Adult Health III
A 79-yr-old patient has been admitted b. Leave a light on in the bathroom during the night.
with benign prostatic hyperplasia. What
is most appropriate to include in the The patient's age and diagnosis indicate a liklihood of nocturia, so leaving a
nursing plan of care? on in the bathroom is appropriate. Fluids should be encouraged because
dehydration is more common in older patients. the information in the quest
a. Limit fluid intake to no more than 1000 does not indicate that measurement of the patient's output is necessary or
mL/day. the patient has overflow incontinence.
b. Leave a light on in the bathroom
during the night.
c. Ask the patient to use a urinal so that
urine can be measured.
d. Pad the patient's bed to
accommodate overflow incontinence.
, Adult Health III
A female patient with a suspected b. Teach the patient to clean the urethral area, void a small amount into the
urinary tract infection (UTI) is to provide and then void into a sterile specimen cup.
a clean-catch urine specimen for culture
and sensitivity testing. To obtain the This answer describes the technique for obtaining a clean-catch specimen.
speciment, the nurse will answer beginning, "insert a short, small "mini" catheter attached to a collect
container" describes a technique that would result in a sterile specimen, bu
a. Have the patient empty the bladder health care provider's order for a catheterized specimen would be required
completely; obtain the next urine Using Betadine before obtaining the specimen is not necessary and might r
specimen that the patient is able to void. in suppressing the growth of some bacteria. The technique described in the
b. Teach the patient to clean the urethral answer beginning "have the patient empty the bladder completely" would n
area, void a small amount into the toilet, result in a sterile specimen.
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.
, Adult Health III
Which statement by a patient who had a d. "My temperature is 101."
cytoscopy the previous day should be
reported immediately to the health care The patient's elevated temperature may indicate a bladder infection, a poss
provider? complication of cytoscopy. The health care provider should be notified so
antibiotic therapy can be started. Pink-tinged urine is expected after a
a. "My urine looks pink." cytoscopy. The insomnia and bruising should be discussed further with the
b. "My IV site is bruised." patient but do not indicate a need to notify the health care provider.
c. "My sleep was restless."
d. "My temperature is 101."
To determine possible causes, the nurse c. recent sore throat and fever.
will ask a patient admitted with acute
glomerulonephritis about Acute glomerulonephritis frequently occurs after a streptococcal infection
as strep throat.
a. a recent bladder infection.
b. history of kidney stones.
c. recent sore throat and fever.
d. antihypertensives.
, Adult Health III
The nurse will anticipate teaching a c. anticoagulants
patient with nephrotic syndrome who
develops flank pain about treatment with Flank pain in a patient with nephrotic syndrome suggests a renal vein throm
and anticoagulation is needed. Antibiotics are used to treat a patient with fl
a. antibiotics pain caused by pyelonephritis. Fungal pyelonephritis is uncommon and is
b. antifungals treated with antifungals. Antihypertensives are used if the patient has high b
c. anticoagulants pressure.
d. antihypertensives
The nurse will plan to teach a 27-yr-old b. bladder cancer
woman who smokes two packs of
cigarettes daily about the increased risk Cigarette smoking is a risk factor for bladder cancer. The patient's risk for
for developing interstitial cystitis, urinary tract infection, or kidney stones will n
reduced by quitting smoking.
a. kidney stones
b. bladder cancer
c. bladder infection
d. interstitial cystitis
A 79-yr-old patient has been admitted b. Leave a light on in the bathroom during the night.
with benign prostatic hyperplasia. What
is most appropriate to include in the The patient's age and diagnosis indicate a liklihood of nocturia, so leaving a
nursing plan of care? on in the bathroom is appropriate. Fluids should be encouraged because
dehydration is more common in older patients. the information in the quest
a. Limit fluid intake to no more than 1000 does not indicate that measurement of the patient's output is necessary or
mL/day. the patient has overflow incontinence.
b. Leave a light on in the bathroom
during the night.
c. Ask the patient to use a urinal so that
urine can be measured.
d. Pad the patient's bed to
accommodate overflow incontinence.
, Adult Health III
A female patient with a suspected b. Teach the patient to clean the urethral area, void a small amount into the
urinary tract infection (UTI) is to provide and then void into a sterile specimen cup.
a clean-catch urine specimen for culture
and sensitivity testing. To obtain the This answer describes the technique for obtaining a clean-catch specimen.
speciment, the nurse will answer beginning, "insert a short, small "mini" catheter attached to a collect
container" describes a technique that would result in a sterile specimen, bu
a. Have the patient empty the bladder health care provider's order for a catheterized specimen would be required
completely; obtain the next urine Using Betadine before obtaining the specimen is not necessary and might r
specimen that the patient is able to void. in suppressing the growth of some bacteria. The technique described in the
b. Teach the patient to clean the urethral answer beginning "have the patient empty the bladder completely" would n
area, void a small amount into the toilet, result in a sterile specimen.
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.
, Adult Health III
Which statement by a patient who had a d. "My temperature is 101."
cytoscopy the previous day should be
reported immediately to the health care The patient's elevated temperature may indicate a bladder infection, a poss
provider? complication of cytoscopy. The health care provider should be notified so
antibiotic therapy can be started. Pink-tinged urine is expected after a
a. "My urine looks pink." cytoscopy. The insomnia and bruising should be discussed further with the
b. "My IV site is bruised." patient but do not indicate a need to notify the health care provider.
c. "My sleep was restless."
d. "My temperature is 101."
To determine possible causes, the nurse c. recent sore throat and fever.
will ask a patient admitted with acute
glomerulonephritis about Acute glomerulonephritis frequently occurs after a streptococcal infection
as strep throat.
a. a recent bladder infection.
b. history of kidney stones.
c. recent sore throat and fever.
d. antihypertensives.
, Adult Health III
The nurse will anticipate teaching a c. anticoagulants
patient with nephrotic syndrome who
develops flank pain about treatment with Flank pain in a patient with nephrotic syndrome suggests a renal vein throm
and anticoagulation is needed. Antibiotics are used to treat a patient with fl
a. antibiotics pain caused by pyelonephritis. Fungal pyelonephritis is uncommon and is
b. antifungals treated with antifungals. Antihypertensives are used if the patient has high b
c. anticoagulants pressure.
d. antihypertensives
The nurse will plan to teach a 27-yr-old b. bladder cancer
woman who smokes two packs of
cigarettes daily about the increased risk Cigarette smoking is a risk factor for bladder cancer. The patient's risk for
for developing interstitial cystitis, urinary tract infection, or kidney stones will n
reduced by quitting smoking.
a. kidney stones
b. bladder cancer
c. bladder infection
d. interstitial cystitis
