Nokea
You are initiating a 24-hour urine specimen collection for a patient as ordered by her health-care provider. Which of the following will you do first?
- A. Post signs in the room and on the door stating that a 24-hour urine collection is in progress
- B. Place ice inside a 24-hour urine container
- C. Ask the patient to void and then discard the urine
- D. Ask the patient to void and then pour the urine into the 24-hour urine container
Correct Answer: C
Rationale: The first step is to have the patient void and discard the urine to start the 24-hour collection period accurately.
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Which of the following statements made by a patient with incontinence would indicate a need for further teaching?
- A. I can stop doing Kegel exercises when I no longer have a problem with leaking
- B. I can take medication that may help with my incontinence
- C. I may need surgery if other treatments don't work
- D. I should start a moderate exercise program
Correct Answer: A
Rationale: Kegel exercises should be continued long-term to maintain pelvic floor strength and prevent incontinence recurrence.
Which of the following may decrease the incidence of UTI?
- A. Using a diaphragm
- B. Increasing fluid intake
- C. Voiding after intercourse
- D. Frequent voiding
Correct Answer: B,C,D
Rationale: Increasing fluid intake, voiding after intercourse, and frequent voiding flush bacteria from the urinary tract, reducing UTI risk.
When reviewing the UA results of a patient with the diagnosis of dehydration, which of the following would you expect to see?
- A. Specific gravity of 1.032
- B. pH of 7.0
- C. Positive Ketones
- D. Positive Nitrites
Correct Answer: A,C
Rationale: Dehydration causes concentrated urine (high specific gravity, 1.032) and may lead to ketonuria due to fat metabolism.
Your patient has been diagnosed with an enlarged prostate. He is at risk for which of the following?
- A. Urinary suppression
- B. Urinary retention
- C. Urinary incontinence
- D. Urinary diversion
Correct Answer: B
Rationale: An enlarged prostate can obstruct urine flow, leading to urinary retention.
You have removed an indwelling catheter from a postsurgical patient. Which of the following would need to be reported to the health-care provider?
- A. Eight hours after the catheter was removed, the patient has not voided
- B. Bladder scan reveals 50 mL of residual urine
- C. Voided urine is straw-colored without sediment
- D. When assisted to the bedside commode, the patient complained of mild dizziness
Correct Answer: A
Rationale: Failure to void 8 hours post-catheter removal suggests urinary retention, requiring provider notification.