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1. Mrs. ralph has been instructed to save her urine for a 24-hour collection starting at 9:0 AM. Which of the ollowing statements indicates that she understands the instructions?
A) "I have to save all my urine in a sterile container."
B) If I miss only one urine specimen, it's okay."
C) "I have to get up at 9:00 AM, urinate, and discard that urine."
D) "To end the test, I urinate at 9:00 AM the next morning and discard that urine. |
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2. A blood study that shows how efficiently the nephrons filter blood is called
A) Creatinine clearance
B) Blood urea nitrogen
C) IVP
D) KUB |
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3. All of the following are types of urinary diversion except a(n)
A) Ileal conduit
B) Neobladder
C) Kock pouch
D) Ileostomy |
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4. Mr. Lane was admitted to your unit with a diagnosis of urinary retention due to an unknown cause. He has an indwelling Foley catheter inserted. Clear yellow urine is noted in the Foley bag. Urine output has bee 120 cc over the last 2 hours. Which of the following nursing actions should be a priority for this client at the present time?
A) Continuing to monitor Mr. Lane's urine output every 2 to 4 hours
B) Notifying the physician because Mr. Lane's urine output is excessive
C) Encouraging the client to drink 3,000 L of fluid because of his low urine output
D) Obtaining a urine sample to send to the lab because Mr. Lane most likely has a urinary tract infection |
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5. Based on Mr. Lane's situation described in Question 4, what is the most appropriate NANDA nursing diagnosis for this client at this time?
A) Urinary retention
B) High risk for infection
C) Fluid volume deficit
D) Stress incontinence |
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6. A client has just been admitted to your unit with a diagnosis of acute pyelonephritis. You would expect the client to have which of the following symptoms?
A) Jaundice, nausea, vomiting
B) Dysuria and voiding in small amounts
C) Polyuria, polydipsia and weight loss
D) Flank pain, chills and nausea |
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7. Mrs. Harrison has urge incontinence. Which of the following methods of treatment would be inappropriate for this disorder?
A) Kegel exercises
B) Decrease oral fluid intake
C) Bladder retraining regimen
D) Biofeedback |
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Mrs. Banister has just undergone lithrotripsy. Nursing care for this client after this procedure would include
A) Notifying the physician if the urine is bloody during thefirst 48 hrs
B) Straining all urine
C) Inserting an indwelling urinary catheter to obtain urine specimens for C&S
D) Assessing for nausea and coffee-ground emesis because these are common post-procedure symptoms |
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9. All of the following are purposes for dialysis except
A) Maintain acid-base balance
B) Instill medications or remove toxins
C) Maintain a constant weight
D) Remove protein wastes |
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10. A nurse is preparing a client for an intravenous pyelogram (IVP). What measure should the nurse employ?
A) Keep the client NPO for at least 4 hours
B) Avoid the use of laxatives before the procedure
C) Provide the client with only a few sips of water if thirsty
D) Determine whether the client is allergic to shellfish |
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11. A nurse is caring for a client receiving peritoneal dialysis following kidney failure. What measure should the nurse employ for this client?
A) Encourage the client to breathe deeply
B) Cool the dialysate solution before use
C) Allow the client to drink water before dialysis
D) Leave the solution in the peritoneum for only 30 minutes |
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