Question 1

A client has difficulty controlling urinary elimination. Which term should the nurse use to describe this client's health problem?&#10;A) Micturition&#10;B) Voiding&#10;C) Urination&#10;D) Incontinence

Accepted Answer

1. Micturition, voiding, or urination all indicate the act of urinary elimination. Incontinence indicates lack of control of elimination and can be applied to urinary control or bowel control.
2. Micturition, voiding, or urination all indicate the act of urinary elimination. Incontinence indicates lack of control of elimination and can be applied to urinary control or bowel control.
3. Micturition, voiding, or urination all indicate the act of urinary elimination. Incontinence indicates lack of control of elimination and can be applied to urinary control or bowel control.
4. Micturition, voiding, or urination all indicate the act of urinary elimination. Incontinence indicates lack of control of elimination and can be applied to urinary control or bowel control.

Question 2

The nurse is reviewing client care needs. Which task could the nurse safely assign to the assistive personnel (AP)?&#10;A) Inserting a urinary retention catheter&#10;B) Inserting a straight catheter&#10;C) Applying a condom catheter&#10;D) Collecting data for a urinary elimination history

Accepted Answer

1. The application of a condom catheter could be safely delegated to the AP. The other options should be completed by the RN because they either require sterile technique or a thorough assessment.
2. The application of a condom catheter could be safely delegated to the AP. The other options should be completed by the RN because they either require sterile technique or a thorough assessment.
3. The application of a condom catheter could be safely delegated to the AP. The other options should be completed by the RN because they either require sterile technique or a thorough assessment.
4. The application of a condom catheter could be safely delegated to the AP. The other options should be completed by the RN because they either require sterile technique or a thorough assessment.

Question 3

After emptying the urine from a urinal, which actions by the nurse are appropriate? Select all that apply.&#10;A) Rinsing the urinal&#10;B) Recording the output on the intake and output record, if indicated&#10;C) Returning the urinal to the bedside area, where the client can reach it, if the male client prefers&#10;D) Placing the urinal between the client's legs and propping the penis in the opening, if the client is unable to do this independently&#10;E) Donning clean gloves

Accepted Answer

1. The urinal should be rinsed to remove any remaining urine.
2. The output should be recorded if the client has monitored intake and output.
3. The urinal should be returned to the bedside unit so it is handy when it is next required.
4. The bottle should never be propped between the client's legs, as it can lead to tissue damage.
5. The nurse should already be wearing gloves if the urinal was just emptied.

Question 4

The nurse is reviewing data collected during a client assessment. Which chronic problem should the nurse identify that could impact urinary output? Select all that apply.&#10;A) Cancer&#10;B) Hypertension&#10;C) Urinary calculi&#10;D) Diabetes mellitus&#10;E) Multiple sclerosis

Accepted Answer

1. Cancer is a chronic health problem that could adversely affect urinary output.
2. Hypertension is a cardiovascular problem that could adversely affect urinary output.
3. Urinary calculi is an acute problem that could adversely affect urinary output.
4. Diabetes mellitus is a chronic health problem that could adversely affect urinary output.
5. Multiple sclerosis is a chronic health problem that could adversely affect urinary output.

Question 5

A client asks for help with a urinal. Which item should the nurse inform the AP about before the urinal is provided to the client?&#10;A) Need for urine specimens&#10;B) Wait for the client to use the urinal&#10;C) Apply gloves while waiting for the urinal to be used&#10;D) Wash the urinal with soap and hot water after being used

Accepted Answer

1. Assisting the client with a urinal is often assigned to AP. Ensure that AP are aware of any specimens that need to be collected.
2. The client should be provided with privacy while using the urinal.
3. Gloves should be applied before providing the urinal.
4. The urinal should be rinsed with cool water after use.

Question 6

A client has a urinary meatus stricture and straight catheterization is contraindicated for emptying the bladder. Which type of urinary catheter should be used for this client?&#10;A) Condom&#10;B) Robinson&#10;C) Indwelling&#10;D) 3-way Foley

Accepted Answer

1. A condom catheter would not be appropriate because the client is unable to void.
2. A Robinson catheter is the same as a straight catheter.
3. An indwelling catheter should be used if the bladder must remain empty and intermittent catheterization is contraindicated.
4. A 3-way Foley catheter is used for bladder irrigation.

Question 7

A client recovering from a prostatectomy needs an indwelling urinary catheter inserted. Which size of balloon should be selected for this client?&#10;A) 3 mL&#10;B) 5 mL&#10;C) 10 mL&#10;D) 30 mL

Accepted Answer

1. A urinary catheter with a 3 mL balloon is used for children.
2. A urinary catheter with a 5 mL balloon is the average size balloon used for adults.
3. A urinary catheter with a 10 mL balloon is not available.
4. A 30-mL balloon is commonly used to achieve hemostasis of the prostatic area following a prostatectomy.

Question 8

A client with an indwelling urinary catheter is prescribed to have the catheter removed. Which should the nurse include when documenting this procedure? Select all that apply.&#10;A) Size of the balloon&#10;B) Length of the catheter&#10;C) Intactness of the catheter&#10;D) Time the catheter was removed&#10;E) Amount, color, and clarity of the urine

Accepted Answer

1. The size of the balloon does not need to be documented.
2. The length of the catheter does not need to be documented.
3. The intactness of the catheter needs to be documented.
4. The time the catheter was removed needs to be documented.
5. The amount, color, and clarity of the urine needs to be documented.

Deck 20: Assisting With Urinary Elimination