Nokea
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.
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A frail elderly patient with a hip fracture has to void before surgery. Which of the following is the best way to handle this?
- A. Have the patient use a fracture pan.
- B. Have the patient use a regular bedpan.
- C. Help the patient use the bedside commode.
- D. Catheterize the patient.
Correct Answer: A
Rationale: A fracture pan is designed for patients with mobility limitations, such as a hip fracture, to facilitate voiding with minimal movement.
You are delegating the task of monitoring the output of an elderly male patient at risk for oliguria. He has an indwelling catheter in place. Which is the most appropriate direction for you to give to an unlicensed assistant?
- A. Tell me if his urine output decreases.
- B. Keep an eye on his output for me.
- C. Check his output halfway through the shift and let me know the total.
- D. Check his output after 2 hours. If it is not above 60 mL, let me know immediately.
Correct Answer: D
Rationale: Specific instructions to check output every 2 hours and report if it falls below 60 mL ensure timely detection of oliguria, which requires immediate attention.
Symptoms of UTI include dysuria, urinary frequency, urgency, nocturia, low abdominal pain, and incontinence.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: These are common UTI symptoms due to bladder irritation and inflammation.
Stress incontinence
- A. Incontinence related to inability to get to the bathroom
- B. The brain does not receive a message that the bladder is full
- C. Incontinence related to bladder spasms and contractions
- D. The bladder does not empty because of an obstruction
- E. Incontinence related to weak pelvic floor muscles
- F. Loss of urine with no warning
Correct Answer: E
Rationale: Stress incontinence occurs due to weak pelvic floor muscles, causing urine leakage during activities like coughing or sneezing.
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.