Nursing Assessment: Urinary System

Nursing Assessment: Urinary System
1. To assess whether there is any improvement in a patient’s dysuria, which question
will the nurse ask?
a. “Do you have to urinate at night?”
b. “Do you have blood in your urine?”
c. “Do you have to urinate frequently?”
d. “Do you have pain when you urinate?”
ANS: D
Dysuria is painful urination. The alternate responses are used to assess other urinary
tract symptoms: hematuria, nocturia, and frequency.
DIF: Cognitive Level: Apply (application) REF: 1056
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
2. When a patient’s urine dipstick test indicates a small amount of protein, the nurse’s
next action should be to
a. send a urine specimen to the laboratory to test for ketones.
b. obtain a clean-catch urine for culture and sensitivity testing.
c. inquire about which medications the patient is currently taking.
d. ask the patient about any family history of chronic renal failure.
ANS: C
Normally the urinalysis will show zero to trace amounts of protein, but some
medications may give false-positive readings. The other actions by the nurse may be
appropriate, but checking for medications that may affect the dipstick accuracy should
be done first.
DIF: Cognitive Level: Apply (application) REF: 1057
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity

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