Question 1

A patient has fallen several times in the past week when attempting to get to the bathroom. The patient gets up 3 or 4 times a night to urinate. Which recommendation by the nurse is most appropriate in correcting this urinary problem?

Accepted Answer

A)   Limit fluid and caffeine intake before bed.
B)   Leave the bathroom light on to illuminate a pathway.
C)   Practice Kegel exercises to strengthen bladder muscles.
D)   Clear the path to the bathroom of all obstacles before bedtime.E) None of the above
F) A) and B)

Question 2

The nurse is using different toileting schedules. Which principles will the nurse keep in mind when planning care? (Select all that apply.)

Accepted Answer

A)   Habit training uses a bladder diary.
B)   Timed voiding is based upon the patient's urge to void.
C)   Prompted voiding includes asking patients if they are wet or dry.
D)   Elevation of feet in patients with edema can decrease nighttime voiding.
E)   Bladder retraining teaches patients to follow the urge to void as quickly as possible.F) A) and B)
G) B) and E)

Question 3

The patient is taking phenazopyridine. When assessing the urine, what will the nurse expect?

Accepted Answer

A)   Red color
B)   Orange color
C)   Dark amber color
D)   Intense yellow colorE) A) and B)
F) A) and C)

Question 4

While receiving a shift report on a patient, the nurse is informed that the patient has urinary incontinence. Upon assessment, which finding will the nurse expect?

Accepted Answer

A)   An indwelling Foley catheter
B)   Reddened irritated skin on buttocks
C)   Tiny blood clots in the patient's urine
D)   Foul-smelling discharge indicative of infectionE) None of the above
F) B) and D)

Question 5

A nurse is providing care to a patient with an indwelling catheter. Which practice indicates the nurse is following guidelines for avoiding catheter-associated urinary tract infection (CAUTI) ?

Accepted Answer

A)   Drapes the urinary drainage tubing with no dependent loops
B)   Washes the drainage tube toward the meatus with soap and water
C)   Places the urinary drainage bag gently on the floor below the patient
D)   Allows the spigot to touch the receptacle when emptying the drainage bagE) B) and C)
F) A) and D)

Question 6

A nurse is caring for a male patient with urinary retention. Which action should the nurse take  first\bold{first}first ?

Accepted Answer

A)   Limit fluid intake.
B)   Insert a urinary catheter.
C)   Assist to a standing position.
D)   Ask for a diuretic medication. E) A) and B)
F) A) and C)

Question 7

The nurse suspects cystitis related to a lower urinary tract infection. Which clinical manifestation does the nurse expect the patient to report?

Accepted Answer

A)   Dysuria
B)   Flank pain
C)   Frequency
D)   FeverE) A) and D)
F) C) and D)

Question 8

A nurse is watching a nursing assistive personnel (NAP)  perform a postvoid bladder scan on a female with a previous hysterectomy. Which action will require the nurse to follow up?

Accepted Answer

A)   Palpates the patient's symphysis pubis
B)   Wipes scanner head with alcohol pad
C)   Applies a generous amount of gel
D)   Sets the scanner to femaleE) All of the above
F) A) and B)

Question 9

The nurse is obtaining a 24-hour urine specimen collection from the patient. Which actions should the nurse take? (Select all that apply.)

Accepted Answer

A)   Keeping the urine collection container on ice when indicated
B)   Withholding all patient medications for the day
C)   Irrigating the sample as needed with sterile solution
D)   Testing the urine sample with a reagent strip by dipping it in the urine
E)   Asking the patient to void and discarding that urine to start the collectionF) None of the above
G) A) and E)

Question 10

A nurse is evaluating a nursing assistive personnel's (NAP)  care for a patient with an indwelling catheter. Which action by the NAP will cause the nurse to intervene?

