ATI Elmination Module Assessment

A nurse is providing information to a client about what may happen if their urinary tract infection (UTI) is not treated. Which of the following statements by the client indicates an understanding of the information? 1. "I can develop a kidney infection called pyelonephritis." 2. "I might have urinary retention." 3. "I might become incontinent." 4. "I can develop functional incontinence."

1. "I can develop a kidney infection called pyelonephritis."

A nurse is caring for a female client who has a prescription for a clean catch urine specimen. Which of the following statements by the client demonstrates an understanding of how to provide a urine specimen? 1. "I need to wipe from the front to the back with a sanitary wipe." 2. "I should place the urine sample cup in the refrigerator." 3. "I will begin the urination process in the specimen cup." 4. "I will urinate in the urine tray for the nurse to collect."

1. "I need to wipe from the front to the back with a sanitary wipe."

A nurse is teaching a client about diagnostic urinary testing. Which of the following should the nurse include in the teaching about cystometric testing? 1. Cystometric testing measures bladder capacity, pressure, and final capacity when the urge to urinate begins. 2. Cystometric testing measures urine speed and volume. 3. Cystometric testing measures bladder pressure when urinary leakage occurs. 4. Cystometric testing measures electrical activity of the muscles and nerves of the bladder and sphincters.

1. Cystometric testing measures bladder capacity, pressure, and final capacity when the urge to urinate begins.

A nurse is preparing to collect a urine sample for urinalysis using a reagent strip. The nurse should identify that the reagent strip can detect substances that are consistent with which of the following conditions? 1. Diabetes 2. Colon cancer 3. Pancreatitis 4. Pregnancy

1. Diabetes

A nurse if planning care for a client who reports blood in their stool. Which of the following tests should the nurse anticipate the provider ordering? 1. Fecal occult blood test 2. Stool culture 3. Flexible sigmoidoscopy 4. Endoscopic retrograde cholangiopancreatography (ERCP)

1. Fecal occult blood test

A nurse is planning care for a client who has a new colostomy. Which of the following complications should the nurse plan to monitor for? 1. Hernia 2. Gastroesophageal reflux disease 3. Crohn's disease 4. Ulcerative colitis

1. Hernia

A nurse is reviewing the medical record of a client who has persistent diarrhea. Which of the following findings should the nurse identify as risk factors? (Select all that apply.) 1. History of irritable bowel syndrome 2. A shortened urethra 3. Cardiovascular disease 4. Consumes large amounts of dairy in their diet 5. Currently taking antibiotics for an infection

1. History of irritable bowel syndrome 4. Consumes large amounts of dairy in their diet 5. Currently taking antibiotics for an infection

A nurse is caring for a group of clients who are at risk for an alteration in urinary elimination. Which of the following groups should the nurse identify as being at an increased risk? (Select all that apply.) 1. Uncircumcised infants 2. School-age children 3. Middle adults 4. Older adults 5. Young adults

1. Uncircumcised infants 2. School-age children 4. Older adults

A nurse is planning care for a client who has an order for urinalysis. Which of the following tests should the nurse anticipate being ordered if the presence of white blood cells is detected on urinalysis? 1. Urine culture 2. Bladder scan 3. 24-hour urine 4. Stool culture

1. Urine culture

A nurse is teaching a client about foods that can irritate the bladder. Which of the following statements by the client indicates an understanding of the teaching? 1. "I will still be able to drink chocolate milk." 2. "I should avoid fruits that are acidic." 3. "I will need to switch from regular soda to diet soda." 4. "I can still use jalepeno peppers when cooking."

2. "I should avoid fruits that are acidic."

A nurse is educating a client about a new temporary ileostomy. Which of the following statements by the client indicates an understanding of the teaching? 1. "My ileostomy has an internal reservoir that collects waste." 2. "My ileostomy is allowing my colon time to heal from the surgery." 3. "My ileostomy must be accessed with a catheter to drain the waste." 4. "My ileostomy is designed to be a permanent solution."

2. "My ileostomy is allowing my colon time to heal from the surgery."

A nurse is caring for a client who reports occasionally having dark, tea-colored urine at home. The nurse identifies that which of the following activities can contribute to this finding? 1. Attending a yoga class 2. Consuming alcohol 3. Drinking 2,000 ml of fluid in a day 4. Consuming fish for dinner

2. Consuming alcohol

A nurse is caring for a client who has constipation and requires an enema. Which of the following actions should the nurse take when administering the enema solution? 1. Instruct the client to lie on their right side with their left leg pulled up to their chest. 2. Instruct the client to lie on their left side with their right leg pulled up to their chest. 3. Instruct the client to lie on their left side with both legs pulled up to their chest. 4. Instruct the client to lie on their right side with both legs pulled up to their chest.

