Elimination Adaptive Quiz

Which instruction would the nurse include in a health practices teaching plan for a female client with a history of recurrent urinary tract infections? a) "Wear cotton underwear or lingerie" b) "Void at least every 6 hours around the clock" c) "Increase foods containing alkaline ash in the diet" d) "Wipe the perineum from back to front after toileting"

a) "Wear cotton underwear or lingerie"

Which statement made by an older adult MOST strongly supports the nurse's conclusion that the client has impacted stool? a) "I have a lot of gas pain" b) "I don't have much of an appetite" c) "I feel like I have to go, but I just seep" d) "I haven't had a bowel movement for several days"

c) "I feel like I have to go, but I just seep"

Which action would the nurse take when a client returning to the unit after a transurethral vaporization of the prostate with an indwelling urinary catheter and a continuous bladder irrigation reports the need to urinate? a) encourage the client to drink fluids b) review the client's intake and output c) assess that the tubing attached to the collection bag is patent d) explain that the balloon inflated in the bladder causes this feeling

c) assess that the tubing attached to the collection bag is patent

Which response would the nurse provide to a client who asks about what to expect postoperatively before a TURP? a) "Your urine will be pink and free of clots" b) "You will have an abdominal incision and a dressing" c) "There will be an incision between your scrotum and rectum" d) "There will be a urinary catheter and a continuous bladder irrigation"

d) "There will be a urinary catheter and a continuous bladder irrigation"

Which parental statement indicates effective learning regarding management of nocturnal enuresis in a 6-year-old child? SELECT ALL THAT APPLY a) "I should avoid giving my child fluids after dinner" b) "I should encourage my child to drink lots of water during the day" c) "I should make my child wear diapers during day hours while at school" d) "I should give my child diet soda instead of regular soda in the evening" e) "I should wake my child at the same time every night to use the bathroom"

a) "I should avoid giving my child fluids after dinner" b) "I should encourage my child to drink lots of water during the day" e) "I should wake my child at the same time every night to use the bathroom"

The nurse administers an older adult client's medications via gastrostomy tube in the long-term care setting. Which finding would necessitate holding the feedings and medications and notifying the health care provider immediately? SELECT ALL THAT APPLY a) absence of bowel sounds b) presence of abdominal distention c) residual capacity exceeding 300mL d) positive guaiac test of abdominal contents e) seepage of feeding around tracheostomy

a) absence of bowel sounds b) presence of abdominal distention c) residual capacity exceeding 300mL d) positive guaiac test of abdominal contents e) seepage of feeding around tracheostomy

After abdominal surgery, a client's postoperative prescriptions include a nasogastric (NG) tube to lower intermittent wall suction and an antiemetic every 6 hours as needed for nausea. When the client reports feeling nauseated, which action would the nurse take FIRST? a) check the correct placement of the NG tube b) administer the prescribed antiemetic c) assess the client's bowel sounds d) notify the primary health care provider

a) check the correct placement of the NG tube Rationale: Nausea may indicate tube displacement or obstruction

Which factor would the nurse assess for a client reporting constipation? SELECT ALL THAT APPLY a) diet b) fluid intake c) use of laxatives d) date of last bowel movement e) use of opioid pain medications

a) diet b) fluid intake c) use of laxatives d) date of last bowel movement e) use of opioid pain medications

Which action would the nurse take when a client has returned from surgery with a nephrostomy tube? SELECT ALL THAT APPLY a) ensure free drainage of urine b) milk the tube every 2 hours c) keep an accurate record of intake and output d) instill 12 mL of normal saline every 8 hours e) observe and document urine characteristics

a) ensure free drainage of urine c) keep an accurate record of intake and output e) observe and document urine characteristics

