Deck 33: Urinary Elimination

Question 1

Which of the following steps is included in the care of a patient with a suprapubic catheter?

A) Use of clean technique
B) Securing tube to inner thigh
C) Cleansing of the insertion site in a direction toward the drain
D) Promotion of 1500 mL of fluid per day for a patient without restrictions

Answer 1

Promotion of 1500 mL of fluid per day for a patient without restrictions

Question 2

The nurse determines that the patient may have fluid overload as a result of assessing:

A) Oliguria
B) Distended neck veins
C) Increased skin temperature
D) Increased urine specific gravity

Answer 2

Distended neck veins

Question 3

Resistance is encountered during the urinary catheterization of a male patient.What should the nurse do?

A) Remove the catheter immediately
B) Apply force to insert the catheter farther
C) Ask the patient to breathe quickly through the mouth
D) Rest his/her arm against the patient's leg and ask him to relax

Answer 3

Rest his/her arm against the patient's leg and ask him to relax

Question 4

What should a nurse try first when attempting to promote urination?

A) Running water nearby
B) Having the patient lie down
C) Restricting fluid intake to 1000 mL/day
D) Administering medication before bed to stimulate voiding

Question 5

What minimum hourly output demonstrates kidney function for an adult patient?

A) 10 mL/hour
B) 20 mL/hour
C) 30 mL/hour
D) 100 mL/hour

Question 6

During which time of the peritoneal dialysis cycle do excess fluid and waste products cross over the peritoneal membrane?

A) Inflow
B) Dwell
C) Drain
D) Hemodilution

Question 7

Which of the following actions is included in the maintenance of an indwelling urinary catheter?

A) Maintaining tension on the tubing
B) Emptying the urinary collection bag every 24 hours
C) Cleaning in a circular motion from the meatus down the catheter
D) Keeping the drainage bag on the bed or attached to the side rails

Question 8

When the balloon on an indwelling urinary catheter is blown up,the patient expresses discomfort.What should the nurse do?

A) Remove the catheter
B) Continue to blow up the balloon because discomfort is expected
C) Aspirate the fluid from the balloon and advance the catheter
D) Pull back on the catheter slightly to determine tension

Question 9

During an assessment,what should the nurse expect the average daily urinary output for the adult patient to be?

A) 500 to 1000 mL
B) 750 to 1500 mL
C) 1000 to 2400 mL
D) 2000 to 3000 mL

Question 10

A nurse notes that urine does not flow after the catheterization of a female patient.The nurse believes that the catheter has been placed into the vagina.What should the nurse do next?

A) Remove the catheter and reinsert it
B) Irrigate the catheter with saline
C) Leave the catheter in place and insert another one
D) Insert the catheter 9 to 10 inches farther into the patient to verify that it is in the vagina

Question 11

To identify patients at risk for an allergic reaction to povidone-iodine,the nurse should inquire into reactions to which of the following foods?

A) Eggs
B) Chicken
C) Red meat
D) Shellfish

Question 12

An assessment is made that the patient is dehydrated.The nurse has found:

A) Increased salivation
B) Diuresis
C) Periorbital edema
D) Decreased capillary filling

Question 13

Which of the following actions indicates that the nurse has performed the irrigation of an indwelling urinary catheter appropriately?

A) Applies sterile gloves
B) Instills 100 mL during an open irrigation
C) Leaves the drainage tubing unclamped during closed intermittent irrigation
D) Determines the amount of urinary drainage by subtracting the amount of irrigant from the total output

Question 14

The patient has a condom catheter applied by the nursing assistant.The nurse determines that further instruction for the assistant is required if the nurse observes:

A) Clipping of the hair at the base of the penis
B) Skin prep being applied to the penis before catheter placement
C) Regular adhesive tape being used to hold the catheter in place
D) 1 to 2 inches of space being left between the tip of the penis and the end of the catheter

Question 15

Which of the following must the patient use when in the home care setting?

A) Sterile technique for insertion
B) Clean technique for insertion
C) Only hydrophilic catheters
D) Catheters that are preconnected to drainage bags

Question 16

The nurse is removing a Foley catheter but encounters resistance when she tries to pull it out.What should the nurse do next?

A) Pull catheter out quickly
B) Manually aspirate the fluid in the balloon
C) Pull with more force to get the catheter out
D) Insert the hub of the syringe and allow gravity to remove the water

Question 17

When inserting a urinary catheter into a female patient,how far should the nurse initially insert the catheter?

