Nokea
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.
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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 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 home health patient with end-stage renal disease (ESRD) verbalizes feeling helplessness related to this life-altering disease. Which nursing intervention would be most helpful?
- A. Ensure restricted protein intake to prevent nitrogenous product accumulation.
- B. Include the patient in making the plan of care.
- C. Counsel patient about end-of-life provisions.
- D. Write out a detailed schedule of health care provider's appointments.
Correct Answer: B
Rationale: Listen to the patient and allow time for discussion about concerns and the plan of care to return some sense of control. End-of-life discussions are premature and will not benefit the patient who is experiencing helplessness.
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.
When the patient receiving home health services is started on dialysis, the home health nurse refers the patient to a community support group that assists with the adjustments necessary to living with dialysis. Which group offers this service?
- A. National Kidney Foundation
- B. American Association of Kidney Patients
- C. American Red Cross
- D. Veterans Administration
Correct Answer: B
Rationale: The American Association of Kidney Patients offer support to the patient and family as they adapt to living with dialysis.