ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 31 : Urinary Elimination and Care Questions
Question 1 of 5
You are delegating the task of monitoring the output of an elderly male patient at risk for oliguria. He has an indwelling catheter in place. Which is the most appropriate direction for you to give to an unlicensed assistant?
Correct Answer: D
Rationale: Specific instructions to check output every 2 hours and report if it falls below 60 mL ensure timely detection of oliguria, which requires immediate attention.
Question 2 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 3 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 4 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 5 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.