Nokea
A single tube with holes at the end that is used to empty the bladder of residual urine or to obtain a sterile urine specimen from the bladder is a
- A. Indwelling catheter
- B. Straight catheter
- C. Condom catheter
- D. Suprapubic catheter
Correct Answer: B
Rationale: A straight catheter is inserted temporarily to drain urine or obtain a sterile specimen and is removed after use.
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Your patient has a glomerular filtration rate (GFR) of 45 mL/min over a 3-month period. What does this tell you about her kidney function?
- A. She has chronic kidney disease.
- B. She is in renal failure.
- C. She has a kidney infection.
- D. Nothing; only BUN and creatinine levels can give information about kidney function.
Correct Answer: A
Rationale: A GFR of 45 mL/min over 3 months indicates chronic kidney disease (stage 3), as it reflects persistently reduced kidney function.
A is caused by the presence of pathogens within the urinary tract.
- A. Urinary retention
- B. Urinary tract infection
- C. Kidney stone
- D. Bladder spasm
Correct Answer: B
Rationale: A urinary tract infection (UTI) is caused by pathogens, such as bacteria, within the urinary tract.
Treatment for a UTI includes rest, increased fluid intake, antibiotics, and urinary analgesics.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: This combination addresses infection, symptoms, and promotes recovery.
A straight-tipped catheter is best when catheterizing a patient with an enlarged prostate.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: A coude-tipped catheter is preferred for patients with an enlarged prostate to navigate the urethral curve.
You are teaching bladder retraining to the patient with incontinence. She tries the plan and reports back to you about her progress. 'I tried going to the bathroom every 2 hours like you said, but I just sit there. I'm trying now to just go when I feel the urge, which is about every 3 hours. I'm still having accidents about half the time, which is a big improvement.' Which of the following statements should you make in response to the patient's comment?
- A. That's great. Keep up that pattern. It sounds like it's working.
- B. Waiting until you feel the urge defeats the purpose of a bladder retraining program. It sounds like you haven't really implemented the program. You should go back to trying to void every 2 hours to train your bladder to empty when you want it to.
- C. It sounds like bladder retraining isn't working for you, but that paying greater attention to the urge to go is.
- D. This is good information, but waiting for the urge to go is not going to retrain your bladder. Try toileting yourself every 2½ hours. Do this for several days to a week and then let me know the results.
Correct Answer: D
Rationale: Adjusting the interval to 2½ hours may help the patient adhere to a scheduled voiding program, which is essential for bladder retraining.