Urinary Elimination
A nurse is evaluating a client's bladder training program. Which of the following statements by the client indicates the bladder training was successful?
"I am experiencing less than one urinary accident per week"
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?
"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?
"I need to wipe from front to back with a sanitary wipe"
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?
"I should avoid fruits that are acidic"
A nurse is instructing a client how to collect fecal occult blood test. Which of the following responses by the client indicates understanding?
"I will make sure to hold my Vitamin C supplements"
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?
"My ileostomy is allowing my colon time to heal from the surgery"
A client asks a nurse why a fecal occult blood test is necessary when they have not experienced any bleeding when they have a bowel movement. Which of the following responses from the nurse best answers the client?
"sometimes we can't see blood in the stool"
Identify the correct order in which food or liquid contents are transported through the gastrointestinal tract. 1. mouth 2. esophagus 3. large intestine 4. stomach 5. small intestine 6. anus
1,2,4,5,3,6 1. mouth 2. esophagus 4. stomach 5. small intestine 3. large intestine 6. anus
Place the following organs in the correct order in which they produce and transport urine along the urinary tract. 1. kidneys 2. urethra 3. ureters 4. bladder
1,3,4,2 1. kidneys 3. ureters 4. bladder 2. urethra
What is the order of steps a nurse would take for fecal occult blood testing?
1. wash hands 2. don clean gloves 3. open the front flap of the test book 4. apply small smear to test window 1 5. apply small smear to test window 2 6. turn test book over 7. open back flap 8. apply 2 drops on each smear 9. apply drops to control panel 10. wait 30 to 60 seconds for result
A nurse is planning to obtain a urinary specimen from a client's closed urinary system. Identify the correct sequence of steps that the nurse should take. 1. attach a syringe to the collection port of the indwelling catheter 2. transfer the urine to a sterile specimen container 3. withdraw 3 to 30 mL of urine 4. wipe the port with an alcohol swab or agency specified antiseptic 5. transport the specimen to the laboratory
4, 1, 3, 2, 5 4. wipe the port with an alcohol swab or agency specified antiseptic 1. attach a syringe to the collection port of the indwelling catheter 3. withdraw 3 to 30 mL of urine 2. transfer the urine to a sterile specimen container 5. transport the specimen to the laboratory
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?
A client who has an enlarged prostate
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?
Constipation
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?
Consuming alcohol
A nurse is teaching a client about diagnostic urinary testing. Which of the following should the nurse identify in the teaching about cystometric testing?
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?
Diabetes
A nurse is caring for a client with suspected dehydration. For which of the following findings should the nurse monitor this client?
Dry mucous membranes
A nurse is preparing to insert a nasogastric tube into a client for decompression. Which of the following actions should the nurse perform first?
Ensure the client is in a sitting position
A nurse is planning care for a client who reports blood in their stool. Which of the following tests should the nurse anticipate the provider ordering?
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?
Hernia
A nurse is caring for a client who has constipation. Which of the following diets should the nurse encourage the client to follow?
High fiber
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?
Instruct the client to lie on their left side with their right leg pulled up to their chest
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?
Intermittent catheter
A nurse is preparing a male client for intermittent urethral catheterization. Which of the following actions should the nurse take?
Lift the penis perpendicular to the body
A nurse is caring for an older adult who is experiencing urinary leakage. Which of the following is an expected age-related change that can contribute to this occurrence?
Loss of bladder tone
A nurse is reviewing a client's list of medications and supplements. Which of the following medication classification increases the risk of constipation?
Narcotic pain medications
A nurse is assessing a client who has an indwelling catheter and determines that the catheter is in place and functioning properly. The nurse should expect which of the following findings?
Pale yellow, clear urine
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?
Perform colostomy irrigation
A nurse is caring for a client who is receiving antibiotic treatment for urinary tract infection and is experiencing diarrhea. Which of the following should the nurse identify as a potential cause of diarrhea?
The antibiotic eliminates the healthy gastrointestinal bacteria, allowing harmful bacteria to grow
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?
The large intestine
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?
The urinary tract eliminates waste and excess fluid from the body
A nurse is providing postoperative 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?
This tube is only temporary
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?
Ureteral stent
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?
Urine culture
A nurse is assessing a client who has stress incontinence. Which of the following findings should the nurse expect with this client?
Urine leakage following coughing
A nurse is caring for a group of newly admitted clients. For which of the following clients should the nurse expect to receive a prescription for urinary catheter?
a client who is in the ICU for a gastrointestinal bleed
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? a. uncircumcised infants b. school-age children c. middle adults d. older adults e. young adults
a,b,d a. uncircumcised infants b. school-age children d. older adults
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 OF THE FOLLOWING) a. history of irritable bowel syndrome b. a shortened urethra c. cardiovascular disease d. consumes large amounts of dairy in their diet e. currently taking antibiotics for an infection
a. history of irritable bowel syndrome d. consumes large amounts of dairy in their diet e. currently taking antibiotics for an infection
A nurse is preparing perineal care for a female client who has an indwelling catheter. Which of the following areas should the nurse cleanse last?
anus
A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse instruct the client to perform during the insertion procedure?
bear down
A nurse is assessing a client's indwelling urinary catheter drainage at the end of the shift and notes the output is considerably less than the fluid intake. Which of the following actions should the nurse take first?
check the catheter for kinks
A nurse is preparing to remove a client's indwelling urinary catheter. Which of the following actions should the nurse take?
deflate the balloon completely before removal
A nurse is applying a condom catheter to a client who is uncircumcised. Which of the following action should the nurse take?
leave a space between the penis and sheath portion tip
