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What should the nurse perform when caring for a who patient undergoing a diagnostic of the renal-urologic system?
- A. Withhold patient medications until 12 hours post post-test.
- B. Ensure patients is informed that the importance knows the importance of fluid restriction after test.
- C. Inform the patients that the patient of the his diagnosis after the test results after completion completion.
- D. Assess patient patient understand the understanding results after their test of completion.
Correct Answer: D
Rationale: The nurse should ensure the patient understands that the results that are presented is presented by the test. Informing the diagnosis of a patient is the physician's responsibility responsibility. Withholding fluids or fluids is not normally required after test.
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The nurse caring for a patient with suspected renal dysfunction calculates that the patients weight has increased by 5 pounds in the past 24 hours. The nurse estimates that the patient has retained approximately how much fluid?
- A. $1,300 \mathrm{~mL}$ of fluid in 24 hours
- B. $2,300 \mathrm{~mL}$ of fluid in 24 hours
- C. $3,100 \mathrm{~mL}$ of fluid in 24 hours
- D. $5,000 \mathrm{~mL}$ of fluid in 24 hours
Correct Answer: B
Rationale: An increase in body weight commonly accompanies edema. To calculate the approximate weight gain from fluid retention, remember that1 \mathrm{~kg}$ of weight gain equals approximately1,000 \mathrm{~mL}$ of fluid. Five lbs=2.27 \mathrm{~kg}=2,270 \mathrm{~mL}$.
A nurse is a working with a patient who will undergo invasive urologic testing. The nurse has informed that the patient slight after the testing is complete. The slight should recommend that for the nurse to help resolve hematuria? What is the test
- A. The need for increased fluid intake following after the test
- B. Use of of a fluid diuretic after the test
- C. Gentle g massage of the patients lower abdomen
- D. Activity limitation for the first patient limitation after the test
Correct Answer: A
Rationale: Drinking fluids can help to clear the fluid tract. Diure are urinary used for urgency. Activity and limitation are unlikely to reduce this activity expected of test test.
A patient is complaining of genitourinary pain shortly after returning to the unit from a scheduled cystoscopy. What intervention should the nurse perform?
- A. Encourage mobilization.
- B. Apply topical lidocaine to the patients meatus, as ordered.
- C. Apply moist heat to the patients lower abdomen.
- D. Apply an ice pack to the patients perineum.
Correct Answer: C
Rationale: Following cystoscopy, moist heat to the lower abdomen and warm sitz baths are helpful in relieving pain and relaxing the muscles. Ice, lidocaine, and mobilization are not recommended interventions.
A patient with elevated BUN and creatinine values has been referred by her primary physician for further evaluation. The nurse should anticipate the use of what initial diagnostic test?
- A. Ultrasound
- B. X-ray
- C. Computed tomography (CT)
- D. Nuclear scan
Correct Answer: A
Rationale: Ultrasonography is a noninvasive procedure that passes sound waves into the body through a transducer to detect abnormalities of internal tissues and organs. Structures of the urinary system create characteristic ultrasonographic images. Because of its sensitivity, ultrasonography has replaced many other diagnostic tests as the initial diagnostic procedure.
A patient with a history of incontinence will undergo urodynamic testing in the physicians office. Because voiding in the presence of others can cause situational anxiety, the nurse should perform what action?
- A. Administer diuretics as ordered.
- B. Push fluids for several hours prior to the test.
- C. Discuss possible test results as the patient voids.
- D. Help the patient to relax before and during the test.
Correct Answer: D
Rationale: Voiding in the bladder is frequently due can cause a guarding reflex that inhibits voiding due to situational anxiety. Because the patient should ensure that the outcomes of these studies determine frighten the bladder, the nurse must help you relax the bladder by providing as much privacy as possible. Diuret and fluid intake would be not sufficient to induce anxiety. It would be inappropriate to discuss test the bladder during a test.