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Terms in this set (28)
The nurse caring for a severly dehydrated patient who has a Foley catheter in place assesses the patient to confirm adequate urine perfusion by the urine output of _____________mL.
To help reduce a patient's risk of recurrent cystitis, the nurse teaches the patient to:
Wear cotton underwear and avoid nylon or constrictive clothing
The nurse is aware that in the elderly, a urinary infection may cause the patient to:
Become disoriented and confused
To prevent changes in the chemical characteristics of urine, a nurse sends a sample of fresh urine to the laboratory for urinalysis within at least ______________ minutes.
5 to 10
A patient has been ordered to have a 24-hour urine collection as part of a diagnostic workup. The action taken to perform this procedure correctly is to:
Have the patient void at the beginning of the collection and throw it away
A nurse would modify the urine collection technique when a urine sample is needed from an infant by:
Attaching a bag with adhesive backing to the skin surrounding the genitals
The nursed is admitting a patient with suspected urolithiasis. An appropriate nursing intervention in the care of such a patient would be to:
Place a sieve over the commode
When the patient who has an order to be out of bed complains of feeling too weak to walk to the bathroom, the nurse assists the patient with urination elimination by:
Placing a commode at the bedside
A nursing is observing a nursing assistant offering a bedpan to a patient. The nurse will intervene if the nursing assistant:
Keeps the head of the bed flat after placing the bedpan
The nurse can assist a patient who needs to void by cannot begin the urinary stream by:
running water in a nearby sink
An adult male patient who cannot void has an order to have a urinary catheter inserted. Which size catheter would be most appropriate to use?
An elderly male patient needs to have a condom catheter applied. An appropriate technique is to:
Leave 1 to 2 inches between the tip of the penis and the drainage part of the catheter
A patient who underwent prostate surgery is admitted to surgical unit with a catheter that is used to provide continuous irrigation. The nurse recognizes this catheter is a(n):
A nurse is cleansing the perineal area of a female patient who is having a urinary catheter inserted. The nurse should use the last povidone-iodine-soaked cotton ball to cleanse downward over the:
When attempting to catheterize a male patient, there is resistance to catheter insertion. The nurse's initial intervention should be to:
Ask the patient to bear down and hold his breath
A patient has just had a urinary drainage catheter removed. The nurse plans to measure intake and output for this patient for another ________ hours.
6 to 8
A male patient who suffered a spinal cord injury is learning to perform self-urinary catheterization before being discharged to home. The statement made by the patient that indicates more instruction is needed is:
"It is a sterile procedure"
An adult patient has an order to have his urinary catheter irrigated with normal saline. The nurse plans to draw up how much solution into the sterile irrigation syringe?
30 to 40 mL
A nurse irrigating a patient's indwelling urinary catheter should instill normal saline as ordered, and then:
Unclamp the tubing and lower the collecting bag
A nurse is reinforcing instructions about Kegel exercises with female patient. An appropriate instruction is to:
Tighten the pelvic muscles
A nurse is documenting the removal of a urinary drainage catheter from an assigned patient. If the catheter is removed at 9:00AM, the nurse recognizes that the patient is due to void by:
A patient with a history of cystitis had surgery 24 hours ago and is now unable to void. A bladder scan indicates that he has approximately 400mL of retained urine. The nurse anticipates that the least invasive intervention the physician will order would be:
Applying Crede's maneuver to the bladder
A nurse is caring for a patient with prostate enlargement who has an indwelling catheter. As the nurse is attaching a portion of the catheter to patient's abdomen, the patient asks why this is being done. The correct response is:
"Taping the catheter to you abdomen will prevent pulling on the meatus"
A nurse instructing a female patient on obtaining a clean catch urine specimen should stress to:
Catch the middle portion of urine after voiding a small amount into the toilet
A patient is being assessed for a possible urinary tract infection in the outpatient clinic. Before sending a urinalysis specimen to the laboratory, the nurse collects a small amount of urine in order to perform a dipstick test in order to detect:
protein, glucose, leukocytes, ketones
The nurse should provide enough hydration for the patient so that the patient can void at least every ___________ hours
A nurse instructing a patient about how to prevent recurrent cystitis would include:
-Increase fluid intake to 2500 to 3000 mL/day
-Wear cotton underwear
-Wipe the rectal area from front to back after a bowel movement
-Avoid sitting in a wet bathing suit for extended periods
-Empty the bladder every 2 to 3 hours
A patient's urinalysis results are available. Which of the following are considered normal characteristics?
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