Deck 22: Urinary Elimination

Question 1

The nurse obtains a urine specimen from a client with a retention cather from the .

Answer 1

drainage tube port.

Question 2

When the urine begins to flow through Mrs.Frank's straight catheter,your next action is to inflate the catheter balloon with sterile water.

Answer 2

False

Question 3

When preparing the female client for catheterization,the most critical area to prep is the

A)vaginal inlet
B)urinary meatus
C)labia minora
D)anal opening

Answer 3

urinary meatus

Question 4

Upon inserting the straight catheter,you find that urine is not flowing.Your next action is to

A)Remove the catheter,check the meatus,and reinsert the catheter.
B)Obtain a new,larger-sized catheter and insert it.
C)Reassess if catheter is in the vagina;if so,remove and reinsert into meatus.
D)Insert the catheter a little farther,wait a few seconds,and if urine does not flow,reassess placement.

Question 5

The client who experiences stress incontinence can learn to help control micturition by practicing contraction of __________ muscles.

Question 6

An elderly female client requires a Foley catheter insertion;however,she is unable to be placed in a dorsal recumbent position.What nursing action do you take?

Question 7

All of the following actions can be used to stimulate voiding except

A)Putting oil of wintergreen on a cotton ball in the bedpan.
B)Placing a hot washcloth on the client's abdomen.
C)Ambulating the client.
D)Providing a sitz bath.

Question 8

When evaluating the output of a client who has just returned from the operating room following a transurethral resection of the prostate (TURP),you find bright red blood in the collection bag from the continuous irrigation (CPI)system.Your initial action is to

A)Decrease the irrigation flow rate.
B)Obtain vital signs.
C)Increase the irrigation flow rate.
D)Call the physician.

Question 9

The client has a continuous bladder irrigation (CBI).When you assess the client,you find the urine collection bag is empty after 1 hour.Your initial action is to

A)Disconnect the catheter and instill 50 mL irrigant with firm pressure.
B)Observe if the irrigating solution is infusing into the bladder.
C)Irrigate the catheter by inserting a fluid-filled syringe into the injection port.
D)Change the catheter as it is probably occluded.

Question 10

The kidney reduces mL of actual filtrate to __________ mL of urine per minute to produce a urinary output of __________ mL per day.

Question 11

The client with an incontinent urinary diversion must

A)practice pelvic floor muscle exercises.
B)avoid a high fiber diet.
C)wear a pouch for urine collection.
D)access urine by catheterization.

Question 12

An ileal conduit

A)diverts urine through a stoma.
B)diverts urine directly to the urethra.
C)diverts stool through a stoma.
D)collects urine and is accessed by catheterization.

Question 13

The bladder scanner measures the volume of urine in the bladder,but it is not used for __________ clients.

Question 14

A sense of urgency to void occurs when approximately __________ to __________ mL of urine is collected in the bladder.

Question 15

Individuals lose approximately 2400 mL of fluid per day.Write in the approximate loss from the following mechanisms.
__________ a.Urine output
__________ b.Lungs
__________ c.Skin
__________ d.Feces

Question 16

A decrease in urinary output may be due to

A)Enlarged prostate
B)Decrease in ADH secretion
C)Alcohol intake
D)Diuretic administration

Question 17

When filling a Foley (retention catheter)balloon,the nurse injects

Question 18

You proceed to catheterize Mrs.Franks.After placing the sterile absorbent pad under the client,what is the next action?

A)Place outer white wrap under the client's buttocks.
B)Put on sterile gloves.
C)Open sterile catheter package.
D)Pour antiseptic solution over cotton balls.

Question 19

A urinary diversion collection pouch differs from a fecal collection pouch in which way?

Question 20

Central venous dual lumen dialysis catheters are maintained by

A)daily flush with saline.
B)daily flush with dilute heparin.
C)weekly flush with dilute heparin.
D)only the nephrology nurse.

Question 21

Disequilibrium syndrome in the hemodialysis client is treated with

Question 22

A urinary diversion was done on a client with cancer of the bladder.You are assigned to apply the pouch.
Which of the following actions do you complete?
Place an X in front of the letter.

A)Trace size of stoma on wafer.__________
B)Cut opening 1 inch larger than stoma.__________
C)Apply protective barrier to skin around stoma.__________
D)Tape pouch securely to skin.__________

Question 23

The purpose of CBI (continuous bladder irrigation)with a three-way catheter is to

Question 24

To determine patency of a hemodialysis fistula or graft,the nurse assesses for presence of a

Question 25

State four self-care safety precautions that should be included in a teaching plan for the client with vascular access for hemodialysis.
a.______________
b.______________
c.______________
d.______________

Question 26

Doris Smith had a vaginal hysterectomy 3 days ago.She is now on a clamping protocol for the suprapubic catheter.Place an X in front of the true statements.

A)The catheter is clamped until Doris voids spontaneously.__________
B)The catheter is unclamped every 3-4 hours for drainage purposes.__________
C)The catheter is opened for 5 minutes after the client voids.__________
D)Residual urine is measured after the first voiding and then on a daily basis.__________
E)The catheter is clamped for the night in preparation for removal.__________
F)When the residual urine is less than 100 mL on two successive voidings,the client is ready for catheter removal.__________