Nursing Foundations Chapter 46- Urinary Elimination

The patient is to have intravenous pyelography (IVP). Which action applies to this procedure? 1. Note any allergies 2. Monitor intake and output 3. Provide for perineal hygiene 4. Assess vital signs 5. Encourage fluids after the procedure

1. Note any allergies 5. Encourage fluids after the procedure

Place in the correct order the steps a nurse would follow when removing an indwelling Foley catheter. 1. Perform hand hygiene and provide privacy 2. Position the patient with a waterproof bag under the buttocks 3. Move the syringe plunger up and down 4. Insert the hub of the syringe into the inflation valve to drain balloon fluid 5. Withdraw the plunger to 0.5 mL 6. Pull the catheter out smoothly and slowly 7. Remove the catheter-securing device and free the drainage 8. Wrap the contaminated catheter in the waterproof bag 9. Clean the genital area with soap and water, if necessary

1. Perform hand hygiene and provide privacy 2. Position the patient with a waterproof bag under the buttocks 7. Remove the catheter-securing device and free the drainage 9. Clean the genital area with soap and water, if necessary 3. Move the syringe plunger up and down 5. Withdraw the plunger to 0.5 mL 4. Insert the hub of the syringe into the inflation valve to drain balloon fluid 6. Pull the catheter out smoothly and slowly 8. Wrap the contaminated catheter in the waterproof bag

Which nursing skill would the nurse adopt to prevent a catheter-associated urinary tract infection (CAUTI)? 1. Secure the indwelling catheters 2. Empty the drainage bag when full 3. Maintain a closed urinary drainage system 4. Use dependent loops in the urinary drainage tubing 5. Keep the urinary drainage bag above the level of the bladder

1. Secure the indwelling catheters 3. Maintain a closed urinary drainage system

The nurse is caring for a patient with urinary incontinence. Which action would the nurse perform to promote comfort for the patient? 1. change dressings and linens when wet 2. limit fluid intake 3. use absorbent pads 4. increase coffee intake 5. catheterize the patient

1. change dressings and linens when wet 3. use absorbent pads 5. catheterize the patient

Which condition is a cause of transient incontinence? 1. depression 2. fecal impaction 3. sensory impairment 4. cognitive impairment 5. excessive urine output

1. depression 2. fecal impaction 5. excessive urine output

A patient who presents with dribbling of urine is diagnosed with stress incontinence. Which datum would the nurse include in the assessment of this patient? 1. height and weight 2. history of osteoarthritis 3. menopausal status 4. number of live births 5. alcohol use

1. height and weight 3. menopausal status 4. number of live births

A patient is experiencing difficulty in voiding. Which nursing intervention may help stimulate the micturition reflex in the patient? 1. include sound of running water 2. stroke the inner aspect of the thigh 3. pour cool water over the patient's perineum 4. stroke the outer aspect of the abdomen 5. help the patient assume the normal position for voiding

1. include sound of running water 2. stroke the inner aspect of the thigh 5. help the patient assume the normal position for voiding

Elimination changes that result from the inability of the bladder to empty properly may cause which condition? 1. incontinence 2. frequency 3. urgency 4. urinary retention 5. urinary tract infection

1. incontinence 2. frequency 3. urgency 4. urinary retention 5. urinary tract infection

A patient with an indwelling catheter carries the collection bag at waist level when ambulating. The patient is at risk of which condition? 1. infection 2. retention 3. stagnant urine 4. reflux of urine 5. hypotension

1. infection 4. reflux of urine

A patient's midstream urine sample is being collected for laboratory investigation. Arrange the steps in the correct order that the nurse should follow after the sample has been collected in the container. 1. Clean urine from the exterior surface of the container 2. Replace the cap on the container 3. Attach a label on the side of the container 4. Attach a laboratory requisition to the specimen bag 5. Remove gloves and perform hand hygiene

2. Replace the cap on the container 1. Clean urine from the exterior surface of the container 3. Attach a label on the side of the container 4. Attach a laboratory requisition to the specimen bag 5. Remove gloves and perform hand hygiene

