Nokea
Which aspect of self care will the nurse encourage, barring any other contraindication, when teaching a patient how to decrease the chance of further problems with urolithiasis?
- A. Increase his fluid intake.
- B. Increase intake of dairy products.
- C. Restrict his protein intake.
- D. Take one baby aspirin daily.
Correct Answer: A
Rationale: Fluid intake should be encouraged to at least 2000 mL of fluid in 24 hours, unless contraindicated.
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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.
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.
Because the kidneys are located in proximity to the vertebrae and are protected by the ribs, their location is referred to by which term?
- A. retroperitoneal.
- B. diaphragm-vertebral.
- C. costovertebral.
- D. urachal-peritoneal.
Correct Answer: A
Rationale: The kidneys lie behind the parietal peritoneum (retroperitoneal).
In which way will the nurse instruct the patient to do before obtaining the urine specimen for a urine culture?
- A. Collect the urine for a 24-hour period.
- B. Obtain a clean-catch specimen.
- C. Bring in an early morning specimen.
- D. Limit fluid intake to concentrate the urine.
Correct Answer: B
Rationale: Urine cultures are dependent on a clean-catch or catheterized specimen.
The prostatectomy technique, which involves an incision through the abdomen and the bladder, is a ___ prostatectomy.
- A. suprapubic
Correct Answer: suprapubic
Rationale: A suprapubic prostatectomy involves an incision through the abdomen and the bladder with removal of the gland with the finger.