MS2.CH36.URINARY.AP.TB.txt

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pcp
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185272
Filename:
MS2.CH36.URINARY.AP.TB.txt
Updated:
2012-11-25 14:41:26
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MEDSURG2 CHAPTER36 URINARY TEXTBOOK
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MEDSURG2 CHAPTER36 URINARY A&P TEXTBOOK
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  1. Where is urine formed?
    a.  Nephrons
    b.  Ureters
    c.  Urethra
    d.  Bladder
    • a.  Nephrons
    • Urine is formed in the 1 million nephrons of each kidney
  2. Which of the following are functions of the kidney? (select all that apply)
    a. Maintaining acid-base balance
    b. Removal of waste products
    c. Regulation of the blood volume
    d. Regulation of electrolytes
    e. Removal of CO2
    f. Production of erythropoietin
    • a. Maintaining acid-base balance
    • b. Removal of waste products
    • c. Regulation of the blood volume
    • d. Regulation of electrolytes
    • f. Production of erythropoietin

    NOT - e. Removal of CO2
  3. A home health nurse visits a patient who is 82 years old, uses a cane, and is not incontinent. Which of the following interventions should be included in the POC, based on understanding of normal age-related changes of the urinary system, to promote patient safety?
    A. Encourage fluids after 6pm
    B. Provide adult briefs to prevent dribbling
    C. Limit fluids to 1000ml per day
    D. Provide a night-light in the bathroom
    D. Provide a night-light in the bathroom

    to prevent falls
    (this multiple choice question has been scrambled)
  4. Which of the following is the most accurate assessment of fluid balance in the patient with renal failure?
    a. Voiding pattern
    b. Daily weight
    c. Laboratory studies
    d. Skin turgor
    • b. Daily weight
    • Daily weight reflects changes in fluid status
  5. Which of the following should be included in patient teaching for collecting a midstream clean-catch urine specimen for culture and sensitivity?
    A. Women should keep the labia separated while voiding
    B. As soon as the urine starts to flow, it should be collected in a sterile container
    C. A 24-hour urine specimen is needed
    D. A second voided specimen is preferred
    A. Women should keep the labia separated while voiding

    To help prevent contamination
    (this multiple choice question has been scrambled)
  6. Which of the following care should the nurse provide following an intravenous pyelogram test? (select all that apply)
    a. Maintain NPO
    b. Encourage fluids
    c. Check gag reflex
    d. Measure urine output
    e. Position patient prone
    f. Maintain bedrest for 24 hours
    • b. Encourage fluids
    • d. Measure urine output

    Encourage fluids to flush dye from the kidneys, and monitor urine output to detect problems.
  7. A patient is experiencing stress incontinence with frequent involuntary loss of urine. Which of the following directions would be most appropriate when teaching the patient how to perform Kegel exercises?
    A. When urinating, stop and start the stream of urine by tightening the perineal muscles.
    B. Keep your abd muscles tightened; do this every time you stand up
    C. Tighten your rectum at frequent intervals throughout the day
    D. Do at least 20 sit-ups per day
    A. When urinating, stop and start the stream of urine by tightening the perineal muscles.

    Kegel exercises strengthen the perineal muscles
    (this multiple choice question has been scrambled)
  8. Which of the following is the most important nursing action for the nurse to take to prevent UTI in the catheterized patient?
    A. Empty the Foley bag every 4 hours around the clock
    B. Force fluids to 4000mL every 24 hours
    C. Maintain a closed catheter system
    D. Wash the perineum every 8 hours
    C. Maintain a closed catheter system

    Prevents contamination
    (this multiple choice question has been scrambled)
  9. What is the patients total output as recorded during the 7-3 shift?
    8am voided 165mL
    1130am voided 450mL
    1pm emesis 42mL
    3pm voided 255mL
    ANS:  912mL

    • +      8am voided 165mL
    • + 1130am voided 450mL
    • +      1pm emesis   42mL
    • +      3pm voided  255mL
    • = 912mL

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