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NRSG 357 Exam II – Questions & Accurate Answers (A+)
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NRSG 357 Exam II – Questions & Accurate Answers (A+)
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NRSG 357 Exam II – Questions & Accurate Answers(A+)
While caring for a 72-yr-old man who has an indwelling catheter, the nurse
monitors the patient for the development of a UTI. What clinical
manifestations is the patient likely to experience?
Cloudy urine and fever
Urethral burning and bloody urine
Vague abdominal discomfort and disorientation
Suprapubic pain and slight decline in body temperature Right Ans - c
A woman with no history of UTI who is experiencing urgency, frequency, and
dysuria comes to the clinic, where a dipstick and microscopic urinalysis
indicate bacteriuria. What should the nurse anticipate for this patient?
Obtaining a clean-catch midstream urine specimen for culture and sensitivity
No treatment with medication unless she develops fever, chills, and flank pain
Empirical treatment with trimethoprim-sulfamethoxazole (Bactrim) for 3
days
Need to have a blood specimen drawn for a complete blood count and kidney
function tests Right Ans - c
An 82-year-old woman asks the nurse what can be the cause for frequent
urinary tract infections?
Length of urethra
Larger capacity of bladder
Relaxation of pelvic floor and bladder muscles
Tight muscular support at the urinary sphincter Right Ans - c
Carol is an active adult. Her weight is 150lbs. What health promotion teaching
would be important for Carol. Select all that apply.
empty the bladder every 6 hours( every 4 hours is recommended)
evacuate the bowel daily
wipe the perineal area from back to front
urinate before and after intercourse
, drink at least 2000 mL daily
drink up to 1500mL daily
include all sources of fluids and add 1000mL daily Right Ans - B D E
Which of the following symptoms do you expect to see in a patient diagnosed
with acute pyelonephritis?
Jaundice and flank pain
Costovertebral angle tenderness and chills
Burning sensation on urination
Polyuria and nocturia Right Ans - B
Which instructions do you include in the teaching care plan for a patient with
cystitis receiving phenazopyridine (Pyridium)?
If the urine turns orange-red, call the doctor.
Take phenazopyridine just before urination to relieve pain.
Once painful urination is relieved, discontinue prescribed antibiotics.
After painful urination is relieved, stop taking phenazopyridine. Right Ans -
D
Mr. Meyer is a patient on the medication unit with a diagnosis of acute
pyelonephritis. Which of the following instructions should the nurse provide
to the patient about managing the disease?
a."Urinate frequently because the bacteria that cause acute pyelonephritis
reach the kidneys by means of an infection that progresses upward from the
lower urinary tract."
b."Taking frequent bubble baths will decrease the likelihood of further
episodes of pyelonephritis."
c."You should take antibiotics for the rest of your life to prevent urinary tract
infections."
d."By decreasing your fluid intake, you will decrease the need for frequent
urination and the irritating effect of urine in your ureters." Right Ans - A
A patient complaints of "wetting when she sneezes". How should the nurse
document this information?
Nocturia
Micturition
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