Accepted Answer

A)   Emptying the drainage bag when half full
B)   Kinking the catheter tubing to obtain a urine specimen
C)   Placing the drainage bag on the side rail of the patient's bed
D)   Securing the catheter tubing to the patient's thighE) B) and C)
F) A) and D) C

Question 11

The nurse will anticipate inserting a Coudé catheter for which patient?

Accepted Answer

A)   An 8-year-old male undergoing anesthesia for a tonsillectomy
B)   A 24-year-old female who is going into labor
C)   A 56-year-old male admitted for bladder irrigation
D)   An 86-year-old female admitted for a urinary tract infectionE) B) and C)
F) A) and D)

Question 12

A nurse is caring for an 8-year-old patient who is embarrassed about urinating in bed at night. Which intervention should the nurse suggest to reduce the frequency of this occurrence?

Accepted Answer

A)   "Set your alarm clock to wake you every 2 hours, so you can get up to void."
B)   "Line your bedding with plastic sheets to protect your mattress."
C)   "Drink your nightly glass of milk earlier in the evening."
D)   "Empty your bladder completely before going to bed."E) B) and C)
F) C) and D)

Question 13

The patient is having lower abdominal surgery and the nurse inserts an indwelling catheter. What is the rationale for the nurse's action?

Accepted Answer

A)   The patient may void uncontrollably during the procedure.
B)   Local trauma sometimes promotes excessive urine incontinence.
C)   Anesthetics can decrease bladder contractility and cause urinary retention.
D)   The patient will not interrupt the procedure by asking to go to the bathroom.E) None of the above
F) B) and D)

Question 14

A nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel?

Accepted Answer

A)   Obtaining a midstream urine specimen
B)   Interpreting a bladder scan result
C)   Inserting a straight catheter
D)   Irrigating a catheterE) B) and D)
F) A) and C) A

Question 15

A nurse is reviewing urinary laboratory results. Which finding will cause the nurse to follow up?

Accepted Answer

A)   Protein level of 2 mg/100 mL
B)   Urine output of 80 mL/hr
C)   Specific gravity of 1.036
D)   pH of 6.4E) B) and C)
F) C) and D)

Question 16

A patient requests the nurse's help to the bedside commode and becomes frustrated when unable to void in front of the nurse. How should the nurse interpret the patient's inability to void?

Accepted Answer

A)   The patient can be anxious, making it difficult for abdominal and perineal muscles to relax enough to void.
B)   The patient does not recognize the physiological signals that indicate a need to void.
C)   The patient is lonely, and calling the nurse in under false pretenses is a way to get attention.
D)   The patient is not drinking enough fluids to produce adequate urine output.E) A) and B)
F) A) and C)

Question 17

A female patient is having difficulty voiding in a bedpan but states that her bladder feels full. To stimulate micturition, which nursing intervention should the nurse try first?

Accepted Answer

A)   Exiting the room and informing the patient that the nurse will return in 30 minutes to check on the patient's progress.
B)   Utilizing the power of suggestion by turning on the faucet and letting the water run.
C)   Obtaining an order for a Foley catheter.
D)   Administering diuretic medication.E) All of the above
F) C) and D)

Question 18

Which clinical manifestation will the nurse expect to observe in a patient with excessive white blood cells present in the urine?

Accepted Answer

A)   Reduced urine specific gravity
B)   Increased blood pressure
C)   Abnormal blood sugar
D)   Fever with chillsE) A) and C)
F) A) and D)

Question 19

Which nursing actions will the nurse implement when collecting a urine specimen from a patient? (Select all that apply.)

Accepted Answer

A)   Growing urine cultures for up to 12 hours
B)   Labeling all specimens with date, time, and initials
C)   Allowing the patient adequate time and privacy to void
D)   Wearing gown, gloves, and mask for all specimen handling
E)   Transporting specimens to the laboratory in a timely mannerF)  Collecting the specimen from the drainage bag of an indwelling catheterG) A) and B)
H) None of the above B, C, E

Question 20

Upon palpation, the nurse notices that the bladder is firm and distended; the patient expresses an urge to urinate. Which question is  most\bold{most}most  appropriate?

