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Urinary Elimination - Funds Ch. 37
A sterile urine specimen for culture and sensitivity has been ordered for a client who has an
indwelling urinary catheter. How should the nurse obtain this specimen? - verified answer
Withdraw several milliliters of urine from the port on the collection tubing, using a syringe and needle. A client at the health care facility has been diagnosed with total urinary incontinence. How could the
nurse describe the condition of the client? - verified answer loss of urine without any identifiable
pattern or warning A nurse collects a clean-catch specimen from a client at a health care facility. Which statement
describes a clean-catch urine sample? - verified answer a sample of urine that is considered sterile
A nurse is caring for an older adult client at his home. The client has had a condom catheter applied.
Which describes a condom catheter? - verified answer a flexible sheath that is rolled around the
penis A client is suspected of having a disease process affecting the functional unit of the kidney. Which
stucture is most likely involved? - verified answer Nephron
Which statement should the nurse convey to the mother of a 3-year-old son who has not achieved
urinary continence? - verified answer Boys may take longer for daytime continence than girls.
Which symptom will have a great impact on the extracellular fluid for water conservation? - verified
answer Burns
A woman informs the nurse that when she is experiencing stress it is difficult to void, and wonders
why this happens. What is the nurse's best explanation? - verified answer "Stress causes the
muscles to become tense." A nurse maintaining continuous bladder irrigation on a client notes that hourly drainage is less than amount of irrigation being given. Which interventions would be appropriate in this situation? Select
all that apply. - verified answer - Palpate for bladder distention.
- Check to make sure that the tubing is not kinked.
- If return flow remains decreased, notify the health care provider.
The nurse educator is presenting a lecture on clients at risk for developing urinary tract infections (UTIs). Which response made by the staff nurse would indicate to the educator a need for further
teaching? - verified answer "Having sexual relationships does not put a woman at risk for
developing a UTI." The nurse is caring for a client with a prescription for a midstream urine specimen. The nurse would
provide which information to the client? - verified answer "Void a small amount, stop, and discard
it." A client is diagnosed with frequent urinary tract infections. What would be an appropriate question
for the nurse to ask the client? - verified answer "How frequently do you urinate each day?"
The nurse measures a client's residual urine by catheterization after the client voids. Which
condition would this test verify? - verified answer urinary retention
Which is the test that would provide an accurate measurement of the kidney's excretion of
creatinine? - verified answer 24-hour specimen
A client is preparing to give a clean-catch specimen. Which instruction will the nurse provide? -
verified answer After the initial stream is initiated, collect the sample.
The nurse is caring for a client with weakness who is ambulatory but tires easily. Which method for
urinary elimination does the nurse recommend? - verified answer bedside commode
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? - verified answer Dark
Brown, Cloudy 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? - verified
answer Anuria
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? - verified answer Fasten the
condom securely enough to prevent leakage without constricting blood flow. The nurse has inserted a client's urinary catheter as ordered, but there has been no immediate flow
of urine. What is the nurse's most appropriate action? - verified answer Have the client take a deep
breath to relax the perineal and abdominal muscles. 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? - verified answer
Reddened perineal skin The health care provider requests an indwelling urinary catheter to be inserted into a woman who has had a total hip replacement and is on strict bed rest. When inserting the catheter, the nurse
would place the client in which position? - verified answer Sims
The nurse is choosing a collection device to collect urine from a nonambulatory male client? What
would be the nurse's best choice? - verified answer Urinal
A urinalysis has been ordered for a client. When is the best time for the client to provide a urine
sample? - verified answer first thing in the morning
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? - verified
answer 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? - verified answer Stress
The parent of a 5-year-old child tells the nurse that on two occasions her son has lost control of urination when he had to wait to go to the bathroom at school. What is the appropriate nursing
response? - verified answer "Let's review the types of fluids that your child drinks in the morning."
A nurse is caring for a client who has just undergone surgery to create an ileal conduit for urinary elimination via a stoma. Which fact about this procedure should the nurse mention to the client? -
verified answer The client will have to wear an external appliance to collect urine.
A client with an emergently placed central venous catheter (CVC) is to have emergent hemodialysis. Upon assessment of the CVC the nurse visualizes redness, drainage, and odor to the area around the CVC. Palpation of the surrounding skin causes the client pain. Which intervention is the priority? -
verified answer Notifying the health care provider of the assessment findings
A nurse is caring for a client with a hemodialysis access site. Which action should the nurse take? -
verified answer Auscultate over the access site with the bell of a stethoscope, listening for a bruit
or vibration. The health care provider has prescribed an indwelling catheter for a client. When the nurse explains the procedure, the client refuses to allow placement of the catheter. Which action should the nurse
take? - verified answer Ask the client why he or she does not want a catheter.
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? - verified answer stress
incontinence A nurse is preparing to measure a client's urine output. Which interventions would be of highest
priority? - verified answer Wearing gloves when handling the urine
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? - verified answer "Discard your first urine and begin the
collection after that." 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? - verified answer cloudy, foul
odor A client is preparing to give a clean-catch specimen. What action should the nurse have the client do
first? - verified answer Clean each side of the urinary meatus with a separate wipe.
A client has burning upon urination. The urinalysis indicates pyuria. Which is the next action the
nurse will take? - verified answer Contact the health care provider
