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NUR 101 ( LATEST 2024 / 2025 ) URINARY | GRADED A+ SOLVED 100% CORRECT
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NUR 101 ( LATEST 2024 / 2025 ) URINARY | GRADED A+ SOLVED 100% CORRECT
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NUR 101 Urinary1. 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
Answer
d, e, f
A urine culture requires about 3 mL of urine, whereas routine urinalysis requires at least 10 mL
of urine.
The preferred method of collecting a sterile urine specimen from a urinary diversion is to
catheterize the stoma.
For a 24-hour urine specimen, the nurse should discard the first voiding, then collect all urine
voided for the next 24 hours.
A sterile urine specimen is not required for a routine urinalysis. Urine chemistry is altered after
urine stands at room temperature for a long period of time.
A specimen from the collection drainage bag may not be fresh urine and could result in an
inaccurate analysis.
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
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
Answer
a, c, e
Urinary retention occurs when urine is produced normally but is not excreted completely from
the bladder.
Factors associated with urinary retention include medications such as antihistamines, an
enlarged prostate, or vaginal prolapse.
Being on bedrest, having dementia, and having difficulty walking to the bathroom may place
patients at risk for urinary incontinence.
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.
, Answer
a, c, e, f
It is recommended that a healthy adult drink six to eight 8-oz glasses of fluid daily, dry the
perineal area after urination or defecation from the front to the back, and
observe the urine for color, amount, odor, and frequency.
It is also recommended to wear underwear with a cotton crotch, take showers rather than baths,
and drink two glasses of water before and after sexual intercourse and void immediately after
intercourse.
Observing urine characteristics will not prevent a UTI; however, this observation may help a
patient notice an infection.
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
Answer
a
Fever and diaphoresis cause the kidneys to conserve body fluids. Thus, the urine is concentrated
and decreased in amount.
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.
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