Nokea
The patient is on postoperative day 1 after having undergone a Transurethral resection of the prostate (TURP) procedure. He has continuous bladder irrigation (CBI). Actual urine output during continuous bladder irrigation in which manner?
- A. measuring and recording all fluid output in the drainage bag.
- B. measuring the total output and deducting the total of the irrigating and intravenous solutions.
- C. adding the total of the intravenous and irrigating solutions and then deducting the amount of output.
- D. measuring total output and deducting the amount of irrigating solution used.
Correct Answer: D
Rationale: To determine urine output, the nurse will subtract the amount of irrigation fluid used with the Foley catheter output to calculate urine output.
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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.
___ is a prostatic pain without evidence of infection or inflammation.
- A. Prostatodynia
Correct Answer: Prostatodynia
Rationale: Prostatodynia is a prostatic pain without evidence of infection or inflammation.
Which portion of the nephron is involved with filtration?
- A. Glomerulus of the Bowman capsule
- B. Henle loop
- C. Proximal convoluted tubule
- D. Distal convoluted tubule
Correct Answer: A
Rationale: Filtration of water and blood products occurs in the glomerulus of the Bowman capsule.
It is 2 days after a 42-year-old male patient's urinary diversion surgery. He continues to be critical of the hospital and the nursing care, even though the staff has spent time explaining the care to him. Which explanation is most likely for his behavior?
- A. He is angry about hospital policy.
- B. He is feeling neglected by the nursing staff.
- C. He is in denial of the effects of the surgery.
- D. He is reacting to the loss of self-esteem and altered body image.
Correct Answer: D
Rationale: Persons with altered body image may react to the loss of self-esteem by behaving in a critical or derogatory manner.
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.