Order ID: DHT6H23GDHY82HD Delivery: 3 HOURS & ABOVE Writer Classification: PHD-PROFICIENT Formatting Style: APA/HARVARD/MLA Plagiarism Grading: 0-0.3% Quality Standard: 99.999% Sources: 3-7 Course Level: UNIVERSITY/COLLEGE Revision Request: ALLOWED
1. A new graduate nurse and their preceptor must collect several urine specimens for laboratory testing. Which
techniques for urine collection by the graduate nurse are performed incorrectly, requiring the preceptor to intervene?
Select all that apply.
a. Catheterizing a patient to collect a sterile urine sample for routine urinalysis
b. Collecting a clean-catch urine specimen in the morning and storing it at room temperature until an afternoon pick-up
c. Collecting a sterile urine specimen from the collection bag of a patient’ s indwelling catheter
d. Collecting about 3 mL of urine from a patient’ s indwelling catheter to send for a urine culture
e. Planning to collect a sterile specimen from a patient with a urinary diversion by catheterizing the stoma
f. Discarding the first urine of the day when performing a 24-hour urine specimen collection on a patient
2. A nurse caring for older adults in an extended-care facility performs regular assessments of the patients’ urinary
functioning. Which patients would the nurse identify as at risk for urinary retention? Select all that apply.
a. Patient who is diagnosed with an enlarged prostate
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b. Patient who is on bedrest
c. Patient who is diagnosed with vaginal prolapse
d. Older adult patient with dementia
e. Patient who is taking antihistamines to treat allergies
f. Patient who has difficulty walking to the bathroom
3. A nurse in the gynecology clinic is preparing an educational brochure to teach patients how to prevent UTIs. Which
teaching points would the nurse include? Select all that apply.
a. Wear underwear with a cotton crotch.
b. Take baths rather than showers.
c. Drink of six to eight 8-oz glasses of liquid per day.
d. Urinate before and after intercourse.
e. After defecation, dry the perineal area from the front to the back.
f. Observe the urine for color, amount, odor, and frequency.
4. A patient who has pneumonia has had a fever for 3 days. What characteristics would the nurse anticipate related to the
patient’s urine output?
a. Decreased amount and highly concentrated
b. Decreased amount and very pale like water
c. Increased amount and very concentrated
d. Increased amount and dilute appearing
5. The health care provider has ordered an indwelling catheter to be inserted to relieve urinary retention in a male patient
with prostate enlargement. What consideration will the nurse keep in mind when performing this procedure?
a. The male urethra is more vulnerable to injury during insertion.
b. In the hospital, a clean technique is used for catheter insertion.
c. The catheter is inserted 2 to 3 inches into the meatus.
d. Since it uses a closed system, the risk for UTI is absent.
6. A nurse is caring for a patient with an enlarged prostate who has had an indwelling catheter for several weeks. A
prescription for continuous bladder irrigation (CBI) is written after the patient developed hematuria post cystoscopy.
The nurse teaches the patient the purpose of CBI is to prevent what situation?
a. Catheter infection due to long-term use
b. Need to flush the catheter of organisms post procedure
c. Blood clots that could block the catheter
d. Need for increased fluid intake
7. A nurse is caring for a patient who has a urinary diversion (urostomy) after cystectomy (removal of the bladder) to
treat bladder cancer. What interventions are indicated for this patient? Select all that apply.
a. Measuring the patient’s fluid intake and output
b. Keeping the skin around the stoma moist
c. Emptying the appliance frequently
d. Reporting any mucus in the urine to the primary care provider
e. Encouraging the patient to look away when changing the appliance
f. Monitoring the return of intestinal function and peristalsis
8. A nurse is changing the stoma appliance on a patient’s ileal conduit. Which finding requires the nurse to follow up
with the provider?
a. Stoma is moist.
b. Skin around the stoma is irritated.
c. Urine is leaking from the stoma.
d. Stoma is a purple-black color.
9. A postoperative patient is having difficulty voiding and reports suprapubic pressure. What action can the nurse take to
a. Pouring cold water over the patient’s fingers and perineum
b. Assessing bladder residual using the bladder scanner
c. Immediately encouraging the patient to void
d. Recommending an indwelling catheter
10. A nurse caring for a patient who just began hemodialysis assesses the patient’s AV fistula. Nursing documentation
|FOLLOWING OF INSTRUCTIONS
|NEATNESS AND OTHERS
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