MEDICAL SURGICAL EXAM 4, 2023/2024 QUIZ & ANS

1. To assess whether there is any improvement in a patient's dysuria, which question will the nurse ask? a."Do you have to urinate at night?" b."Do you have blood in your urine?" c."Do you have to urinate frequently?" d."Do you have pain when you urinate?" D 2. When a patient's urine dipstick test indicates a small amount of protein, the nurse's next action should be to a. send a urine specimen to the laboratory to test for ketones. n a clean-catch urine for culture and sensitivity testing. c. inquire about which medications the patient is currently taking. d. ask the patient about any family history of chronic renal failure C rainpower Read More 3. A hospitalized patient with possible renal insufficiency after coronary artery bypass surgery is scheduled for a creatinine clearance test. Which equipment will the nurse need to obtain? a.Urinary catheter b.Cleaning towelettes c.Large container for urine d.Sterile urine specimen cup C 7. The nurse completing a physical assessment for a newly admitted male patient is unable to feel either kidney on palpation. Which action should the nurse take next? a.Obtain a urine specimen to check for hematuria. b.Document the information on the assessment form. c.Ask the patient about any history of recent sore throat. d.Ask the health care provider about scheduling a renal ultrasound. B 8. How will the nurse assess for flank tenderness in a 30-year-old female patient with suspected pyelonephritis? a.Palpate along both sides of the lumbar vertebral column. b.Strike a flat hand covering the costovertebral angle (CVA). c.Push fingers upward into the two lowest intercostal spaces. d.Percuss between the iliac crest and ribs along the midaxillary line. B 10. The nurse assessing the urinary system of a 45-year-old female would use auscultation to mine kidney position. ify renal artery bruits. for ureteral peristalsis. s for bladder distention B 12. A patient passing bloody urine is scheduled for a cystoscopy with cystogram. Which description of the procedure by the nurse is accurate? a."Your doctor will place a catheter into an artery in your groin and inject a dye that will visualize the blood supply to the kidneys." b."Your doctor will insert a lighted tube into the bladder, and little catheters will be inserted through the tube into your kidney." doctor will insert a lighted tube into the bladder through your urethra, inspect the bladder, and instill a dye that will outline your bladder on x-ray." d."Your doctor will inject a radioactive solution into a vein in your arm and the distribution of the isotope in your kidneys and bladder will be checked." C 13. The nurse caring for a patient after cystoscopy plans that the patient s to request narcotics for pain. stands to expect blood-tinged urine. icts activity to bed rest for a 4 to 6 hours. ns NPO for 8 hours to prevent vomiting. B 14. A patient has elevated blood urea nitrogen (BUN) and serum creatinine levels. Which bowel preparation order would the nurse question for this patient who is scheduled for a renal arteriogram? a.Fleet enema b.Tap-water enema c.Senna/docusate (Senokot-S) d.Bisacodyl (Dulcolax) tablets A 16. The nurse is caring for a 68-year-old hospitalized patient with a decreased glomerular filtration rate who is scheduled for an intravenous pyelogram (IVP). Which action will be included in the plan of care? a.Monitor the urine output after the procedure. b.Assist with monitored anesthesia care (MAC). c.Give oral contrast solution before the procedure. d.Insert a large size urinary catheter before the IVP A 21. Which statement by a patient who had a cystoscopy the previous day should be reported immediately to the health care provider? a."My urine looks pink." b."My IV site is bruised." c."My sleep was restless." d."My temperature is 101." D 23. When working in the urology/nephrology clinic, which patient could the nurse delegate to an experienced licensed practical/vocational nurse (LPN/LVN)? a.Patient who is scheduled for a renal biopsy after a recent kidney transplant b.Patient who will need monitoring for several hours after a renal arteriogram c.Patient who requires teaching about possible post-cystoscopy complications d.Patient who will have catheterization to check for residual urine after voiding D 24. When assessing a patient with a urinary tract infection, indicate on the accompanying figure where the nurse will percuss to assess for possible pyelonephritis. a.1 b.2 c.3 d.4 B The nurse determines that instruction regarding prevention of future urinary tract infections (UTIs) for a patient with cystitis has been effective when the patient states, a. "I can use vaginal sprays to reduce bacteria." b. "I will drink a quart of water or other fluids every day." c. "I will wash with soap and water before sexual intercourse." d. "I will empty my bladder every 3 to 4 hours during the day." D Which information will the nurse include when teaching the patient with a urinary tract infection (UTI) about the use of phenazopyridine (Pyridium)? a. Take the medication for at least 7 days. b. Use sunscreen while taking the Pyridium. c. The urine may turn a reddish-orange color. d. Use the Pyridium before sexual intercourse. C A 72-year-old who has benign prostatic hyperplasia is admitted to the hospital with chills, fever, and vomiting. Which finding by the nurse will be most helpful in determining whether the patient has an upper urinary tract infection (UTI)? a. Suprapubic pain b. Bladder distention c. Foul-smelling urine d. Costovertebral tenderness D After teaching a patient with interstitial cystitis about management of the condition, the nurse determines that further instruction is needed when the patient says, a. "I will have to stop having coffee and orange juice for breakfast." b. "I should start taking a high potency multiple vitamin every morning." c. "I will buy some calcium glycerophosphate (Prelief) at the pharmacy." d. "I should call the doctor about increased bladder pain or odorous urine." B When admitting a patient with acute glomerulonephritis, it is most important that the nurse ask the patient about a. recent sore throat and fever. b. history of high blood pressure. c. frequency of bladder infections. d. family history of kidney stones. A Which finding by the nurse for a patient admitted with glomeruloneph