c.Impaired Skin Integrity related to urinary
tract infection and dehydration
d.Risk for Urinary Tract Infection related to
dehydration
8.Which of the following nursing interventions
would be least effective when trying to main-
tain safety for the patient with an indwelling
catheter?
a.Maintain a closed drainage system.
b.Restrict fluid intake.
c.Apply a topical antibiotic ointment to
urinary meatus.
d.Report signs of infection immediately.
9.A nurse determines that her patient has cos-
tovertebral tenderness. Which of the follow-
ing conditions is indicated by this physical
finding?
a.A bladder infection
b.A bladder obstruction
c.An inflamed kidney
d.The presence of a kidney stone
10.Mrs. Babb has had four urinary tract infections
in the past year. Which physiologic change of
aging is likely causing Mrs. Babb’s problem?
a.Decreased bladder contractility
b.Diminished ability to concentrate urine
c.Decreased bladder muscle tone
d.Neurologic weakness
11.The doctor has ordered the collection
of a fresh urine sample for a particular
examination. Which urine sample would
the nurse discard?
a.The sample collected immediately after
lunch
b.The bedtime voiding
c.The voiding collected at 4 p.m.
d.The first voiding of the day
12.Mr. Morris has a urinary obstruction and is
not a candidate for surgery. Which of the fol-
lowing would be an appropriate intervention
for this patient?
a.Insertion of an indwelling urethral catheter
b.Insertion of a suprapubic catheter
c.Insertion of a straight catheter
d.Insertion of a urologic stentALTERNATE-FORMAT QUESTIONS
Multiple Response Questions
Circle the letters that correspond to the best
answers for each question.
1.Which of the following statements accurately
describe kidney function? (Select all that apply.)
a.It is estimated that the total blood volume
passes through the kidneys for waste
removal about every 2 hours.
b.One of the most significant functions of
the kidneys is to maintain the composition
and volume of body fluids.
c.Urine from the nephrons empties into the
urinary bladder.
d.There are approximately 1,000 nephrons in
each kidney.
e.The kidneys filter and excrete blood
constituents that are not needed and
retain those that are.
f.The basic unit of the kidney is the nephron,
which removes the end products of
metabolism.
2.When collecting a urine specimen for urinaly-
sis, the nurse should be aware of which of the
following facts? (Select all that apply.)
a.Sterile urine specimens may be obtained by
catheterizing the patient’s bladder.
b.A sterile urine specimen is required for a
routine urinalysis.
c.If a woman is menstruating, a urine
specimen cannot be obtained for urinalysis.
d.Strict aseptic technique must be used when
collecting and handling urine specimens.
e.Urine should be left standing at room tem-
perature for a 24-hour period before being
sent to the laboratory.
f.A clean-catch specimen of urine may be
collected in midstream.
3.You are preparing a female patient for
catheterization. Which of the following are
appropriate steps in this procedure? (Select all
that apply.)
a.Place the patient in the dorsal recumbent
position.
b.Explain to the patient that the procedure is
painless and should cause no discomfort.
c.Place the patient on a soft surface, preferably
a soft mattress or pillow.244 UNIT VII PROMOTING HEALTHY PHYSIOLOGIC RESPONSES
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