Nokea
You are teaching a home care patient about self-catheterization. You know more teaching is needed when the patient states
- A. I will not need sterile gloves and a new sterile catheter every time I catheterize myself at home.
- B. I will use clean gloves and wash the catheters between uses.
- C. I do not need gloves or any special precautions because I am in my own home.
- D. This is a clean, rather than a sterile, procedure at home.
Correct Answer: C
Rationale: Self-catheterization at home is a clean procedure, but gloves and proper cleaning are necessary to prevent infection; stating no precautions are needed is incorrect.
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Urinary tract infections are more common in males than in females.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: UTIs are more common in females due to their shorter urethra.
You are teaching bladder retraining to the patient with incontinence. She tries the plan and reports back to you about her progress. 'I tried going to the bathroom every 2 hours like you said, but I just sit there. I'm trying now to just go when I feel the urge, which is about every 3 hours. I'm still having accidents about half the time, which is a big improvement.' Which of the following statements should you make in response to the patient's comment?
- A. That's great. Keep up that pattern. It sounds like it's working.
- B. Waiting until you feel the urge defeats the purpose of a bladder retraining program. It sounds like you haven't really implemented the program. You should go back to trying to void every 2 hours to train your bladder to empty when you want it to.
- C. It sounds like bladder retraining isn't working for you, but that paying greater attention to the urge to go is.
- D. This is good information, but waiting for the urge to go is not going to retrain your bladder. Try toileting yourself every 2½ hours. Do this for several days to a week and then let me know the results.
Correct Answer: D
Rationale: Adjusting the interval to 2½ hours may help the patient adhere to a scheduled voiding program, which is essential for bladder retraining.
A blood test called measures a waste product normally eliminated from the body by the kidneys. Elevated levels may reflect infection or some degree of kidney impairment.
- A. BUN
- B. Creatinine
- C. eGFR
- D. CBC
Correct Answer: B
Rationale: Creatinine is a waste product filtered by the kidneys, and elevated levels in a blood test indicate kidney impairment or infection.
You note that in the past 3 hours no urine has drained into your female patient's urinary collection bag. Which of the following is most likely responsible for this?
- A. Kinks in the tubing
- B. Acute renal failure
- C. Poor positioning of the drainage bag
- D. A kidney stone blocking the catheter
Correct Answer: A
Rationale: Kinks in the tubing are the most common cause of no urine flow, as they obstruct drainage.
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.