Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
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Chapter 38. Endocrine System Function and Assessment
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A patient hospitalized for orthopedic surgery had a urinary catheter inserted. The patient later develops a urinary tract infection (UTI) and asks the nurse what caused it. What is the appropriate response by the nurse?
| a. | “There was a change in the pH of your urine.” |
| b. | “You probably did not void frequently enough.” |
| c. | “Bacteria probably ascended the catheter, causing the infection.” |
| d. | “There are always bacteria on your perineum that enter your urine.” |
____ 2. The nurse is reinforcing 24-hour fluid intake teaching for a patient to prevent further UTIs. Which amount should the patient state that indicates that teaching has been effective?
| a. | “1000 mL.” |
| b. | “1500 mL.” |
| c. | “3000 mL.” |
| d. | “5000 mL.” |
____ 3. The nurse is reviewing the history and physical of a patient who has an infection. What term should the nurse realize describes an infection of the kidneys?
| a. | Cystitis |
| b. | Hepatitis |
| c. | Urethritis |
| d. | Pyelonephritis |
____ 4. The nurse is reinforcing teaching provided to a patient about antibiotics prescribed for a UTI. Which patient statement indicates teaching has been effective?
| a. | “I will take the antibiotics until my urine is no longer cloudy.” |
| b. | “I will take the antibiotics whenever I feel discomfort from urinating.” |
| c. | “I will take the antibiotics until they are gone regardless of symptoms.” |
| d. | “I will take the antibiotics until my temperature has been normal for 3 days.” |
____ 5. The nurse is collecting data from a patient with suspected cancer of the bladder. What finding should the nurse recognize as the most common symptom of cancer of the bladder?
| a. | Pain |
| b. | Hematuria |
| c. | Urine retention |
| d. | Burning on urination |
MULTIPLE CHOICE
UTIs are almost always caused by an ascending infection, starting at the external urinary meatus and progressing toward the bladder and kidneys. Instrumentation, or having instruments or tubes inserted into the urinary meatus, is a predisposing cause. A. B. D. Change in urinary pH, infrequent voiding, and presence of bacteria are not predisposing causes for UTIs.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application
To prevent UTIs, the patient should be encouraged to drink up to 3000 mL of fluid a day if there are no fluid restrictions from the physician. A. B. Less than 2 liters of fluid per day is not sufficient to prevent the onset of a UTI. D. There is no need for the patient to ingest 5 liters of fluid per day.
PTS: 1 DIF: Moderate
KEY: Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis
Pyelonephritis is infection of the renal pelvis, tubules, and interstitial tissue of one or both kidneys. A. Cystitis is inflammation and infection of the bladder wall. B. Hepatitis is inflammation and infection of the liver. C. Urethritis is inflammation of the urethra.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Analysis
The patient should take the prescribed medication for a UTI until all medication has been taken. A. B. D. These statements indicate that teaching has not been effective.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Pharmacological and Parenteral Therapies | Cognitive Level: Analysis
Cancer of the bladder usually causes painless hematuria. A. C. D. Pain, urine retention, and burning on urination are not the most common symptoms of bladder cancer.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Analysis
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