Fundi's 2 Ch. 37 Prep U

The nurse is assessing a female client who states that she notices an involuntary loss of urine following a coughing episode. What would be the nurse's best reply? A. "You are experiencing stress incontinence. Do you know how to do Kegel exercises?" B. "You are experiencing reflex incontinence. Have you had a spinal cord injury in the past?" C. "You are experiencing total incontinence. Have you had any surgeries or trauma that may be causing this?" D. "You are experiencing transient incontinence. Have you been administered diuretics or IV fluids lately?"

A. "You are experiencing stress incontinence. Do you know how to do Kegel exercises?"

Which is the test that would provide an accurate measurement of the kidney's excretion of creatinine? A. 24-hour specimen B. intermittent specimen C. clean-catch specimen D. random specimen

A. 24-hour specimen

The nurse is caring for an older adult client suspected of having a urinary tract infection. The nurse should assess for what finding specifically associated with the development of this condition in the older adult? A. Acute confusion B. Nausea C. Dysuria D. High fever

A. Acute confusion

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. What actions by the nurse would be appropriate at this time? Select all that apply. A. Arrange for a consult with a wound nurse B. Allow the skin to be open to air as much as possible C. Insert an indwelling catheter instead D. Wash the area with soap and water and apply the catheter E. Do not reapply the urinary sheath

A. Arrange for a consult with a wound nurse B. Allow the skin to be open to air as much as possible E. Do not reapply the urinary sheath

The nurse is caring for a client who has a history of renal failure. What is an accurate step when caring for the client's hemodialysis access? A. Auscultate over the site with a stethoscope to listen for a bruit. B. Use the affected arm if an IV must be started to avoid impairment of both arms. C. If a thrill is not palpable and/or a bruit is not detectable, assess for these signs in the other arm. D. Percuss the site to feel for a thrill or vibration.

A. Auscultate over the site with a stethoscope to listen for a bruit.

The nurse is caring for a client who had an arteriovenous (AV) graft surgically placed. The client is preparing for discharge. Which actions should the nurse teach the client to avoid? Select all that apply. A. Carrying heavy items including purses or luggage with the affected arm B. Having blood pressure measurements in the affected arm C. Getting an annual influenza vaccination D. Getting venipuncture in the affected arm E. Sleeping with the affected arm under the head or body

A. Carrying heavy items including purses or luggage with the affected arm B. Having blood pressure measurements in the affected arm D. Getting venipuncture in the affected arm E. Sleeping with the affected arm under the head or body

The nurse is teaching an older adult female client who must provide a urine specimen. Which is the proper method to instruct the client to use to obtain a clean-catch urine specimen? A. Catch the urine while holding the labia apart, after allowing the first urine to flow into the toilet. B. Catch the urine while holding the labia apart, then cleanse each side of the labia with prepared aseptic swabs. C. Catch the urine in the cup after cleansing the perineum. D. Catch the urine while holding the labia apart, after cleansing. Fill the specimen cup.

A. Catch the urine while holding the labia apart, after allowing the first urine to flow into the toilet.

The nurse is preparing to irrigate a Foley catheter. What is the nurse's initial action? A. Check electronic health record for medical order. B. Gather equipment and supplies. C. Explain the procedure to the client. D. Assess urine characteristics.

A. Check electronic health record for medical order.

A nurse is caring for an older adult client who is incontinent. Which effects of aging might contribute to urinary alterations? Select all that apply. A. Decreased bladder contractility may lead to urine retention and stasis. B. Increased bladder motility decreases the incidence of urinary tract infections. C. Decreased bladder muscle tone may reduce the capacity of the bladder to hold urine. D. Altered thought processes may cause urinary frequency. E. Neuromuscular problems may interfere with voluntary control of urination. F. Diminished ability of kidneys to concentrate urine may result in nocturia.

A. Decreased bladder contractility may lead to urine retention and stasis. C. Decreased bladder muscle tone may reduce the capacity of the bladder to hold urine. D. Altered thought processes may cause urinary frequency. E. Neuromuscular problems may interfere with voluntary control of urination. F. Diminished ability of kidneys to concentrate urine may result in nocturia.

