Nokea
A blood test called measures a waste product normally eliminated from the body by the kidneys. Elevated levels may reflect infection or some degree of kidney impairment.
- A. BUN
- B. Creatinine
- C. eGFR
- D. CBC
Correct Answer: B
Rationale: Creatinine is a waste product filtered by the kidneys, and elevated levels in a blood test indicate kidney impairment or infection.
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You are teaching an aide to perform catheter care. Which of the following represents an accurate statement?
- A. Clean the perineum and a few inches of tubing using a perineal wash and a washcloth or gauze in downward strokes away from the body.
- B. Wash the perineum with a soapy washcloth using circular motions.
- C. Wash from the tubing 3 to 4 inches from the insertion site up toward the meatus.
- D. Separate the labia if the patient is female and wash first on one side, then the other, and then down the middle.
Correct Answer: A,D
Rationale: Cleaning downward from the meatus and separating the labia to clean thoroughly prevents infection by moving away from the insertion site.
A tube that remains in the bladder is an , also known as a double lumen catheter or a Foley catheter.
- A. Straight catheter
- B. Indwelling catheter
- C. Condom catheter
- D. Suprapubic catheter
Correct Answer: B
Rationale: An indwelling catheter, such as a Foley catheter, is designed to remain in the bladder for continuous urine drainage.
Which of the following makes catheterization difficult but represents normal anatomy in older women?
- A. The vaginal opening is enlarged.
- B. The urinary meatus is located in the vaginal opening because of atrophy of perineal tissues.
- C. The perineal area becomes very dry.
- D. The clitoris atrophies.
Correct Answer: B
Rationale: Atrophy of perineal tissues in older women can cause the urinary meatus to recede or appear within the vaginal opening, complicating catheterization.
The alkalinity of urine helps kill bacteria.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Acidic urine helps prevent bacterial growth; alkaline urine can promote infections.
You are assigned to care for a patient with an indwelling catheter. A 24-hour urine collection is ordered. How will you keep the urine from deteriorating and affecting the outcome of the test?
- A. Take a labeled specimen from the drainage bag to the laboratory every 3 hours.
- B. Empty the bag every 8 hours and pour the urine into a 24-hour collection container. Keep this container refrigerated.
- C. Keep the drainage bag in a basin containing ice. Empty the drainage bag every 8 hours into the 24-hour collection container, which you are keeping in a refrigerator.
- D. Ask the patient to empty the drainage bag into an iced container whenever it contains more than 100 mL of urine.
Correct Answer: C
Rationale: Keeping the drainage bag in ice and the collection container refrigerated prevents bacterial growth and urine deterioration, ensuring accurate test results.