Urinary eliminaion Flashcards
If obstructed, which component of the urination system would cause peristaltic waves?
Ureters
When reviewing laboratory results, the nurse should immediately notify the health care
provider about which finding?
Glomerular filtration rate of 20 mL/min
A patient is experiencing oliguria. Which action should the nurse perform first?
Assess for bladder distention.
A patient requests the nurse’s assistance to the bedside commode and becomes
frustrated when unable to void in front of the nurse. The nurse understands the patient’s inability to
void because
Anxiety can make it difficult for abdominal and perineal muscles to relax enough to
void.
The nurse knows that indwelling catheters are placed before a cesarean because
Spinal anesthetics can temporarily disable urethral sphincters.
The nurse knows that urinary tract infection (UTI) is the most common health
care–associated infection because
Escherichia coli pathogens are transmitted during surgical or catheterization
procedures.
An 86-year-old patient tells the nurse that she is experiencing uncontrollable leakage of
urine. Which nursing diagnosis should the nurse include in the patient’s plan of care?
Urinary incontinence
A patient has fallen several times in the past week when attempting to get to the
bathroom. The patient informs the nurse that he gets up 3 or 4 times a night to urinate. Which
recommendation by the nurse is most appropriate in correcting this urinary problem?
Limit fluid and caffeine intake before bed.
When caring for a patient with urinary retention, the nurse would anticipate an order for
A urinary catheter.
Upon palpation, the nurse notices that the bladder is firm and distended; the patient
expresses an urge to urinate. The nurse should follow up by asking
“When was the last time you voided?”
Which of the following is the primary function of the kidney?
Maintaining fluid and electrolyte balance
While receiving a shift report on a patient, the nurse is informed that the patient has
urinary incontinence. Upon assessment, the nurse would expect to find
Reddened irritated skin on the buttocks.
Which nursing diagnosis related to alternations in urinary function in an older adult
should be a nurse’s first priority?
Risk of infection
A patient asks about treatment for urge urinary incontinence. The nurse’s best response
is to advise the patient to
Perform pelvic floor exercises.
The nurse suspects that a urinary tract infection has progressed to cystitis when the
patient complains of which symptom?
Frequency
Which assessment question should the nurse ask if stress incontinence is suspected?
“Do you experience urine leakage when you cough or sneeze?”
When establishing a diagnosis of altered urinary elimination, the nurse should first
Discuss causes and solutions to problems related to micturition.
To obtain a clean-voided urine specimen for a female patient, the nurse should teach
the patient to
Hold the labia apart while voiding into the specimen cup.
When viewing a urine specimen under a microscope, what would the nurse expect to
see in a patient with a urinary tract infection?
Bacteria
The nurse would expect the urine of a patient with uncontrolled diabetes mellitus to be
Sweet Smelling
What signs and symptoms would the nurse expect to observe in a patient with
excessive white blood cells present in the urine?
Fever and chills
The nurse would anticipate an order for which diagnostic test for a patient who has
severe flank pain and calcium phosphate crystals revealed on urinalysis?
Intravenous pyelogram
A nurse is caring for a patient who just underwent intravenous pyelography that
revealed a renal calculus obstructing the left ureter. What is the nurse’s first priority in caring for
this patient?
Monitor the patient for fever, rash, and difficulty breathing.
Which statement by the patient about an upcoming computed tomography (CT) scan
indicates a need for further teaching?
“I will be anesthetized so that I lie perfectly still during the procedure.”
The nurse anticipates preparing a patient who is allergic to shellfish for an arteriogram
by
Administering an antihistamine medication to the patient.
A nurse anticipates urodynamic testing for a patient with which symptom?
Involuntary urine leakage
A patient is having difficulty voiding in a bedpan but states that she feels her bladder is
full. To stimulation micturition, which nursing intervention should the nurse try first?
Utilizing the power of suggestion by turning on the faucet and letting the water run
A nurse is caring for an 8-year-old patient who is embarrassed about urinating in his
bed at night. Which intervention should the nurse suggest to reduce the frequency of this
occurrence?
“Drink your nightly glass of milk earlier in the evening.”
Many individuals have difficulty voiding in a bedpan or urinal while lying in bed
because they
Would feel more comfortable assuming a normal voiding position.
The nurse would anticipate inserting a Coudé catheter for which patient?
A 56-year-old male admitted for bladder irrigation
The nurse knows that which indwelling catheter procedure places the patient at greatest
risk for acquiring a urinary tract infection?
Placing the drainage bag on the side rail of the patient’s bed
A nurse notifies the provider immediately if a patient with an indwelling catheter
Has not collected any urine in the drainage bag for 2 hours.
The nurse would question an order to insert a urinary catheter on which patient?
A 30-year-old patient requiring drug screening for employment
When caring for a hospitalized patient with a urinary catheter, which nursing action
best prevents the patient from acquiring an infection?
Performing hand hygiene before and after providing perineal care
An 86-year-old patient asks the nurse what lifestyle changes will reduce the chance of
a urinary tract infection. Which response is accurate?
Increasing consumption of acidic foods such as cranberry juice will reduce the
chance of infection.
A nurse is providing education to a patient being treated for a urinary tract infection.
Which of the following statements by the patient indicates an understanding?
“My medication may discolor my urine; this should resolve once the medication is
stopped.”
To reduce patient discomfort during closed catheter irrigation, the nurse should
Use room temperature irrigation solution.
Which observation by the nurse best indicates that bladder irrigation for urinary
retention has been effective?
Recording an output that is larger than the amount instilled
The nurse anticipates urinary diversion from the kidneys to a site other than the bladder
for which patient?
A 12-year-old female with severe abdominal trauma
