Fundamentals Chapter 46 Urinary Elimination Questions And Answers!!

A nurse is teaching a patient about the urinary system. In which order will the nurse present the structures, following the flow of urine? a. Kidney, urethra, bladder, ureters b. Kidney, ureters, bladder, urethra c. Bladder, kidney, ureters, urethra d. Bladder, kidney, urethra, ureters - ANS: B The flow of urine follows these structures: kidney, ureters, bladder, and urethra. DIF:Understand (comprehension)REF: OBJ: Explain the function and role of urinary system structures in urine formation and elimination. TOP: Teaching/Learning MSC: Health Promotion and Maintenance A nurse is reviewing urinary laboratory results. Which finding will cause the nurse to follow up? a. Protein level of 2 mg/100 mL b. Urine output of 80 mL/hr c. Specific gravity of 1.036 d. pH of 6.4 - ANS: C Dehydration, reduced renal blood flow, and increase in antidiuretic hormone secretion elevate specific gravity. Normal specific gravity is 1.0053 to 1.030. An output of 30 mL/hr or less for 2 or more hours would be cause for concern; 80 mL/hr is normal. The normal pH of urine is between 4.6 and 8.0. Protein up to 8 mg/100 mL is acceptable; however, values in excess of this could indicate renal disease. DIF:Apply (application)REF:1113 OBJ: Describe nursing implications of common diagnostic tests of the urinary system. TOP: Implementation MSC: Reduction of Risk Potential A patient is experiencing oliguria. Which action should the nurse perform first? a. Assess for bladder distention. b. Request an order for diuretics.c. Increase the patient's intravenous fluid rate. d. Encourage the patient to drink caffeinated beverages. - ANS: A