An older adult client informs the nurse that they are experiencing urinary incontinence. The client has no other health problems, and states, "I don't want anybody to know about this problem." How will the nurse promote the client's self-esteem? A. Discuss the use of protective undergarments to avoid embarrassment from incontinence. B. Tell the client that this happens to all people when they get older. C. Encourage the client to confide in family members and tell them about the accidents. D. Inform the client that this is not normal and make a referral to a urologist.

A. Discuss the use of protective undergarments to avoid embarrassment from incontinence.

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

A. Encourage fluid intake, unless contraindicated. B. Maintain a closed urinary catheter system. E. Record volume and character of the urine.

A nurse is caring for a client with an external condom catheter. Which guideline should be implemented when applying and caring for this type of catheter? A. Fasten the condom securely enough to prevent leakage without constricting blood flow. B. Remove the catheter every 8 hours, or more often in humid weather. C. Wipe the penis thoroughly with an alcohol swab and dry thoroughly before application. D. Ensure the tip of the tubing is touching the tip of the client's penis.

A. Fasten the condom securely enough to prevent leakage without constricting blood flow.

A male client is being transferred to the hospital from a long-term care facility with a diagnosis of dehydration and urinary bladder infection. His skin is also excoriated from urinary incontinence. Which nursing diagnosis is most appropriate for this client? A. Impaired Skin Integrity related to urinary bladder infection and dehydration B. Impaired Skin Integrity related to functional incontinence C. Urinary Incontinence related to urinary tract infection D. Risk for Urinary Tract Infection related to dehydration

A. Impaired Skin Integrity related to urinary bladder infection and dehydration

A nurse is caring for a female client who is unable to transfer to a commode. The nurse is assisting the client with positioning on a bedpan. Which statement should guide the nurse's action? A. Many clients find it embarrassing or degrading to use a bedpan. B. The bed should be lowered to the lowest height before placing the bedpan. C. Bedpans should not be used if the client needs to defecate. D. Incorrect placement of a bedpan has been linked to development of UTIs.

A. Many clients find it embarrassing or degrading to use a bedpan.

The nurse is caring for an older adult client who has had a condom catheter applied. Which intervention will the nurse include in the care of this client? A. Perform thorough skin care daily. B. Ensure the tubing is flush to the tip of the penis. C. Change the condom catheter every other day. D. Make sure the condom sheath is secured tightly to the penis.

A. Perform thorough skin care daily.

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? A. The bladder normally is a sterile cavity. B. Pathogens introduced into the bladder remain in the bladder. C. A normal bladder is as susceptible to infection as an injured one. D. The external opening to the urethra should always be sterilized.

A. The bladder normally is a sterile cavity.

The clinic nurse is collecting data from a female client with frequent, recurrent urinary tract infections who was discharged from the hospital. Which data collection would indicate to the nurse that the client is adhering to discharge instructions? A. The client drinks two glasses of water before and after sexual intercourse. B. The client soaks in the bathtub daily for perineal care. C. The client drinks eight 8-oz glasses of cranberry juice daily. D. Since the client is symptom-free, she no longer takes the prescribed antibiotics.

A. The client drinks two glasses of water before and after sexual intercourse.

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 device must be programmed for the biological sex of the client by pushing the correct button on the device. B. A PVR of 450 mL is often recommended as the guideline for catheterization. C. The scan is contraindicated for female clients who have had a hysterectomy. D. Three separate readings should be obtained over 1 hour and the postvoid residual (PVR) averaged.

A. The device must be programmed for the biological sex of the client by pushing the correct button on the device.

A nurse is assessing the freshly voided urine of a client. What characteristics of the urine would indicate a urinary problem? Select all that apply. A. The urine is cloudy. B. The urine is amber colored. C. The urine pH is 6.0. D. The urine is translucent. E. The urine smells like ammonia. F. There is pus in the urine.

