NU 216- urinary system Test Questions With Answers

NU 216- urinary system Test Questions With Answers Which medication taken at home by a patient with decreased renal function will be of most concern to the nurse? - ANSWER- ibuprofen (Motrin) The nurse completing a physical assessment for a newly admitted patient is unable to feel either kidney on palpation. Which action should the nurse take? - ANSWERDocument the information on the assessment form. The nurse is assessing the urinary system of an older adult female client. Which of the following findings would be an expected age related change? Select all that apply. A. hematuria B. palpable bladder after urination C. stress incontinence D. hesitancy E. nocturia - ANSWER- B, C, E -Bladder may be palpable after urination due to retention -stress incontinence and nocuria are due to decreased bladder capacity and sensory receptors The nurse is assessing a client who states, "I feel like I am not emptying my bladder completely." Which of the following would be the best action for the nurse to take? A. Percuss for dullness over the area of the symphysis pubis. B. Perform deep palpation one fingerbreadth below the umbilicus. C. Obtain a prescription for a straight catheter to check for retention. D. Place a urine collection container in the toilet to monitor the client's output. - ANSWER- A. -The nurse should percuss for dullness over the area of the symphysis pubis which would indicate that the bladder has at least 150 mL of urine retention. The nurse is developing the plan of care for a client with urge incontinence. Which of the following should the nurse understand when developing the plan of care for this client? A. The client will have involuntary loss of urine without warning or stimulus. B. The client will have the inability to empty the bladder. C. The client will have the inability to stop urine flow long enough to get to the toilet. D. The client will have urine loss with any forceful stimuli. - ANSWER- C. -Urge incontinence is the unpredictable passage of urine soon after a strong urge to void is felt. A client comes to the primary care provider's office with the complaints of urinating all the time, pain on urination, small amounts of urine being passed when voiding, and a foul smell to the urine. A urine specimen has been sent for analysis. Based on the signs and symptoms expressed by the client, which of the following health problems would be anticipated? - ANSWER- UTI A patient is suspected to have a UTI. Which lab tests are appropriate in the diagnosis? - ANSWER- Urinalysis for culture and sensitivity The nurse administers which of the following prescribed medications to a client with recurrent UTIs caused by E. Coli? - ANSWER- Sulfamethoxazole and Trimethaprim (Bactrim DS) The nurse instructs a client with pyelonephritis to drink 2.5 to 3L of fluid per day. The nurse understands the rationale for this self care intervention as: - ANSWER- to prevent the stasis of urine The nurse is presenting a class on urinary tract infections. Which of the following should be included in the presentation? (select all that apply) - ANSWER- -Males and females over the age of 65 of equally prone to UTIs -Women of menopausal age have an increased risk of UTIs -E. Coli is the most common cause of bacterial UTIs The nurse is teaching a client diagnosed with a urinary tract infection. An intervention that needs to be followed by the client includes: - ANSWER- Avoid tight-fitting pants or clothing The nurse is giving a presentation on urinary tract infections(UTI). What should the nurse include in the presentation? - ANSWER- both males and females are equally prone to UTIs after the age of 65 If urine sample is a strange color- red/ orange/ etc.. - ANSWER- Be sure to ask the patient about medications they take The nurse is caring for a client who reports seeing a reddish colored tint in the urine. Which of the following questions would be most appropriate for the nurse to ask? A."Do you take prescribed anticoagulants?" B. "Are you having any pain?" C. "Is there any sediment in your urine?" D. "Are you able to leave a sample of urine?" - ANSWER- A. Rationale: Anticoagulants can cause hematuria, or bleeding in the urine, which may lead to a red color in the urine. Asking about pain and sediment are not the most appropriate responses, and obtaining a sample might be needed after more assessment data is taken. The nurse is assessing a client diagnosed with acute pyelonephritis. Which of the following assessment findings should the nurse expect? A. Post-void dribbling B. Proteinuria C. Costovertebral tenderness D. Oliguria - ANSWER- C. Rationale: Clinical manifestation of acute pyelonephritis is costovertebral tenderness especially during palpation. Proteinuria is present in acute post streptococcal glomerulonephritis. Decreased urinary output (oliguria) is present when there is a blockage and post-void dribbling is present in urinary retentionLewis