QLexNursing
:: ::
Action
::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Open
:: ::
Action

Practice Question

Which patient will the nurse assess first?

Answer Choices:

Correct Answer:

28-year-old with urolithiasis who has been receiving morphine sulfate and has not voided for 8 hours

Rationale:

🔹 This patient is the priority because inability to void for 8 hours while receiving opioids suggests acute urinary retention or obstruction, which can lead to hydronephrosis and kidney damage if unaddressed.

🔹 Urolithiasis (stone formation) is associated with severe pain and potential blockage of urine flow; when combined with opioid-induced urinary retention, the risk of bladder distension and renal impairment increases.

🔹 Unlike the other patients, this situation reflects an urgent compromise in elimination that could worsen rapidly.

🔹 Early intervention may require catheterization or imaging to evaluate obstruction.

🔹 Prioritization is based on ABCs and Maslow’s hierarchy, and here, elimination (a physiologic need) is acutely threatened.

Want to practice more questions like this?

This question is from NURS-4703-4491) Genitourinary Quiz (Canvas) fall 2025- which contains 50 questions.

More Questions from This Exam
Which action will the nurse implement first when the patient with urolithiasis reports spasms of intense flank pain, nausea, and severe dizziness?

Answer Choices:

A. Start an infusion of 0.9% normal saline at 100 mL/hr.
B. Begin an infusion of metoclopramide IO mg IV.
C. Obtain a urine specimen for urinalysis.
D. Administer morphine sulfate 4 mg IVA
Which nursing action will be priority when the health care provider prescribes a urine culture and antibiotics for the patient presenting With cloudy, blood-tinged urine and a temperature Of 100.1OF (37.80C) after having an indwelling catheter in place for 3 weeks?

Answer Choices:

A. Replace the catheter, and then obtain a urine specimen for culture.
B. Administer the prescribed antibiotic.
C. use aseptic technique to obtain a sample of the urine from the catheter bag.
D. Obtain a urine specimen, and administer the antibiotic.
Which action will the nurse attribute to the alleviation of a patient's urinary tract infection symptoms during a follow-up visit? Select all that apply. One, some, or all responses may be correct.

Answer Choices:

A. Taking bubble baths regularly
B. Drinking cranberry juice
C. Avoiding use of douches
D. Avoiding use of topical estrogens
E. Increasing fluid intake
Which patient statement indicates effective teaching related to the importance of a low-purine diet in treatment of uric acid urolithiasis?

Answer Choices:

A. "l will quit growing rhubarb in my garden because I'm not supposed to eat it anymore:
B. "My wife will be happy to know that I can keep enjoying her liver and onions recipe."
C. "l will no longer be able to have red wine with my dinner:
D. "l am so relieved that I can continue eating my fried fish meals every week."
From Exam
NURS-4703-4491) Genitourinary Quiz (Canvas) fall 2025-

50 Questions

View Full Exam Start Practicing
Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: General Exams
  • Domain: Medical-surgical📚
  • Answer Choices: 4
Q