A. The urine is cloudy. E. The urine smells like ammonia. F. There is pus in the urine.

The nurse is assessing a client with an older arteriovenous (AV) graft for hemodialysis access in the left arm. The client reports significant pain to the distal left arm. Capillary refill in the left hand is greater than 4 seconds. Which should the nurse assess before contacting the health care provider? A. Thrill and bruit B. Respiratory rate C. Temperature D. Pedal pulses

A. Thrill and bruit

Use of an indwelling urinary catheter leads to the loss of bladder tone. A. True B. False

A. True

A sterile urine specimen for culture and sensitivity has been prescribed for a client who has an indwelling urinary catheter. How should the nurse obtain this specimen? A. Withdraw several milliliters of urine from the port on the collection tubing, using aseptic technique. B. Discontinue the indwelling catheter and insert an intermittent catheter to obtain the sterile specimen. C. Empty the collection bag, wait 30 minutes, and then collect the contents of the collection bag. D. Collect a urine specimen from the collection bag first thing in the morning, or a few hours after the client receives a diuretic.

A. Withdraw several milliliters of urine from the port on the collection tubing, using aseptic technique.

The nurse is caring for a client who has dark amber, strongly aromatic urine with nausea and vomiting. Which condition does the nurse anticipate? A. dehydration B. balanced fluids C. renal failure D. hypovolemia

A. dehydration

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? A. intermittent urethral catheter B. indwelling urethral catheter C. Foley catheter D. retention catheter

A. intermittent urethral catheter

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. polyuria. D. nocturia.

A. oliguria.

A client reports to the nurse that after delivering an infant, she loses small amounts of urine each time she sneezes or laughs hard. Which type of incontinence does the nurse anticipate? A. stress B. total C. urge D. reflex

A. stress

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

A. stress

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? A. stress incontinence B. functional incontinence C. reflex incontinence D. urge incontinence

A. stress incontinence

A 70-year-old client confides to the nurse that she is "terribly embarrassed" that she has developed urinary incontinence over the past year. Which nursing response supports the client's self-esteem? A. "Don't worry, this is a normal condition for older adults." B. "Let's explore structuring activities and toileting breaks." C. "Let me refer you to a urologist who can help you." D. "It would be best just to get some adult diapers."

B. "Let's explore structuring activities and toileting breaks."

A client reports an episode of losing control of urination when a bathroom was not close by. The client states, "I am worried this means that I am starting to lose control of my bladder." What is the appropriate nursing response? A. "This only happened one time, so it's nothing to worry about." B. "Let's review your medication history and whether you consume bladder irritants." C. "I suggest that you invest in incontinence undergarments." D. "I agree; please make an appointment with your health care provider."

B. "Let's review your medication history and whether you consume bladder irritants."

The nurse is caring for a client who informs the nurse that it is difficult to void when experiencing stress, and asks why this happens. Which response by the nurse is appropriate? A. "You might have a neurologic condition." B. "Stress causes the muscles to become tense." C. "You require greater privacy to void." D. "What medications are you taking?"

B. "Stress causes the muscles to become tense."

A client is preparing to give a clean-catch specimen. What action should the nurse have the client do first? A. Void normally to empty the bladder. B. Clean each side of the urinary meatus with a separate wipe. C. Catch a sample of urine in the specimen container. D. Release a small amount of urine into the toilet.

B. Clean each side of the urinary meatus with a separate wipe.

A client is suspected of having a disease process affecting the functional unit of the kidney. Which structure is most likely involved? A. Loop of Henle B. Nephron C. Bowman's capsule D. Glomerulus

B. Nephron

The nurse has received an order to catheterize a female client. What action should the nurse perform? A. Lubricate 3 to 4 in of the catheter tip before insertion. B. Once urine drains, advance the catheter another 2 to 3 inches (5 to 7.5 cm). C. Using both hands, hold the catheter near the tip and insert slowly into the urethra. D. Advance the catheter until slight resistance is felt.

B. Once urine drains, advance the catheter another 2 to 3 inches (5 to 7.5 cm).

The nurse is reviewing a urinalysis laboratory report of a client. The nurse notes there are nitrates and white blood cells present in the urine. Based on these results, what intervention(s) would be necessary? Select all that apply. A. Prepare to obtain a midstream specimen. B. Prepare to obtain a specimen by catheterization. C. Notify the health care provider. D. Obtain another voided specimen for comparison. E. Prepare to obtain a urine culture.

