Nokea
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.
You may also like to solve these questions
Which two tests are most important in assessing kidney function?
- A. Creatinine and eGFR
- B. CBC and hematocrit
- C. eGFR and hematocrit
- D. CBC and creatinine
Correct Answer: A
Rationale: Creatinine and eGFR are key indicators of kidney function, reflecting waste clearance and filtration rate.
Sometimes patients are not aware that they retain urine. If the residual urine volume is less than 300 mL and does not feel uncomfortable to the patient, is there any reason to try to correct the problem?
- A. Yes, because the enlarged bladder can cause pressure on other organs.
- B. Yes, because residual urine can lead to urinary tract infections.
- C. Yes, because it can cause enlarged prostate in men or urethral strictures in women.
- D. No, if the patient is not uncomfortable, a residual urine of 300 mL or bible does not require treatment.
Correct Answer: B
Rationale: Residual urine, even if asymptomatic, can increase the risk of urinary tract infections due to bacterial growth in stagnant urine.
A is used for urine to be eliminated by an alternate route rather than traveling through the bladder.
- A. Urostomy
- B. Foley catheter
- C. Nephrostomy tube
- D. Straight catheter
Correct Answer: C
Rationale: A nephrostomy tube diverts urine directly from the kidney to an external collection system, bypassing the bladder.
Fever, chills, malaise, nausea, vomiting, and flank pain mean the infection has most likely spread to the kidneys, causing pyelonephritis.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: These symptoms indicate pyelonephritis, a kidney infection resulting from an untreated or severe UTI.
How long can a urine specimen sit unrefrigerated before it is analyzed?
- A. 30 minutes
- B. 1 hour
- C. 2 hours
- D. 3 hours
Correct Answer: B
Rationale: Urine specimens should be analyzed within 1 hour if unrefrigerated to prevent bacterial growth and degradation.