Urinary Elimination, Exams of Nursing

A chapter from the book Canadian Fundamentals of Nursing, 6th Edition, and it covers various aspects of urinary elimination. It discusses the anatomy and physiology of the urinary system, common urinary problems, nursing interventions, and patient education. The chapter also includes multiple-choice questions with correct answers. useful for nursing students and healthcare professionals who want to improve their knowledge and skills in urinary elimination.

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2022/2023

Available from 05/25/2023

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Chapter 43: Urinary Elimination Potter et al:
Canadian Fundamentals of Nursing, 6th
Edition
If obstructed, which component of the urination system would cause peristaltic
waves? - correct answers Ureters.
2. When reviewing laboratory results, the nurse should immediately notify the
health care provider about which finding? - correct answers Glomerular filtration
rate of 20 mL/min.
3. A patient is experiencing oliguria. Which action should the nurse perform first? -
correct answers Assess for bladder distension.
4. A patient requests the nurse's assistance to the bedside commode and
becomes frustrated when unable to void in front of the nurse. The nurse
understands that the patient is unable to void for which reason? - correct answers
Anxiety can make it difficult for abdominal and perineal muscles to relax enough
to void.
5. The nurse knows that urinary tract infection (UTI) is the most common health
care-associated infection for which reason? - correct answers Escherichia coli
pathogens are transmitted during surgical or catheterization procedures.
6. An 86-year-old patient tells the nurse that she is experiencing uncontrollable
leakage of urine. Which nursing diagnosis should the nurse include in the patient's
plan of care? - correct answers Urinary incontinence.
7. A patient has fallen several times in the past week when attempting to get to
the bathroom. The patient informs the nurse that he gets up three or four times a
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Canadian Fundamentals of Nursing, 6th

Edition

If obstructed, which component of the urination system would cause peristaltic waves? - correct answers Ureters.

  1. When reviewing laboratory results, the nurse should immediately notify the health care provider about which finding? - correct answers Glomerular filtration rate of 20 mL/min.
  2. A patient is experiencing oliguria. Which action should the nurse perform first? - correct answers Assess for bladder distension.
  3. A patient requests the nurse's assistance to the bedside commode and becomes frustrated when unable to void in front of the nurse. The nurse understands that the patient is unable to void for which reason? - correct answers Anxiety can make it difficult for abdominal and perineal muscles to relax enough to void.
  4. The nurse knows that urinary tract infection (UTI) is the most common health care-associated infection for which reason? - correct answers Escherichia coli pathogens are transmitted during surgical or catheterization procedures.
  5. An 86-year-old patient tells the nurse that she is experiencing uncontrollable leakage of urine. Which nursing diagnosis should the nurse include in the patient's plan of care? - correct answers Urinary incontinence.
  6. A patient has fallen several times in the past week when attempting to get to the bathroom. The patient informs the nurse that he gets up three or four times a

Canadian Fundamentals of Nursing, 6th

Edition

night to urinate. Which recommendation by the nurse is most appropriate in correcting this urinary problem? - correct answers Limit fluid and caffeine intake before bed.

  1. When caring for a patient with urinary retention, the nurse would anticipate an order for which of the following? - correct answers A urinary catheter.
  2. Upon palpation, the nurse notices that the bladder is firm and distended; the patient expresses an urge to urinate. The nurse should follow up by asking which question? - correct answers "When was the last time you voided?"
  3. Which of the following is the primary function of the kidneys? - correct answers Maintaining fluid and electrolyte balance.
  4. While receiving a shift report on a patient, the nurse is informed that the patient has urinary incontinence. Upon assessment, what would the nurse expect to find? - correct answers Reddened irritated skin on the buttocks. Which nursing diagnosis related to alterations in urinary function in an older person should be a nurse's first priority for action? - correct answers Risk of infection.
  5. A patient asks about treatment for urge urinary incontinence. The nurse's best response is which advice to the patient? - correct answers Perform pelvic floor exercises.

