ATI Urinary Elimination - practice assessment Questions and Answers/ Verified Answers +Rationale

ATI Urinary Elimination - practice assessment Questions and Answers/ Verified Answers +Rationale A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine? a. Pale pink b. Bright yellow c. Bright red d. Dark amber [Ans: - Pale pink The client should expect to pass some small clots and tissue in his urine for few a days, which may give the urine a pale pink color. By 2 to 3 days after surgery, around the time of discharge, his urine should be clear yellow. A nurse is assessing a client who has a urine output of 250 mL in a 24-hr period. Which of the following descriptive terms should the nurse place in the client's electronic record? a. Enuresis- bedwetting (uncontrollable urinating) b. Anuria - difficulty producing urine c. Nocturia - urinating at night d. Oliguria- minimul urine output [Ans: - Oliguria The nurse should document the client has oliguria, which is urine output between 100 mL and 400 mL of urine in 24 hr. A nurse in a clinic is assessing a client who has a new diagnosis of interstitial cystitis. The nurse should expect which of the following? a. Negative urine culture b. Denies urgency c. Denies pain with urination d. Fever [Ans: - Negative urine culture A laboratory finding of a negative urine culture is consistent with a diagnosis of interstitial cystitis since it is a non-infectious process. A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity? a. Omeprazole b. Vancomycin c. Ondansetron d. Diphenhydramine [Ans: - Vancomycin The nurse should identify that vancomycin, an antibiotic, to be associated with nephrotoxic adverse effects. A nurse is preparing to discontinue a client's indwelling urinary catheter. Which of the following actions should the nurse take first? a. Deflate the catheter balloon using a sterile syringe. b. Measure and document the urine in the drainage bag. c. Remove the tape or device securing the catheter to the client's thigh d. Position the client supine. [Ans: - Position the client supine. The first action the nurse should take using the nursing process is to place the client in a supine position. This permits adequate visualization and assessment of the perineal area and promotes client comfort and relaxation.