PNVN 1631 UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS
COMPREHENSIVE STUDY GUIDE
●● Which group was established in 1950 as a voluntary, nonprofit
organization dedicated to preventing kidney and urinary tract disease?
Answer: The National Kidney Foundation-improving the health and well
being of individuals and families affected by these diseases, and
increasing the availability of organs for transplantation.
●● A post TURP patient complains of spasm and pain. What should you
check or consider?
Answer: -Check catheter drainage tubes frequently for kinks that would
cause bladder spasms.
-Advise the patient not to try and void around the catheter because this
contributes to bladder spams.
-Belladonna and. Opus rectal suppositories are helpful to relieve bladder
spasms but are. Not used in the retro-pubic approach because rectal
stimulation is contraindicated.
-Instruct him to void with the first urge to prevent increased bladder
pressure against the operative site.
Adult health Pg. 467
,●● Why does a patient with nephrosis need bed rest? Positioning helps
with what?
Answer: Maintaining bed rest in the presence of edema (recumbent
position may initiate diuresis (excessive urine)) and assessing electrolyte
imbalance and assessing skin integrity.
Adult health Pg. 471
●● A patient with cancer who has an ostomy is recovering from a
cystectomy. What should you check check to consider?
Answer: Cystectomy-surgical removal of the bladder.
Things to consider...
-ProMotion of urinary drainage via ideal conduit
-I&Os
-30mL of urinary output every hr
-Assess skin integrity around stoma
-Irrigate the ileal diversion catheter with 30 to 60 mL of normal saline
every 4 hours or as ordered
Adult health Pg. 481
●● What can a patient expect post-op with a TURP? Drainage?
Appliances?
Answer: -Hematuria
-Initially, he may experience frequency, voiding small amounts with
some dribbling
, Adult health Pg. 467
●● How long does a catheter stay in after a TURP? What happens after
catheter is removed?
Answer: Typically the catheter gets removed after 24-48 hrs.
The patient may have some incontinence issues for a couple of days.
Adult health Pg. 467
●● What is nephrotic syndrome?
Answer: Alterations in the glomerular membrane allow proteins,
especially albumin, to pass into the urine, resulting in decreased serum
osmotic pressure.
Adult Health Pg. 471
●● What dietary changes are required for nephrotic syndrome?
Answer: -Protein replacement using foods that provide high biological
value (meat, fish, poultry, cheese, eggs)
-Restriction of sodium to decrease edema
Adult health Pg. 471
●● What body image changes might be expected after urinary diversion
surgery?
Answer: Self esteem
AND CORRECT ANSWERS
COMPREHENSIVE STUDY GUIDE
●● Which group was established in 1950 as a voluntary, nonprofit
organization dedicated to preventing kidney and urinary tract disease?
Answer: The National Kidney Foundation-improving the health and well
being of individuals and families affected by these diseases, and
increasing the availability of organs for transplantation.
●● A post TURP patient complains of spasm and pain. What should you
check or consider?
Answer: -Check catheter drainage tubes frequently for kinks that would
cause bladder spasms.
-Advise the patient not to try and void around the catheter because this
contributes to bladder spams.
-Belladonna and. Opus rectal suppositories are helpful to relieve bladder
spasms but are. Not used in the retro-pubic approach because rectal
stimulation is contraindicated.
-Instruct him to void with the first urge to prevent increased bladder
pressure against the operative site.
Adult health Pg. 467
,●● Why does a patient with nephrosis need bed rest? Positioning helps
with what?
Answer: Maintaining bed rest in the presence of edema (recumbent
position may initiate diuresis (excessive urine)) and assessing electrolyte
imbalance and assessing skin integrity.
Adult health Pg. 471
●● A patient with cancer who has an ostomy is recovering from a
cystectomy. What should you check check to consider?
Answer: Cystectomy-surgical removal of the bladder.
Things to consider...
-ProMotion of urinary drainage via ideal conduit
-I&Os
-30mL of urinary output every hr
-Assess skin integrity around stoma
-Irrigate the ileal diversion catheter with 30 to 60 mL of normal saline
every 4 hours or as ordered
Adult health Pg. 481
●● What can a patient expect post-op with a TURP? Drainage?
Appliances?
Answer: -Hematuria
-Initially, he may experience frequency, voiding small amounts with
some dribbling
, Adult health Pg. 467
●● How long does a catheter stay in after a TURP? What happens after
catheter is removed?
Answer: Typically the catheter gets removed after 24-48 hrs.
The patient may have some incontinence issues for a couple of days.
Adult health Pg. 467
●● What is nephrotic syndrome?
Answer: Alterations in the glomerular membrane allow proteins,
especially albumin, to pass into the urine, resulting in decreased serum
osmotic pressure.
Adult Health Pg. 471
●● What dietary changes are required for nephrotic syndrome?
Answer: -Protein replacement using foods that provide high biological
value (meat, fish, poultry, cheese, eggs)
-Restriction of sodium to decrease edema
Adult health Pg. 471
●● What body image changes might be expected after urinary diversion
surgery?
Answer: Self esteem