Which intervention would prevent urinary stasis and formation of renal calculi in an immobile client? a) increasing oral fluid intake to 2 to 3 L/day b) maintaining bed rest after discharge c) limiting fluid intake to 1 L/day d) voiding at least every hour

a) increasing oral fluid intake to 2 to 3 L/day

After a transurethral resection of the prostate, the retention catheter is pulled taut and secured to the client's leg. The client reports a feeling of pressure and asks why this is necessary. Which rationale would the nurse include in a response to this question? a) prevents bleeding b) limits discomfort c) reduces bladder spasms d) promotes urinary drainage

a) prevents bleeding

Which intervention is MOST important in preventing hospital-acquired catheter-associated urinary tract infections (CAUTIs)? a) removing the catheter b) keeping the drainage bag off of the floor c) washing hands before and after assessing the catheter d) cleansing the urinary meatus with soap and water daily

a) removing the catheter

Which action would be appropriate to implement when collecting a 24-hour urine test? a) start the time of the test after discarding the first voiding b) discard the last voiding in the 24-hour period for the test c) insert a urinary retention catheter to promote the collection of urine d) strain the urine after each voiding before adding the urine to the container

a) start the time of the test after discarding the first voiding

Which clinical manifestation of a UTI would the nurse teach to a male client with a history of recurrent urinary tract infections when preparing for discharge after a ureterolithotomy? a) urgency or frequency of urination b) an increase of ketones in the urine c) the inability to maintain an erection d) pain radiating to the external genitalia

a) urgency or frequency of urination

Which statement would be made by the nurse when performing presurgical teaching for a client pending a TURP? a) "Urinary control may be permanently lost to some degree" b) "An indwelling urinary catheter is required for at least 1 day" c) "Your ability to perform sexually will be impaired permanently" d) "Burning on urination will last while the cystostomy tube is in place"

b) "An indwelling urinary catheter is required for at least 1 day"

Which condition would the nurse suspect in a client admitted to the hospital with severe renal colic caused by a ureteral calculus who later that evening has a urinary output much less than the intake with the bladder not being distended? a) oliguria b) hydroureter c) renal shutdown d) urethral obstruction

b) hydroureter

A client admitted to the hospital with a small bowel obstruction is scheduled to have an intestinal tube inserted. When preparing the client for the procedure, which action would the nurse take? a) place the client in the right side-lying position b) instruct the client about techniques for mouth breathing c) spray the client's oropharynx with a local anesthetic solution d) reassure the client that the procedure will not cause discomfort

b) instruct the client about techniques for mouth breathing

Which action would the nurse implement in a male client who reports an inability to void after undergoing a cystoscopy and biopsy of the prostate gland due to dysuria, nocturia, and difficulty starting a urinary stream? a) insert a urinary retention catheter b) palpate above the pubic symphysis c) limit oral fluids until the client voids d) assure the client that this is expected

b) palpate above the pubic symphysis

A client with severe Crohn disease develops a small bowel obstruction. Which clinical finding would the nurse expect the client to report? a) bloody vomitus b) projectile vomiting c) bleeding with defecation d) pain in the left lower quadrant

b) projectile vomiting

Which intervention would the nurse implement when providing care for an older adult male client who is immobile and incontinent of urine? a) restrict the client's fluid intake b) regularly offer the client a urinal c) apply incontinence pants d) insert an indwelling urinary catheter

b) regularly offer the client a urinal

Which postoperative care instructions would the nurse include when providing preoperative teaching for a client scheduled for a TURP? a) the urine will be bright red for 24-48 hours b) spasms of the bladder occur during the first 24-48 hours c) to decrease bladder contractions, the Valsalva maneuver and Kegel exercises will be encouraged d) to maintain proper fluid balance, oral fluids are restricted during continuous urinary bladder irrigations

b) spasms of the bladder occur during the first 24-48 hours

Which action would the nurse implement when providing care for a client with continuous bladder irrigations? a) monitor urinary specific gravity to determine hydration b) subtract irrigant from output to determine urine volume c) record urinary output every hour to determine kidney function d) obtain a 24-hour urine specimen to determine urine concentration

