In addition to collecting all urine passed in a 24-hour period, one of the most important steps in obtaining a 24-hour urine sample is to
- A. Have the patient void, discard this urine, note the time, and then begin collecting.
- B. Begin the collection at 8:00 a.m.
- C. Make sure there is a preservative in the collection bottle.
- D. Keep the sample at room temperature.
Correct Answer: A
Rationale: Discarding the first void and noting the time ensures the 24-hour collection period is accurately timed.
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Overflow incontinence
- A. Incontinence related to inability to get to the bathroom
- B. The brain does not receive a message that the bladder is full
- C. Incontinence related to bladder spasms and contractions
- D. The bladder does not empty because of an obstruction
- E. Incontinence related to weak pelvic floor muscles
- F. Loss of urine with no warning
Correct Answer: D
Rationale: Overflow incontinence occurs when the bladder does not empty fully due to an obstruction, causing leakage.
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.
Fever, chills, malaise, nausea, vomiting, and flank pain mean the infection has most likely spread to the kidneys, causing pyelonephritis.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: These symptoms indicate pyelonephritis, a kidney infection resulting from an untreated or severe UTI.
also known as overactive bladder, is the inability to keep urine in the bladder long enough to get to the restroom.
- A. Urge incontinence
- B. Stress incontinence
- C. Overflow incontinence
- D. Functional incontinence
Correct Answer: A
Rationale: Urge incontinence is characterized by a sudden, intense urge to urinate followed by involuntary loss of urine, often due to an overactive bladder.
You are teaching a home care patient about self-catheterization. You know more teaching is needed when the patient states
- A. I will not need sterile gloves and a new sterile catheter every time I catheterize myself at home.
- B. I will use clean gloves and wash the catheters between uses.
- C. I do not need gloves or any special precautions because I am in my own home.
- D. This is a clean, rather than a sterile, procedure at home.
Correct Answer: C
Rationale: Self-catheterization at home is a clean procedure, but gloves and proper cleaning are necessary to prevent infection; stating no precautions are needed is incorrect.
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