Question 1

While obtaining a clean-catch midstream urine specimen, a nurse makes a mistake by
A) Cleaning the meatus with a single antiseptic wipe.
B) Holding the specimen cup in the urine stream to collect the specimen a couple of seconds after the urine stream has begun.
C) Filling the cup to only one-quarter full.
D) Applying a completed label directly to the specimen cup.

Accepted Answer

The answer of While obtaining a clean-catch midstream urine specimen,...

Question 2

If a patient has not voided in the 8 hours following the removal of an indwelling catheter or has voided less than 240 mL, a nurse should
A) Notify the health-care provider.
B) Insert a new catheter and obtain a urine specimen.
C) Perform a bladder scan.
D) Irrigate the urethra.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.

Accepted Answer

The answer of If a patient has not voided in...

Question 3

A patient who recently gave vaginal birth to her first child is complaining of issues with incontinence. The nurse identifies that this is most likely due to
A) Urge incontinence.
B) Stress incontinence.
C) Overflow incontinence.
D) Functional incontinence.

Accepted Answer

Stress incontinence is the most common type of incontinence postpartum and occurs when there is pressure or stress placed on the bladder, causing leakage of urine. This can happen due to weakened pelvic floor muscles from childbirth. Urge incontinence is characterized by a sudden urge to urinate and can occur due to neurological or bladder disorders. Overflow incontinence occurs due to an overfilled bladder, often from an obstruction or weak bladder muscle. Functional incontinence occurs when a person is unable to reach the bathroom in time due to physical or cognitive impairment. However, in this case, the patient's symptoms are more indicative of stress incontinence.

Question 4

A patient with congestive heart failure complains of waking up often during the night to urinate. A nurse identifies this condition as ____________________.

Accepted Answer

The answer of A patient with congestive heart failure complains...

Question 5

A patient with kidney failure requires long-term mechanical treatment to filter waste products and salts and to remove excess fluid from her blood. A nurse explains to the patient that this process is called ____________________.

Accepted Answer

The answer of A patient with kidney failure requires long-term...

Question 6

A patient is complaining of an inability to keep urine in the bladder long enough to get to the restroom. A nurse identifies that this is most likely due to an overactive bladder, or
A) Neuropathic incontinence.
B) Stress incontinence.
C) Urge incontinence.
D) Overflow incontinence.

Accepted Answer

The symptom described, the inability to hold urine long enough to make it to the restroom, is consistent with urge incontinence, also known as overactive bladder. Neuropathic incontinence is caused by nerve damage, stress incontinence is leakage during physical activity or stress on the bladder, and overflow incontinence is due to an obstructed bladder that is unable to empty completely.

Question 7

In providing bladder training for a patient with incontinence, a nurse would include instructions to do which of the following?
A) Drink a maximum of four glasses of water each day.
B) Drink most of the fluids for the day with breakfast.
C) Avoid coffee, tea, or colas with caffeine.
D) Go to the bathroom at least every 2 hours.
E) Drink less in the evening to avoid nighttime difficulties.

Accepted Answer

Bladder training involves avoiding caffeine as it can irritate the bladder (C), scheduling regular bathroom visits to prevent accidents (D), and reducing fluid intake in the evening to minimize nighttime incontinence (E).

Question 8

The characteristics of urine that cannot be determined without the use of supplies and equipment include which of the following?
A) Color
B) pH
C) Clarity
D) Odor
E) Specific gravity

Accepted Answer

The color, clarity, and odor of urine can be determined with the naked eye and do not require any supplies or equipment. However, pH and specific gravity are characteristics that require the use of specific testing supplies such as pH paper or a refractometer to measure. Therefore, the best choice would be B and E.

Question 9

While a student nurse is draining urine from a patient's bladder, the patient begins to experience bladder spasms. A nurse explains to the student that he or she should
A) Allow the bladder to drain freely into the drainage bag.
B) Try again with a properly inserted catheter.
C) Twist the catheter slowly to improve urine flow.
D) Always empty the bladder slowly, draining no more than 1000 mL at one time.

