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Exam (elaborations)

Nur 203 GU Questions and Answers (100% Pass)

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  • Course
  • NUR 203
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  • NUR 203

While performing a physical assessment, the student nurse tells her instructor that she cannot palpate her patient's bladder. Which statement by the instructor is best? a) "Try to palpate again; it takes practice but you will locate it." b) Palpate the patient's bladder only when it is dist...

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  • October 2, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 203
  • NUR 203
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1 | P a g e | © copyright 2024/2025 | Grade A+




Nur 203 GU Questions and Answers
(100% Pass)
While performing a physical assessment, the student nurse tells her instructor

that she cannot palpate her patient's bladder. Which statement by the

instructor is best?


a) "Try to palpate again; it takes practice but you will locate it."


b) Palpate the patient's bladder only when it is distended by urine.


c) "Document this abnormal finding on the patient's chart."


d) "Immediately notify the nurse assigned to the care of your patient."


✓ Answer: B

The bladder is not palpable unless it is distended by urine. It is not difficult to

palpate the bladder when distended. The nurse should document her finding,

but it is not an abnormal finding. It is not necessary to notify the nurse

assigned to the patient.




Which urine specific gravity would be expected in a patient admitted with

dehydration?


a) 1.002


b) 1.010


c) 1.021

Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

d) 1.030


✓ Answer: D

Normal urine specific gravity ranges from 1.010 to 1.025. Specific gravity less

than 1.010 indicates fluid volume excess, such as when the patient has fluid

overload or when the kidneys fail to concentrate urine. Specific gravity

greater 1.025 is a sign of deficient fluid volume that occurs, for example, as a

result of blood loss or dehydraation.




The nurse identifies the nursing diagnosis Urinary Incontinence (Total) is an

older adult patient admitted after a stroke. Urinary Incontinence places the

patient at risk for which complication?


a) Skin Breakdown


b) Urinary Tract Infection


c) Bowel Incontinence


d) Renal Calculi


✓ Answer: A

Urine contains ammonia. which may cause excoriation with prolonged

contact with the skin. Bowel Incontinence, not urinary, increases the patient's

risk for UTI. Immobility and high consumption of calcium-containing foods

increase teh risk for renal calculi.




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

The nurse is caring for a PT who underwent a bowel resection 2 hours ago. His

urine output for the past 2 hours totals 50 mL. Which action should the nurse

take?


a) Do nothing; this is normal postoperative urine output.


b) Increase the infusion rate of the PT's IV fluids.


c) Notify the provider about the PT's oliguria.


d) Administer the PT's routine diuretic dose early.


✓ Answer: C

The amount of 50 mL in 2 hours is not normal output. The kidneys typically

produce 60 mL of urine per hour. Therefore, the nurse should notify the

provider when the patient shows diminished urine output (oliguria). Patients

who undergo abdominal surgery commonly require increased infusions of IV

fluid during the immediate postoperative period. The nurse cannot provide

increased IV fluids without a provider's order. The nurse should not administer

any medications before the scheduled time without a prescription. The

provider may hold the patient's scheduled dose of diuretic if he determines

that the patient is experiencing deficient fluid volume.




The nurse measures the urine output of a PT who requires bedpan to void.

Which action should the nurse take first. Put gloves on and:


a) Have the PT void directly onto the bedpan



Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+

b) Pour the urine into a graduated container


c) Read the volume with the container on a flat surface at eye level


d) Observe the color and clarity of the urine in the bedpan


✓ Answer: A

First, the nurse should put on gloves and have the patient void directly into

the bedpan. Next, she should pour the urine into a graduated container,

place the measuring device on a flat surface, and read the amount at eye

level. She should observe the urine for color, clarity, and odor. Then, if no

specimen is required, she should discard the urine in the toilet and clean the

container and bedpan. Finally, she should record the amount of urine voided

on the patient's intake and output record.




The nurse instructs a woman about providing a clean-catch urine specimen.

Which of the following statements indicates that the patient correctly

understands the procedure?


a) I will be sure to urinate into the 'hat' you placed on the toilet seat


b) I will wipe my genital area from front to back before I collect the specimen

midstream


c) I will need to lie still while you put in a urinary catheter to obtain the

specimen.


d) I will collect my urine each time I urinate for the next 24 hours.


Master01 | September, 2024/2025 | Latest update

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