Canadian Fundamentals of Nursing, 6th

Edition

  1. A nurse is caring for a patient who just underwent intravenous pyelography that revealed a renal calculus obstructing the left ureter. What is the nurse's first priority in caring for this patient? - correct answers Monitor the patient for fever, rash, and difficulty breathing.
  2. Which statement by the patient about upcoming computed tomography (CT) indicates a need for further teaching? - correct answers "I will be anaesthetized so that I lie perfectly still during the procedure."
  3. The nurse is visiting the patient who has a nursing diagnosis of Impaired urinary elimination: retention. On assessment, the nurse anticipates that this patient will exhibit which of the following? - correct answers Sensation of urgency and voiding of small amounts.
  4. A nurse anticipates urodynamic testing for a patient with which symptom? - correct answers Involuntary urine leakage.
  5. A patient is having difficulty voiding in a bedpan but states that she feels her bladder is full. To stimulation micturition, which nursing intervention should the nurse try first? - correct answers Utilizing the power of suggestion by turning on the faucet and letting the water run.
  6. A nurse is caring for an 8-year-old patient who is embarrassed about urinating in his bed at night. Which intervention should the nurse suggest to reduce the frequency of this occurrence? - correct answers "Drink your nightly glass of milk earlier in the evening."

Canadian Fundamentals of Nursing, 6th

Edition

  1. Many individuals have difficulty voiding in a bedpan or urinal while lying in bed for which reason? - correct answers They would feel more comfortable assuming a normal voiding position.
  2. The nurse would anticipate inserting a coudé catheter for which patient? - correct answers A 56-year-old man admitted for bladder irrigation.
  3. The nurse knows that which in-dwelling catheter procedure places the patient at greatest risk for acquiring a urinary tract infection? - correct answers Placing the drainage bag on the side rail of the patient's bed.
  4. A nurse notifies the provider immediately if a patient with an in-dwelling catheter does which of the following? - correct answers Has not collected any urine in the drainage bag for 2 hours.
  5. The nurse would question an order to insert a urinary catheter in which patient? - correct answers A 30-year-old patient requiring drug screening for employment.
  6. When caring for a hospitalized patient with a urinary catheter, which nursing action best prevents the patient from acquiring an infection? - correct answers Performing hand hygiene before and after providing perineal care.
  7. An 86-year-old patient asks the nurse what lifestyle changes will reduce the chance of a urinary tract infection. Which response is accurate? - correct answers

Canadian Fundamentals of Nursing, 6th

Edition

A female patient reports that she is experiencing burning on urination, frequency, and urgency. The nurse notes that a clean-voided urine specimen is markedly cloudy. Which of the following is the probable cause of these symptoms and findings? - correct answers Cystitis Hospital-acquired urinary tract infections (UTIs) are most often related to poor hand hygiene and which of the following? - correct answers Improper catheter care. To minimize nocturia, when should patients avoid fluids? - correct answers For 2 hours before bedtime. A Foley catheter drainage bag is placed below the bladder to prevent which of the following? - correct answers Urinary reflux. When a condom catheter is applied, the catheter should be secured on the penile shaft in such a manner that the catheter is which of the following? - correct answers Snug and secure but without causing constriction that impedes blood flow. Correct A patient undergoes ultrasonography of a kidney. The nurse providing postprocedure care remembers that which of the following is true regarding precautions that should be taken for this procedure? - correct answers No special precautions must be taken.

Canadian Fundamentals of Nursing, 6th

Edition

A patient underwent total knee replacement and was placed on patient-controlled analgesia. The patient has been activating the medication button an average of four times per hour. The nurse has assisted the patient on and off the bedpan two or three times an hour for the past 2 hours. Urine output was about 50 mL with each void. The nurse now begins to suspect which of the following? - correct answers Retention overflow. The nurse recognizes that which organism most frequently causes UTIs in women?

  • correct answers Escherichia coli A patient is scheduled for intravenous pyelography (IVP). Before the test, the most important assessment the nurse performs is asking about which of the following?
  • correct answers Allergies to shellfish. A 34-year-old man is in hospital rehabilitating from a spinal cord injury. He is incontinent of urine at regular intervals. He is unaware when he is incontinent. This describes which of the following types of incontinence? - correct answers Reflex incontinence. Urine may appear concentrated and cloudy because of the presence of white blood cells or which of the following? - correct answers Bacteria After undergoing transurethral prostatectomy, a patient returns to his room with a triple-lumen indwelling catheter for continuous bladder irrigation. The irrigation fluid is normal saline delivered at a rate of 150 mL/hour. After 8 hours, the nurse empties the drainage bag, which contains a total of 2520 mL. Of the total fluid output, how much is urine? - correct answers 1320 mL.