2. Instruct the client to lie on their left side with their right leg pulled up to their chest.

A nurse is assessing a client who has an indwelling urinary catheter and determines that the catheter is in place and functioning properly. The nurse should expect which of the following findings? 1. Dark yellow, cloudy urine 2. Pale yellow, clear urine 3. Urine with a strong odor 4. Urine with a slight red tint

2. Pale yellow, clear urine

A nurse is caring for a client who has a prescription for a vitamin K injection. The nurse should identify that vitamin K is naturally produced in which of the following locations in the body? 1. The small intestine 2. The large intestine 3. The esophagus 4. The stomach

2. The large intestine

A nurse is assessing a client who has stress incontinence. Which of the following findings should the nurse expect with this client? 1. Urine leakage prior to reaching the toilet 2. Urine leakage following coughing 3. Urine leakage as a result of nerve damage 4. Urine leakage due to not reaching the toilet in time from a physical impairment

2. Urine leakage following coughing

A nurse is teaching a newly licensed nurse about urinary retention. Which of the following clients should the nurse include as having an increased risk for this condition? 1. A client who has an enlarged uterus 2. A client who experiences frequent urinary tract infections 3. A client who has an enlarged prostate 4. A client who has chronic hypertension

3. A client who has an enlarged prostate

A nurse is caring for a client with suspected dehydration. For which of the following findings should the nurse monitor this client? 1. Oral temperature of 36.4°C (97.5°F) 2. Light yellow urine 3. Dry mucous membranes 4. Diaphoresis

3. Dry mucous membranes

A nurse is caring for a client who has constipation. Which of the following diets should the nurse encourage the client to follow? 1. Low fat 2. High protein 3. High fiber 4. Low carbohydrate

3. High fiber

A nurse is reviewing a client's list of medicationos and supplements. Which of the following medication classifications increases the risk of constipation? 1. Magnesium-containing antacids 2. Antibiotics 3. Narcotic pain medications 4. Beta blockers

3. Narcotic pain medications

A nurse is caring for a client who has a colostomy and does not wear a colostomy pouch. Which of the following actions should the nurse anticipate performing on this client to maintain expected bowel function? 1. Administer an enema. 2. Administer a laxative. 3. Perform colostomy irrigation. 4. Insert a rectal tube.

3. Perform colostomy irrigation.

A nurse is caring for a client who is receiving antibiotic treatment for a urinary tract infection and is experiencing diarrhea. Which of the following should the nurse identify as a potential cause of the diarrhea? 1. The antibiotic dose is not correct, and the provider should be alerted. 2. The antibiotic interferes with the client's ability to absorb nutrients. 3. The antibiotic eliminates the healthy gastroinstestinal bacteria, allowing harmful bacteria to grow. 4. The antibiotic decreases a client's immunity level, resulting in diarrhea.

3. The antibiotic eliminates the healthy gastroinstestinal bacteria, allowing harmful bacteria to grow.

A nurse is caring for a client who has a stone in the right ureter that is obstructing the flow of urine. Which of the following urinary diversions should the nurse anticipate the client will need? 1. Urostomy 2. Continent cutaneous reservoir 3. Ureteral stent 4. Neobladder

3. Ureteral stent

A nurse is evaluating a client's bladder training program. Which of the following statements by the client indicates the bladder training was successful? 1. "I am having accidents daily." 2. "I am voiding a small amount when I visit the bathroom." 3. "I continue to visit the bathroom every hour." 4. "I am experiencing less than one urinary accident per week."

4. "I am experiencing less than one urinary accident per week."

A nurse is providing posteroperative instructions for a client who had kidney stone removal and placement of a nephrostomy tube. Which of the following statements by the client indicates an understanding of the instructions? 1. "This tube will keep my ureters open in case of another stone." 2. "This tube will remain permanently because I can't empty my bladder." 3. "This tube goes directly into my bladder." 4. "This tube is only temporary."

4. "This tube is only temporary."

A nurse is caring for a client who has a history of irritable bowel syndrome and reports that their last bowel movement was 5 days ago. The nurse should identify this as which of the following types of altered elimination pattern? 1. Encopresis 2. Diarrhea 3. Fecal incontinence 4. Constipation

4. Constipation

A nurse is preparing to insert a nasogastric tube into a client for decompression. Which of the following actions should the nurse perform first? 1. Measure the tube from the client's ear to the xiphoid. 2. Insert the tube while the client takes sips of water. 3. Connect the nasogastric tube to suction. 4. Ensure the client is in a sitting position.

4. Ensure the client is in a sitting position.

A nurse is educating a client who has paraplegia about urinary catheter use. Which of the following catheter types should the nurse include in the teaching to help facilitate urinary elimination for this client? 1. Suprapubic catheter 2. Indwelling catheter 3. Condom catheter 4. Intermittent catheter

4. Intermittent catheter

A nurse is caring for an older adult client who is experiencing urinary leakage. Which of the following is an expected age-related change that can contribute to this occurence? 1. Reduced blood supply 2. Loss of kidney tissue 3. Loss of nephrons 4. Loss of bladder tone

4. Loss of bladder tone

A nurse is reviewing the primary function of the urinary tract with a group of newly licensed nurses. Which of the following information should the nurse include? 1. The urinary tract regulates the production of red blood cells. 2. The urinary tract produces hormones for blood pressure regulation. 3. The urinary tract keeps bones strong. 4. The urinary tract eliminates waste and excess fluid from the body.

4. The urinary tract eliminates waste and excess fluid from the body.