ATI LPN
ATILPN Med Surg Urinary Exam Questions
Question 1 of 5
After undergoing prostate surgery, a patient is discharged on the medication phenazopyridine hydrochloride (Pyridium) to assist with urinary catheter discomfort. What information will the nurse include in the discharge teaching?
Correct Answer: D
Rationale: Phenazopyridine causes a harmless reddish-orange discoloration of urine, which can stain clothing or contact lenses, and this should be included in discharge teaching.
Question 2 of 5
A patient has a nephrostomy tube that has been inserted because of an obstruction in the ureter. What special precautions in the care of the nephrostomy tube should the nurse implement?
Correct Answer: D
Rationale: Ensuring the nephrostomy tube remains patent prevents complications like hydronephrosis or infection, making continuous drainage a critical precaution.
Question 3 of 5
In the elderly what is a common sign of urinary tract infection (UTI)?
Correct Answer: C
Rationale: Elderly patients often present with atypical symptoms like confusion or altered mental status as the most prominent sign of a UTI.
Question 4 of 5
A 14-year-old male is taking tolterodine (Detrol). What is the action of this drug?
Correct Answer: A
Rationale:
Tolterodine, an anticholinergic, reduces bladder contractions, decreasing the urge to void in patients with overactive bladder.
Question 5 of 5
What discharge teaching is appropriate for the nurse to provide to a patient who has had a lithotripsy?
Correct Answer: B
Rationale: Lithotripsy fragments stones, and patients should expect to pass stone debris in urine for weeks, which is key discharge teaching.