Nokea
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.
You may also like to solve these questions
How long can a urine specimen sit unrefrigerated before it is analyzed?
- A. 30 minutes
- B. 1 hour
- C. 2 hours
- D. 3 hours
Correct Answer: B
Rationale: Urine specimens should be analyzed within 1 hour if unrefrigerated to prevent bacterial growth and degradation.
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.
You are caring for a patient who sustained a spinal cord injury 14 years ago. Two days ago, the health-care provider inserted an indwelling urinary catheter, size 18 Fr, which is to remain in place for several weeks to allow pressure ulcers to heal. The patient has had catheters off and on for many years. You note that urine is leaking around the catheter insertion site and that the patient's meatus is getting red and irritated. Which of the following actions represents the nursing interventions most likely to resolve this situation?
- A. Request medication to calm bladder spasms, which are probably the cause of the leakage.
- B. Obtain an order to remove the current catheter and replace it with a size 22 Fr catheter.
- C. Obtain an order to replace the current catheter with a size 14 Fr catheter.
- D. Obtain an order to remove the current catheter and replace it with a condom catheter.
Correct Answer: C
Rationale: A smaller catheter (14 Fr) may reduce irritation and leakage, as a larger catheter can cause pressure and inflammation at the meatus.
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 three-way catheter is used for continuous bladder irrigation.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: A three-way catheter has an additional lumen for irrigation fluid, used in continuous bladder irrigation.