Deck 15: Urinary Elimination

Question 1

The nurse is collecting a urine sample from a bladder catheter aspiration port. To prevent a possible complication, what action should the nurse take?

A) Stay with the client while the tubing is clamped.
B) Hold the catheter bag at bladder level.
C) Perform a bladder scan prior to collecting the sample.
D) Help the client perform perineal care before the procedure.

Answer 1

Stay with the client while the tubing is clamped.

Question 2

A student nurse is collecting a clean catch specimen from a client. What action by the student demonstrates the need for further instruction?

A) Uses three wipes for the female cleaning from front to back
B) Leaves the male's foreskin retracted after collecting the sample
C) Cleanses the male's penis from the urinary meatus outward
D) Places the client label on the specimen jar instead of the lid

Answer 2

Leaves the male's foreskin retracted after collecting the sample

Question 3

A nursing student is collecting a 24-hour urine specimen. What action by the student requires correction by the faculty?

A) Keeps the container holding the urine sample full of ice
B) Asks the client to void one last time when the 24 hours is up
C) Has the client void and uses that specimen to start the collection
D) Instructs the client to avoid putting toilet paper with the urine

Answer 3

Has the client void and uses that specimen to start the collection

Question 4

A new nurse is attempting to collect a urine sample from an infant and complains that despite using three different urine bags, they have all leaked and there is still no sample. What question by the seasoned nurse is best?

A) "Did you put enough powder on the baby's skin first?"
B) "Were there wrinkles in the adhesive holding the bag?"
C) "Did you remember to only place the penis in the bag?"
D) "Did you apply enough fixative to hold the bag in place?"

Question 5

The nurse would use a Coude` catheter on which client?

A) Obstetrical client
B) Surgical client
C) Obese client
D) Client with enlarged prostate client

Question 6

Which action by the nurse demonstrates good understanding of indwelling bladder catheter care?

A) Hangs the drainage bag on the side rail closest to the client's dominant hand
B) Places the catheter bag in the bed or on the stretcher during transport
C) Uses specific urinary catheter care antiseptics to clean around the meatus
D) Assesses the skin under the commercial catheter holder per facility policy

Question 7

The nurse is preparing to discharge a client home after surgery to create a urinary diversion. What information is most important to include to prevent a common complication of this procedure?

A) "Be sure to eat plenty of fiber."
B) "Do not lift more than 20 pounds."
C) "Drink at least 8 glasses of water each day."
D) "Keep your stoma covered with gauze."

Question 8

The nurse is providing care to a client who has an ileal conduit. What action by the nurse demonstrates the need for further education?

A) Uses mild soap and water to clean around the stoma site
B) Takes the appliance off by pushing down on the skin
C) Uses rolled up gauze in the stoma to catch any leaking
D) Ensures the gap between stoma and appliance is no more than 0.3-cm (1/8-inch)

Question 9

The nurse teaching a client about home bladder catheterization would include which information?

A) Correct sterile technique
B) Emptying the bladder every 4 to 6 hours
C) Using a large size catheter
D) Reusing catheters 5 times each

Question 10

For which client is the use of indwelling urinary catheters inappropriate?

A) Acute urinary retention
B) Critically ill
C) End of life
D) Incontinent

Question 11

Which result seen on a urinalysis is normal?

A) pH: 7.2
B) Ketones: moderate
C) Protein 166 m/d
D) Bilirubin: 2 m/dL

Question 12

Which abnormal urinalysis finding is matched to its correct etiology?

A) Leukocyte esterase: Contaminated specimen
B) Nitrites: kidney disease
C) Ketones: persistent diarrhea
D) Specific gravity 1.001: dehydration

Question 13

A client reports nocturia. What question by the nurse would be best?

A) "Do you have a history of kidney stones?"
B) "Do you drink coffee before bedtime?"
C) "How has your blood glucose been?"
D) "Have you recently had an infection?"

Question 14

A client asks why women get more urinary tract infections than men do. What response by the nurse is best?

A) "It's due to exposure to monthly menstrual flow."
B) "Probably because women don't clean themselves correctly."
C) "Women's urethras are much shorter than men's."
D) "It's because their bladders don't fill full until overdistended."

Question 15

A new nurse is delegating tasks to unlicensed personnel. Which delegated task would cause the supervising nurse to intervene?

A) Measuring output
B) Collecting a urinalysis
C) Emptying urinals
D) Palpating a client's bladder

Question 16

A nurse wished to implement using lidocaine prior to catheterizing clients. According to current research, which practice would the nurse recommend?

A) Administer intraurethral lidocaine 2% 10 minutes prior to catheterizing men.
B) Administer intraurethral lidocaine 2% 1 minute prior to catheterizing men.
C) Catheterize women with catheters coated in lidocaine.
D) Inject lidocaine 2% into the urethra just prior to catheterizing children.

Question 17

The nurse is calculating intake and output for a client who has continuous closed bladder irrigation. There is 400 mL left in the liter bag of bladder irrigant which was hung at the start of the shift. There is 840 mL in the drainage bag. How much urine output did this client have during the shift?

A) 100 mL
B) 160 mL
C) 600 mL
D) 840 mL

Question 18

The urology clinic nurse is evaluating post-void residual amounts in five clients. Which result is paired with its correct implication? (Select all that apply.)

A) 52 mL: possible renal failure
B) 103 mL: normal
C) 144 mL: needs further investigation
D) 200 mL: possible bladder or urethral disorder
E) 505 mL: significant urinary disorders

Question 19

Which terms are matched to their correct definitions? (Select all that apply.)

A) Dysuria: Inability to delay urinating
B) Polyuria: Urinating too frequently
C) Nocturia: Voiding during sleeping hours
D) Glycosuria: Glucose in the urine
E) Pyuria: Pus in the urine

Question 20

The nurse needs to catheterize a toddler. What actions by the nurse are appropriate to reduce the child's distress? (Select all that apply.)

A) Playing with a doll that has a bladder catheter
B) Blowing on a pinwheel
C) Using lidocaine gel with the procedure
D) Practicing the position required
E) Providing earbuds to listen to music

Question 21

Which activities by nurses can reduce the risk of a catheter-associated urinary tract infection (CAUTI)? (Select all that apply.)

A) Change the catheter bag every 72 hours.
B) Use bags with preconnected and sealed junctions.
C) Prevent any kinking in the collection tubing.
D) Hang the bag on the side rail of the bed for easy monitoring.
E) Keep the drainage spigot from touching anything non-sterile.

Question 22

Which conditions may make it necessary for a client to need a urinary catheter? (Select all that apply.)

A) Anesthesia
B) Spinal cord injury
C) Diabetes
D) Brain injury
E) Spinal block

Question 23

Which clients with the following diseases would the nurse assess for altered urinary elimination as the priority? (Select all that apply.)

A) Diabetes mellitus
B) Heart attack
C) Stroke
D) Heart failure
E) Spinal cord injury

Question 24

The nurse is evaluating urinalysis results. Which findings would be cause for concern? (Select all that apply.)

A) Specific gravity: 1.015
B) Glucose >250 mg/d
C) Nitrites: positive
D) Leukocyte esterase: positive
E) Urobilirubin: 0.8 mg/dL