ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 31 : Urinary Elimination and Care Questions
Question 1 of 5
If a patient had an order to discontinue a catheter the day after surgery, under what circumstances might you consider delaying doing so until you talk with the physician?
Correct Answer: C,D
Rationale: Low urine output (<30 mL/hr) or dark amber urine may indicate inadequate kidney function or dehydration, warranting consultation before catheter removal.
Question 2 of 5
Which two tests are most important in assessing kidney function?
Correct Answer: A
Rationale: Creatinine and eGFR are key indicators of kidney function, reflecting waste clearance and filtration rate.
Question 3 of 5
Your patient has a glomerular filtration rate (GFR) of 45 mL/min over a 3-month period. What does this tell you about her kidney function?
Correct Answer: A
Rationale: A GFR of 45 mL/min over 3 months indicates chronic kidney disease (stage 3), as it reflects persistently reduced kidney function.
Question 4 of 5
You are teaching a home care patient about self-catheterization. You know more teaching is needed when the patient states
Correct Answer: C
Rationale: Self-catheterization at home is a clean procedure, but gloves and proper cleaning are necessary to prevent infection; stating no precautions are needed is incorrect.
Question 5 of 5
Under what circumstances is it appropriate to use an indwelling catheter in a long-term care setting?
Correct Answer: C,D,E
Rationale: Indwelling catheters are appropriate for severe incontinence risking pressure ulcers, terminal illness, or when positioning causes significant pain.