b) subtract irrigant from output to determine urine volume

Which type of urinary condition would cholinergic agonists be prescribed for? a) kidney stones b) urine retention c) spastic bladder d) urinary tract infections

b) urine retention

Which information about benign prostatic hyperplasia (BPH) is important for the nurse to consider when caring for a client with that condition? a) it is a congenital abnormality b) a malignancy usually results c) it predisposes to hydronephrosis d) prostate-specific antigen decreases

c) it predisposes to hydronephrosis

Which goal would the nurse establish when providing care for a client recovering from a transurethral resection of the prostate (TURP)? a) maintain patency of the cystostomy tube b) prevent wound hemorrhage and infection c) maintain patency of the indwelling catheter d) prevent the abdominal dressing from draining

c) maintain patency of the indwelling catheter

Which action would the nurse implement to prevent a client with urinary retention and an indwelling urinary catheter from developing a urinary tract infection? a) assess urine specific gravity b) collect a weekly urine specimen c) maintain the prescribed hydration d) empty the drainage bag once a day

c) maintain the prescribed hydration

Which primary symptom would the nurse assess for in a child who has encopresis? a) practicing self-mutilation b) practicing self-induced vomiting c) passing feces either voluntarily or involuntarily into inappropriate places d) passing urine either voluntarily or involuntarily into inappropriate places

c) passing feces either voluntarily or involuntarily into inappropriate places

Which finding of a client several hours after removal of a catheter inserted a week prior after pelvic surgery indicates a need for reinsertion of the catheter? a) anuria b) polyuria c) retention d) incontinence

c) retention

Which is an appropriate short-term goal for a child with enuresis? a) groin rash will resolve in 1 week b) continence will be maintained throughout the night c) the interval between voidings will increase by 1 hour d) self-esteem enhancement will occur when the child is given praise

c) the interval between voidings will increase by 1 hour

Which education would the nurse provide the parent of a boy born with hypospadias about the age in which repair of this congenital defect is typically performed? a) shortly after birth b) between 4 and 5 years of age c) just before onset of puberty d) after 6 months and before 1 year of age

d) after 6 months and before 1 year of age

Which condition would the nurse suspect in a client who complains of nocturia, bladder pain, urinary frequency, urgency, and dribbling at the end of urination with a digital rectal examination report indicating smooth, firm, and enlarged prostate tissue surrounding the urethra? a) prostatitis b) paraphimosis c) prostate cancer d) benign prostatic hyperplasia (BPH)

d) benign prostatic hyperplasia (BPH)

Which clinical manifestation would the nurse associate with benign prostatic hyperplasia? a) perineal edema b) urethral discharge c) flank pain radiating to the groin d) distention of the lower abdomen

d) distention of the lower abdomen

Which plan of care would the nurse provide for a newborn with hypospadias? a) preparing the infant for insertion of a cystostomy tube b) explaining to the parents the genetic basis of the defect c) keeping the infant's penis wrapped with petrolatum gauze d) giving the parents reasons why circumcision should not be performed

d) giving the parents reasons why circumcision should not be performed

Which factor may contribute to a client developing urinary calculi? a) increased fluid intake b) urine specific gravity of 1.017 c) jogging 3 miles a day d) history of hyperparathyroidism

d) history of hyperparathyroidism

Which condition would the nurse suspect is the client reports passing urine involuntarily while coughing? a) enuresis b) pneumaturia c) urinary retention d) stress incontinence

d) stress incontinence

Which clinical indicator during the postoperative period of a client who had a successful nephrolithotomy to remove renal calculi would the nurse monitor and report immediately to the primary health care provider? a) continuous passage of pink-tinged urine b) pink drainage on the client's surgical dressing c) total intake volume of 2000 mL in 24 hours d) urinary output of 20 to 30 mL/h

d) urinary output of 20 to 30 mL/h