B. Prepare to obtain a specimen by catheterization. C. Notify the health care provider. E. Prepare to obtain a urine culture.

A client who visits a health care facility for a routine assessment reports to the nurse being unable to control urinary elimination. This has resulted in the client soiling clothes and has led to a lot of embarrassment. Which nursing intervention will be appropriate to use with this client? A. Indwelling catheterization B. Regular toileting routine C. Encouraging the client to stay close to home D. Fluid restriction

B. Regular toileting routine

A nurse is performing a client's intermittent closed catheter irrigation and realizes that the tubing was not clamped before introducing the irrigation solution. What would be the nurse's best response to this situation? A. Wait 1 hour and repeat the irrigation. B. Repeat the irrigation. C. Prepare to change the catheter. D. Notify the primary care provider promptly.

B. Repeat the irrigation.

The nurse caring for an older adult male client is determining whether the client can use a urinal to void. Which aspects of the client's medical history may contraindicate the use of a urinal? A. The client has had urinary catheters in place repeatedly during previous admissions. B. The client is acutely confused and has been diagnosed with delirium. C. The client has a history of benign prostatic hyperplasia (BPH; prostate enlargement). D. The client was treated for kidney stones a few months earlier.

B. The client is acutely confused and has been diagnosed with delirium.

A nurse is assisting a client with the use of a bedpan. The nurse understands that which statement about bedpans is true? A. A regular bedpan is generally more comfortable for clients than a fracture bedpan. B. The largest part of a regular bedpan should be placed under the client's buttocks. C. A fracture bedpan is preferred for urination and a regular bedpan is preferred for defecation. D. A fracture bedpan should be used only for clients who have fractures of the femur or lower spine.

B. The largest part of a regular bedpan should be placed under the client's buttocks.

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? A. The novice nurse measures the height of the edge of the bladder above the symphysis pubis. B. The novice nurse asks the client to urinate before palpating the bladder. C. The novice nurse observes the lower abdominal wall for any swelling. D. The novice nurse asks the client when was the last time he voided before palpating the bladder.

B. The novice nurse asks the client to urinate before palpating the bladder.

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? A. Functional incontinence B. Total incontinence C. Stress incontinence D. Overflow incontinence

B. Total incontinence

A nurse is inserting a catheter into a female urinary bladder. Which nursing action is performed correctly? A. Assist the client to a prone position with knees flexed, feet about 2 ft (0.6 m) apart, with legs abducted. B. Use dominant hand to inflate the catheter balloon, and inject entire volume of sterile water supplied in prefilled syringe. C. Clean the perineal area with a gauze pad and alcohol using a different corner of the gauze with each stroke. D. Using dominant hand, hold the catheter 1 ft (0.3 m) from the tip and insert slowly into the urethra.

B. Use dominant hand to inflate the catheter balloon, and inject entire volume of sterile water supplied in prefilled syringe.

The nurse is preparing a client for a cystoscopy procedure. Which intervention would be part of the preparation? A. maintaining the client without liquids before the procedure B. checking that the client has signed a consent form for the procedure C. explaining to the client that the procedure will be painful D. inserting a Foley catheter the morning of the procedure

B. checking that the client has signed a consent form for the procedure

A client with a history of advanced liver disease comes to the emergency department (ED) with dehydration. White blood cell count shows elevation in bands and neutrophils. When preparing to catheterize the client, what color urine does the nurse anticipate will drain? A. reddish-brown, clear B. dark brown, cloudy C. aromatic, green D. clear, light yellow

B. dark brown, cloudy

The nurse is inserting a urinary catheter into a female client and has begun to inflate the balloon, an action that has caused the client to wince and cry out in pain. Consequently, the nurse should: A. wait for 30 seconds, help the client to relax, and attempt inflation again. B. deflate the balloon, insert the catheter further, and slowly attempt reinflation. C. deflate the balloon, withdraw the catheter, and use a smaller sized catheter. D. stop, deflate the balloon, withdraw the catheter 0.75 to 1.5 in (2 to 4 cm), and slowly reinflate.

B. deflate the balloon, insert the catheter further, and slowly attempt reinflation.

A client has a cerebrovascular accident and is incontinent of bowel and bladder. Incontinence of urine in this client is related to a: A. overactive bladder. B. neurogenic bladder. C. cystocele. D. enuresis.

