1
MEDICINE UROLOGY MED SURG III
FINAL EXAM STUDY EXAM
B A 79 year old patient has been admitted with BPH.
The patient's age and What is most appropriate to include in the nursing
diagnosis indicate a plan of care
likelihood of nocturia, so a. Limit fluid intake to no more than 1000 ml/day
b. Leave a light on in the bathroom during the night
leaving the light on in
c. Ask the patient to use a urinal so that urine can be measured
the bathroom is
d. Pad the patients bed to accommodate overflow
appropriate. Fluids should
incontinence
be encouraged because
dehydration is more
common in older patients.
The information
in the question does not
indicate that
measurement of the
patient's output is
necessary or that the
patient has overflow
incontinence.
,2
B A female patient with a suspected UTI is to provide a
This answer describes clean catch urine specimen for culture and sensitivity
the technique for testing. To obtain the specimen, the nurse will:
obtaining a clean- catch a. Have the patient empty the bladder completely,
specimen. The answer then obtain the next urine specimen that the
beginning, "insert a short, patient is able to void
small, 'mini' catheter b. Teach the patient to clean the urethral area, void a small
attached to a collecting amount into the toilet, and then void into a sterile specimen
cup
container" describes a
c. Insert a short sterile mini catheter attached to a
technique that would
collecting container into the urethra and bladder to
result in a sterile
obtain the specimen
specimen, but a health
d. Clean the area around the meatus with a
care provider's order
povidine-iodine (betadine) swab and then have
for a
the patient void into a sterile container
catheterized specimen
would be required.
Using Betadine before
obtaining the specimen
is not necessary, and
might result in
suppressing the growth of
some bacteria. The
technique described in
the answer beginning
"have the patient empty
the bladder completely"
would not result in a
sterile specimen.
,3
D Which statement made by a patient who had a
The patient's elevated cystoscopy the previous day should be reported
temperature may indicate a immediately to the HCP?
bladder infection, a possible a. My urine looks pink
complication of cystoscopy. b. My IV site is bruised
c. My sleep was restless
The health care provider
d. My temperature is 101
should be notified so that
antibiotic
therapy can be started.
Pink- tinged urine is
expected after a
cystoscopy. The
insomnia and bruising
should be discussed
further with the patient but
do
not indicate a need to notify
the health care provider.
B To determine possible causes, the nurse will ask a
Acute patient admitted with acute glomerulonephritis
glomerulonephritis about:
frequently occurs a. Recent bladder infection
b. History of kidney stones
after a
c. Recent sore throat and fever
streptococcal infection
d. History of high blood pres
such as strep throat. It is
not caused by kidney
stones, hypertension, or
urinary tract infection
(UTI).
, 4
C The nurse will anticipate teaching a patient with
Flank pain in a patient with nephrotic syndrome who develops flank pain about
nephrotic syndrome treatment with:
suggests a renal vein a. Antibiotics
thrombosis, and b. Antifungals
c. Anticoagulants
anticoagulation is
d. Antihypertensive
needed. Antibiotics are
used to treat a patient
with flank pain caused by
pyelonephritis. Fungal
pyelonephritis is
uncommon and is treated
with antifungals.
Antihypertensives are used
if the patient has high
blood pressure
B The nurse will plan to teach a 27 year old woman who
Cigarette smoking is a risk smokes two packs a day about the risk for:
factor for bladder cancer. a. Kidney stones
b. Bladder cancer
The patient's risk for
c. Bladder infection
developing interstitial
d. Interstitial cystitis
cystitis, urinary tract
infection (UTI), or kidney
stones will not be
reduced by quitting
smoking.
MEDICINE UROLOGY MED SURG III
FINAL EXAM STUDY EXAM
B A 79 year old patient has been admitted with BPH.
The patient's age and What is most appropriate to include in the nursing
diagnosis indicate a plan of care
likelihood of nocturia, so a. Limit fluid intake to no more than 1000 ml/day
b. Leave a light on in the bathroom during the night
leaving the light on in
c. Ask the patient to use a urinal so that urine can be measured
the bathroom is
d. Pad the patients bed to accommodate overflow
appropriate. Fluids should
incontinence
be encouraged because
dehydration is more
common in older patients.
The information
in the question does not
indicate that
measurement of the
patient's output is
necessary or that the
patient has overflow
incontinence.
,2
B A female patient with a suspected UTI is to provide a
This answer describes clean catch urine specimen for culture and sensitivity
the technique for testing. To obtain the specimen, the nurse will:
obtaining a clean- catch a. Have the patient empty the bladder completely,
specimen. The answer then obtain the next urine specimen that the
beginning, "insert a short, patient is able to void
small, 'mini' catheter b. Teach the patient to clean the urethral area, void a small
attached to a collecting amount into the toilet, and then void into a sterile specimen
cup
container" describes a
c. Insert a short sterile mini catheter attached to a
technique that would
collecting container into the urethra and bladder to
result in a sterile
obtain the specimen
specimen, but a health
d. Clean the area around the meatus with a
care provider's order
povidine-iodine (betadine) swab and then have
for a
the patient void into a sterile container
catheterized specimen
would be required.
Using Betadine before
obtaining the specimen
is not necessary, and
might result in
suppressing the growth of
some bacteria. The
technique described in
the answer beginning
"have the patient empty
the bladder completely"
would not result in a
sterile specimen.
,3
D Which statement made by a patient who had a
The patient's elevated cystoscopy the previous day should be reported
temperature may indicate a immediately to the HCP?
bladder infection, a possible a. My urine looks pink
complication of cystoscopy. b. My IV site is bruised
c. My sleep was restless
The health care provider
d. My temperature is 101
should be notified so that
antibiotic
therapy can be started.
Pink- tinged urine is
expected after a
cystoscopy. The
insomnia and bruising
should be discussed
further with the patient but
do
not indicate a need to notify
the health care provider.
B To determine possible causes, the nurse will ask a
Acute patient admitted with acute glomerulonephritis
glomerulonephritis about:
frequently occurs a. Recent bladder infection
b. History of kidney stones
after a
c. Recent sore throat and fever
streptococcal infection
d. History of high blood pres
such as strep throat. It is
not caused by kidney
stones, hypertension, or
urinary tract infection
(UTI).
, 4
C The nurse will anticipate teaching a patient with
Flank pain in a patient with nephrotic syndrome who develops flank pain about
nephrotic syndrome treatment with:
suggests a renal vein a. Antibiotics
thrombosis, and b. Antifungals
c. Anticoagulants
anticoagulation is
d. Antihypertensive
needed. Antibiotics are
used to treat a patient
with flank pain caused by
pyelonephritis. Fungal
pyelonephritis is
uncommon and is treated
with antifungals.
Antihypertensives are used
if the patient has high
blood pressure
B The nurse will plan to teach a 27 year old woman who
Cigarette smoking is a risk smokes two packs a day about the risk for:
factor for bladder cancer. a. Kidney stones
b. Bladder cancer
The patient's risk for
c. Bladder infection
developing interstitial
d. Interstitial cystitis
cystitis, urinary tract
infection (UTI), or kidney
stones will not be
reduced by quitting
smoking.
