The student nurse is reviewing drugs that affect urinary elimination with the clinical preceptor. What statement made by the nurse would warrant further education by the clinical preceptor?

Correct Answer: C

Rationale: Calcium channel blockers typically reduce bladder contractility, potentially causing retention, not increased elimination (C), warranting education. Diuretics (A), anticholinergics (B), and alpha blockers (D) are correct, as they respectively increase output, reduce urgency, and improve flow, making C the inaccurate statement.

Correct Answer: B

Rationale: Aspirating urine from the self-sealing port with a sterile needle after antiseptic wipe (B) ensures a fresh, uncontaminated sample from the catheter, ideal for accurate culture and sensitivity. Disconnecting tubing (A) risks contamination, drainage bag urine (C) is stagnant and unreliable, and clamping then aspirating (D) is unnecessary and risks backflow, making B the standard, sterile method.

Correct Answer: B

Rationale: The ureter is lined with transitional epithelium (B), accommodating urine passage. Stratified squamous (A) is in skin, ciliated columnar (C) in fallopian tubes, and cuboidal (D) in tubules, making B the lining.

Correct Answer: B

Rationale: Glomerular filtration is passive (B), driven by hydrostatic pressure, not ATP (A). Active transport occurs in reabsorption, not filtration, making False the correct answer.

Correct Answer: A

Rationale: Acute glomerulonephritis often follows a streptococcal infection like strep throat (A), making this history critical for diagnosis. Hypertension (B) is a symptom, not cause, and UTIs (C) or stones (D) are unrelated, prioritizing A for assessment.