Nokea
You are assigned to care for a patient with an indwelling catheter. A 24-hour urine collection is ordered. How will you keep the urine from deteriorating and affecting the outcome of the test?
- A. Take a labeled specimen from the drainage bag to the laboratory every 3 hours.
- B. Empty the bag every 8 hours and pour the urine into a 24-hour collection container. Keep this container refrigerated.
- C. Keep the drainage bag in a basin containing ice. Empty the drainage bag every 8 hours into the 24-hour collection container, which you are keeping in a refrigerator.
- D. Ask the patient to empty the drainage bag into an iced container whenever it contains more than 100 mL of urine.
Correct Answer: C
Rationale: Keeping the drainage bag in ice and the collection container refrigerated prevents bacterial growth and urine deterioration, ensuring accurate test results.
You may also like to solve these questions
Your patient has stress incontinence. Which of the following statements represent recommended treatment for this problem?
- A. Suggest the patient wear incontinence pads in a comfortable style with adequate absorbency.
- B. Tell the patient that there are medications available to help with stress incontinence and that the doctor will discuss them with her.
- C. Tell the patient to avoid abdominal exercises, which can cause stress incontinence.
- D. Tell the patient about Kegel exercises.
Correct Answer: A,D
Rationale: Incontinence pads manage symptoms, and Kegel exercises strengthen pelvic floor muscles to treat stress incontinence.
Which of the following represents an appropriate way to maintain a urinary drainage bag?
- A. Keep the drainage bag above the level of the bladder.
- B. Tape the bag to the patient's leg.
- C. Empty the bag when it is full.
- D. Keep tubing free of kinks and coils.
Correct Answer: D
Rationale: Keeping tubing free of kinks ensures proper urine flow and prevents obstruction or infection.
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.
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.
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.