Urinary Flashcards
The nurse has received an order to catheterize a female client. What action should the nurse perform?
A - Using both hands, hold the catheter near the tip and insert slowly into the urethra.
B - Advance the catheter until slight resistance is felt.
C - Once urine drains, advance the catheter another 2 to 3 inches (5 to 7.5 cm).
D - Lubricate 3 to 4 in of the catheter tip before insertion.
C - Once urine drains, advance the catheter another 2 to 3 inches (5 to 7.5 cm).
The nurse is caring for a client with weakness who is ambulatory but tires easily. Which method for urinary elimination does the nurse recommend?
A - bedside commode
B - fracture pan
C - regular bathroom
D - bed pan
A - bedside commode
The nurse is caring for a client who reports having cloudy, foul-smelling urine. Which assessment question should the nurse ask the client?
A - “Are you having episodes of clear urine mixed with episodes of cloudy urine?”
B - “Do you have constipation?”
C - “Do you have difficulty starting the stream of urine?”
D - “Are you experiencing burning and frequency?”
D - “Are you experiencing burning and frequency?”
The health care provider notifies a client of a diagnosis of glycosuria. Which assessment information will the nurse obtain from the client next?
A - blood sugar
B - blood pressure
C - intake and output
D - frequency of urine
A - blood sugar
A nurse who is right-handed is inserting a woman’s indwelling urinary catheter. The nurse will use cotton balls and antiseptic solution to cleanse the woman’s meatus and perineum. Which of the nurse’s actions is most appropriate?
A - Grasp a cotton ball with forceps in her left hand and spread the woman’s labia with her right hand.
B - Insert the catheter with her left hand while supporting the woman with her right hand.
C - Perform hand hygiene between cleansing the woman’s labia and inserting the catheter.
D - Use her left hand to spread the woman’s labia and keep them spread until the catheter is inserted.
D - Use her left hand to spread the woman’s labia and keep them spread until the catheter is inserted.
A nurse is caring for an older adult client who is incontinent. Which effects of aging might contribute to urinary alterations? Select all that apply.
A - Increased bladder motility decreases the incidence of urinary tract infections.
B - Decreased bladder muscle tone may reduce the capacity of the bladder to hold urine.
C - Diminished ability of kidneys to concentrate urine may result in nocturia.
D - Decreased bladder contractility may lead to urine retention and stasis.
E - Altered thought processes may cause urinary frequency.
F - Neuromuscular problems may interfere with voluntary control of urination.
B - Decreased bladder muscle tone may reduce the capacity of the bladder to hold urine.
C - Diminished ability of kidneys to concentrate urine may result in nocturia.
D - Decreased bladder contractility may lead to urine retention and stasis.
E - Altered thought processes may cause urinary frequency.
F - Neuromuscular problems may interfere with voluntary control of urination.
A male client informs the nurse that he is concerned about dribbling and incontinence of small amounts of urine after the removal of an indwelling urinary catheter. The nurse is aware that the catheter was in place for 3 weeks prior to being removed. Which is the nurse’s best response to the client?
A - “It will take a little while for the bladder to reestablish control as the strength of the muscle improves, and an accident is not unusual.”
B - “I will inform the health care provider, and we will likely need to perform a cystoscopy to look at your bladder to look for problems.”
C - “Dribbling and incontinence often mean the bladder has lost muscle tone, and the catheter will likely need to be reinserted.”
D - “Your symptoms are a normal part of the aging process. The bladder loses tone as you age.”
A - “It will take a little while for the bladder to reestablish control as the strength of the muscle improves, and an accident is not unusual.”
To assess subjective data related to a client’s elimination pattern, the nurse:
A - palpates the abdomen for pain or distention.
B - asks the client about changes in elimination patterns.
C - notes the frequency, amount, and time the client voids.
D - reviews the latest laboratory report of the urine.
B - asks the client about changes in elimination patterns.
A client at a health care facility has been diagnosed with polyuria. How would the nurse describe the client’s condition in the medical record?
A - difficult or uncomfortable voiding
B - absence of urine
C - greater than normal urinary volume
D - inadequate elimination of urine
C - greater than normal urinary volume
Upon assessment of the urine in a client’s indwelling urinary catheter drain bag, the nurse notes the urine to be dark yellow. Which next step should the nurse implement?
A - Encourage fluid intake.
B - Restrict fluid intake.
C - No action is required.
D - Alert the health care provider of possible infection.
A - Encourage fluid intake.
