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Symptoms of UTI include dysuria, urinary frequency, urgency, nocturia, low abdominal pain, and incontinence.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: These are common UTI symptoms due to bladder irritation and inflammation.
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Sometimes patients are not aware that they retain urine. If the residual urine volume is less than 300 mL and does not feel uncomfortable to the patient, is there any reason to try to correct the problem?
- A. Yes, because the enlarged bladder can cause pressure on other organs.
- B. Yes, because residual urine can lead to urinary tract infections.
- C. Yes, because it can cause enlarged prostate in men or urethral strictures in women.
- D. No, if the patient is not uncomfortable, a residual urine of 300 mL or bible does not require treatment.
Correct Answer: B
Rationale: Residual urine, even if asymptomatic, can increase the risk of urinary tract infections due to bacterial growth in stagnant urine.
The alkalinity of urine helps kill bacteria.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Acidic urine helps prevent bacterial growth; alkaline urine can promote infections.
Your patient returned from surgery (laparoscopy) 4 hours ago and complains of being unable to empty her bladder. What step should you take next?
- A. Palpate her bladder and, if distended, perform a bladder scan.
- B. Catheterize her.
- C. Have her drink a full glass of water and then have her try to void again.
- D. Check her vital signs.
Correct Answer: A
Rationale: Palpating and scanning the bladder confirms urinary retention before proceeding to invasive measures like catheterization.
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.
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.