NURS 309 Acute Renal 1 Practice Questions and Correct Answers
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Course
NUR 309
Institution
NUR 309
The home health nurse reads in the patient's chart that the patient has asymptomatic bacterial urinary infection (ABUTI). Which intervention will the nurse perform? A. Obtain an order for urinalysis and urine culture for sensitivity B. Check the patient's medication list for appropriate medication ...
NURS 309 Acute Renal 1 Practice
Questions and Correct Answers
The home health nurse reads in the patient's chart that the patient has asymptomatic
bacterial urinary infection (ABUTI). Which intervention will the nurse perform?
A. Obtain an order for urinalysis and urine culture for sensitivity
B. Check the patient's medication list for appropriate medication order
C. Closely monitor for condition that cause progression to acute infection
D. Ask the patient when the ABUTI first started and when it was diagnosed ✅C.
Closely monitor for condition that cause progression to acute infection
Which group has the highest prevalence of urinary tract infections?
A. Postpartum women
B. Older women
C. Older men
D. Adolescent girls ✅B. Older women
Which patient has the highest risk for developing a complicated urinary tract infection?
A. 26-year-old man who is sexually active but inconsistently uses condoms
B. 22-year-old man who has a neurogenic bladder due to spinal cord injury
C. 35-year-old woman who had 3 full-term pregnancies and a miscarriage
D. 53-year-old woman who is having some menstrual irregularities ✅B. 22-year-old
man who has a neurogenic bladder due to spinal cord injury
The nurse is working in a long-term care facility. Which circumstance is cause for
greatest concern, because the facility has a large number of residents who are
developing urinary tract infections?
A. Residents who are not drinking enough fluids with meals
B. Unlicensed personnel are not assisting with toileting in a timely fashion
C. A large percentage of residents have indwelling urinary catheters
D. Many residents have severe dementia and functional incontinence ✅C. A large
percentage of residents have indwelling urinary catheters
The nurse is caring for a patient with an indwelling catheter. What intervention does the
nurse use to minimize catheter-related infections?
A. Assess the patient daily to determine need for catheter
B. Irrigate the catheter daily with sterile solution to remove debris
C. Use sterile technique to open the system to obtain urine samples
D. Apply antiseptic solutions or antibiotic ointments to the perineal area ✅A. Assess
the patient daily to determine need for catheter
Which task related to care of patients who have indwelling catheters can be delegated
to unlicensed assistive personnel?
,A. Wash the perineum daily and frequently empty the drainage bag using a separate,
clean container for each patient
B. Use sterile technique when cleaning urinary catheters or when helping the patients
with genital or rectal hygiene
C. Determine whether use of condom catheters is appropriate for male patients and
apply devices accordingly
D. Keep urine collection bag in a place that is readily visible to the patient so that the
patient is reassured of kidney function ✅A. Wash the perineum daily and frequently
empty the drainage bag using a separate, clean container for each patient
In which patient circumstance would the nurse question the order for the insertion of an
indwelling catheter?
A. Patient is critically ill and at risk for hypovolemic shock
B. Patient has urinary retention with beginnings of hydronephrosis
C. Patient was in a car accident and has a possible spinal cord injury
D. Patient has functional incontinence related to Alzheimer's disease ✅D. Patient has
functional incontinence related to Alzheimer's disease
For a patient who needs an indwelling catheter for at least 2 weeks, which intervention
would help reduce the bacterial colonization along the catheter?
A. Secure the catheter to the female patient's thigh
B. Obtain an order to insert an antiseptic catheter
C. Wash the urine bag and outflow tube everyday
D. Apply antiseptic ointment to the catheter tubing ✅B. Obtain an order to insert an
antiseptic catheter
The nurse hears in report that the patient is being treated for a fungal urinary tract
infection (UTI). In addition to performing routine care and assessments, the nurse is
extra-vigilant for signs/symptoms of which systemic disorder that may underlie the
fungal UTI?
A. Chronic cardiac disease
B. Immune system compromise
C. Chronic skin conditions
D. Connective tissue disorder ✅B. Immune system compromise
The nurse is caring for a patient who has an indwelling catheter and subsequently
developed a urinary tract infection. The patient has been receiving antibiotics for several
days but develops hypotension, a rapid pulse, and confusion. The nurse suspects
urosepsis and alerts the health care provider. Which diagnostic test is the provider most
likely to order to confirm sepsis?
A. Culture of urinary meatus
B. Culture of the catheter tip
C. Blood cultures
D. Repeat urinalysis ✅C. Blood cultures
, The nurse is teaching a woman how to prevent urinary tract infections. What information
does the nurse include?
A. Clean the perineal area from front to back
B. Douche before and after sexual intercourse
C. Take oral estrogen to decrease vaginal dryness
D. Avoid urinary stasis by urinating every 6 to 8 hours ✅A. Clean the perineal area
from front to back
The nurse is teaching a man about how to prevent urinary tract infections? What
information does the nurse include?
A. "Drink adequate fluid before and after intercourse"
B. "Empty your bladder before and after intercourse"
C. "Make sure that spermicides are used with condoms"
D. "Gently wash the genital area before intercourse" ✅D. "Gently wash the genital area
before intercourse"
Patients who have central nervous system lesions from stroke, multiple sclerosis, or
parasacral spinal cord lesions may develop which type of urinary incontinence?
A. Detrusor hyperreflexia
B. Mixed
C. Stress
D. Functional ✅A. Detrusor hyperreflexia
A patient reports intense urgency, frequency, and bladder pain. Urinalysis results show
now white blood cells and no red blood cells and urine culture results are negative for
infection. How does the nurse interpret these findings?
A. These findings are associated with a diagnosis of interstitial cystitis
B. Patient could have urethritis due to sexually transmitted disease
C. Signs and symptoms suggest kidney stones; pain is likely to intensify
D. Findings suggest bacterial cystitis that is partially treated by antibiotics ✅A. These
findings are associated with a diagnosis of interstitial cystitis
The nurse sees that the patient was recently started on oxybutynin. Which question is
the nurse most likely to ask to evaluate whether or not the medication is having the
desired effect?
A. "Are you still losing small amounts of urine during your daily jogging activity?"
B. "Have you had any episodes of flank pain or difficult passing your urine?"
C. "Have you had any problems with fever or noticed any burnigning when you urinate?"
D. "Are you still having a sudden strong urge to void and leaking large amounts of
urine?" ✅D. "Are you still having a sudden strong urge to void and leaking large
amounts of urine?"
A young female patient reports burning with urination. What question does the nurse
ask to differentiate between a vaginal infection and a urinary infection?
A. "Have you noticed any blood in the urine?"
B. "Have you recently had sexual intercourse?"
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