The nurse is instructing a patient with uric acid stones on methods to prevent lithiasis. Which patient statement indicates that teaching has been effective?
1. I should avoid organ meats and sardines in my diet.
2. I will increase purine-rich foods in my diet.
3. I know to avoid eating vitamin D-enriched foods.
4. I will have to make my urine more acidic by eating cheese, cranberries, grapes, and tomatoes.
Question 2A patient is scheduled for a lithotripsy for renal calculi. What should the nurse explain to the patient as the purpose of a bowel preparation prior to this procedure?
1. ensuring maximum visualization of the kidney and the stones
2. ensuring that there is no evidence of constipation prior to the procedure
3. increasing comfort
4. reducing postoperative pain
Question 3A patient is participating in bladder retraining activities. Which toileting activities will reduce the patient's episodes of incontinence?
Select all that apply.
1. scheduled toileting
2. habit training
3. intermittent straight catheterization
4. external catheter placement at bedtime
5. use of adult incontinence protection devices
Question 4A patient is being instructed on how to perform Kegel exercises. What should be included in these instructions?
Select all that apply.
1. While voiding, stop the flow of urine and hold for a few minutes.
2. Tighten the muscles around the anus to resist defecation.
3. Take a deep breath and hold while performing the exercise.
4. Perform these exercises at least once per day.
5. Perform these exercises for at least several months.
Question 5A patient who is recovering from spinal surgery had an accident while attempting to reach the bathroom to void. Which type of incontinence did this patient probably experience?
1. functional
2. urge
3. stress
4. total
Question 6A patient with a urinary diversion device is at risk for impaired skin integrity. Which intervention should the nurse perform for this patient?
1. emptying the bag reservoir every 2 hours
2. changing urine collection device every other day
3. teaching self-catheterization technique
4. monitoring for foul-smelling urine
Question 7An 80-year-old female patient says to the nurse, I can't hold my water very well so I don't leave the house much. What is an appropriate nursing response?
1. This is not something you have to live with. Talk with your doctor about this problem.
2. I understand.
3. I guess it's hard getting older.
4. Do you get enjoyment out of watching television?
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