B. neurogenic bladder.

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? A. total B. stress C. urge D. reflect

B. stress

The nurse has an order to obtain a 24-hour urine specimen from a client. Which instruction would be accurate for collection of the specimen? A. "Start collecting the urine with the next time you urinate." B. "You will need to have a catheter inserted for this collection." C. "Discard your first urine and begin the collection after that." D. "Begin the collection when you first urinate in the morning."

C. "Discard your first urine and begin the collection after that."

A nurse is assessing a client who is complaining of difficulty urinating. Which assessment would be a priority? A. Obtaining the bladder scanner to check the urine volume B. Palpating the bladder above the symphysis pubis C. Asking the client when he or she had last urinated D. Determining any pain when palpating the lower abdomen

C. Asking the client when he or she had last urinated

Which statement should the nurse convey to the mother of a 3-year-old son who has not achieved urinary continence? A. Boys may walk by 1 year and should be continent by 3 years. B. Incontinence after the age of 3 years is not normal. C. Boys may take longer for daytime continence than girls. D. Daytime continence is usually not achieved by boys until age 5.

C. Boys may take longer for daytime continence than girls.

A client could experience increased urination when using which classification of medication? A. Central nervous system depressants B. Stool softeners C. Cholinergic agents D. Analgesic medications

C. Cholinergic agents

A nurse is the guest speaker at a women's club. Most of the women are older than 40 years of age and have asked the nurse to speak about health promotion topics. The nurse states that exercises may help with urinary urgency. Which exercise instruction will the nurse provide to the women? A. Lie on the floor, raise, then lower your legs 20 times per day. B. Contract abdominal muscles 10 times per day. C. Contract the pubic muscles for 3 seconds, then relax. D. Squat down and then jump up to a standing position.

C. Contract the pubic muscles for 3 seconds, then relax.

A nurse is caring for a female client with an indwelling urinary catheter. Which action should the nurse take into consideration to reduce the client's risk of developing a urinary tract infection (UTI)? A. Use clean technique when inserting the catheter. B. Administer prophylactic antibiotics, as ordered. C. Ensure that the catheter is removed as soon as possible. D. Irrigate the catheter with sterile water once per shift.

C. Ensure that the catheter is removed as soon as possible.

What is an advantage of using an external condom catheter for a male client who has frequent episodes of urinary incontinence? A. The client can apply it himself with minimal supervision. B. It can be left in place for a long period of time. C. It collects urine into a drainage bag without the risk of infection associated with indwelling urinary catheters. D. A sterile urine specimen can be obtained from the drainage bag tubing.

C. It collects urine into a drainage bag without the risk of infection associated with indwelling urinary catheters.

While providing care to a client admitted to the health care facility, the client states that she has "a burning sensation when urinating." After further questioning, the nurse inspects the client's perineal area. Which sign/symptom would the nurse document as an abnormal finding? A. Moist perineal skin B. Absence of discharge C. Reddened perineal skin D. Presence of smegma

C. Reddened perineal skin

The nurse is reviewing the chart of an older adult client who exhibits signs of confusion. Which laboratory value would indicate to the nurse that intervention is needed? A. Magnesium - 2.5 mEq/L (2.5 mmol/L) B. Hemoglobin - 16 g/dL C. Urine culture sensitivity - 100,000/mL D. Blood urea nitrogen (BUN) - 7 mg/dL (19.6 mmol/L)

C. Urine culture sensitivity - 100,000/mL

A client with chronic kidney disease reports not being able to urinate for the past 24 hours. A bladder scan shows no urine in the bladder. How does the nurse document this data? A. urinary retention B. nocturia C. anuria D. oliguria

C. anuria

The nurse is caring for a client who reports burning upon urination, and an ongoing sense of needing to urinate. Which urine characteristics does the nurse anticipate? A. clear, dark amber B. light yellow, clear C. cloudy, foul odor D. strongly aromatic, amber

C. cloudy, foul odor

A 57-year-old man is suffering from polyuria. What can cause polyuria? A. renal calculi B. urinary tract infection C. diabetes insipidus D. renal disease