A patient who is a smoker complains of involuntary passage of urine after a strong sense of urgency to void. Which nursing intervention would be helpful to this patient? 1. Crede method 2. Smoking cessation 3. Intermittent catheterization 4. antimuscarinic agents 5. behavioral interventions

2. Smoking cessation 4. antimuscarinic agents 5. behavioral interventions

A nurse is reviewing 1. Epilepsy 2. Starvation 3. Dehydration 4. Hyperthyroidism 5. Uncontrolled diabetes mellitus

2. Starvation 3. Dehydration 5. Uncontrolled diabetes mellitus

Which condition might the nurse identify as a cause of polyuria? 1. urethritis 2. diuretic therapy 3. kidney dysfunction 4. urinary tract infection 5. uncontrolled diabetes mellitus

2. diuretic therapy 5. uncontrolled diabetes mellitus

Which action will the nurse include in the assessment of a patient experiencing urgency urinary incontinence? 1. are you currently taking any diuretics 2. do you frequently wake at night to urinate? 3. do you experience large amounts of urine leakage? 4. do you notice there is an absence of awareness you have to urinate? 5. Do you have difficulty holding in urine when you have the urge to void?

2. do you frequently wake at night to urinate? 3. do you experience large amounts of urine leakage? 5. Do you have difficulty holding in urine when you have the urge to void?

A student nurse is learning about the structure and function of the urinary system. Which statement by the student nurse indicates effective knowledge about the ureters? a. a kidney stone can result in hydroureter b. the distensible body of the ureters is called the detrusor c. urine enters the urinary bladder through the ureter in a steady flow d. compression of the upper part of the ureters prevents backflow of urine during micturition

a. a kidney stone can result in hydroureter

Which hormonal release does the renin-angiotensin system stimulate? a. aldosterone b. erythopoietin c. prostaglandin E2 d. antidiuretic hormone

a. aldosterone

Which condition might a patient with chronic kidney disease and decreased production of erythropoietin experience? a. anemia b. hematuria c. proteinuria d. hypertension

a. anemia

While the nurse is performing closed catheter irrigation, the patient experiences pain. Which action is the nurse least likely to take? a. assess for hypovolemic shock b. evaluate for distended bladder c. examine the drainage tubing for clots, sediment, or kinks d. evaluate the urine for the presence of, or increase in, blood clots and sediment

a. assess for hypovolemic shock

Since the removal of the patient's indwelling catheter, the patient has voided 50-100 mL every 2 to 3 hours. Which action would the nurse take first? a. check for bladder distention b. encourage fluid intake c. obtain a prescription to catheterize the patient d. document the amount of each voiding for 24 hours

a. check for bladder distention

Which suggestion does the nurse give to a patient who asks for advice on how to prevent UTIs? a. drink enough water to pass pale yellow urine b. avoid straining when voiding or moving the bowels c. take enough time to empty the bladder completely d. avoid or limit drinking beverages that contain caffeine

a. drink enough water to pass pale yellow urine

The nurse is reviewing the lab results of a patient. the urine report shows the presence of large proteins in the urine. Which condition is the most probable cause of proteinuria? a. glomerular injury b. infection of the urinary tract c. excessive aspirin ingestion d. starvation

a. glomerular injury

A patient has a distended bladder on palpation, a high postvoid residual urine volume, a high frequency of micturition, and nocturia. Which type of urinary incontinence does the nurse suspect? a. incontinence associated with chronic retention b. incontinence because of causes outside the urinary tract c. incontinence cause by treatable and reversible conditions d. incontinence related to spinal cord damage between C1 and S2

a. incontinence associated with chronic retention

Which nursing intervention is the best option for a patient with new-onset transient incontinence? a. look for reversible causes b. encourage timed voiding c. instruct the patient to do pelvic muscle exercises d. ensure that the patient's bathroom has adequate lighting.

