Urinary eliminaion

Question 1

If obstructed, which component of the urination system would cause peristaltic waves?

Answer 1

Ureters

Question 2

When reviewing laboratory results, the nurse should immediately notify the health care
provider about which finding?

Answer 2

Glomerular filtration rate of 20 mL/min

Question 3

A patient is experiencing oliguria. Which action should the nurse perform first?

Answer 3

Assess for bladder distention.

Question 4

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

Answer 4

Anxiety can make it difficult for abdominal and perineal muscles to relax enough to
void.

Question 5

The nurse knows that indwelling catheters are placed before a cesarean because

Answer 5

Spinal anesthetics can temporarily disable urethral sphincters.

Question 6

The nurse knows that urinary tract infection (UTI) is the most common health
care–associated infection because

Answer 6

Escherichia coli pathogens are transmitted during surgical or catheterization
procedures.

Question 7

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?

Answer 7

Urinary incontinence

Question 8

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?

Answer 8

Limit fluid and caffeine intake before bed.

Question 9

When caring for a patient with urinary retention, the nurse would anticipate an order for

Answer 9

A urinary catheter.

Question 10

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

Answer 10

“When was the last time you voided?”

Question 11

Which of the following is the primary function of the kidney?

Answer 11

Maintaining fluid and electrolyte balance

Question 12

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

Answer 12

Reddened irritated skin on the buttocks.

Question 13

Which nursing diagnosis related to alternations in urinary function in an older adult
should be a nurse’s first priority?

Answer 13

Risk of infection

Question 14

A patient asks about treatment for urge urinary incontinence. The nurse’s best response
is to advise the patient to

Answer 14

Perform pelvic floor exercises.

Question 15

The nurse suspects that a urinary tract infection has progressed to cystitis when the
patient complains of which symptom?

Answer 15

Frequency

Question 16

Which assessment question should the nurse ask if stress incontinence is suspected?

Answer 16

“Do you experience urine leakage when you cough or sneeze?”

Question 17

When establishing a diagnosis of altered urinary elimination, the nurse should first

Answer 17

Discuss causes and solutions to problems related to micturition.

Question 18

To obtain a clean-voided urine specimen for a female patient, the nurse should teach
the patient to

Answer 18

Hold the labia apart while voiding into the specimen cup.

Question 19

When viewing a urine specimen under a microscope, what would the nurse expect to
see in a patient with a urinary tract infection?

Answer 19

Bacteria

Question 20

The nurse would expect the urine of a patient with uncontrolled diabetes mellitus to be

Answer 20

Sweet Smelling

Question 21

What signs and symptoms would the nurse expect to observe in a patient with
excessive white blood cells present in the urine?

Answer 21

Fever and chills

Question 22

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?

Answer 22

Intravenous pyelogram

Question 23

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?

Answer 23

Monitor the patient for fever, rash, and difficulty breathing.

Question 24

Which statement by the patient about an upcoming computed tomography (CT) scan
indicates a need for further teaching?

Answer 24

“I will be anesthetized so that I lie perfectly still during the procedure.”

Question 25

The nurse anticipates preparing a patient who is allergic to shellfish for an arteriogram
by

Answer 25

Administering an antihistamine medication to the patient.

Question 26

A nurse anticipates urodynamic testing for a patient with which symptom?

Answer 26

Involuntary urine leakage

Question 27

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?

Answer 27

Utilizing the power of suggestion by turning on the faucet and letting the water run

Question 28

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?

Answer 28

“Drink your nightly glass of milk earlier in the evening.”

Question 29

Many individuals have difficulty voiding in a bedpan or urinal while lying in bed
because they

Answer 29

Would feel more comfortable assuming a normal voiding position.

Question 30

The nurse would anticipate inserting a Coudé catheter for which patient?

Answer 30

A 56-year-old male admitted for bladder irrigation

Question 31

The nurse knows that which indwelling catheter procedure places the patient at greatest
risk for acquiring a urinary tract infection?

Answer 31

Placing the drainage bag on the side rail of the patient’s bed

Question 32

A nurse notifies the provider immediately if a patient with an indwelling catheter

Answer 32

Has not collected any urine in the drainage bag for 2 hours.

Question 33

The nurse would question an order to insert a urinary catheter on which patient?

Answer 33

A 30-year-old patient requiring drug screening for employment

Question 34

When caring for a hospitalized patient with a urinary catheter, which nursing action
best prevents the patient from acquiring an infection?

Answer 34

Performing hand hygiene before and after providing perineal care

Question 35

An 86-year-old patient asks the nurse what lifestyle changes will reduce the chance of
a urinary tract infection. Which response is accurate?

Answer 35

Increasing consumption of acidic foods such as cranberry juice will reduce the
chance of infection.

Question 36

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?

Answer 36

“My medication may discolor my urine; this should resolve once the medication is
stopped.”

Question 37

To reduce patient discomfort during closed catheter irrigation, the nurse should

Answer 37

Use room temperature irrigation solution.

Question 38

Which observation by the nurse best indicates that bladder irrigation for urinary
retention has been effective?

Answer 38

Recording an output that is larger than the amount instilled

Question 39

The nurse anticipates urinary diversion from the kidneys to a site other than the bladder
for which patient?

Answer 39

A 12-year-old female with severe abdominal trauma