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Urinary Elimination, Exams of Nursing

State University of New York - New PaltzNursing

A chapter from the book 'Canadian Fundamentals of Nursing, 6th Edition' and provides information on various aspects of urinary elimination. It covers topics such as urinary system components, laboratory results, nursing interventions, catheterization procedures, and lifestyle changes to reduce the chance of urinary tract infections. The document also includes multiple-choice questions with correct answers.

Typology: Exams

2023/2024

Available from 10/06/2023

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Beverlyn 🇺🇸

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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
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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

Canadian Fundamentals of Nursing, 6th

Edition

nurse include in the patient's plan of care? - correct answers Urinary incontinence.

  1. 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 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.
  2. When caring for a patient with urinary retention, the nurse would anticipate an order for which of the following? - correct answers A urinary catheter.
  3. 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?"
  4. Which of the following is the primary function of the kidneys? - correct answers Maintaining fluid and electrolyte balance.
  5. While receiving a shift report on a patient, the nurse is informed that the patient has urinary incontinence. Upon assessment, what

Canadian Fundamentals of Nursing, 6th

Edition

  1. When viewing a urine specimen under a microscope, what would the nurse expect to see if the specimen is from a patient with a urinary tract infection? - correct answers Bacteria.
  2. The nurse would expect the urine of a patient with uncontrolled diabetes mellitus to be which of the following? - correct answers Sweet smelling..
  3. What signs and symptoms would the nurse expect to observe in a patient with excessive numbers of white blood cells present in the urine? - correct answers Fever and chills.
  4. For a patient who has severe flank pain and calcium phosphate crystals revealed on urinalysis, the nurse would anticipate an order for which diagnostic test? - correct answers Intravenous pyelography.
  5. 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.
  6. Which statement by the patient about upcoming computed tomography (CT) indicates a need for further teaching? - correct

Canadian Fundamentals of Nursing, 6th

Edition

answers "I will be anaesthetized so that I lie perfectly still during the procedure."

  1. 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.
  2. A nurse anticipates urodynamic testing for a patient with which symptom? - correct answers Involuntary urine leakage.
  3. 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.
  4. 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."
  5. 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.

Canadian Fundamentals of Nursing, 6th

Edition

  1. 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 Increasing consumption of acidic foods such as cranberry juice will reduce the chance of infection.
  2. A nurse is providing education to a patient being treated for a urinary tract infection. Which of the following statements by the patient indicates an understanding? - correct answers "My medication may discolour my urine; this should resolve once the medication is stopped."
  3. To reduce patient discomfort during closed-catheter irrigation, what should the nurse do? - correct answers Use room temperature irrigation solution.
  4. Which observation by the nurse best indicates that bladder irrigation for urinary retention has been effective? - correct answers An output that is larger than the amount instilled.
  5. The nurse anticipates urinary diversion from the kidneys to a site other than the bladder for which patient? - correct answers A 12-year- old girl with severe abdominal trauma.
  6. Which of the following symptom is most closely associated with uremic syndrome? - correct answers Headache.

Canadian Fundamentals of Nursing, 6th

Edition

  1. The nurse understands that peritoneal dialysis and hemodialysis involve which of the following processes to clean the patient's blood? - correct answers Osmosis and diffusion. 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

Canadian Fundamentals of Nursing, 6th

Edition

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. An obstruction to the flow of urine in the urinary collecting system may cause which of the following? (Select all that apply.) - correct answers Renal damage. Urinary retention. UTI. A female patient is having difficulty voiding after a vaginal delivery. The nurse implements which of the following interventions to promote

Canadian Fundamentals of Nursing, 6th

Edition

voiding? (Select all that apply.) - correct answers Turning the water tap on. Ambulating the patient to the bathroom. Trickling warm water over the mons pubis. A patient reports to the nurse that he wakes up early because of a need to urinate. The nurse recommends that the patient avoid which of the following liquids after 8:00 P.M.? (Select all that apply.) - correct answers Tea. Cola. Wine. Coffee. A patient with multiple sclerosis is being taught how to perform self- catheterization. As part of this teaching, the nurse instructs the patient to do which of the following? (Select all that apply.) - correct answers Increase intake of fluids. Always use clean technique.