a. look for reversible causes

a male patient returned from the operating room 6 hours ago with a cast on his right arm. He has not yet voided. Which action would be the most beneficial in assisting the patient to void? a. suggest he stand at the bedside b. stay with the patient c. give him the urinal to use in the bed d. tell him that if he does not urinate he will be catheterized

a. suggest he stand at the bedside

A patient diagnosed with stress urinary incontinence related to a weakened pelvic musculature. Which teaching is the nurse least likely to provide to the patient? a. use written and verbal instructions. b. teach the patient pelvic muscle exercises c. instruct the patient to maintain adequate fluid intake d. teach the patient to avoid caffeine and other bladder irritants

a. use written and verbal instructions

Which amount of space allowed between the tip of the penis and the end of the catheter while placing a condom catheter on a patient is correct? a, 1.5 to 3 cm b. 2.5 to 5 cm c. 3.5 to 5 cm d. 4.5 to 6 cm

b. 2.5 to 5 cm

A nurse is caring for an elderly patient who has recently started taking an antimuscarinic medication to treat urinary continence. Which nursing intervention is most important in this situation? a. teaching pelvic muscle exercises b. assessing the patient for mental status changes c. reminding the patient to drink adequate amounts of water d. instructing the patient to restrict fluid intake 2 hours before bedtime

b. assessing the patient for mental status changes

While monitoring a postoperative patient, the nurse notes that the urine output has been 80 mL over 2 hours. Which action would the nurse take? a. Notify the health care provider b. continue to monitor the patient c. increase the patient's fluid intake d. insert an indwelling urinary catheter

b. continue to monitor the patient

Which term describes leakage or urine despite voluntary control of urination? a. urgency b. dribbling c. hesitancy d. incontinence

b. dribbling

Which condition is a cause of transient incontinence? a. idiopathic bladder overactivity b. fecal impaction c. cognitive impairment d. overactive bladder caused by neurologic problems

b. fecal impaction

Which action would the nurse take during the planning phase of the nursing process when caring for a patient who has altered urinary elimination? a. inspect the character of the patient's urine b. reinforce adherence to good hygiene practices c. gather relevant laboratory and diagnostic test data d. have the patient and family demonstrate self-care skills

b. reinforce adherence to good hygiene practices

A patient's urinalysis shows the presence of casts. Based on this laboratory data, which condition would the nurse suspect? a. protein-calorie malnutrition b. renal disease c. gout d. renal stone formation

b. renal disease

Which statement is true about a ureterostomy? a. it is temporary incontinent urinary diversion b. the ureters are transplanted into a closed-off part of the intestinal ileum c. the patient can control voiding through the urethra using the Valsalva technique d. this technique is used to drain the renal pelvis when the ureters are obstructed

b. the ureters are transplanted into a closed-off part of the intestinal ileum

A 55-yr-old man is admitted to the hospital with urinary retention. The health care provider prescribed catheterization for the patient. When setting up supplies for catheterization, which size catheter would the nurse select for this patient? a. 8 Fr b. 10 Fr c. 14 Fr d. 20 Fr

c. 14 Fr

Which patient is most likely to exhibit symptoms such as dysuria, urgency, frequency, and nocturia? a. a patient with kidney failure b. a patient receiving diuretic therapy c. a patient with a urinary tract infection d. a patient with uncontrolled diabetes mellitus

c. a patient with a urinary tract infection

Which hormone causes vasoconstriction and stimulates the release of aldosterone? a. renin b. erythropoietin c. angiotensin II d. antidiuretic hormone

c. angiotensin II

What should the nurse include in the plan of care for a patient with urge urinary incontinence? a. helping the patient learn efficient and safe toilet transfers b. helping the patient with leg-strengthening exercises c. helping the patient strengthen the pelvic floor muscles and learn fluid and food modifications d. helping the patient obtain assistive devices for the home that are covered by insurance

c. helping the patient strengthen the pelvic floor muscles and learn fluid and food modifications

