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Urinary Elimination Review

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.
A nurse working in a community pediatric clinic explains the process of toilet training to mothers of toddlers. Which of the following is a recommended guideline for initiating this training?
a)
The child should be able to hold urine for 4 hours.
b)
The child should be between 18 and 24 months old.
c)
The child should be able to communicate the need to void.
d)
The child does not need to desire to gain control of voiding.
2.
A nurse is caring for elderly patients in an assisted-living facility. Which of the following effects of aging should the nurse consider when performing a urinary assessment?
a)
The diminished ability of the kidneys to concentrate urine may result in urinary tract infection.
b)
Increased bladder muscle tone may reduce the capacity of the bladder to hold urine, resulting in frequency.
c)
Decreased bladder contractility may lead to urine retention and stasis, which increase the likelihood of urinary tract infection.
d)
Neuromuscular problems may result in the patient finding urinary control too much trouble, resulting in incontinence.
3.
During a health history interview, a male patient tells the nurse that he does not feel that he completely empties his bladder when he voids. He has been diagnosed with an enlarged prostate. What is the name of this symptom?
a)
urinary incontinence
b)
urinary retention
c)
involuntary voiding
d)
urinary frequency
4.
After surgery, a postoperative patient has not voided for 8 hours. Where would the nurse assess the bladder for distention?
a)
between the symphysis pubis and the umbilicus
b)
over the costovertebral region of the flank
c)
in the left lower quadrant of the abdomen
d)
between ribs 11 and 12 and the umbilicus
5.
A nurse has instructed a clinic patient about collecting a specimen for a routine urinalysis. The patient makes the following statements. Which one indicates a need for more teaching?
a)
“I need to tell you that I am having my menstrual period.”
b)
“I will void into the specimen bottle you gave me.”
c)
“I will keep the toilet paper in the specimen.”
d)
“I will be sure that no stool is included in my urine.”
6.
A student is collecting a sterile urine specimen from an indwelling catheter. How will the student correctly obtain the specimen?
a)
Pour urine from the collecting bag.
b)
Remove the catheter and ask the patient to void.
c)
Aspirate urine from the collecting bag.
d)
Aspirate urine from the collection port.
7.
A nurse is initiating a 24-hour urine collection for a patient at home. What will be the first thing the nurse will ask the patient to do at the beginning of the specimen collection?
a)
Void and discard the urine.
b)
Begin the collection at a specific time.
c)
Add the first voiding to the specimen.
d)
Keep the urine warm during collection.
8.
A patient is taking diuretics. What should the nurse teach the patient about his urine?
a)
Urinary output will be decreased.
b)
Urinary output will be increased.
c)
Urine will be a pale yellow color.
d)
Urine may be brown or black.
9.
A patient has been taught how to do Kegel exercises. What statement by the patient indicates a need for further information?
a)
“I understand these will help me control stress incontinence.”
b)
“I know this is also called pelvic floor muscle training.”
c)
“I will do these 30 to 80 times a day for 2 months.”
d)
“I will contract the muscles in my abdomen and thighs.”
10.
A male patient who has had outpatient surgery is unable to void while lying supine. What can the nurse do to facilitate his voiding?
a)
Assist him to a standing position.
b)
Tell him he has to void to be discharged.
c)
Pour cold water over his genitalia.
d)
Ask his wife to assist with the urinal.