Accepted Answer

Draining the bladder too quickly can cause bladder spasms due to the rapid change in bladder volume. To prevent this, it's recommended to drain no more than 1000 mL at a time, allowing the bladder to adjust gradually.

Question 10

A nurse is providing care for a female patient with recurrent urinary tract infections (UTIs). Which of the following would be included in the patient's discharge teaching?
A) Avoid consuming caffeine.
B) Avoid baths with bath salts and bubble bath.
C) Increase oral fluid intake.
D) Wipe back to front after toileting.
E) Avoid drinking alcohol.

Accepted Answer

The answer of A nurse is providing care for a...

Question 11

While caring for a patient with a urinary tract infection, a nurse recognizes that teaching has been effective if the patient chooses to drink which of the following beverages?
A) Milk
B) Coffee
C) Cranberry juice
D) Apple juice
E) Lemon-lime soda

Accepted Answer

The answer of While caring for a patient with a...

Question 12

A patient complains of feeling like he is unable to empty his bladder. A nurse performs a bladder scan to
A) Determine bladder capacity.
B) Look for blockages.
C) Measure residual urine.
D) Check for blockage by the prostate or paraurethral gland.

Accepted Answer

Performing a bladder scan would be used to measure the residual urine in the bladder, which can help determine if the patient is experiencing urinary retention or not fully emptying their bladder. A bladder scan would not be used to determine bladder capacity or look for blockages. Checking for blockage by the prostate or paraurethral gland would require a physical exam or imaging tests.

Question 13

A patient has surgery that creates a pouch from his intestine. His ureters empty into the pouch, while a nipple valve allows him to perform self-catheterization to intermittently empty the pouch. A nurse identifies this type of urinary diversion as a(n)
A) Orthotopic bladder substitution.
B) Ileal conduit.
C) Continent urostomy.
D) Suprapubic catheter.

Accepted Answer

The description provided in the question matches the characteristics of a continent urostomy, also known as a continent urinary reservoir. It involves creating a pouch from the intestine, with the ureters emptying into the pouch, and a nipple valve allowing the patient to perform self-catheterization to empty the pouch. The other options listed (orthotopic bladder substitution, ileal conduit, suprapubic catheter) do not match the description provided.

Question 14

A male patient with a recent total hip replacement who cannot ambulate to the bathroom needs assistance with toileting. A nurse should
A) Assist the patient to the bathroom.
B) Have the patient stand at the bedside and void into a urinal.
C) Have the patient use a fracture pan.
D) Roll the patient onto his side and have him void into a bedpan.

Accepted Answer

Because the patient cannot ambulate to the bathroom, the most appropriate option is for the patient to use a fracture pan which can be positioned under the patient while they remain in bed. This will help prevent any injury or complication caused by an attempt to assist the patient to the bathroom or have them stand up to use a urinal. Rolling the patient onto his side can be uncomfortable and could cause pain in the hip area. Therefore, using a fracture pan will be the most comfortable and appropriate solution for the patient.

Question 15

A patient provides a urine sample with increased turbidity because of the presence of white blood cells. A nurse identifies that when blood is present in the urine-either visible or microscopic blood-it is referred to as ____________________.

Accepted Answer

The answer of A patient provides a urine sample with...

Question 16

A nurse recognizes that which of the following symptoms may be indicative of a urinary tract infection (UTI) in a young child?
A) Excessive thirst
B) Poor feeding
C) Sleeplessness
D) Vomiting
E) Diarrhea

Accepted Answer

The answer of A nurse recognizes that which of the...

Question 17

An instructor is teaching students how to increase the effectiveness of bladder training. A student shows the need for additional instruction when saying:
A) "I should ensure that the patient is drinking at least 64 ounces of fluid per day."
B) "I should change the patient's incontinence briefs and perform perineal care twice a day."
C) "I should teach patients to avoid drinking caffeinated beverages."
D) "I should assist the patient to the bathroom or offer a bedpan every 2 hours."

Accepted Answer

The statement about changing the patient's incontinence briefs and performing perineal care twice a day is not related to increasing the effectiveness of bladder training. While it is important to provide good hygiene care for patients, it is not directly related to bladder training. The other three statements are all relevant to increasing the effectiveness of bladder training.