What hormonal change in the urinary system might a pregnant woman experience? a. urinary incontinence b. urinary tract infections c. increased urinary production d. incomplete bladder emptying

c. increased urinary production

Which nursing step during closed continuous bladder irrigation is most appropriate for flushing blood clots out of the bladder? a. frequently irrigating the bladder with cold, sterile solution b. injecting the fluid into the catheter and bladder slowly and evenly c. increasing the rate of irrigation as prescribed by healthcare provider d. connecting the drainage bag and tubing to the drainage port of a triple-lumen catheter

c. increasing the rate of irrigation as prescribed by healthcare provider

A pt who has undergone urological surgery is prescribed urinary catheterization. Which diameter of catheter does the nurse anticipate will be used for this patient? a. 5 to 6 Fr b. 8 to 10 Fr c. 12 Fr d. greater than 16 Fr

d. greater than 16 Fr

A nurse is assessing the severity of a patient's urinary elimination problem. Which question is most appropriate for the nurse to ask? a. does your urinary problem restrict you from doing your usual activities? b. doe you dribble urine before voiding, after voiding, or at other times? c. have you been hospitalized or have you received a diagnosis of a new medical problem recently? d. how often are you awakened with the urge to void while you are sleeping?

d. how often are you awakened with the urge to void while you are sleeping?

Which statement by a student nurse regarding urinary incontinence requires correction? a. urinary incontinence is common in older adults b. urge incontinence and stress incontinence are common forms of urinary incontinence c. urinary incontinence is characterized by any involuntary loss of urine d. mixed incontinence is a combination of stress and functional incontinence

d. mixed incontinence is a combination of stress and functional incontinence

Which skill is the nurse least likely to perform during the physical assessment of a patient with urinary elimination problems? a. palpating the lower abdomen to assess for bladder fullness b. percussing the costovertebral angle to assess for tenderness c. auscultating the kidney to detect the presence of a renal artery bruit d. positioning the female patient in a supine position to examine the genitalia

d. positioning the female patient in a supine position to examine the genitalia

Which substance secreted by the kidneys helps control blood pressure via vasodilation? a. renin b. aldosterone c. angiotensin II d. prostaglandin E2

d. prostaglandin E2

A postoperative patient has difficulty voiding after surgery and is feeling "uncomfortable" in the lower abdomen. Which action would the nurse implement first? a. encourage fluid intake b. administer pain medication c. catheterize the patient d. turn on the bathroom faucet as the patient tries to void

d. turn on the bathroom faucet as the patient tries to void

A patient has a delay in the start of the urinary stream when voiding. Which condition is the least likely cause for this? a. anxiety b. urethral stricture c. prostate enlargement d. urinary tract infection (UTI)

d. urinary tract infection (UTI)

After assessing a patient, a nurse suspects that the patient has overflow urinary incontinence. Which finding supports the nurse's conclusion? 1. Nocturia 2. Frequency 3. Distended bladder on palpation 4. Leakage of urine on the way to the bathroom 5. diminished or absent awareness of bladder filling and the urge to void

1. Nocturia 2. Frequency 3. Distended bladder on palpation

Which characteristic is associated with overflow urinary incontinence? 1. Nocturia 2. Fecal impaction 3. Altered mobility 4. High postvoid residual volume 5. Distended bladder on palpation

1. Nocturia 4. High postvoid residual volume 5. Distended bladder on palpation

A patient needs to undergo intravenous pyelography (IVP). Which preparation would the nurse perform before starting the procedure? 1. Cleanse the patient's bowel. 2. Assess for allergies 3. Encourage the patient to drink fluids to promote dye excretion 4. Restrict food and fluid intake up to 4 hours before the test 5. Assess for delayed hypersensitivity to the contrast media

1. Cleanse the patient's bowel. 2. Assess for allergies 4. Restrict food and fluid intake up to 4 hours before the test

An adult patient reports frequently awakening from sleep because of the urge to void. Which is a likely cause of this? 1. Diuretics 2. Urethritis 3. Diabetes insipidus 4. Overactive bladder 5. Urinary tract infection 6. Trauma to the urinary tract

1. Diuretics 4. Overactive bladder 5. Urinary tract infection

Which assessment question will the nurse ask when assessing the genitourinary health of a female patient with genital circumcision? 1. Do you experience any loss of urine? 2. Do you have a history of urinary tract infections? 3. Have you ever been treated for a pelvic infection? 4. Are you aware of the sensation that you have to urinate? 5. Have you noticed an increase in the frequency and volume of urine?

