Nokea
The nurse notes the amount and color of the urine the patient with urolithiasis has voided. While using Standard Precautions, which action will be the nurse's next action?
- A. Discard the urine.
- B. Add the urine to a 24-hour collector.
- C. Send the urine to the laboratory.
- D. Strain the urine.
Correct Answer: D
Rationale: All urine should be strained. Because stones may be any size, even the smallest speck must be saved for assessment by the laboratory.
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The patient is scheduled for a transurethral resection of the prostate. During preoperative teaching, which aspect will the nurse emphasize about what the patient can expect after the procedure?
- A. Red drainage from the catheter
- B. Limited intake of fluids
- C. A sodium-restricted diet
- D. Incisional drainage
Correct Answer: A
Rationale: The patient and family need to know that hematuria is expected after prostatic surgery.
The nurse will counsel the young man with chronic prostatitis to avoid which action?
- A. Cessation of intercourse
- B. Taking warm baths
- C. Using stool softeners
- D. Continuing antibiotics when symptoms abate
Correct Answer: A
Rationale: Frequent intercourse may be beneficial to the treatment of chronic prostatitis. Warm baths, stool softeners, and antibiotic therapy are also part of the medical treatment.
Which hormone from the posterior pituitary gland influences the amount of water that is eliminated with the urine?
- A. Pitocin
- B. Renin hormone
- C. Antidiuretic hormone (ADH)
- D. ACTH
Correct Answer: C
Rationale: ADH causes the cells of the distal convoluted tubules to increase their rate of water reabsorption.
Acute glomerulonephritis is commonly a result of a preexisting infection of b-hemolytic ___.
- A. streptococci
Correct Answer: streptococci
Rationale: The health history commonly reveals that the onset of acute glomerulonephritis is preceded by b-hemolytic streptococcal infection.
The patient with nephrosis questions the need for bed rest. How would the nurse explain the benefit of bed rest?
- A. The recumbent position may initiate diuresis.
- B. It preserves the skin integrity.
- C. It lowers the level of albuminuria.
- D. It saves stress on joints.
Correct Answer: A
Rationale: It is believed that the recumbent position helps initiate diuresis.