Nokea
The size of the balloon for an indwelling catheter is 5 mL.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Indwelling catheter balloons typically range from 5 to 30 mL, with 10 mL being common for adults.
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Number in order the path of urine through the urinary system.
- A. Bladder
- B. Urinary meatus
- C. Kidney
- D. Urethra
- E. Ureter
Correct Answer: C,E,A,D,B
Rationale: Urine is produced in the kidney (1), flows through the ureter (2) to the bladder (3), then through the urethra (4) to the urinary meatus (5).
A blood test called measures a waste product normally eliminated from the body by the kidneys. Elevated levels may reflect infection or some degree of kidney impairment.
- A. BUN
- B. Creatinine
- C. eGFR
- D. CBC
Correct Answer: B
Rationale: Creatinine is a waste product filtered by the kidneys, and elevated levels in a blood test indicate kidney impairment or infection.
In addition to collecting all urine passed in a 24-hour period, one of the most important steps in obtaining a 24-hour urine sample is to
- A. Have the patient void, discard this urine, note the time, and then begin collecting.
- B. Begin the collection at 8:00 a.m.
- C. Make sure there is a preservative in the collection bottle.
- D. Keep the sample at room temperature.
Correct Answer: A
Rationale: Discarding the first void and noting the time ensures the 24-hour collection period is accurately timed.
You gather the following assessment data: bladder is distended, patient is complaining of lower abdominal discomfort, urinary output has totaled 150 mL in 6 hours after the catheter was discontinued, and the patient is voiding frequently in very small amounts. You decide to notify the physician. What order will you expect to receive?
- A. Order for catheterization
- B. Order for antibiotics
- C. Order for increased IV fluids
- D. Order for a diuretic
Correct Answer: A
Rationale: The symptoms and low output suggest urinary retention, likely requiring catheterization to relieve the distended bladder.
Which independent nursing measure would you implement?
- A. Encourage fluid intake
- B. Perform a bladder scan
- C. Administer a diuretic
- D. Insert a new catheter
Correct Answer: B
Rationale: Performing a bladder scan is an independent nursing action to assess for urinary retention in a patient with low voiding volumes.