A patient is discharged after photocoagulation for a bladder papilloma. Instructions for this patient should include making an appointment for follow-up:
1. in 3 months.
2. in 1 year.
3. in 3 years.
4. if symptoms return in the year following surgery.
Question 2A patient with a history of recurrent urinary tract infections (UTIs) asks if there are any complementary approaches to reducing the risk of developing future infections. What should the nurse instruct this patient?
Select all that apply.
1. Take saw palmetto.
2. Drink blueberry juice.
3. Drink cranberry juice.
4. Limit the intake of vitamin C.
5. Apply lavender over the abdomen.
Question 3The nurse is planning care for a patient recovering from bladder neck surgery. What should the nurse include in this patient's plan of care?
Select all that apply.
1. securing urinary catheters in position
2. reporting any onset of bright red urine
3. measuring urine output and reporting changes
4. gently tugging on urinary catheter every shift
5. expecting urine to be pink and gradually clear
Question 4The nurse instructs a patient with spastic bladder about the prescribed medication tolterodine (Detrol). What patient statements indicate that teaching has been effective?
Select all that apply.
1. I can take this with or without food.
2. This medication might make me drowsy.
3. I should call my doctor if I have problems breathing.
4. I should be careful driving while taking this medication.
5. I can drink wine with dinner while taking this medication.
Question 5The nurse is caring for a patient with a urinary stoma. In which order should the nurse provide care?
Choice 1. Cleanse the skin around stoma with soap and water, rinse, and pat or air-dry.
Choice 2. Assess the stoma, noting color and moisture.
Choice 3. Remove the old pouch; use warm water to loosen the seal.
Choice 4. Use the stoma guide to determine the size of the bag opening and/or protective ring. Trim as needed.
Choice 5. Apply the bag with an opening no more than 12 mm wider than the outside of the stoma.
Choice 6. Apply a skin barrier; allow the skin to dry, then connect the bag to the urine-collection device.
Question 6The nurse is reviewing data collected on a patient with urinary calculi. Which complication should the nurse suspect is occurring in this patient?
1. hydronephrosis
2. infection
3. renal colic
4. ureteral tumor
Question 7The nurse is reviewing data collected on a patient with a urinary tract disorder. Which health problem should the nurse suspect is affecting this patient?
1. pyelonephritis
2. nephrolithiasis
3. hydronephrosis
4. cystitis
Question 8A patient with pyelonephritis asks the nurse to explain the condition. How should the nurse respond?
1. It is an infection of the kidney.
2. It is an inflammation of the bladder.
3. It is an infection of the lower urinary tract.
4. It is a blockage in the tube from your kidney to your bladder.
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