Urinary and Bowel Elimination Practice Questions

The nurse is preparing to irrigate a client's sigmoid colostomy. The nurse would plan for which intervention to perform this procedure? 1. Instilling 500 to 1000 mL of lukewarm tap water through the stoma 2. Advising the client to hold the breath if cramping occurs during instillation of the solution 3. Hanging the irrigation solution so that the bottom of the bag is 18 inches above the client's torso 4. Inserting the irrigation tube with a small amount of force and a twisting motion into the stoma and unclamping the tubing to allow the solution to flow into the stoma

1. Instilling 500 to 1000 mL of lukewarm tap water through the stoma

A client with ulcerative colitis had a new colostomy created 2 days earlier and is beginning to pass malodorous flatus from the stoma. What is the correct interpretation by the nurse? 1. This is a normal, expected event. 2. The client is experiencing early signs of ischemic bowel. 3. The client should not have the nasogastric tube removed. 4. This indicates inadequate preoperative bowel preparation.

1. This is a normal, expected event.

The nurse is providing care for a client with ulcerative colitis who underwent the creation of a transverse colostomy. Which observation requires immediate notification of the surgeon? 1. Stoma is beefy red and shiny. 2. Stoma has a purple discoloration. 3. Skin excoriation is noted around the stoma. 4. Semiformed stool is noted in the ostomy pouch.

2. Stoma has a purple discoloration.

The nurse is assessing a client with bladder cancer who had a cystectomy and creation of a ureterostomy. Which statement by the client indicates the need for more education about urinary stoma care? 1. "I change my pouch every week." 2. "I change the appliance in the morning." 3. "I empty the urinary collection bag when it is two-thirds full." 4. "When I'm in the shower, I direct the flow of water away from my stoma."

3. "I empty the urinary collection bag when it is two-thirds full."

The nurse is teaching a client with a urinary stoma about how to change the collection bag and appliance at home. Which of the following client statements indicates an understanding of the procedure? 1. "The stoma needs to be cleaned with only water." 2. "The best time to change the appliance is at night." 3. "The pouch needs to be changed every 5 to 7 days." 4. "I'll cut the skin barrier 10 millimeters larger than the stoma."

3. "The pouch needs to be changed every 5 to 7 days."

The surgeon asks the nurse to obtain a urinary catheter that will be used for continuous bladder irrigation. Which urinary catheter would the nurse obtain? 1. A straight catheter 2. A Coudé tip catheter 3. A triple-lumen catheter 4. A double-lumen catheter

3. A triple-lumen catheter

A primary health care provider has ordered digital removal of stool for a constipated client. How would the nurse position the client for this procedure? 1. Prone position 2. Lithotomy position 3. Left lateral side-lying position 4. Right lateral side-lying position

3. Left lateral side-lying position

The staff nurse is observing a new graduate nurse provide indwelling urinary catheter care to an uncircumcised client. Which action by the new graduate nurse would indicate a need for further teaching? 1. Cleans the catheter proximally to distally with soap and water 2. Maintains the urinary collection bag below the level of the bladder 3. Removes a loose catheter anchor and places a new anchor on the lower leg 4. Uses the nondominant hand to pull back the foreskin to cleanse the urethral meatus with soap and water and returns the foreskin to its normal position

3. Removes a loose catheter anchor and places a new anchor on the lower leg

A client with Crohn's disease has just had surgery to create an ileostomy. The nurse assesses the client in the postoperative period for which most frequent complication of this type of surgery? 1. Folate deficiency 2. Malabsorption of fat 3. Intestinal obstruction 4. Fluid and electrolyte imbalance

4. Fluid and electrolyte imbalance

The nurse is inserting an indwelling urinary catheter in a client. As the nurse begins to inflate the balloon, the client starts to complain of pain. Which action would the nurse take? 1. Continue to inflate the balloon. 2. Deflate the balloon, slightly withdraw the catheter, and attempt to reinflate the balloon. 3. Deflate the balloon, completely withdraw the catheter, and end the procedure to notify the primary health care provider. 4. Stop inflating the balloon, allow the saline solution to drain into the syringe, and advance the catheter farther before reinflating the balloon.

4. Stop inflating the balloon, allow the saline solution to drain into the syringe, and advance the catheter farther before reinflating the balloon.