Nokea
Urinary tract infections are more common in males than in females.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: UTIs are more common in females due to their shorter urethra.
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Which of the following makes catheterization difficult but represents normal anatomy in older women?
- A. The vaginal opening is enlarged.
- B. The urinary meatus is located in the vaginal opening because of atrophy of perineal tissues.
- C. The perineal area becomes very dry.
- D. The clitoris atrophies.
Correct Answer: B
Rationale: Atrophy of perineal tissues in older women can cause the urinary meatus to recede or appear within the vaginal opening, complicating catheterization.
Which is true of UTIs in children?
- A. They are very common, second only to respiratory infections.
- B. The symptoms are the same as those seen in adults.
- C. They occur more often in boys than in girls.
- D. They may cause a toilet-trained child to have accidents.
- E. They may cause poor feeding, vomiting, and diarrhea.
Correct Answer: A,D,E
Rationale: UTIs are common in children, can cause accidents in toilet-trained children, and may present with nonspecific symptoms like poor feeding, vomiting, and diarrhea.
A straight-tipped catheter is best when catheterizing a patient with an enlarged prostate.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: A coude-tipped catheter is preferred for patients with an enlarged prostate to navigate the urethral curve.
An indwelling catheter has a balloon that keeps the catheter in place.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: An indwelling catheter, such as a Foley, has a balloon inflated with sterile water to secure it in the bladder.
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.