1. Do you experience any loss of urine? 2. Do you have a history of urinary tract infections? 3. Have you ever been treated for a pelvic infection?

Which condition is a common cause of dysuria? 1. Trauma to the lower urinary tract 2. Uncontrolled diabetes mellitus 3. Inflammation of the prostate 4. Urethritis 5. Bladder outlet obstruction

1. Trauma to the lower urinary tract 3. Inflammation of the prostate 4. Urethritis

Which characteristic is associated with urge urinary incontinence? 1. Urgency 2. Frequency 3. Leakage of urine without awareness 4. Diminished awareness of the urge to void 5. Difficulty holding urine once the urge to void occurs

1. Urgency 2. Frequency 5. Difficulty holding urine once the urge to void occurs

An older-adult woman reported urinary incontinence to the nurse. The patient is postmenopausal, overweight, and has a hx of 3 vaginal births. She also has type 2 diabetes, which is being managed with meds and appropriate diet. Which instruction would the nurse give this patient? 1. You should lose weight 2. You should perform heavy exercise 3. You should avoid heavy lifting 4. You should perform pelvic muscle exercises 5. You should drink less water

1. You should lose weight 3. You should avoid heavy lifting 4. You should perform pelvic muscle exercises

When applying a male condom catheter, what is the correct order of steps that the nurse needs to follow after assessing the patient's urinary elimination? 1. assess the patient's mental status and knowledge about the procedure. 2. apply clean gloves and assess the penis for rashes 3. prepare the condom catheter, drainage bag, and tubing 4. connect the drainage tubing to the end of the condom catheter 5. apply the condom catheter 6. secure the condom according to the manufacturer's directions 7. inspect the penis with the condom catheter after application for any swelling 8. dispose of contaminated supplies and remove gloves

1. assess the patient's mental status and knowledge about the procedure. 3. prepare the condom catheter, drainage bag, and tubing 2. apply clean gloves and assess the penis for rashes 5. apply the condom catheter 6. secure the condom according to the manufacturer's directions 4. connect the drainage tubing to the end of the condom catheter 8. dispose of contaminated supplies and remove gloves 7. inspect the penis with the condom catheter after application for any swelling

The nurse is teaching a group of nursing students about kidney function. Which statement applies to kidney function? 1. the kidneys produce several substances vital for maintenance of blood pressure 2. the kidneys produce several substances vital to bone mineralization 3. a nephron is a functional unit of the kidney and helps urine formation 4. the kidneys filter waste products of metabolism and excrete them in the urine 5. the kidneys produce several substances vital to white blood cell production

1. the kidneys produce several substances vital for maintenance of blood pressure 2. the kidneys produce several substances vital to bone mineralization 3. a nephron is a functional unit of the kidney and helps urine formation 4. the kidneys filter waste products of metabolism and excrete them in the urine

What size urinary catheter should the nurse use for a 17-year-old girl?

12Fr

The nurse is preparing to insert an intermittent bladder catheter into an adult male patient. What is the minimum catheter insertion length in centimeters?

17 cm

Which statement is true regarding hormonal processes of the renin-angiotensin system? 1. Angiotensinogen is a substance that the kidneys synthesize. 2. Angiotensin I to angiotensin II conversion occurs in the pulmonary capillaries 3. in times of renal ischemia, angiotensinogen is released from juxtaglomerular cells 4. The kidneys play a major role in blood pressure control via the renin-angiotensin system 5. Angiotensin II causes vasoconstriction and stimulates aldosterone from the adrenal cortex

2. Angiotensin I to angiotensin II conversion occurs in the pulmonary capillaries 4. The kidneys play a major role in blood pressure control via the renin-angiotensin system 5. Angiotensin II causes vasoconstriction and stimulates aldosterone from the adrenal cortex