Question 18

When attempting to insert a standard catheter, a nurse is unable to separate a female patient's legs because of severe contractures. The nurse should
A) Get another nurse to help spread the patient's legs.
B) Have the patient stand on the floor with her legs spread.
C) Try to insert the catheter while the patient is lying on her side.
D) Notify the doctor immediately.

Accepted Answer

If the patient has severe contractures, it may not be possible to spread her legs for the catheterization. Therefore, inserting the catheter while the patient is lying on her side can be a viable option. This position may allow for better access to the urethral opening, making catheterization easier. Additionally, it is important to ensure patient comfort and privacy while performing this procedure.

Question 19

A nurse is caring for a patient who is being monitored for kidney function. Which of the following laboratory tests does the nurse expect to be ordered?
A) Hemoglobin
B) Blood urea nitrogen (BUN)
C) Urinalysis
D) Arterial blood gases
E) Creatinine

Accepted Answer

Monitoring kidney function involves checking the levels of waste products in the blood and urine, as well as assessing how well the kidneys are filtering these wastes out of the body. Blood urea nitrogen (BUN) is a laboratory test that measures the amount of nitrogen in the blood that comes from the waste product urea. Elevated BUN levels suggest impaired kidney function. Creatinine is another laboratory test used to assess kidney function. Creatinine is a waste product that is produced by muscle metabolism and is filtered out of the blood by the kidneys. Elevated creatinine levels also suggest impaired kidney function. Hemoglobin and arterial blood gases do not provide direct indications of kidney function, while urinalysis is more useful for detecting problems with the urinary tract than assessing overall kidney function.

Quiz 31: Urinary Elimination and Care

While obtaining a clean-catch midstream urine specimen, a nurse makes a mistake by

If a patient has not voided in the 8 hours following the removal of an indwelling catheter or has voided less than 240 mL, a nurse should

A patient who recently gave vaginal birth to her first child is complaining of issues with incontinence. The nurse identifies that this is most likely due to

A patient with congestive heart failure complains of waking up often during the night to urinate. A nurse identifies this condition as ____________________.

A patient with kidney failure requires long-term mechanical treatment to filter waste products and salts and to remove excess fluid from her blood. A nurse explains to the patient that this process is called ____________________.

A patient is complaining of an inability to keep urine in the bladder long enough to get to the restroom. A nurse identifies that this is most likely due to an overactive bladder, or

In providing bladder training for a patient with incontinence, a nurse would include instructions to do which of the following?

The characteristics of urine that cannot be determined without the use of supplies and equipment include which of the following?

While a student nurse is draining urine from a patient's bladder, the patient begins to experience bladder spasms. A nurse explains to the student that he or she should

A nurse is providing care for a female patient with recurrent urinary tract infections (UTIs) . Which of the following would be included in the patient's discharge teaching?

While caring for a patient with a urinary tract infection, a nurse recognizes that teaching has been effective if the patient chooses to drink which of the following beverages?

A patient complains of feeling like he is unable to empty his bladder. A nurse performs a bladder scan to

A patient has surgery that creates a pouch from his intestine. His ureters empty into the pouch, while a nipple valve allows him to perform self-catheterization to intermittently empty the pouch. A nurse identifies this type of urinary diversion as a(n)

A male patient with a recent total hip replacement who cannot ambulate to the bathroom needs assistance with toileting. A nurse should

A patient provides a urine sample with increased turbidity because of the presence of white blood cells. A nurse identifies that when blood is present in the urine-either visible or microscopic blood-it is referred to as ____________________.

A nurse recognizes that which of the following symptoms may be indicative of a urinary tract infection (UTI) in a young child?

An instructor is teaching students how to increase the effectiveness of bladder training. A student shows the need for additional instruction when saying:

When attempting to insert a standard catheter, a nurse is unable to separate a female patient's legs because of severe contractures. The nurse should

A nurse is caring for a patient who is being monitored for kidney function. Which of the following laboratory tests does the nurse expect to be ordered?