Urinary & Bowel Elimination

Question 1

All of the following structures are component of the urinary system except:
A - kidney
B - ureter
C - gallbladder
D - Urethra

Answer 1

C - gallbaldder

Question 2

Where does urine formation take place?
A - kidney
B - ureter
C - bladder
D - urethra

Answer 2

Kidney

Question 3

Which sequence correctly traces the path of urine after it leaves the kidney?

A - ureter, urethra, bladder
B - bladder, ureter, urethra
C - ureter, bladder, urethra
D - bladder, urethra, ureter

Answer 3

C - ureter, bladder, urethra

Question 4

The kidneys receive approximately ___% of the cardiac output under normal physiologic conditions?

A - 5 - 10 %
B - 10 - 15 %
C - 15 - 20 %
D - 20 - 25%

Answer 4

D - 20-25%

Question 5

Normal urine production per day is ___ ml/day

A - <50
B - <400
C - 720
D - 1000 - 2000

Answer 5

D - 1000-2000

Question 6

The urge to micturate is felt when the bladder contains approximately ___ ml of urine

Answer 6

150 - 250 ml

Question 7

Normal residual urine volume is approximately ____ ml and should be measured within ___ minutes after voiding

Answer 7

50-75 ml

10-15 min

Question 8

Lower UTI is called

Answer 8

cystitis

Question 9

Upper UTI is called

Answer 9

pyelonephritis

Question 10

where is a lower UTI located?

Answer 10

Bladder

Question 11

Where is an upper UTI located?

Answer 11

Kidneys

Question 12

What does blood in the urine suggest?

Answer 12

Infection

Question 13

What do ketones in the urine suggest?

Answer 13

DM

Question 14

What does glucose in the urine suggest?

Answer 14

DM

Question 15

WBC’s in the urine indicate what?

Answer 15

infection

Question 16

Neutrophils in the urine suggest what kind of infection?

Answer 16

Acute

Question 17

Lymphocytes in the urine suggest what kind of infection?

Answer 17

Chronic or viral

Question 18

Increased sodium in the urine means the patient is what?

Answer 18

dehyradated

Question 19

What is the number one cause for UTI’s in the hospital?

Answer 19

CAUTI

Question 20

When assessing a patient urinary tract, what does the impediment of dye flow mean?

Answer 20

Alerts to potential obstruction, blockage, or tumor

Question 21

What are the 4 types of catheters?

Answer 21

Simple catheter
Coude tip catheter (type of indwelling)
Indwelling catheter
3-way indwelling catheter

Question 22

What type of catheter is used for BPH?

Answer 22

coude tip catheter

Question 23

Types of incontinence (5)

Answer 23

• Functional
• Overflow
• Stress
• Urge
• Reflex

Question 24

Urinary Incontinence caused by a disease outside of the urinary system

Answer 24

Functional

Question 25

Type of urinary incontinence caused by urinary retention

Answer 25

Overflow

Question 26

Type of urinary incontinence cause by sneezing, laughing, or lifting

Answer 26

Stress

Question 27

type of urinary incontinence where no urge is felt but urine is released

Answer 27

Reflex

Question 28

How can a patient work on improving stress incontinence?

Answer 28

Kegel exercises

Question 29

How is overflow and reflex incontinence treated?

Answer 29

Intermittent catheter

Question 30

How is urge or overactive incontinence treated?

Answer 30

``` parasympathetic agent (holds urine in bladder) decrease coffee intake ```

Question 31

The patient asks the nurse why a KUB (kidney ureter bladder) is important. What response by the nurse is best?

Answer 31

A KUB assesses the gross structure of the urinary tract for abnormalities

Question 32

A patient is admitted with lower UTI symptoms. This condition is most often manifested by which symptoms?

Answer 32

Dysuria

Question 33

Pyelonephritis is indicative of what type of UTI?

Answer 33

Upper UTI

Question 34

Flank pain indicates what type of UTI?

Answer 34

Upper UTI

Question 35

Chills are a symptom of what type of UTI?

Answer 35

Upper UTI

Question 36

The patient has a UTI. Which long-term goal is most important for this patient?

Answer 36

The patient will ingest at least 2,000 ml of fluid per day in 4 weeks time

Question 37

Which sequence lists the region of the large intestine in order from the end of the ileum to the anus? A - cecum, rectum, anal canal, colon B - colon, rectum, anal canal, cecum C - cecum, colon, rectum, anal canal D - colon, cecum, rectum, anal canal

Answer 37

C - cecum, colon, rectum, anal canal

Question 38

Arrange the segments of the colon in the sequence through which digested material passes prior to defecation: 1) sigmoid, 2) transverse, 3) descending, 4) ascending A - 1, 2, 4, 3 B - 4, 3, 1, 2 C - 3, 4, 2, 1 D - 4, 2, 3, 1

Answer 38

D - 4, 2, 3, 1

Question 39

What is the function of the colon? Select all that apply. A - defecation B - secretion of potassium C - absorption of water and salt D - Secretion of bicarb

Answer 39

All of the above DUHHHHHHHHHHHHHHHHHHHHh

Question 40

Nurse/Physician Interventions for Constipation

Answer 40

- Laxatives - Increase fiber - Enema (if necessary) - Increase fluid intake - Exercise regularly - Establish a regular time to defecate (because that's not weird)

Question 41

Nurse/Physician Interventions of Fecal Impaction

Answer 41

- Laxatives / Enema | - Digital removal of stool

Question 42

Interventions for Diarrhea

Answer 42

Antidiarrheal agents Flagyl, vancomycin, or dificid for C-diff Oral glucose and electrolytes Endoscopy or colonoscopy

Question 43

Interventions for Flatulence

Answer 43

Decrease use of straw | Diet changes

Question 44

When monitoring a patient's bowel elimination, which symptoms provide the nurse with the earliest indication of constipation?

Answer 44

Sausage-shaped, lumpy stool

Question 45

To teach a patient about how to promote normal defecation, it is MOST important for the nurse to include which instruction?

Answer 45

Assume a squatting position during defecation

Question 46

The following finding is documented: "stool is black, hard, and lumpy." What intervention is best for the nurse to implement?

Answer 46

Encourage the patient to drink 1 glass of water every hour while awake