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20 Cards in this Set
- Front
- Back
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The first 1 to 2 days following surgery the nurse expects the client’s urine output to ________ (increase/decrease) as a result of the adaptation response to surgery.
A. Increase B. Decrease |
B
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A client has had a total knee replacement and was placed on patient-controlled analgesia (PCA), which has been used an average of 4 times per hour. The nurse has assisted the client on and off the bedpan 2 to 3 times an hour for the past 2 hours. Urine output was about 50 ml with each void. The nurse now begins to suspect:
A. Retention overflow B. Urge incontinence C. Fluid overload D. Urinary tract infection (UTI) |
A
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The nurse recognizes that the organism that most frequently causes urinary tract infections in women is:
A. Escherichia coli B. Staphylococcus aureus C. Aspergillus D. Streptococcus |
A
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The nurse is about to insert a urinary catheter into an uncircumcised client. After retracting the foreskin and inserting and securing the catheter, it is essential that the nurse:
A. Clean the urinary meatus with betadine B. Secure the catheter to the client’s leg C. Return the foreskin over the glans penis D. Culture the first urine to drain into the collection bag |
C
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A client is scheduled for an intravenous pyelogram (IVP). Before the test the most important assessment the nurse performs is asking about:
A. Previous experience with an IVP B. Ability to remain still during the procedure C. Family history of a reaction to an IVP D. Allergies to shellfish |
D
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A client has the following fluid documentation for the past 4 hours: intravenous (IV) fluids of 125 ml/hour; urine output of 150 ml; 50 ml of irrigation fluid via nasogastric (NG) tube; 120 ml of NG drainage; and 52 ml of bile from biliary drain. Calculate the client’s fluid status (does not consider insensible loss). _________
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POSITIVE FLUID BALANCE
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female client is having difficulty voiding following childbirth. The nurse implements the following interventions to promote voiding. (Select all that apply.)
A. Offer the client a large glass of cranberry juice. B. Position the client on a fracture bedpan flat in bed. C. Ambulate client to bathroom. D. Turn the water tap on. E. Trickle warm water over the mons pubis. |
C,D,E
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A client reports to the nurse that he wakes up early because of a need to urinate. The nurse recommends that the client avoid the following liquids after 8 PM. (Select all that apply.)
A. Coffee B. Tea C. Cola D. Wine |
A,B,C,D
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The nurse is teaching a group of young (20- to 25-year-old) women how to prevent UTIs. Which of the following foods does the nurse recommend to reduce the incidence of UTIs? (Select all that apply.)
A. Cranberry juice B. Grapefruit juice C. Prunes D. Whole-grain breads |
A,C,D
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A client with multiple sclerosis is being taught how to perform self-catheterization. The nurse includes in the teaching that the client (select all that apply):
A. May use clean technique B. Must use sterile technique C. Should increase fluids D. Use Vaseline to lubricate catheter tip |
A,C
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The normal adult urine output is.
1. 1000 ml/day 2. 1500 to 1600 ml/day 3. 3000 to 3200 ml/day 4. 4000 ml/day |
2. 1500 to 1600 ml/day
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Renal alteration result from factors that cause injury directly to the glomeruli or renal tubule, interferring with their normal filtering, reabsorptive and secretory functions. Selected causes include:
1. Transfusion reactions 2. Dehydration 3. hemorrhage 4. Congestive Heart failure |
1. Transfusion reactions
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Postrenal alterations result from obstruction to the flow of urine in the urinary collecting system caused by
1. dehydration 2. blood clots 3. hemorrhage 4. diabetes mellitus |
2. blood clots
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The most common hospital-acquired (nosocomial) infections are:
1. urethral 2. bladder 3. kidney 4. urinary tract |
4. urinary tract
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Hospital-acquired UTI's are often related to poor hand washing and:
1. urinary drainage bags 2. poor perineal hygiene 3. improper catheter care 4. poor urinary output |
3. improper catheter care
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The urine appears concentrated and cloudy becasue of the presence of white blood cells or:
1. bacteria 2. urinary drainage bags 3. blood clots 4. poor perineal hygiene |
1. bateria
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Some medications change the color of urine Pyridium colors of urine
1. blue 2. bright orange to rust 3. yellow 4. brown |
2. bright orange to rust
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To minimize nocturia, clients should avoid fluids
1. 4 hours before bedtime 2. after lunch 3. 2 hours before bedtime 4. In the late afternoon |
3. 2 hours before bedtime
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Maintaining a Foley Catheter drainage bag in the dependent position prevents
1. urinary reflux 2. urinary retention 3. reflex incontinence 4. urinary incontinence |
1. urinary reflux
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When applying a condom catheter, it is important to secure the catheter in the penile shaft in such a manner that the catheter is:
1. tight and drainage well 2. dependent and draining well 3. secured with adhesive tape applied in a circular patten 4. snug and secure, but does not cause constriction to blood flow |
4. snug and secure, but does not cause constriction to blood flow
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