Chapter 53--Urinary Dysfunction: Nursing Management

Chapter 53–Urinary Dysfunction: Nursing Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

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?

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?

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?

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?

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

5. A client with a urinary tract infection is being discharged with a prescription for ciprofloxacin. The nurse should include which of the following discharge instructions?

ANS:  1

Ciprofloxacin should not be administered within 2 hours of taking an antacid. The client does not need to limit fluids or restrict activity. Nausea is not always a side effect of this medication.

PTS:   1                    DIF:    Apply

REF:    Box 53-2 Common Medications Used with Patients with UTI