ATI Questions- Elimination and Metabolism

A nurse is teaching a client who reports stress urinary incontinence. Which of the following instructions should the nurse include? (Select all that apply)

-Decrease or avoid caffeine -Avoid drinking alcohol

A nurse is preparing to initiate a bladder-retraining program for a client who has incontinence. Which of the following actions should the nurse take? (Select all that apply)

-Have the client record urination times -Gradually increase urination intervals -Remind client to hold urine until next scheduled urination time

A nurse is assessing a client who has had diarrhea for 4 days. Which of the following findings should the nurse expect? (Select all that apply)

-Hypotension -Elevated temperature -Poor skin turgor

A nurse is reviewing factors that increase the risk of urinary tract infections with a client who has recurrent UTIs. Which of the following factors should the nurse include?(Select all that apply)

-Location of the urethra closer to the anus -Frequent catheterization

A nurse is preparing to administer a cleansing enema to an adult client in preparation for a diagnostic procedure. Which of the following steps should the nurse take (select all that apply)

-Warm the enema solution prior to installation -Position the client on the left side with the right leg flexed forward -Lubricate the rectal tube or nozzle

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 client who has an indwelling catheter reports a need to urinate. Which of the following actions should the nurse take?

Check to see whether the catheter is patent

While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following actions should the nurse take?

Clamp the enema tubing

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 include in the teaching about cytometric testing?

Cytometric 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 regent strip. The nurse should identify that the regent strip can detect substances that are consistent with which of the following conditions?

Diabetes

A nurse is caring for a client who has a prescription for a 24-hr urine collection. Which of the following actions should the nurse take?

Discard the first voiding

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 reviewing the medical record of a client who has persistent diarrhea. Which of the following findings should the nurse identify as risk factors

History if irritable bowel syndrome Consumes large amounts of dairy in diet Currently taking antibiotics for an infection

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 UTI is not treated. Which of the following statements by the client indicated 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 thar can irritate the bladder. Which statement by the client indicates an understanding of the teaching?

I should avoid fruits that are acidic

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 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 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 if the following locations in the body?

Large intestine

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 occurrence?

Loss of bladder tone

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 nurse is reviewing a client's list of medications and supplements. Which of the following medication classifications increases the risk of constipation?

Narcotic pain medications

A nurse is providing dietary teaching for a client who reports constipation. Which of the following foods should the nurse recommend?

One medium apple with skin

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?

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 a UTI and is experiencing diarrhea. Which of the following should the nurse identify as potential cause of diarrhea?

The antibiotic eliminates the healthy GI bacteria, allowing harmful bacteria to grow

A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the following information should be included when explaining the procedure to the client?

The specimen cannot be contaminated with urine

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 indicated an understanding of the instructions?

This tube is only temporary

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?

Uncircumcised infants School-age children Older adults

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 WBCs 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 couching