Nokea
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.
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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.
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.
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.
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.
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.