Urinary Elimination Quiz

The nursing student who is learning skills during campus lab identifies which of the following statements about bedpans to be true? a) The rounded shelf of a regular bedpan should be placed under the client's buttocks. b) A regular bedpan is generally more comfortable for clients than a fracture bedpan. c) A fracture pan is preferred for urination and a regular bedpan is preferred for defecation. d) A fracture bedpan should used only for clients who have fractures of the femur or lower spine.

A

The nurse has entered a client's room to empty the client's urine collection bag at the end of a busy shift. The nurse realizes that the client's urine output is 75 mL over the past 8 hours. The nurse would recognize that the client is experiencing: A) oliguria B) anuria C) nocturia D) polyuria

A) Oliguria

A nurse assessing an elderly patient finds that the patient has had four urinary tract infections in the past year. Which physiologic change of aging would the nurse suspect is the cause? a) Decreased bladder contractility b)Diminished ability to concentrate urine c)Decreased bladder muscle tone d) Neurologic weakness

A) decreased bladder contratcility

A client in a long-term care facility becomes confused and disoriented at night and is incontinent during these periods of confusion due to the inability to find the commode. During the day, the client does not experience confusion and is continent. What type of incontinence is this client experiencing during the nighttime hours? A) functional incontinence B) transient incontinence C) stress incontinence D) reflex incontinence

A) functional incontience

The nurse collects a urine sample from a client for urinalysis. What would the nurse document as a normal characteristic? A) light yellow color B) cloudy appearance C) presence of mucus shreds D) ammonia odor

A) light yellow color

The nurse is preparing to catheterize a client who is incontinent of urine following bladder surgery. What fact should the nurse keep in mind when performing catheterization? keep in mind when performing catheterization? a) The bladder normally is a sterile cavity. b) The external opening to the urethra should always be sterilized. c) Pathogens introduced into the bladder remain in the bladder. d) A normal bladder is as susceptible to infection as an injured one.

A) the bladder normally is a sterile cavity

A nurse is performing a physical assessment of a client's urinary system. Which nursing actions are appropriate during this assessment? Select all that apply. a) If using a bedside scanner, the nurse places the client in a supine position. b) The nurse measures the height of the edge of the bladder below the symphysis pubis. c)The nurse inspects the urethral orifice for any signs of inflammation, discharge, or foul odor. d) The nurse places male clients in the dorsal recumbent position for good visualization of the meatus. e) The nurse retracts the foreskin of an uncircumcised male client to visualize the meatus. f) The nurse assess the client's urine for color, odor, clarity, and the presence of any sediment.

A, C, E, F

A home care nurse visits a client diagnosed with depression who informs the nurse that he has been prescribed amitriptyline. What would the nurse include when educating the client about the effects of this medication? a) It causes urinary retention. b) It causes urine to turn blue-green. c) It decreases sensation of bladder fullness. d) It decreases glomerular filtrate rate.

B) it causes urine to turn blue-green

When planning care for a client with a Foley catheter, which actions should the nurse include? (Select all that apply.) a) Use powder or lotion in the perineal area. b) Encourage fluid intake, unless contraindicated. c) Record volume and character of the urine. d) Maintain a closed urinary catheter system. e) Change the indwelling catheter regularly.

B, C, D

A nurse assesses the urine of a patient who is using a bedpan and finds that it is a dark brown color. What medication might be causing this effect? a) Phenazopyridine b) Amitriptyline c) Levodopa d) Diuretics

C) Levodopa

A 75-year-old man was admitted to the hospital for altered mental status. He had been in his usual state of good health until this morning when a nurse at the long-term care facility where he lives noticed that he was confused. Shortly after being admitted to the hospital, he became combative and had to be restrained. His bed linens have to be changed frequently because of urinary incontinence. Which nursing diagnosis best describes this client's condition? A) Stress incontinence B) Urge Urinary incontinence C) Functional incontinence D) Total Urinary incontinence

C) functional incontinence

Which type of incontinence is caused by pelvic floor muscle weakness? A) urge B) overflow C) functional D) stress

D) stress

The nurse is caring for a client with a Foley catheter in place who has a prescription for a sterile urine specimen for culture and sensitivity. The nurse implements which techniques to obtain the prescribed urine specimen? (Select all that apply.) a) The nurse allows the urine to flow from the collection bag into the specimen container. b) The nurse disconnects the catheter and allows the urine to drip into the specimen container. c) The nurse clamps the tube below the access port for 40 minutes to allow urine to accumulate. d) The nurse uses a syringe to withdraw urine from the port. e)The nurse dons clean gloves and cleanses the port with aseptic solution.

D, E

The nurse is preparing a client for a cystoscopy procedure. Which intervention would be part of the preparation for this? a) Having the client sign a consent form for the procedure b) Explaining to the client that the procedure will be painful c) Maintaining the client without liquids before the procedure d) Inserting a Foley catheter the morning of the procedure

a) Having the client sign a consent form for the procedure

During his stay in the hospital, a male client has established a pattern of maintaining urinary continence during the day, but he is experiencing incontinence at night. What intervention should the nurse implement in this client's care? A) condom catheter B) indwelling catheter C) intermittent catheterization at bedtime D) toileting the client every 2 hours

a) condom catheter

Which statements about suprapubic catheters is true? a)They are often preferred over an indwelling urethral catheter for long-term urinary drainage. b)They are surgically inserted through a small incision above the umbilicus. c) They drain urine directly from the ureters. d) Inadvertent dislodgement can permanently damage the urethra.

a)They are often preferred over an indwelling urethral catheter for long-term urinary drainage.

The nurse is preparing to insert an indwelling urinary catheter into a female client's bladder. Arrange the following steps in the correct order. a) Open sterile catheterization tray using sterile technique. b) Don sterile gloves. c) Open all sterile supplies. d) Clean each labial fold, then the area directly over the meatus. e) Slowly insert the lubricated catheter into the urethra. f) Advance the catheter until there is a return of urine.

a, b, c, d, e, f

A nurse uses a portable bladder ultrasound device to assess bladder volume for a client who is unable to void. Which statement accurately details information needed to interpret the results? a) The scan is contraindicated for a female who had a hysterectomy. b) The device must be programmed for the gender of the client by pushing the correct button on the device. c) A postvoid residual (PVR) volume more than 50 mL indicates adequate bladder emptying. d) A postvoid residual (PVR) volume of less than 150 mL is often recommended as the guideline for catheterization, because this has been associated with the development of urinary tract infections.

b) The device must be programmed for the gender of the client by pushing the correct button on the device.

During data collection, the client expresses concern over a change in the color of the urine from tea-colored to green since beginning a new medication. Which appropriate question would the nurse ask this client? a)"Are you taking a diuretic?" b)"Are you taking any B-complex vitamins?" c)"Are you taking phenazopyridine (Pyridium)?" d) "Are you taking levodopa (L-dopa)"

b)"Are you taking any B-complex vitamins?"

Which of the following is a recommended guideline when catheterizing the female urinary bladder? a) Lubricate 2 to 3 inches (5-7.5 cm) of the catheter tip before insertion. b) Using the dominant hand, hold the catheter by the tip and insert slowly into the urethra. c) Advance the catheter until there is a return of urine (approximately 4 to 5 inches [10-12.5 cm]) d) Once urine drains, advance the catheter another 2 to 3 inches (2.5-5 cm).

d) Once urine drains, advance the catheter another 2 to 3 inches (2.5-5 cm). d) Once urine drains, advance the catheter another 2 to 3 inches (2.5-5 cm).