Urinary and Bowel Elimination Flashcards
When collecting a urine specimen for a routine urinalysis from a pt., the nurse keeps in mind which of the following?
A) A sterile specimen is required for collection.
B) Results may be altered if the sample is left standing at room temperature for a long time.
C) The external meatus requires cleaning with antiseptic soap and water before voiding.
D) A clean-catch midstream specimen is necessary.
b) results maay be altered if the sample is left standing at room temperature for a long time.
Which of the following would the nurse incorporate into the teaching plan for a pt. to promote healthy urinary functioning?
a) Drinking more than 2,000 mL of fluid per day will cause fluid retention.
b) The healthy adult should drink four to six 8-oz. glasses of water/day.
c) Children need fewer reminders to drink because of greater thirst sensitivity.
d) Caffeine-containing beverages should be monitored to prevent excess intake.
d) Caffeine-containing beverages should be monitored to prevent excess intake.
When a person has a fever and diaphoresis, how would the urine output be described?
a) Decreased and highly concentrated.
b) Decreased and highly dilute.
c) Increased and concentrated.
d) Increased and highly dilute.
a) decreased and highly concentrated.
The physician has ordered an indwelling catheter inserted in a hospitalized male patient. The nurse is aware of which of the following considerations?
a) The male urethra is more vulnerable to injury during insertion.
b) In the hospital, a clean technique is used for catheter insertion.
c) The catheter is inserted 2” to 3” into the meatus.
d) Since it uses closed system, the risk for urinary tract infections is absent.
a) the male urethra is more vulnerable to injury during insertion.
Nursing care for a patient with an indwelling catheter includes which of the following?
a) irrigation of the catheter with 30mL of normal saline solution every 4 hours.
b) Disconnecting and reconnecting the drainage system quickly to obtain a urine specimen.
c) Encouraging generous fluid intake if not contraindicated by the patient’s condition.
d) Telling the pt. that burning and irritation are normal, subsiding within a few days.
c) encouraging generous fluid intake if not contraindicated by the pt’s condition.
After surgery, Ms. Young is having difficulty voiding. Which nursing action would most likely lead to an increased difficulty with voiding?
a) Pouring warm water over Ms. Young’s fingers.
b) Having Ms. Young ignore the urge to void until her bladder is full.
c) Using a warm bedpan when Ms. Young feels the urge to void.
d) Stroking Ms. Young’s leg or thigh.
b) Having Ms. Young ignore the urge to void until her bladder is full.
Mr. Cheng, a hospitalized pt. with DM, has developed a UTI. He is 80 years old and has an indwelling catheter in place. Which factor is most likely his cause of a UTI?
a) The close proximity of the male genitalia to the rectum.
b) Decreased immunity
c) A high urine glucose level
d) The indwelling urinary catheter
d) the indwelling urinary catheter
Which of the following terms denotes the pt’s ability to void even though the kidneys are producing urine that enters the bladder?
a) Urgency
b) Retention
c) Oliguria
d) Dysuria
b) Retention
Mrs. D’Ambrosia, an alert, ambulatory, older nursing home resident, voids frequently and has difficulty making it to the bathroom in time. The nurse planning her care is aware of which of the following?
a) Incontinence is expected in a woman of Mrs. D’Ambrosia’s age.
b) One in every ten nursing home residents is incontinent.
c) Kegel exercises performed at regular intervals throughout the day can help with her situation.
d) An indwelling catheter should be inserted as soon as possible.
c) Kegel exercises performed at regular intercals througout the day can help her situation.
The priority treatment for Mrs. D’Ambrosia would most likely involve which of the following?
a) Behavioral techniques
b) Pharmacological measures
c) Surgical intervention
d) Use of absorbant products
a) Behavioral techniques
A patient taking phenazopyridine (Pyridium) should be cautioned that her urine may change to what color?
a) pale yellow
b) green
c) orange-red
d) brown
c) orange-red
Mr. Bales is a year old and is alert. He is timid and reluctant to talk about his urinary retention problem. Which part of this plan could create stress for Mr. Bales and possibly increase his inability to urinate?
a) Assisting him in assuming his normal voiding position.
b) Pulling curtains around him to provide privacy during voiding.
c) Staying with him while voiding.
d) Offering the urinal on a regular schedule.
c) Staying with him while voiding.
Which of the following is a nursing priority when caring for a male patient with a condom catheter?
a) Preventing the tubing from kinking to maintain free urinary drainage.
b) Not removing the catheter for any reason.
c) Fastening the condom tightly to prevent the possibility of leakage.
d) Maintaining bed rest at all times to prevent the catheter from slipping off.
a) preventing the tubing from kinking to maintain free urinary draining.
A pt. with a nursing diagnosis of Impaired Urinary Elimination related to maturational enuresis. You recognize that your patient is of which of the following?
a) An older adult older than 65 years of age who is incontinent.
b) A child older than 4 years of age who has involuntary urination.
c) A 12-month-old child who has involuntary urination.
d) A pt. with neurologic damage resulting in bladder dysfunction.
b) A child older than 4 years of age who has involuntary urination.
Data must be collected to evaluate the effectiveness of a plan to reduce urinary incontinence in an older adult patient. Of the info. below, which is the LEAST important for the evaluation process?
a) the incontinence pattern
b) state of physical mobility
c) Medications being taken
d) age of the patient
d) age of the patient
