Nokea
Number in order the path of urine through the urinary system.
- A. Bladder
- B. Urinary meatus
- C. Kidney
- D. Urethra
- E. Ureter
Correct Answer: C,E,A,D,B
Rationale: Urine is produced in the kidney (1), flows through the ureter (2) to the bladder (3), then through the urethra (4) to the urinary meatus (5).
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One important nursing intervention for patients with suspected renal calculi is to
- A. Obtain timed urine specimens.
- B. Strain the urine.
- C. Assess for hematuria.
- D. Palpate both flanks for tenderness.
Correct Answer: B,C
Rationale: Straining urine detects passed stones, and assessing for hematuria identifies blood in the urine, a common sign of renal calculi.
A frail elderly patient with a hip fracture has to void before surgery. Which of the following is the best way to handle this?
- A. Have the patient use a fracture pan.
- B. Have the patient use a regular bedpan.
- C. Help the patient use the bedside commode.
- D. Catheterize the patient.
Correct Answer: A
Rationale: A fracture pan is designed for patients with mobility limitations, such as a hip fracture, to facilitate voiding with minimal movement.
Urinary sepsis is a potential complication of any UTI because
- A. A continuous membrane lines all the structures of the urinary system.
- B. Bacteria from outside the urinary meatus can spread through the urethra to the bladder, then the ureters, and into the kidneys.
- C. Once a UTI occurs, the immune system is compromised and can no longer fight bacteria entering the blood.
- D. The total volume of a person's blood flows through the kidneys each day to be filtered, and this could allow bacteria to spread to the blood.
Correct Answer: B,D
Rationale: Bacteria can ascend from the urethra to the kidneys, and the kidneys' filtration of blood allows bacteria to enter the bloodstream, leading to sepsis.
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.
What is the minimum acceptable hourly urine output?
- A. 15 mL
- B. 30 mL
- C. 60 mL
- D. 90 mL
Correct Answer: B
Rationale: The minimum acceptable hourly urine output is 30 mL to indicate adequate kidney function.