Chapter 36 Prep-U Questions
How long should the nurse withhold food before an intravenous pyelogram?
12 hours
What is the range of normal voiding amounts per day?
500-3000 mL/day
Define Transient incontinence
Appears suddenly and lasts for 6 months or less.
A nurse is assessing a client who is complaining of difficulty urinating. Which assessment would be a priority?
Asking the client when they last urinated
A nurse is planning interventions for a client to assist in establishing a normal voiding pattern. Which nursing action should be included?
Assist the client to a normal voiding position when possible
Which statement should the nurse convey to the mother of a 3-year-old son who has not achieved urinary continence?
Boys may take longer for daytime continence than girls.
When preparing to irrigate a Foley catheter, which is the appropriate initial nursing action?
Check health record for providers order
A client has been n.p.o. after midnight for surgery. It is 11 a.m. and the nurse has asked her to void before being transferred to the surgical suite. The nurse should expect her urine to be what color?
Dark amber
The nurse is assessing a client with a urinary sheath catheter. After removing the catheter, the nurse observes a break in skin integrity on the penis. Should the nurse reapply the sheath?
Do not reapply the sheath, allow skin to be open to air as much as possible, arrange for consult with a wound nurse
Define Reflex incontinence
Emptying of the bladder without the sensation to void.
T/F To promote drainage of a client's Foley catheter, the catheter tubing should be under the client?
False
A nurse is caring for a client with an external condom catheter. What is a guideline for applying and caring for this type of catheter?
Fasten the condom securely enough to prevent leakage without constricting the blood vessels
A client reports that he is often unable to retain urine until he locates a toilet because his mobility is decreased. The nurse should recognize the characteristics of what type of incontinence?
Functional
The nurse is preparing a client for a cystoscopy procedure. Which intervention would be part of the preparation for this?
Having the client sign a consent form for the procedure
A nurse drains the bladder of a client by inserting a catheter for 5 minutes. What type of catheter would the nurse use in this instance?
Intermittent urethral catheter
A client is suspected of having a disease process affecting the functional unit of the kidney. Which structure is most likely involved?
Nephron
A client has a cerebrovascular accident and is incontinent of bowel and bladder. Incontinence of urine in this client is related to a:
Neurogenic bladder
Should you give a laxative the night before an intravenous pyelogram?
No
Should you give an enema the same day as an intravenous pyelogram?
No
Define Stress incontinence
Occurs when there is an involuntary loss of urine related to an increase in intra-abdominal pressure.
The nurse is reviewing the urinalysis of a client suspected of having a urinary tract infection. The potential diagnosis will be supported by the presence of
Pus
A nurse is performing an intermittent closed catheter irrigation on a client and realizes that the tubing was not clamped before introducing the irrigation solution. What would be the nurse's response to this situation?
Repeat the irrigation
A 70-year-old client who has four children and six grandchildren states that she "wets" herself when she sneezes or laughs. She reports that sometimes this also occurs when rising from a sitting to standing position. Which type of incontinence does the nurse anticipate?
Stress
Which type of incontinence is caused by pelvic floor muscle weakness?
Stress
A 70-year-old client who has four children and six grandchildren states that she "wets" herself when she sneezes or laughs. She reports that sometimes this also occurs when rising from a sitting to standing position. Which type of incontinence does the nurse anticipate?
Stress incontinence
A client reports to the nurse that after delivering a baby, she loses small amounts of urine each time she sneezes or laughs hard. Which type of incontinence does the nurse anticipate?
Stress incontinence
A nurse is caring for a client who has an infant age 4 months. The client informs the nurse that she has been experiencing a sudden loss of urine whenever she laughs; this is causing embarrassment to her. Which type of urinary incontinence is this client experiencing?
Stress incontinence
The nurse is caring for a client who has been experiencing nausea, vomiting, and diarrhea for 3 days. Which urine characteristics does the nurse anticipate?
Strongly aromatic, dark amber
What is the micturition reflex?
The act of bladder contraction and perceived need to void
The nurse is caring for a client who has been experiencing difficulty voiding since her vaginal birth. The client voices concern to the nurse. What information should be provided to the client?
The birth can cause perineal swelling
The doctor has ordered the collection of a fresh urine sample for a particular examination. Which urine sample would the nurse discard?
The first void of the day
The novice nurse is assessing the urinary bladder of a client with transient urinary incontinence. The nurse mentor would intervene if which action by the novice nurse is noted?
The novice nurse asks the client to urinate before palpating the bladder
The nurse mentor is observing a novice nurse preparing to insert an indwelling catheter for a female client with urinary retention. The mentor would intervene if which action by the novice nurse is noted?
The novice nurse selects an 18 in french foley catheter to insert
What part of the regular bedpan should be under the client's buttocks?
The rounded shelf
The nurse is teaching a client how to perform pelvic floor muscle exercises (Kegel exercises). Which teaching will the nurse include?
Tighten the internal muscles used to prevent or interrupt urination
The nurse is caring for a client with concerns of urinary incontinence. A review of the client's data collection reveals the client has a history of spinal surgery and states, "I urinate all the time and cannot predict when I will urinate." This data collection would suggest to the nurse that this client is experiencing which type of urinary incontinence?
Total incontinence
T/F Caffeine affects bladder urgency
True
Define Functional incontinence
Urine loss caused by the inability to reach the toilet because of environmental barriers, physical limitations, or loss of memory or disorientation.
A nurse is preparing to measure a client's urine output. Which interventions would be of highest priority?
Wearing gloves when handling the urine
