Exam (elaborations)
NURS 309 Acute Renal 1 questions with correct answers.
- Course
- Nurs 309
- Institution
- Liberty University
NURS 309 Acute Renal 1 questions with correct answers.
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NURS 309 Acute Renal 1 questions with correctanswers
The home health nurse reads in the patient's chart that the patient has
asymptomatic bacterial urinary infection (ABUTI). Which intervention
will the nurse perform?
A. Obtain an order for urinalysis and urine culture for sensitivity
B. Check the patient's medication list for appropriate medication order
C. Closely monitor for condition that cause progression to acute
infection
D. Ask the patient when the ABUTI first started and when it was
diagnosed Correct Answer-C. Closely monitor for condition that cause
progression to acute infection
Which group has the highest prevalence of urinary tract infections?
A. Postpartum women
B. Older women
C. Older men
D. Adolescent girls Correct Answer-B. Older women
Which patient has the highest risk for developing a complicated urinary
tract infection?
A. 26-year-old man who is sexually active but inconsistently uses
condoms
B. 22-year-old man who has a neurogenic bladder due to spinal cord
injury
,C. 35-year-old woman who had 3 full-term pregnancies and a
miscarriage
D. 53-year-old woman who is having some menstrual irregularities
Correct Answer-B. 22-year-old man who has a neurogenic bladder due
to spinal cord injury
The nurse is working in a long-term care facility. Which circumstance is
cause for greatest concern, because the facility has a large number of
residents who are developing urinary tract infections?
A. Residents who are not drinking enough fluids with meals
B. Unlicensed personnel are not assisting with toileting in a timely
fashion
C. A large percentage of residents have indwelling urinary catheters
D. Many residents have severe dementia and functional incontinence
Correct Answer-C. A large percentage of residents have indwelling
urinary catheters
The nurse is caring for a patient with an indwelling catheter. What
intervention does the nurse use to minimize catheter-related infections?
A. Assess the patient daily to determine need for catheter
B. Irrigate the catheter daily with sterile solution to remove debris
C. Use sterile technique to open the system to obtain urine samples
D. Apply antiseptic solutions or antibiotic ointments to the perineal area
Correct Answer-A. Assess the patient daily to determine need for
catheter
,Which task related to care of patients who have indwelling catheters can
be delegated to unlicensed assistive personnel?
A. Wash the perineum daily and frequently empty the drainage bag
using a separate, clean container for each patient
B. Use sterile technique when cleaning urinary catheters or when
helping the patients with genital or rectal hygiene
C. Determine whether use of condom catheters is appropriate for male
patients and apply devices accordingly
D. Keep urine collection bag in a place that is readily visible to the
patient so that the patient is reassured of kidney function Correct
Answer-A. Wash the perineum daily and frequently empty the drainage
bag using a separate, clean container for each patient
In which patient circumstance would the nurse question the order for the
insertion of an indwelling catheter?
A. Patient is critically ill and at risk for hypovolemic shock
B. Patient has urinary retention with beginnings of hydronephrosis
C. Patient was in a car accident and has a possible spinal cord injury
D. Patient has functional incontinence related to Alzheimer's disease
Correct Answer-D. Patient has functional incontinence related to
Alzheimer's disease
For a patient who needs an indwelling catheter for at least 2 weeks,
which intervention would help reduce the bacterial colonization along
the catheter?
A. Secure the catheter to the female patient's thigh
B. Obtain an order to insert an antiseptic catheter
, C. Wash the urine bag and outflow tube everyday
D. Apply antiseptic ointment to the catheter tubing Correct Answer-B.
Obtain an order to insert an antiseptic catheter
The nurse hears in report that the patient is being treated for a fungal
urinary tract infection (UTI). In addition to performing routine care and
assessments, the nurse is extra-vigilant for signs/symptoms of which
systemic disorder that may underlie the fungal UTI?
A. Chronic cardiac disease
B. Immune system compromise
C. Chronic skin conditions
D. Connective tissue disorder Correct Answer-B. Immune system
compromise
The nurse is caring for a patient who has an indwelling catheter and
subsequently developed a urinary tract infection. The patient has been
receiving antibiotics for several days but develops hypotension, a rapid
pulse, and confusion. The nurse suspects urosepsis and alerts the health
care provider. Which diagnostic test is the provider most likely to order
to confirm sepsis?
A. Culture of urinary meatus
B. Culture of the catheter tip
C. Blood cultures
D. Repeat urinalysis Correct Answer-C. Blood cultures
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