Deck 22: Urinary Elimination

Question 1

Nocturia means

A)Painful or difficult urination
B)Frequent urination at night
C)The production of abnormally large amounts of urine
D)Voiding or micturition

Answer 1

Frequent urination at night

Question 2

Tell the nurse at once if an infant does not have a wet diaper for several hours.

Answer 2

True

Question 3

Healthy infants produce

A)100 to 200 mL of urine a day
B)200 to 300 mL of urine a day
C)300 to 400 mL of urine a day
D)About 500 mL of urine a day

Answer 3

200 to 300 mL of urine a day

Question 4

A catheter is

A)A tube used to drain or inject fluid through a body opening
B)An artificial way to remove waste and excess fluid from the body
C)Sugar in the urine
D)Ketone bodies that appear in the urine because of the rapid breakdown of fat for energy

Question 5

Dysuria means

A)Sugar in the urine
B)Blood in the urine
C)A scant amount of urine
D)Painful or difficult urination

Question 6

The following cause the body to increase urine production except

A)Salt
B)Coffee
C)Tea
D)Alcohol

Question 7

The leakage of urine from a bladder that is always full is

A)Functional incontinence
B)Mixed incontinence
C)Overflow incontinence
D)Stress incontinence

Question 8

Oliguria is

A)A scant amount of urine
B)The production of abnormally large amounts of urine
C)The need to void at once
D)Voiding at frequent intervals

Question 9

The loss of urine with exercise and certain movements is

A)Overflow incontinence
B)Reflex incontinence
C)Urge incontinence
D)Stress incontinence

Question 10

Hematuria means

A)Sugar in the urine
B)Blood in the urine
C)Scant amount of urine
D)Difficult or painful urination

Question 11

The urinary system removes

A)Solid wastes
B)Carbon dioxide
C)Sweat
D)Waste products from the blood

Question 12

The healthy adult produces

A)1500 mL of urine each shift
B)1500 mL of urine a day
C)1000 mL of urine each shift
D)1000 mL of urine a day

Question 13

You are assisting with urinary elimination needs.You do the following except

A)Practice medical asepsis
B)Practice surgical asepsis
C)Follow Standard Precautions
D)Follow the Bloodborne Pathogen Standard

Question 14

People usually urinate at the following times except

A)At bedtime
B)After sleep
C)Before meals
D)During sleep

Question 15

The loss of urine at predictable intervals when the bladder is full is

A)Overflow incontinence
B)Stress incontinence
C)Reflex incontinence
D)Urinary incontinence

Question 16

The following terms mean "the process of emptying the bladder" except

A)Urination
B)Micturition
C)Nocturia
D)Voiding

Question 17

A resident has control of her bladder.She cannot get to the bathroom in time because her signal light was not answered promptly.She is incontinent of urine.This is

A)Functional incontinence
B)Mixed incontinence
C)Overflow incontinence
D)Stress incontinence

Question 18

The loss of urine in response to a sudden,urgent need to void is

A)Overflow incontinence
B)Reflex incontinence
C)Urge incontinence
D)Stress incontinence

Question 19

The involuntary loss of urine is

A)Urinary urgency
B)Urinary frequency
C)Urinary incontinence
D)Urge incontinence

Question 20

You are assisting with urinary elimination needs.You do the following except

A)Provide for privacy
B)Follow the person's care plan and normal routines and habits
C)Place the signal light and toilet tissue within reach
D)Stay with the person in case the person needs you

Question 21

These statements are about incontinence.Which is incorrect?

A)It affects the person emotionally.
B)A catheter is needed.
C)Good skin care is needed.
D)Dry garments and linens are needed.

Question 22

A catheter is kept in the bladder by

A)Taping it to the inner thigh
B)An inflated balloon near the catheter tip
C)A rubber band and safety pin
D)A clamp or clip

Question 23

A fracture pan is used for the following reasons except

A)The person is in traction
B)The person has limited back motion
C)The person had hip replacement surgery
D)The person is incontinent

Question 24

You assist a patient onto the bedpan.How should you position the person?

