. -correct answer_Milk the tube. Which action would the nurse take while irrigating a
patient's nephrostomy tube? Instill 5 mL at a time. Utilize a clean procedure process. Use tap
water for irrigation. Irrigate as often as needed. -correct answer_Instill 5 mL at a time. Which
action would the nurse include as preoperative care for a patient that will undergo renal
surgery? Measure urine output every one to two hours. Educate the patient their pain will be
minimal postop. Ensure adequate fluid intake and electrolyte balance. Weigh the patient.
-correct answer_Ensure adequate fluid intake and electrolyte balance. Which action would the