A) 1 to 2 inches
B) 2 to 3 inches
C) 4 to 6 inches
D) 7 to 9 inches

Question 18

Suprapubic catheters are used for short- and long-term conditions.What is the risk for developing a urinary tract infection (UTI)with these catheters?

A) Higher than with indwelling urethral catheters
B) The same as with indwelling urethral catheters
C) Lower than with indwelling urethral catheters
D) Not comparable to indwelling urethral catheters

Question 19

Which activities related to urinary elimination may be delegated to a nursing assistant?

A) Catheterization
B) Positioning the patient
C) Evaluating alternatives to catheter use
D) Assessing urinary drainage

Question 20

The patient is a 12-year-old female who needs a Foley catheter inserted.The nurse realizes that the patient probably would need a catheter of which size?

A) 5 to 6 French (Fr)
B) 8 to 10 Fr
C) 12 Fr
D) 14 to 16 F

Question 21

__________________ involves the insertion of a urinary catheter directly into the bladder through the lower abdominal wall.Urine drains from the catheter into a urinary drainage bag.

Question 22

In assisting a male patient in using a urinal,which of the following actions should the nurse take? (Select all that apply.)

A) Assess for orthostatic hypotension
B) Assess patient's normal elimination habits
C) Assess for periods of incontinence
D) Prop the urinal in place if patient is unable to hold it

Question 23

The risk for catheter-associated urinary tract infection (CAUTI)increases by approximately _______________ per day that a catheter remains in place.

Question 24

A noninvasive device that is used to provide accurate determination of a patient's bladder volume by first creating an ultrasound image of the patient's bladder and then calculating the urine volume in the bladder is known as a ______________.

Question 25

The adherence of microorganisms to the surface of urinary catheters is known as _______________.

Question 26

Which of the following are phases of peritoneal dialysis (PD)? (Select all that apply.)

A) Inflow (fill)
B) Dwell (equilibration)
C) Drain
D) Hemodilution

Question 27

In caring for a patient who has an indwelling catheter attached to a drainage bag,the nurse should be sure that: (Select all that apply.)

A) The tubing has dependent loops to gather urine
B) The tubing is coiled and secured to the bed
C) The tube is not kinked
D) The collection bag is higher than the bladder

Question 28

Which of the following are indications for the need for an indwelling catheter? (Select all that apply.)

A) The presence of stage III pressure ulcers
B) The presence of stage IV pressure ulcers
C) The need for accurate measurement of urinary output
D) Controlling urinary elimination

Question 29

A single-lumen catheter that is inserted into the bladder through the urethra only to empty the bladder and then is removed is known as a _______________ catheter.

Question 30

Selection of the proper catheter size is an important consideration since large catheters can lead to: (Select all that apply.)

A) Urethral damage
B) Bladder spasms
C) Obstruction of urinary flow
D) Decreased risk of infection

Question 31

Nonmedical use of indwelling catheters in the elderly may result in longer hospital stays and greater risk for death resulting from development of UTI and entrance of bacteria into the bloodstream known as ______________.

Question 32

The nurse has completed inserting a Foley catheter and secures the catheter to the patient's thigh,making sure that there is enough slack so movement will not create tension on the catheter.This is done for which of the following reasons? (Select all that apply.)

A) To minimize the risk for bleeding
B) To reduce the risk for bladder spasm
C) To reduce the risk for meatal necrosis
D) To reduce the risk for trauma
E) None of above

Question 33

_________________ is the volume of urine in the bladder after a normal voiding.

Question 34

A ___________________ is a noninvasive alternative for management of male urinary incontinence.Because it is noninvasive,the risk for UTI is decreased.The device fits over the penis and connects to a small collection bag that attaches to the leg with a strap or to a standard urinary collection bag that hangs on the bed frame below the level of the bladder.

Question 35

The risk for catheter-associated urinary tract infection can be reduced by using indwelling urinary catheters coated with ________________.

Question 36

Which of the following techniques can be used to determine postvoid residual (PVR)? (Select all that apply.)

A) Bladder scanner
B) Indwelling catheterization
C) Straight/intermittent catheterization
D) Foley catheterization

Question 37

A ______________ has a separate lumen used to inflate a balloon so the catheter remains in the bladder for short- or long-term use.