NCA Test #5 Questions with Detailed Verified Answers
Urinary Tract Infection - Assessment Ans: ✓ ✓ ✓ Fever
Chills
Dysuria
Hematuria (visible or detected only by urine analysis)
Cloudy, foul-smelling urine
Atypical presentation in elderly: afebrile, absence of dysuria, *loss of appetite, altered mental
status*
prevention of UTIs Ans: ✓ ✓ ✓ Empty bladder before and after sexual intercourse
Empty the bladder about every 3-4 hours during the day
Avoid bubble baths, powders, and sprays in the perineal area
true about glomerulonephritis Ans: ✓ ✓ ✓ Glomerulonephritis may be triggered by illicit drug use
Hypertension may be a symptom of glomerulonephritis
nutritional therapy for the prevention of kidney stones For stones made of [Oxalate] Ans: ✓ ✓ ✓
void dark roughage, nuts, and chocolate
teaching nutritional therapy for the prevention of kidney stones with stones made of [Calcium]
Ans: ✓ ✓ ✓ void foods like milk, cheese, and fish with fine bones
teaching nutritional therapy for the prevention of kidney stones with patients who have a [Purine]
stone Ans: ✓ ✓ ✓ avoid sardines, mussels, venison and meat soups
which assessment findings requires intervention or a patient who is 3 days post op from an ileal
conduit surgery Ans: ✓ ✓ ✓ The urine is bright red
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symptoms would the nurse expect to see in a patient experiencing pyelonephritis Ans: ✓ ✓ ✓
Flank pain,
Nausea and vomiting,
Fever and chills,
Malaise
NOT renal colic
Which statement indicated further teach for a client with recurrent kidney stones who is being
discharged following a lithotripsy Ans: ✓ ✓ ✓ I should increase my calcium intake
The nurse is caring for an 87 year old resident in a nursing home. Which of the following symptoms
require immediate intervention? Ans: ✓ ✓ ✓ loss of appetite and acute altered mental status
site of pain based on where the kidney stone located Ans: ✓ ✓ ✓ ureterovesicle junction
is higher than
calyx or ureteropelvic junction
nursing intervention is most appropriate for managing urinary retention in a patient with benign
prostatic hyperplasia (BPH) Ans: ✓ ✓ ✓ Administer alpha-adrenergic blocker therapy such as
terazosin
statements made by the patient indicates a need for further education about patient with a UTI the
potential adverse effects of nitrofurantoin Ans: ✓ ✓ ✓ I should take a over the counter cough
suppressant if I develop a cough and shortness of breath while taking this medication."
Urine output should be Ans: ✓ ✓ ✓ > 30 mL/hr
should be included in the plan of care for most patients with acute glomerulonephritis Ans: ✓ ✓ ✓
Rest
UTI treatment Ans: ✓ ✓ ✓ Uncomplicated UTI: 3-day course of antibiotics
Complicated UTI: 7-14 days of antibiotics
Asymptomatic UTI: no treatment
First choice abx for uncomplicated UTI
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