Deck 50: Urinary Elimination

Question 1

The desire to void is reached when there are ________ mL in the bladder.

Answer 1

250-450

Question 2

A client has been admitted with incontinence. Which of the following findings would the nurse expect to assess in this client?

A) Client is wearing cotton undergarments.
B) Leakage of urine occurs when client laughs.
C) Skin of the client is clear without discolouration.
D) Leakage of urine occurs when talking with the client.

Answer 2

Leakage of urine occurs when client laughs.

Question 3

Identify this urinary diversion.

Answer 3

Urostomy (Ileal conduit)

Question 4

Which of the following factors influences urinary elimination?

A) Body image.
B) Knowledge.
C) Socioeconomic status.
D) Age.

Question 5

A nurse providing care for an incontinent client identifies the risk for impaired skin integrity. A nursing intervention for this client would be:

A) wash perineal area with antiseptics and pat dry.
B) using an absorbent pad to keep area dry.
C) undertake invasive bladder function studies.
D) wash perineal area and apply powder.

Question 6

Which of the following nursing interventions would be implemented for the client in preventing a urinary tract infection?

A) Wipe from back to front.
B) Instruct the client to empty the bladder completely.
C) Have the client increase sugar in the diet.
D) Encourage the use of bubble baths.

Question 7

A routine urinalysis is collected by the client and given to the nurse. Results confirm there are no problems involving the urinary system. Which of the following results gives this conclusion?

A) Specific gravity 1.035 and faint aromatic odour.
B) Dark amber colour and output less than 500 mL in 24 hours.
C) Blood present and no ketones.
D) pH 6 and no glucose present.

Question 8

Which of the following instructions by the nurse given to the client would help promote urinary elimination?

A) Urine colour changes are not important.
B) Don't interrupt your day by going to the bathroom; wait until you're at a good stopping place.
C) Drink eight to 10 glasses of water daily.
D) Wash with soap and water every other day.

Question 9

A young female client has frequent urinary tract infections. The nurse advises her to:

A) restrict the amount of fluids she drinks.
B) void immediately after intercourse.
C) wear nylon underclothes.
D) have frequent bubble baths.

Question 10

Identify the area in the nephron below where solutes such as glucose are reabsorbed.

Question 11

The client with a urinary disorder is admitted to the urology unit of the hospital. Results from the urinalysis are as follows: pH 5.2, gross cloudiness, WBC 10-15, glucose negative, specific gravity 1.012, and blood positive. How would the nurse interpret the results?

A) Trauma.
B) Dehydration.
C) Diabetic ketoacidosis.
D) Urinary tract infection.

Question 12

Which of the following nursing diagnoses would be appropriate for a client who has a retention catheter if the drainage bag is found lying on the floor?

A) Risk for Impaired Skin Integrity related to catheter placement.
B) Self-Care Deficit related to presence of a retention catheter.
C) Risk for Infection related to improper handling.
D) Risk for Incontinence related to an obstruction.

Question 13

The RN is admitting a client to the medical unit for a urinary disorder. Which of the following physical assessment techniques will the nurse use in assessing this client's urinary system?

A) Palpation and observation.
B) Inspection and percussion.
C) Observation and auscultation.
D) Auscultation and inspection.

Question 14

The RN should incorporate which instructions into the teaching plan for a client with a urinary diversion?

A) Increase fluid intake.
B) Change the appliance every day.
C) Notify the medical practitioner if the stoma is deep pink and shiny.
D) Strands of blood may appear in the urine.

Question 15

Which of the following desired client outcomes is correct for a client with the nursing diagnosis Stress Urinary Incontinence related to sphincter incompetence?

A) The client will stop the flow of urine when voiding.
B) The client will improve her incontinence within one month.
C) The client will contract her pelvic muscles for three to five seconds about 10 times three times daily.
D) The client will empty her bladder every time she voids.

Question 16

A client has returned from theatre and has not voided after eight hours. Which of the following interventions would place the client at the highest risk for infection?

A) A bladder scan.
B) Credé's manoeuvre.
C) An indwelling catheter.
D) Intermittent straight catheterisation.

Question 17

Which of the following instructions should the nurse include when administering a beta-adrenergic blocker like Inderal (propranolol) to the client?

A) Medication should be discontinued abruptly.
B) Take the medication on an empty stomach.
C) Notify your doctor if you experience urinary retention.
D) Take a laxative every day.

Question 18

Which of the following clients is at risk for difficulty in urinary elimination?

A) An 80-year-old male reporting frequent urination at night.
B) The client with hypertension who takes a diuretic every day for her blood pressure.
C) A client who had bladder cancer and now has a newly created ileal conduit.
D) A 25-year-old female client with low self-esteem.

Question 19

A nurse is undertaking urinalysis and notices that the pH is 5.5. The nurse would:

A) report it immediately to the doctor.
B) collect a midstream urine to send to pathology.
C) record and document the findings as normal.
D) None of the above.

Question 20

Which of the following expected outcomes or goals is correct for a client with the nursing diagnosis Impaired Urinary Elimination: dysfunctional in urine elimination related to an enlarged prostate?

A) The client will maintain fluid imbalance.
B) The client will voice increased discomfort.
C) The client will remain free of skin breakdown.
D) The client will empty bladder completely.

Question 21

Which of the following nursing interventions to prevent trauma to the urethra, is appropriate care for a client with a retention catheter?

A) Retape the catheter to the thigh.
B) Gently retract the labia majora away from the urinary meatus.
C) Observe urine in the drainage bag.
D) Don sterile gloves.

Question 22

The nurse is selecting a urinary catheter for a female client who will be catheterised long-term. Factors influencing the decision will be:

A) allergies of the client.
B) gender.
C) size of catheter and balloon.
D) All of the above.

Question 23

Which nursing intervention would be appropriate for an elderly male client who has returned from having a transurethral resection of the prostate (TURP) with a three-way indwelling catheter and now tells the nurse he has to urinate?

A) Irrigate the catheter.
B) Retape the catheter to the abdomen.
C) Reposition the catheter.
D) Deflate and then reinflate the balloon.

Question 24

Which of the following returned demonstrations by the client demonstrates she understands correct technique for caring for an indwelling catheter?

A) The client takes a shower each day.
B) The client refuses to drink adequate amounts of fluids.
C) The client hangs the drainage bag on the towel rod.
D) The client empties the drainage bag once a day.