MODULE 7: PRIORITIZATION &
DELEGATION: URINARY & RENAL
PROBLEMS EXAM QUESTIONS AND
ANSWERS
The nurse is caring for a patient with risk for incomplete bladder emptying. Which non-
invasive finding best supports this problem? - Answer-Patient has postvoid residual of
275 mL documented by bedside bladder scanner.
The nurse is creating a care plan for older adult patients with incontinence. For which
patient will a bladder-training program be an appropriate intervention? - Answer-Patient
with urge incontinence and abnormal detrusor muscle contractions.
The nurse is reviewing the lab values for a patient with risk for urinary problems. Which
finding is of most concern to the nurse? - Answer-Presence of glucose and protein in
urine
The nurse is providing care for a patient with end stage kidney disease who is receiving
hemodialysis 3 days a week. On return from dialysis, the RN notes a positive bruit and
thrill at the dialysis site on the left arm. Bruising is noted distal and medial to the access.
The patient states that she has no pain or discomfort.
Which tasks could be appropriately delegated to an experienced assistive personnel
(AP)? - Answer-Report any patient bleeding to the RN immediately.
Weigh the patient on return from dialysis treatment.
Record accurate intake and output.
Assist the patient up to the chair for meals.
Place a sign over the bed stating, "No blood pressures, IV, or venipunctures in left arm."
An assistive personnel (AP) reports to the RN that a patient with acute kidney failure
had a urine output of 350 mL over the past 24 hours after receiving furosemide 40 mg
IV push. The AP asks the nurse how this can happen. What is the nurse's best
response? - Answer-"During the oliguric phase of acute kidney failure, patients often do
not respond well to either fluid challenges or diuretics."
A male patient must undergo intermittent catheterization. The nurse is preparing to
insert a catheter to assess the patient for postvoid residual.
Correctly place the options below in the correct sequence for intermittent catheter
insertion. - Answer-Assist the patient to the bathroom and ask the patient to attempt to
void.
Position the patient supine in bed or with the head slightly elevated.
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