A)In a sitting position
B)On the person's left side
C)On the person's right side
D)Supine

Question 25

A patient has incontinence.The person uses incontinence products.To properly use the products,you need to

A)Follow the care plan
B)Follow the manufacturer's instructions
C)Ask the person what to do
D)Provide perineal care

Question 26

Normal urine has

A)A faint odor
B)A strong odor
C)A sweet odor
D)An ammonia odor

Question 27

Which of the following should you report to the nurse?

A)Pale yellow urine
B)Straw-colored urine
C)Red-colored urine
D)Amber-colored urine

Question 28

A patient has incontinence.The nurse asks you to do the following.Which should you question?

A)Record all voidings.
B)Follow the person's bladder training program.
C)Have the person wear garments that have buttons and zippers.
D)Decrease the person's fluid intake before bedtime.

Question 29

Which do men use for urinating?

A)Bedpans
B)Fracture pans
C)Urinals
D)Commodes

Question 30

These statements are about incontinence.Which is incorrect?

A)It is a cause of falls.
B)Infection can occur.
C)Skin breakdown can occur.
D)It is a matter of personal choice.

Question 31

These statements are about using commodes.Which is incorrect?

A)Wheels are locked after the commode is positioned over the toilet.
B)Commodes are always used in the bathroom.
C)The person needs to wear non-skid footwear.
D)The person is assisted with hand washing after using the commode.

Question 32

Complications from incontinence in the older adult include the following except

A)Dementia
B)Falls
C)Pressure ulcers
D)Urinary tract infections

Question 33

A man is going to use the urinal.What should he do with the urinal when he is done?

A)Place it on the bedside stand.
B)Place it on the overbed table.
C)Hang it on the bed rail.
D)Lay it on the bed.

Question 34

A filled urinal presents safety hazards because

A)It is easily spilled
B)It is a source of odors
C)It is an unpleasant sight
D)It needs to be emptied

Question 35

After urinating,the person is

A)Assisted with hand washing
B)Transferred back to bed
C)Given fluids
D)Screened with the privacy curtain

Question 36

A resident with dementia urinates in plants and the trash can.You can do the following except

A)Follow the person's bathroom routine as closely as possible
B)Observe for signs that the person needs to void
C)Insert an indwelling catheter
D)Tell the nurse when the person is incontinent

Question 37

A resident had 4 incontinent episodes this morning.You are becoming short-tempered and impatient.What should you do?

A)Remind the person to use the bedpan.
B)Ask the person to use the bathroom every hour.
C)Tell the person that other residents need your help.
D)Talk to the nurse.

Question 38

After a person uses the commode,the container is

A)Thoroughly cleaned and disinfected
B)Discarded and replaced with a new one
C)Hung on the bed rail
D)Placed in the bedside stand

Question 39

A resident has incontinence.Dry garments and linens are provided

A)Every shift
B)Every day
C)In the morning and at bedtime
D)Whenever necessary

Question 40

A patient finished urinating.The person cannot clean her genital area.You need to do the following except

A)Wipe her from back to front
B)Use fresh tissue for each wipe
C)Provide perineal care if necessary
D)Wear gloves

Question 41

A resident has a catheter.Catheter care is given

A)According to the care plan
B)Daily
C)Twice a day
D)Every shift

Question 42

Drainage bags are emptied and measured at the following times except

A)At the beginning of every shift
B)When changing from a leg bag to a drainage bag
C)When changing from a drainage bag to a leg bag
D)When the bag is becoming full

Question 43

You are using a safety pin and rubber band to secure drainage tubing to bottom linens.Which should you do?

A)Follow agency policy.
B)Use whichever size rubber band you have.
C)Insert the pin through the catheter.
D)Point the pin toward the person.

Question 44

A person's catheter is accidentally disconnected from the drainage tubing.What should you do?

A)Reconnect the ends after wiping them with antiseptic wipes.
B)Put the ends down.Call for the nurse.
C)Get a new drainage bag.
D)Change the drainage system.

Question 45

A resident has a catheter.Which action is incorrect?

A)The drainage bag touches the floor.
B)The person wears a leg bag during the day.
C)When the person walks,the drainage bag is held lower than the bladder.
D)Drainage tubing is attached to the catheter.

