NMNC 4335 - Urinary Elimination

Arrange the steps for the collection of a urine sample from a client with an indwelling catheter in correct order. 1. Aspirate the urine. 2. Remove the clamp. 3. Attach a sterile syringe. 4. Clamp drainage tubing.

4. Clamp drainage tubing. 3. Attach a sterile syringe. 1. Aspirate the urine. 2. Remove the clamp.

The nurse is collecting the urine specimen of a client who has an indwelling catheter. Arrange in order the procedure involved in the collection of urine. In which order would the nurse perform the following actions? 1. Clean the injection port with an antiseptic. 2. Dispose of the syringe. 3. Aspirate the quantity of the urine required. 4. Attach a 5-mL sterile syringe into the port. 5. Remove the clamp to resume the drainage. 6. Inject the urine sample into sterile specimen container. 7. Apply a clamp to the drainage tubing distal to the injection port.

7. Apply a clamp to the drainage tubing distal to the injection port. 1. Clean the injection port with an antiseptic. 4. Attach a 5-mL sterile syringe into the port. 3. Aspirate the quantity of the urine required. 6. Inject the urine sample into sterile specimen container. 5. Remove the clamp to resume the drainage. 2. Dispose of the syringe.

Which impending problem would the nurse suspect when caring for a client with bloody urine in the indwelling catheter collection bag, after an emergency cesarean birth? 1. Incisional nick in the bladder 2. Urinary infection from the catheter 3. Uterine relaxation with increased lochia 4. Disseminated intravascular coagulopathy

1. Incisional nick in the bladder

The day after a client has a cesarean birth, the indwelling catheter is removed. Which finding would indicate that urinary function has returned? 1. The client has 90 mL of residual urine after voiding. 2. The client's daily urinary output is at least 1500 mL. 3. The client's urinalysis indicates that no bacteria are present. 4. The client voids 300 mL of urine within 4 hours of catheter removal.

4. The client voids 300 mL of urine within 4 hours of catheter removal.

A postoperative client has 180 mL of urine in the urinary drainage bag from the past 8 hours. For which condition would the nurse monitor? 1) Renal failure 2) Liver cirrhosis 3) Diabetes mellitus 4) Rheumatoid arthritis

1) Renal failure

Which evidenced-based nursing intervention links to reducing catheter associated urinary tract infections (CAUTIs) in clients requiring long-term indwelling catheters? 1. Perform catheter care twice a day. 2. Replace the catheter on a routine basis. 3. Administer cranberry tablets three times a day. 4. Administer prophylactic antibiotics twice a day for the duration of the catheter placement.

1. Perform catheter care twice a day.

A client who had a transurethral resection of the prostate (TURP) experiences dribbling after removal of the indwelling catheter. Which response to the client would the nurse use? 1. "I know you're worried, but the dribbling will go away in a few days." 2. "Increase your fluid intake and urinate at regular intervals. 3. "Limit your fluid intake and urinate when you first feel the urge." 4. "The catheter will have to be reinserted until your bladder regains its tone."

2. "Increase your fluid intake and urinate at regular intervals.

The registered nurse (RN) is teaching a nursing student about how to safely use a urinary catheter. Which statement made by the nursing student indicates ineffective learning? 1. "I will avoid the pooling of urine in the tubing." 2. "I will avoid prolonged clamping of the tubing." 3. "I will avoid draining urine from the tubing before ambulation." 4. "I will avoid raising the drainage tube above the level of the bladder."

3. "I will avoid draining urine from the tubing before ambulation."

A client admitted with urinary retention has an indwelling urinary catheter prescribed. Which action would the nurse implement to prevent the client from developing a urinary tract infection? 1. Assess urine specific gravity. 2. Collect a weekly urine specimen. 3. Maintain the prescribed hydration. 4. Empty the drainage bag once a day.

3. Maintain the prescribed hydration.

After a transurethral vaporization of the prostate, the client returns to the unit with an indwelling urinary catheter and a continuous bladder irrigation. The client reports the need to urinate. What would the nurse do first? 1) Encourage the client to drink fluids. 2) Review the client's intake and output. 3) Assess that the tubing attached to the collection bag is patent. 4) Explain that the balloon inflated in the bladder causes this feeling

1. Assess that the tubing attached to the collection bag is patent.

A client undergoes anterior and posterior surgical repair of a cystocele and rectocele and returns from the postanesthesia care unit with an indwelling catheter in place. Which are the reasons for the catheter? 1. Discomfort is minimized. 2. Bladder tone is maintained. 3. Retention of urine is prevented. 4. Pressure on the suture line is relieved. 5. Hourly urine output can be easily measured.

1. Discomfort is minimized. 3. Retention of urine is prevented. 4. Pressure on the suture line is relieved.

A client has undergone pelvic surgery, and the nurse removes the catheter in a week according to instructions. In the follow-up within several hours, which finding in the client indicates a need for reinsertion of catheter? 1. Anuria 2. Polyuria 3. Retention 4. Incontinence

3. Retention

Which infection prevention technique would be appropriate for the nurse to include when teaching a client being discharged with an indwelling catheter? 1. Once a day, clean the tubing with a mild soap and water, starting at the drainage bag and moving toward the insertion site. 2. After cleaning the catheter site, it is important to keep the foreskin pushed back for 30 minutes to ensure adequate drying. 3. Clean the insertion site daily using a solution of 1 part vinegar to 2 parts water. 4. Replace the drainage bag with a new bag once a week

4. Replace the drainage bag with a new bag once a week

A client who has just had a cesarean birth is receiving intravenous fluids and has an indwelling catheter. Which finding would indicate a need for an increase in the client's fluid intake? 1. Dark-amber urine 2. Urinary suppression 3. Tinges of blood in the urine 4. Cloudiness of the urine

1. Dark-amber urine

A client who had a cesarean birth is unable to void 3 hours after the removal of an indwelling catheter. How would the nurse evaluate the client for bladder distension? A. By catheterizing the client for residual urine B. By palpating the client's suprapubic area gently C. By asking the client whether she still feels the urge to urinate D. By determining whether the client is experiencing suprapubic pain

B. By palpating the client's suprapubic area gently

Which complication would the nurse suspect in the client who returns to the unit after an abdominal hysterectomy with an indwelling urine catheter present and sanguineous urine in the collection bag? 1. An incisional nick in the bladder 2. A urinary infection from the catheter 3. Disseminated intravascular coagulopathy 4. Uterine relaxation with increased bleeding

1. An incisional nick in the bladder

At which site would the nurse obtain a sterile urinalysis from a client with an indwelling catheter? 1. Tubing injection port 2. Distal end of the tubing 3. Urinary drainage bag 4. Catheter insertion site

1. Tubing injection port

Which instruction would the nurse provide a client needing to collect a clean-catch urine specimen? 1. "Urinate a small amount, stop flow, and then fill one half of the specimen cup." 2. "Collect a sample of the last urine voided during the night." 3. "If anticipating a delay in delivery, keep the urine sample in a warm, dry area." 4. "Send the urine sample to the laboratory within 6 hours of collection."

1. "Urinate a small amount, stop flow, and then fill one half of the specimen cup."

Which intervention is most beneficial in preventing a catheter-associated urinary tract infection in a postoperative client? 1. Pouring warm water over the perineum 2. Ensuring the patency of the catheter 3. Removing the catheter within 24 hours 4. Cleaning the catheter insertion site

3. Removing the catheter within 24 hours