Nokea
The nurse reassures the patient recovering from acute glomerulonephritis that after all other signs and symptoms of the disease subside, which change in the urine is normal?
- A. proteinuria.
- B. oliguria.
- C. hematuria.
- D. anasarca.
- E. oliguria.
Correct Answer: A,C
Rationale: Proteinuria and hematuria may exist microscopically even when other symptoms subside.
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The home health nurse suggests the use of complementary and alternative therapies to prevent and/or treat urinary tract infections (UTIs). Which liquid is an example of such therapies?
- A. Grape juice
- B. Caffeine
- C. Tea
- D. Cranberry juice
Correct Answer: D
Rationale: Cranberry (Cranberry Plus, Ultra Cranberry) has been used to prevent urinary tract infections (UTIs), particularly in women prone to recurrent infection. It has also been used to treat acute UTI. Monitor patients for lack of therapeutic effect. Caffeine and tea will increase diuresis but not prevent UTI.
A patient who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP) complains of 'spasm-like' pain over his lower abdomen. Which step will be the initial intervention by the nurse?
- A. Inform the nurse in charge.
- B. Decrease the continuous bladder irrigation flow.
- C. Administer the prescribed analgesic.
- D. Check the catheter and drainage system for obstruction.
Correct Answer: D
Rationale: The patient who has a TURP may have continuous closed bladder irrigation or intermittent irrigation to prevent occlusion of the catheter with blood clots, which would cause bladder spasms.
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.
The patient, age 43, has cancer of the urinary bladder. The patient has received a cystectomy with an ileal conduit. Which characteristics would be considered normal for the patient's urine?
- A. Hematuria
- B. Clear amber with mucus
- C. Dark bile-colored
- D. Dark amber
Correct Answer: B
Rationale: There will be mucus present in the urine from the intestinal secretions.
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.