NCHP Final Exam Questions with Correct
Answers
Assessment of Urine
- Pattern of urination and signs and symptoms, onset, and duration, predisposing factors
- physical examination
- health literacy
- intake and output
intake
oral, NG. GT feeding, IV Fluids, IV flushes, TPN, LIPIDS, blood transfusion
output
urine, stool, vomit, blood loss, drainage (NG, Wound, Ostomy)
urgency
full bladder
irritation or inflammation
psychological stress
dysuria
bladder inflammation
trauma
inflammation of the urethral sphincter
frequency
,- more often than q2h
- increased fluid intake
- bladder inflammation
- increased pressure on the bladder
hesitency
- prostate enlargement
-anxiety
-urethral edema
polyuria
- >2.5 or 3L adult
- excess fluid intake
- diabetes mellitus
- diuretic therapy
oliguria
<500ml/24hr
- dehydration
- renal failure
- UTI
- increased ADH
- CHF
nocturia
,- excess intake at night
-renal disease
-aging process
- prostate enlargement
dribbling
- stress incontinence
- retention with overflow
Incontinence
- unstable urethra
- loss of pelvic muscle tone
- estrogen depletion
- fecal impaction
- neurological impairment
Hematuria
- neoplasms of the kidneys or bladder
- infection of the kidney or bladder
- calculi
- glomerular disease
- trauma to urinary structures
- bleeding disorders
, retention
- urethral obstruction
- decreased sensory activity
- prostate enlargement
- medication side effects
- bladder inflammation
- neurogenic bladder
- postanesthesia
residual urine
- neurogenic bladder
-trauma
-inflammation or irritation of the bladder mucosa
- prostate enlargement
-inflammation of the urethra
Kidneys
-Percussion for kidney tenderness
-cva tenderness
- palpation renal artery bruit (turbulent blood flow from narrow artery)
Bladder assessment
Answers
Assessment of Urine
- Pattern of urination and signs and symptoms, onset, and duration, predisposing factors
- physical examination
- health literacy
- intake and output
intake
oral, NG. GT feeding, IV Fluids, IV flushes, TPN, LIPIDS, blood transfusion
output
urine, stool, vomit, blood loss, drainage (NG, Wound, Ostomy)
urgency
full bladder
irritation or inflammation
psychological stress
dysuria
bladder inflammation
trauma
inflammation of the urethral sphincter
frequency
,- more often than q2h
- increased fluid intake
- bladder inflammation
- increased pressure on the bladder
hesitency
- prostate enlargement
-anxiety
-urethral edema
polyuria
- >2.5 or 3L adult
- excess fluid intake
- diabetes mellitus
- diuretic therapy
oliguria
<500ml/24hr
- dehydration
- renal failure
- UTI
- increased ADH
- CHF
nocturia
,- excess intake at night
-renal disease
-aging process
- prostate enlargement
dribbling
- stress incontinence
- retention with overflow
Incontinence
- unstable urethra
- loss of pelvic muscle tone
- estrogen depletion
- fecal impaction
- neurological impairment
Hematuria
- neoplasms of the kidneys or bladder
- infection of the kidney or bladder
- calculi
- glomerular disease
- trauma to urinary structures
- bleeding disorders
, retention
- urethral obstruction
- decreased sensory activity
- prostate enlargement
- medication side effects
- bladder inflammation
- neurogenic bladder
- postanesthesia
residual urine
- neurogenic bladder
-trauma
-inflammation or irritation of the bladder mucosa
- prostate enlargement
-inflammation of the urethra
Kidneys
-Percussion for kidney tenderness
-cva tenderness
- palpation renal artery bruit (turbulent blood flow from narrow artery)
Bladder assessment
