Chapter 53 Urinary Dysfunction: Nursing Management

Chapter 53  Urinary Dysfunction: Nursing Management

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A client is being evaluated for a lower urinary tract infection. Which of the following symptoms would the nurse expect to find?
1.
Cloudy urine
2.
Flank pain
3.
Nausea
4.
Temperature 102.9°F

ANS: 1
Symptoms of a lower urinary tract infection include dysuria, frequency, urgency, hesitancy, cloudy urine, lower abdominal pain, chills, malaise, and mild fever (less than 101°F). The other options are symptoms of upper urinary tract infection.

PTS: 1 DIF: Apply
REF: Urinary Tract Infection: Assessment with Clinical Manifestations

2. An elderly client is diagnosed with a urinary tract infection. Which of the following will the nurse most likely assess in this client?
1.
Jaundice
2.
Vomiting
3.
Poor eating habits
4.
Change in mental status

ANS: 4
The elderly tend to have symptoms of fever or hypothermia, poor appetite, lethargy, and a change in mental status. Newborns demonstrate jaundice. Infants can experience vomiting. Children tend to have poor eating habits.

PTS: 1 DIF: Apply
REF: Urinary Tract Infection: Assessment with Clinical Manifestations

3. A nurse is collecting a post-void residual urine volume for a client. Which of the following volumes would be abnormal?
1.
30 mL
2.
60 mL
3.
95 mL
4.
125 mL

ANS: 4
A residual volume of greater than 100 mL is abnormal. The other volumes would be considered within normal limits.

PTS: 1 DIF: Apply REF: Box 53-1 Summary of Diagnostic Tests for UTI

4. A client is prescribed trimethoprim-sulfamethoxazole for a urinary tract infection. Which of the following instructions would not be appropriate for this medication?
1.
Complete all the medication even if you feel better.
2.
Drink extra water during the day.
3.
Take on an empty stomach with water.
4.
Take with an antacid.

ANS: 4
This medication does not need to be taken with an antacid. Trimethoprim-sulfamethoxazole (Bactrim) should be taken on an empty stomach with water. The client should consume extra water to prevent sedimentation in the urine and calculus formation. All medication should be taken to treat and eliminate the infection.

PTS: 1 DIF: Apply
REF: Box 53-2 Common Medications Used with Patients with UTI