C. diabetes insipidus

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? A. retention catheter B. indwelling urethral catheter C. intermittent urethral catheter D. Foley catheter

C. intermittent urethral catheter

A client has burning upon urination. The urinalysis indicates pyuria. Which is the next action the nurse will take? A. Encourage fluids B. Monitor vital signs C. Instruct on proper wiping technique D. Contact the health care provider

D. Contact the health care provider

A nurse is maintaining a client's continuous bladder irrigation. When appraising the effectiveness of this therapy, the nurse should prioritize what assessment? A. Assessing PVR using a bladder scanner B. Palpating the client's bladder region C. Calculating the flow rate of urinary output D. Monitoring the characteristics of the urinary output

D. Monitoring the characteristics of the urinary output

A nurse will use a bladder scanner to assess a client with urinary frequency. How should the nurse best prepare the client for this procedure? A. Assess the client's need for analgesia. B. Have the client rest for 15 minutes before the assessment. C. Administer a diuretic, as ordered. D. Position the client in a supine position.

D. Position the client in a supine position.

Which urinary care teaching will the nurse provide to a young adult female client? A. Drink water more frequently in the morning and evening to facilitate hydration. B. Wipe from the back to the front. C. If you do not feel like voiding, still strain to make sure the bladder is empty. D. Refrain from douching unless ordered by a health care provider.

D. Refrain from douching unless ordered by a health care provider.

The nurse is inserting a urinary catheter into a 63-year-old male client and encounters resistance. What is the most likely cause of the resistance? A. The nurse failed to deflate the retention balloon after pretesting it for integrity. B. The client has an occult abscess in the urethra. C. The diameter of the catheter is too large. D. The client has an enlarged prostate.

D. The client has an enlarged prostate.

The nurse is choosing a collection device to collect urine from a nonambulatory male client. What would be the nurse's best choice? A. Specimen hat B. Bedpan C. Large urine collection bag D. Urinal

D. Urinal

A nurse is preparing to measure a client's urine output. Which interventions would be of highest priority? A. Noting the color and clarity of the urine B. Measuring the urine container at eye level C. Using an appropriate measuring container D. Wearing gloves when handling the urine

D. Wearing gloves when handling the urine

The client is a new client in the outpatient wellness clinic. The client reports frequent urinary incontinence of recent onset. The nurse reviews the client's list of medications. Which medication classification will the nurse review with the client to determine when the prescription was started? A. nonsteroidal anti-inflammatory drug (NSAID) B. calcium supplement C. H2-receptor antagonist D. antihypertensive

D. antihypertensive

The health care provider notifies a client of a diagnosis of glycosuria. Which assessment information will the nurse obtain from the client next? A. intake and output B. blood pressure C. frequency of urine D. blood sugar

D. blood sugar

A client at a health care facility is being treated for cancer of the bladder. The physician uses a urinary diversion to help the client with urinary elimination. What describes a urinary diversion? A. use of a catheter to collect urine in a sterile environment B. hygiene measures used to keep meatus and adjacent area of the catheter clean C. inability to control either urinary or bowel elimination D. one or both of the ureters are surgically implanted elsewhere

D. one or both of the ureters are surgically implanted elsewhere

Which catheter would the nurse use to drain a client's bladder for short periods (5 to 10 minutes)? A. indwelling urethral catheter B. Foley catheter C. suprapubic catheter D. straight catheter

D. straight catheter

The school nurse is caring for a student who experienced a seizure in the classroom. The student was noted to lose a large amount of urine during the seizure. Which type of incontinence does the nurse anticipate the client may have experienced? A. urge B. stress C. reflex D. total

D. total

The nurse instructs the client about the clean catch urine specimen. Which statement made by the client indicates a need for further teaching from the nurse? "I will: A. keep the labia spread after cleaning and during collection of the specimen." B. wash my hands before collecting the clean catch urine specimen." C. use three wipes provided; one to clean each side of the urinary meatus, and one in the middle from front to back." D. urinate directly into the specimen cup, filling it to the top and then cap it without touching the inside of the lid."

D. urinate directly into the specimen cup, filling it to the top and then cap it without touching the inside of the lid."