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NR 325 EXAM 1 NEWEST 2024-2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A female patient with a suspected urinary tract infection (UTI) is to provide a clean-catch urine specimen for culture and sensitivity testing.To obtain the specimen, the nurse will
- have the patient empty the bladder completely, then obtain the next
urine specimen that the patient is able to void.
- teach the patient to clean the urethral area, void a small amount into
the toilet, and then void into a sterile specimen cup.
- insert a short sterile "mini" catheter attached to a collecting container
into the urethra and bladder to obtain the specimen.
- clean the area around the meatus with a povidone-iodine (Betadine)
swab, and then have the patient void into a sterile container. -
ANSWER- ANS: B
Rationale: This answer describes the technique for obtaining a
clean-catch specimen.clean the area around the meatus with a povidone-iodine (Betadine) swab, and then have the patient void into a sterile container
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The nurse is caring for a 68-year-old hospitalized patient with a decreased glomerular filtration rate who is scheduled for an intravenous pyelogram (IVP). Which action will be included in the plan of care?
- Monitor the urine output after the procedure.
- Assist with monitored anesthesia care (MAC).
- Give oral contrast solution before the procedure.
d. Insert a large size urinary catheter before the IVP. - ANSWER- ANS:
A
Rationale: Patients with impaired renal function are at risk for
decreased renal function after IVP because the contrast medium used is nephrotoxic, so the nurse should monitor the patient's urine output.
Which nursing action is essential for a patient immediately after a renal biopsy?
- Check blood glucose to assess for hyperglycemia or hypoglycemia.
- Insert a urinary catheter and test urine for gross or microscopic
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hematuria.
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- Monitor the blood urea nitrogen (BUN) and creatinine to assess renal
function.
- Apply a pressure dressing and keep the patient on the affected side for
30 minutes. - ANSWER- ANS: D
Rationale: A pressure dressing is applied and the patient is kept on
the affected side for 30 to 60 minutes to put pressure on the biopsy side and decrease the risk for bleeding.
A male patient in the clinic provides a urine sample that is red-orange in color. Which action should the nurse take first?
- Notify the patient's health care provider.
- Teach correct midstream urine collection.
- Ask the patient about current medications.
- Question the patient about urinary tract infection (UTI) risk factors. -
ANSWER- ANS: C
Rationale: A red-orange color in the urine is normal with some
over-the-counter (OTC) medications such as phenazopyridine (Pyridium).
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A female patient being admitted with pneumonia has a history of neurogenic bladder as a result of a spinal cord injury. Which action will the nurse plan to take first?
- Ask about the usual urinary pattern and any measures used for bladder
control.
- Assist the patient to the toilet at scheduled times to help ensure
bladder emptying.
- Check the patient for urinary incontinence every 2 hours to maintain
skin integrity.
- Use intermittent catheterization on a regular schedule to avoid the risk
of infection. - ANSWER- ANS: A
Rationale: Before planning any interventions, the nurse should
complete the assessment and determine the patient's normal bladder pattern and the usual measures used by the patient at home.
Which information from a patient's urinalysis requires that the nurse notify the health care provider?
- pH 6.2
- Trace protein
- WBC 20 to 26/hpf
d. Specific gravity 1.021 - ANSWER- ANS: C
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