Accepted Answer

A)   "Does your urinary problem interfere with any activities?"
B)   "Do you lose urine when you cough or sneeze?"
C)   "When was the last time you voided?"
D)   "Are you experiencing a fever or chills?" E) A) and D)
F) A) and B)

Exam 46: Urinary Elimination

A patient has fallen several times in the past week when attempting to get to the bathroom. The patient gets up 3 or 4 times a night to urinate. Which recommendation by the nurse is most appropriate in correcting this urinary problem?

Correct AnswerverifiedShow Answer

The nurse is using different toileting schedules. Which principles will the nurse keep in mind when planning care? (Select all that apply.)

Correct AnswerverifiedShow Answer

The patient is taking phenazopyridine. When assessing the urine, what will the nurse expect?

Correct AnswerverifiedShow Answer

While receiving a shift report on a patient, the nurse is informed that the patient has urinary incontinence. Upon assessment, which finding will the nurse expect?

Correct AnswerverifiedShow Answer

A nurse is providing care to a patient with an indwelling catheter. Which practice indicates the nurse is following guidelines for avoiding catheter-associated urinary tract infection (CAUTI) ?

Correct AnswerverifiedShow Answer

A nurse is caring for a male patient with urinary retention. Which action should the nurse take first\bold{first}first ?

Correct AnswerverifiedShow Answer

The nurse suspects cystitis related to a lower urinary tract infection. Which clinical manifestation does the nurse expect the patient to report?

Correct AnswerverifiedShow Answer

A nurse is watching a nursing assistive personnel (NAP) perform a postvoid bladder scan on a female with a previous hysterectomy. Which action will require the nurse to follow up?

Correct AnswerverifiedShow Answer

The nurse is obtaining a 24-hour urine specimen collection from the patient. Which actions should the nurse take? (Select all that apply.)

Correct AnswerverifiedShow Answer

A nurse is evaluating a nursing assistive personnel's (NAP) care for a patient with an indwelling catheter. Which action by the NAP will cause the nurse to intervene?

Correct AnswerverifiedC

The nurse will anticipate inserting a Coudé catheter for which patient?

Correct AnswerverifiedShow Answer

A nurse is caring for an 8-year-old patient who is embarrassed about urinating in bed at night. Which intervention should the nurse suggest to reduce the frequency of this occurrence?

Correct AnswerverifiedShow Answer

The patient is having lower abdominal surgery and the nurse inserts an indwelling catheter. What is the rationale for the nurse's action?

Correct AnswerverifiedShow Answer

A nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel?

Correct AnswerverifiedA

A nurse is reviewing urinary laboratory results. Which finding will cause the nurse to follow up?

Correct AnswerverifiedShow Answer

A patient requests the nurse's help to the bedside commode and becomes frustrated when unable to void in front of the nurse. How should the nurse interpret the patient's inability to void?

Correct AnswerverifiedShow Answer

A female patient is having difficulty voiding in a bedpan but states that her bladder feels full. To stimulate micturition, which nursing intervention should the nurse try first?

Correct AnswerverifiedShow Answer

Which clinical manifestation will the nurse expect to observe in a patient with excessive white blood cells present in the urine?

Correct AnswerverifiedShow Answer

Which nursing actions will the nurse implement when collecting a urine specimen from a patient? (Select all that apply.)

Correct AnswerverifiedB, C, E

Upon palpation, the nurse notices that the bladder is firm and distended; the patient expresses an urge to urinate. Which question is most\bold{most}most appropriate?

Correct AnswerverifiedShow Answer

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A nurse is caring for a male patient with urinary retention. Which action should the nurse take $\bold{first}$ ?

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C

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A

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B, C, E

Upon palpation, the nurse notices that the bladder is firm and distended; the patient expresses an urge to urinate. Which question is $\bold{most}$ appropriate?

Correct Answer
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