MS2.CH36.URINARY.AP.TB

Where is urine formed?
A.   Nephrons
B.   Urethra
C.   Ureters
D.   Bladder

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 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. Provide adult briefs to prevent dribbling
B. Limit fluids to 1000ml per day
C. Provide a night-light in the bathroom
D. Encourage fluids after 6pm

Which of the following is the most accurate assessment of fluid balance in the patient with renal failure?
A. Daily weight
B. Skin turgor
C. Laboratory studies
D.  Voiding pattern

Which of the following should be included in patient teaching for collecting a midstream clean-catch urine specimen for culture and sensitivity?
A. A second voided specimen is preferred
B. As soon as the urine starts to flow, it should be collected in a sterile container
C. Women should keep the labia separated while voiding
D. A 24-hour urine specimen is needed

Which of the following care should the nurse provide following an intravenous pyelogram test? (select all that apply)
A. Encourage fluids
B. Check gag reflex
C. Maintain NPO
D. Maintain bedrest for 24 hours
E. Position patient prone
F. Measure urine output

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. Do at least 20 sit-ups per day
B. Keep your abd muscles tightened; do this every time you stand up
C. When urinating, stop and start the stream of urine by tightening the perineal muscles.
D. Tighten your rectum at frequent intervals throughout the day

Which of the following is the most important nursing action for the nurse to take to prevent UTI in the catheterized patient?
A. Wash the perineum every 8 hours
B. Force fluids to 4000mL every 24 hours
C. Empty the Foley bag every 4 hours around the clock
D. Maintain a closed catheter system

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