A nurse uses a bladder scanner to measure residual bladder volume. In what order does the nurse perform the action? 1. Turn on the scanner according to the manufacturer's guidelines 2. Expose the pt's lower abdomen 3. Palpate the symphysis pubis and apply ultrasound gel to the midline abdomen 4. Place the scanner head on the gel, applying light pressure 5. Press and release the scan button. 6. Complete the scan and print the image

2. Expose the pt's lower abdomen 1. Turn on the scanner according to the manufacturer's guidelines 3. Palpate the symphysis pubis and apply ultrasound gel to the midline abdomen 4. Place the scanner head on the gel, applying light pressure 5. Press and release the scan button. 6. Complete the scan and print the image

Which statement by the student about urinary incontinence caused by weakness or injury to the urinary sphincter indicates effective understanding? 1. it results in high postvoid residual volume 2. it can be managed by performing pelvic muscle exercises 3. in severe cases, it may require intermittent or indwelling catheterization 4. it is characterized by a loss of small volume of urine when coughing, laughing, exercising, and walking 5. it is also related to altered mobility and manual dexterity, cognitive impairment, poor motivation, or environmental barriers

2. it can be managed by performing pelvic muscle exercises 4. it is characterized by a loss of small volume of urine when coughing, laughing, exercising, and walking

Which pretest and/or posttest procedure would the nurse follow while managing a patient who is schedules for a cystoscopy? 1. discourage fluid intake for 48 hours before the procedure 2. monitor intake and output 3. inform the patient that there may be difficulty in voiding post procedure 4. inform the patient that the red-tinged urine may be passed post procedure 5. inform the patient that it is a diagnostic procedure without any negative effects

2. monitor intake and output 3. inform the patient that there may be difficulty in voiding post procedure 4. inform the patient that the red-tinged urine may be passed post procedure

The nurse understands that hypertension can be caused by an impaired renin-angiotensin mechanism. Which statement accurately describes the renin-angiotensin mechanism? 1. angiotensinogen is synthesized in the lungs 2. renin is secreted by the juxtaglomerular apparatus 3. angiotensin II causes peripheral vasoconstriction 4. Angiotensin II causes aldosterone secretion in the adrenal cortex 5. converting enzyme in the liver converts angiotensin I to angiotensin II

2. renin is secreted by the juxtaglomerular apparatus 3. angiotensin II causes peripheral vasoconstriction 4. Angiotensin II causes aldosterone secretion in the adrenal cortex

A nurse is teaching a 55-kg patient about the promotion of normal micturition by maintaining optimal fluid intake. The nurse is aware that the patient has normal renal function and no heart disease or alterations that require fluid restriction. What is the appropriate amount of fluid that the nurse should instruct the patient to drink per day?

2300 mL

A patient reports the loss of a small volume of urine while sneezing or coughing but no leakage of urine at night when sleeping. Which condition is the likely cause of this type of incontinence? 1. altered mobility 2. spinal cord damage 3. injury to the urinary sphincter 4. weak bladder contractions 5. weakness of the pelvic floor muscles

3. injury to the urinary sphincter 5. weakness of the pelvic floor muscles

A 70-yr-old woman reports involuntary passage of urine. The leakage of urine occurs in small amounts and is more frequent when she coughs. Which teaching would the nurse provide to the patient about her disorder? 1. It is caused by local irritation 2. It is caused by nervous system disorders 3. it is caused by weakness of muscles around the urethra 4. it is called stress incontinence 5. it occurs when the intraabdominal pressure exceeds urethral resistance.

3. it is caused by weakness of muscles around the urethra 4. it is called stress incontinence 5. it occurs when the intraabdominal pressure exceeds urethral resistance.

