Nokea
An infection in the bladder can spread to the kidneys.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: A bladder infection can ascend through the ureters to the kidneys, causing pyelonephritis.
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Which independent nursing measure would you implement?
- A. Encourage fluid intake
- B. Perform a bladder scan
- C. Administer a diuretic
- D. Insert a new catheter
Correct Answer: B
Rationale: Performing a bladder scan is an independent nursing action to assess for urinary retention in a patient with low voiding volumes.
Bath salts can irritate the urethra, making it more susceptible to infection.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Bath salts can irritate the urethra, increasing susceptibility to infection.
Contraction of which muscle causes the bladder to empty?
- A. Internal urinary sphincter
- B. Detrusor
- C. External urinary sphincter
- D. Peristalsis
Correct Answer: B
Rationale: The detrusor muscle contracts to expel urine from the bladder during voiding.
Which is true of UTIs in children?
- A. They are very common, second only to respiratory infections.
- B. The symptoms are the same as those seen in adults.
- C. They occur more often in boys than in girls.
- D. They may cause a toilet-trained child to have accidents.
- E. They may cause poor feeding, vomiting, and diarrhea.
Correct Answer: A,D,E
Rationale: UTIs are common in children, can cause accidents in toilet-trained children, and may present with nonspecific symptoms like poor feeding, vomiting, and diarrhea.
If a patient had an order to discontinue a catheter the day after surgery, under what circumstances might you consider delaying doing so until you talk with the physician?
- A. If the patient complained of burning or discomfort because of the catheter
- B. If the patient's output is greater than 50 mL/hr
- C. If the patient's output is less than 30 mL/hr
- D. If the patient's urine is dark amber
Correct Answer: C,D
Rationale: Low urine output (<30 mL/hr) or dark amber urine may indicate inadequate kidney function or dehydration, warranting consultation before catheter removal.