Medical-Surgical Nursing In Canada (3rd Edition) Chapter 47 Exam Questions and Answers(A+ Solution guide)

When reading a patient's chart, the nurse notes that the patient has had dysuria. To assess whether there is any improvement, which question will the nurse ask? a. "Do you have any blood in your urine?" b. "Do you have to get up at night to urinate?" c. "Do you have any pain when you urinate?" d. "Do you have to urinate very frequently?" - ANS: C Dysuria is painful urination. REF: page 1278, Table 47-7 When admitting a patient who has a history of paraplegia as a result of a spinal cord injury, the nurse will plan to do which of the following? a. Check the patient for urinary incontinence every 2 hours to maintain skin integrity. b. Assist the patient to the toilet on a scheduled basis to help ensure bladder emptying. c. Use intermittent catheterization on a regular schedule to avoid the risk of infection. d. Ask the patient about the usual urinary pattern and measures used for bladde r control. - ANS: D Before planning any interventions, the nurse should complete the assessment and determine the patient's normal bladder pattern and the usual measures used by the patient at home. REF: page 1275, Table 47-4 A patient's urine dipstick reveals a large amount of protein in the urine. What is the next nursing action? a. Check which medications the patient is currently taking. b. Ask the patient about any family history of chronic renal failure. c. Send a urine specimen to the laboratory to test for ketones and glucose. d. Obtain a clean-catch urine specimen for culture and sensitivity testing. - ANS: A Normally, the urinalysis will show zero to trace amounts of protein, but some medications may give false-positive readings.REF: page 1279, Table 47-8 A creatinine clearance test is ordered for a hospitalized patient with possible renal insufficiency. Which equipment will the nurse need to obtain? a. Foley catheter and drainage bag b. Towelettes for perineal cleaning c. Basin of ice d. Sterile specimen cup - ANS: C