Which patient would the nurse anticipate to require the use of a short- or long- term urinary catheter? 1. a patient who has chronic urinary retention 2. a patient who has reflex urinary incontinence 3. a patient who has stress urinary incontinence 4. a patient who needs accurate monitoring of urine output after a gynecological procedure 5. a patient who is unable to completely empty the bladder because of a neurological condition

4. a patient who needs accurate monitoring of urine output after a gynecological procedure 5. a patient who is unable to completely empty the bladder because of a neurological condition

In which order do the events occur in the process of micturition? 1. the central nervous system sends a message to the micturition centers 2. a strong sensation of urinary urgency is triggered 3. the bladder contracts 4. the urinary sphincter relaxes 5. bladder contractions are inhibited by sympathetic stimulation 6. parasympathetic stimulation starts from the sacral micturition center

5. bladder contractions are inhibited by sympathetic stimulation 2. a strong sensation of urinary urgency is triggered 1. the central nervous system sends a message to the micturition centers 6. parasympathetic stimulation starts from the sacral micturition center 4. the urinary sphincter relaxes 3. the bladder contracts

What is the minimum length of an intermittent catheter that should be inserted through the urethral meatus in a female patient?

5cm

In which order do the steps occur in the control of blood pressure by the kidneys through the renin-angiotensin system? 1. the blood volume increases because of retention of water 2. aldosterone release from the adrenal cortex is stimulated 3. angiotensinogen is converted into angiotensin I 4. angiotensin II is formed in the lungs 5. Renin is released from the juxtaglomerular cells 6. the blood supply decreases in the kidneys

6. the blood supply decreases in the kidneys 5. Renin is released from the juxtaglomerular cells 3. angiotensinogen is converted into angiotensin I 4. angiotensin II is formed in the lungs 2. aldosterone release from the adrenal cortex is stimulated 1. the blood volume increases because of retention of water

The instructor asks a nursing student to name a type of continent urinary diversion that uses an ileal pouch to replace the bladder. Which answer by the student indicates adequate learning? a. nephrostomy b. ureterostomy c. orthotopic neobladder d. continent urinary reservoir

c. orthotopic neobladder

A patient with a bladder disorder is advised to get a urinary diversion. The patient wishes to have the type of urinary divrsion that allows normal voiding. Which type of urinary diversion suits the patient's requirement? a. insertion of bilateral nephrostomy tubes b. incontinent urinary diversion c. orthotopic neobladder using an ileal pouch d. radical cystectomy with an ileal conduit

c. orthotopic neobladder using an ileal pouch

A nurse is caring for a patient who is receiving a treatment for urinary urgency. After a few days of taking prescribed medications, the patient reports a dry mouth, constipation, and blurred vision. Which medication is the most likely cause of the patient's symptoms? a. nitrofurantoin b. bethanechol c. oxybutynin d. phenazopyridine

c. oxybutynin

Patients with which type of urinary incontinence can be at risk of severe elevation of blood pressure and pulse rate and diaphoresis? a. functional incontinence b. stress urinary incontinence c. reflex urinary incontinence d. urge urinary incontinence

c. reflex urinary incontinence

Which type of urinary incontinence occurs as a result of spinal cord damage between C1 and S2? a. functional incontinence b. stress urinary incontinence c. reflex urinary incontinence d. urage urinary incontinence

c. reflex urinary incontinence

Which strategy would the nurse use to teach a patient to perform pelvic muscle exercises such as Kegel exercises? a. use open-ended questions to determine the level of learning b. ask the patient to describe how to correctly identify the pelvic floor muscles c. use pictures to explain the pelvic anatomy and the location of the pelvic muscles d. ask the patient to demonstrate and/or explain how to perform pelvic muscle exercises

c. use pictures to explain the pelvic anatomy and the location of the pelvic muscles

The nurse assesses that the patient has a full bladder, and the patient states that she is having difficulty voiding. Which instruction would the nurse provide the patient? a. use the double voiding technique b. perform Kegel exercises c. use the Crede method d. keep a voiding diary

c. use the Crede method

Which statement is true regarding the use of a bladder scanner to measure residual bladder volume? a. the patient is placed in the dorsal recumbent position b. the scan measurement should be performed within 20 minutes of voiding c. women who have had a hysterectomy should be designated as a male d. ultrasound gel is applied to the midline abdomen about 25 to 4 cm below the symphysis pubis

c. women who have had a hysterectomy should be designated as a male