URINARY END OF CHAPTER
QUESTIONS, EVOLVE AND ATI EXAM
WITH COMPLETE ANSWERS
-Red blood cells, 15 to 20
-White blood cells, 1 to 3 - Answer-The nurse is reviewing the urinalysis report on an
assigned patient. The nurse recognizes which findings to be normal?
Puncture site - Answer-The nurse is caring for a pt. who has just had a renal
angiography performed. What is the priority assessment?
Pubococcygeal - Answer-The nursing care plan includes teaching a patient kegel
exercises. The nurse teaches the patient to alternately tighten and relax which group of
muscles?
"Tell me what you know about the treatment" - Answer-The HCP has talked to a patient
and his wife about the treatment plan for his bladder cancer. Later, the patient tells the
nurse he does not understand what the HCP is going to do. What is the most
appropriate initial response by the nurse?
Restricting fluid intake - Answer-Which activity would be most harmful for the
incontinent patient?
Escherichia Coli - Answer-The nurse is reviewing the culture and sensitivity reports for a
patient being treated for pyelonephritis. What pathogen will most likely be identified as
the infecting agent?
An active role in the planning - Answer-Which factor will most likely promote patient
compliance with the prescribed treatment plan?
09:00 - Answer-When scheduling the administration of furosemide, it would be in a
patient's best interest to schedule the medication to be given what time?
-Baked potatoes
-Bananas
-Apricots - Answer-In discussing dietary needs with a patient with ESRD, the nurse
indicates that potassium-rich foods should be limited in the diet. Which selections
should be limited?
-"This medication will result in experiencing reduced bladder discomfort."
-"The urine will have an orange hue as a result of this medication." - Answer-
Phenazopyridine hydrochloride has been prescribed for a patient. What information
should be provided to the patient about this medication?
, Measure the total output and deduct the amount of irrigation solution used. - Answer-
When calculating actual urinary output during continuous bladder irrigations, the nurse
would:
"I'm glad I don't have to stay in bed after the test." - Answer-What statement by a patient
indicates the need for further teaching before renal angiography?
Document the procedure with outcome data. - Answer-The nurse performs a
catheterization immediately after a patient voids and obtains 30 mL of residual urine.
What action by the nurse should be taken next?
Episodes of incontinence decrease - Answer-Which goal would have priority in planning
care of the aging patient with urinary incontinence?
Removal of toxins and metabolic waste - Answer-What is the goal for peritoneal
dialysis?
Use strict surgical asepsis for dressing changes - Answer-The nurse is caring for a
patient during the postoperative period after an arteriovenous shunt has been placed.
What is the most important action to be taken?
Filtration of water and blood products - Answer-What is the primary function of the
kidney?
Normal patterns of urinary elimination - Answer-The priority short-term goal for
disorders of the urinary system is:
Ensure patency - Answer-The nurse making rounds discovers that there is no urine
drainage from a postoperative patient's foley catheter. What action by the nurse should
be performed first?
anuria - Answer-Which problem constitutes a medical emergency?
Diabetes mellitus - Answer-The most common cause of renal failure is:
-BUN levels rise
-Urinary output decreases - Answer-What clinical findings in the oliguric phase of acute
renal failure will be noted?
-Teach the female patient to cleanse the perineal area from anterior to posterior to
prevent rectal E. Coli contamination of the uterus.
-Encourage the patient to drink 2000 mL of fluid per day, unless contraindicated.
-Instruct the patient to void as soon after sexual intercourse as possible. - Answer-What
are correct patient teaching for a patient with cystitis?
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