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The unit manager is evaluating the care of a new nursing staff
member. Which of the following techniques is appropriate for
the nurse to implement to obtain a clean-voided urine
specimen?
Select one:
a. Apply sterile gloves for the procedure.
b. Restrict fluids before the specimen collection.
c. Place the specimen in a clean urinalysis container.
d. Collect the specimen after the initial stream of urine has
passed. - CORRECT ANSWER-Collect the specimen after the initial
stream of urine has passed.
A timed urine specimen collection is ordered. The test will need
to be restarted if which one of the following occurs?
Select one:
a. The client voids in the toilet.
,b. The urine specimen is kept cold.
c. The first voided urine is discarded.
d. The preservative is placed in the collection container. -
CORRECT ANSWER-The client voids in the toilet.
An order is written for the client's indwelling urinary
catheterization to be discontinued. While observing the new
staff nurse providing care to this client and implementing the
prescriber's order, the unit manager determines that further
instruction about catheter removal is required for the new
nurse if he or she does which one of the following?
Select one:
a. Drapes the female client between the thighs
b. Obtains a specimen before removal
c. Cuts the catheter to deflate the balloon
d. Checks the client's output for 24 hours after removal - CORRECT
ANSWER-Cuts the catheter to deflate the balloon
The nurse is working with a client who has a urinary diversion.
Included in the plan of care for this client is which of the
following instructions?
Select one:
a. Special clothing will need to be ordered to fit around the
diversion.
b. A stomal bag will need to be worn only at night.
c. A reduction in physical activity will be planned.
,d. Special skin care is a priority. - CORRECT ANSWER-Special skin
care is a priority.
Immediately after an intravenous pyelogram (IVP), the nurse
should observe the client for which of the following symptoms?
Select one:
a .Infection in the urinary bladder
b. An allergic reaction to the contrast material
c. Urinary suppression caused by injury to kidney tissues
d. Incontinence as a result of paralysis of the urinary sphincter -
CORRECT ANSWER-An allergic reaction to the contrast material
The nurse suspects that the client has a urinary tract infection
(UTI) based on the client exhibiting which of the following early
signs or symptoms?
Select one:
a. Chills
b. Dysuria
c. Flank pain
d. Lower back pain - CORRECT ANSWER-Dysuria
In determining the client's urinary status, which of the
following does the nurse anticipate the urinary output for an
average adult should be?
, Select one:
a. 800 to 1000 mL per day
b. 1000 to 1200 mL per day
c. 1500 to 1600 mL per day
d. 2000 to 2300 mL per day - CORRECT ANSWER-1500 to 1600 mL
per day
Urinary elimination may be altered with different
pathophysiological conditions. For the client with diabetes
mellitus, the nurse anticipates which of the following initial
urinary signs or symptoms?
Select one:
a. Urgency
b. Dysuria
c. Hematuria
d. Polyuria - CORRECT ANSWER-Polyuria
A postpartum client has been unable to void since her delivery
of a baby this morning. Which of the following nursing
measures would be beneficial for the client initially?
Select one:
a. Increase the client's fluid intake to 3500 mL.
b. Insert indwelling Foley catheter.
c. Pour warm water over the client's perineum.