Question 46

You are assigned to 2 residents with catheters.When emptying their drainage bags,you use

A)The same measuring container for both residents
B)A different measuring container for each person
C)The measuring container in the dirty utility room
D)Whatever is handy

Question 47

A resident has a catheter.The person has a regular drainage bag.Drainage tubing is secured to the

A)Inner thigh
B)Bed frame
C)Mattress
D)Bottom linens

Question 48

When giving catheter care,you need to hold the catheter at the

A)Meatus
B)Vagina
C)Genitals
D)Perineum

Question 49

Unless directed otherwise,urinary drainage bags are emptied

A)Every morning
B)At bedtime
C)At the end of every shift
D)At the start of every shift

Question 50

Persons with catheters need perineal care

A)Daily
B)Daily and after bowel movements
C)At bedtime
D)When their drainage bags are emptied

Question 51

When giving catheter care,you need to clean

A)Downward away from the meatus
B)Toward the meatus
C)Left to right
D)Right to left

Question 52

You are giving catheter care.Which action is incorrect?

A)Pulling on the catheter
B)Using soap,water,and a clean washcloth
C)Using a clean area of the washcloth for each stroke
D)Cleaning down the catheter about 4 inches from the insertion site

Question 53

A resident has a catheter.You are going to change the person's leg bag to a regular drainage bag.The procedure involves the following steps.Which do you do first?

A)Disconnect the catheter from the drainage tubing.
B)Clamp the catheter.
C)Insert a sterile plug into the catheter end.
D)Remove the cap from the new drainage bag

Question 54

A female resident has a catheter.To prevent excess catheter movement,you need to secure it to

A)Her inner thigh
B)The bed
C)Her abdomen
D)An IV pole

Question 55

A patient has a catheter.Which prevents urine from flowing freely?

A)Coiling tubing on the bed
B)Making sure the person does not lie on the tubing
C)Keeping the tubing free of kinks
D)Raising the drainage bag above the bladder

Question 56

A patient has a catheter.Before cleaning the person's catheter,you need to

A)Provide perineal care
B)Empty the drainage bag
C)Change the standard drainage bag to a leg bag
D)Disconnect the catheter from the drainage bag

Question 57

When giving care to a person with a catheter,you need to do the following except

A)Practice medical asepsis
B)Practice surgical asepsis
C)Follow Standard Precautions
D)Follow the Bloodborne Pathogen Standard

Question 58

Catheters are used for the following purposes except

A)Promoting comfort for persons who are dying
B)Protecting wounds and pressure ulcers from urine
C)Hourly urinary output measurements
D)Treating the cause of incontinenc

Question 59

A patient has a catheter.The drainage bag must be kept

A)Above the level of the bladder
B)Below the level of the bladder
C)At bladder level
D)At the person's right side

Question 60

A patient has a catheter.When the person is in bed,you attach the drainage bag to

A)An IV pole
B)The bed frame
C)The bed rail
D)The back of a chair

Question 61

To apply a condom catheter,do the following except

A)Follow the manufacturer instructions
B)Wash the penis with soap and water
C)Use elastic tape
D)Apply tape completely around the penis

Question 62

A resident has a catheter.A bladder training program is part of the person's care plan.The training program involves

A)Having the person urinate at scheduled times
B)Giving the person 15 to 20 minutes to start voiding
C)Clamping the catheter for a certain period of time,then unclamping it to let urine drain
D)Removing the catheter every 3 to 4 hours

Question 63

The goal of bladder training is to

A)Remove the catheter
B)Treat incontinence
C)Gain control of urination
D)Prevent infection

Question 64

A doctor's order is needed to remove an indwelling catheter.

Question 65

You are going to apply a condom catheter.The catheter is

A)Rolled onto the penis
B)Applied in a spiral fashion around the penis
C)Inserted into the urethra
D)Secured with adhesive tape

Question 66

You are going to remove an indwelling catheter.Which is correct?

A)Cut the balloon port on the catheter.
B)Attach a syringe to the balloon port on the catheter.
C)Tug on the catheter to see if it will come out.
D)Use soap and water to clean the catheter before you begin.

Question 67

You are going to apply a condom catheter.Which action is incorrect?

A)Following the manufacturer's instructions
B)Washing the penis with soap and water
C)Apply elastic tape around the penis
D)Use adhesive tape to secure the catheter

Question 68

You are emptying a urinary drainage bag.The drain

A)Can touch the measuring container
B)Is cleaned with antiseptic wipes
C)Must not touch any surface
D)Is kept clamped