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Urinary Elimination Questions (Fund of success book)

Total questions: 23

Worksheet time: 48mins

Name
Class
Date
1.

A nurse identifies that the patient has overflow incontinence. Which factor contributes to this clinical manifestation?

a)

Coughing

b)

Mobility deficits

c)

Prostate enlargement

d)

Urinary tract infection

2.

A nurse must measure the intake and output of a patient who has a urinary retention catheter. Which equipment is MOST appropriate to use to measure urine output from a urinary retention catheter accurately?

a)

Urinal

b)

Graduate

c)

Large syringe

d)

Urine collection bag

3.

A patient's urine is cloudy, is amber, and has an unpleasant odor. Which problem may this information indicate that requires the nurse to make a focused assessment?

a)

Urinary retention

b)

Urinary tract infection

c)

Ketone bodies in the urine

d)

High urinary calcium level

4.

A nurse is caring for a debilitated female patient with nocturia. Which nursing intervention is the PRIORITY when planning to meet the patients needs?

a)

Encouraging the use of bladder training exercises

b)

Providing assistance with toileting every 4 hours

c)

Positioning a bedside commode near the bed

d)

Teaching the avoidanceof fluids after 5 p.m.

5.

A primary health-care provider orders a urine specimen for culture and sensitivity via a straight catheter for a patient. Which should the nurse do when collecting this urine specimen.

a)

Use a sterile specimen container

b)

Collect urine from the catheter port

c)

Inflate the balloon with sterile water

d)

Have the patient void before collecting the specimen

6.

A nurse reviews the results of a patient's urinalysis. Which constituent found in urine indicates the presences of an abnormality?

a)

Electrolytes

b)

Protein

c)

Water

d)

Urea

7.

A patient is reporting burning on urination. Which question should the nurse ask to BEST obtain information about the patient's dysuria?

a)

"Can you tell me about the problems you have been having with urination?"

b)

"How would you describe your experience with incontinence?"

c)

"What are your usual bowel habits?"

d)

"What color is your urine?"

8.

A nurse is caring for a group of patients with a variety of urinary problems. Which patient's physical response should cause the MOST concern?

a)

Anuria

b)

Dysuria

c)

Diuresis

d)

Enuresis

9.

A nurse is performing a physical assessment on a newly admitted patient. Which problem identified by the nurse is often associated with urinary incontinence?

a)

Chronic pain

b)

Reduced fluid intake

c)

Disturbed self-esteem

d)

Insufficient knowledge

10.

A nurse is caring for two patients. One patient has reflex incontinence and the other has total incontinence. Which characteristics is common to both reflex incontinence and total incontinence?

a)

Urination following an increase in a-intra-bdominal pressure

b)

Loss of urine without awareness of bladder fullness

c)

Retention of urine with overflow incontinence

d)

Strong, sudden desire to void

11.

Which clinical manifestation can a nurse expect when a postoperative patient experiences stress associated with surgery?

a)

Decreased urinary output

b)

Low specific gravity

c)

Reflex incontinence

d)

Urinary hesitancy

12.

Which assessment is not related to monitoring both urine and stool?

a)

Constituents

b)

Urgency

c)

Shape

d)

Color

13.

A nurse is assessing the urinary status of a patient. Which sign indicates that the additional nursing assessments are necessary?

a)

Aromatic odor

b)

Pale yellow urine

c)

Output of 50 mL/day

d)

Specific gravity of 1.035

14.

A patient tells the nurse, "I have to urinate as soon as I have the urge to go." For which contributing factor to urinary urgency should the nurse implement a focused assessment?

a)

Anesthesia

b)

Dehydration

c)

Full bladder

d)

Urinary tract infection

15.

Which is an effective nursing intervention to prevent urinary tract infections?

a)

Teach female patients to wipe from the back to the front after urinating

b)

Advise patients to report burning on urination to health-care providers

c)

Instruct patients to use bath powder to absorb perineal perspiration

d)

Encourage patients to drink several quarts of fluid daily

16.

A patient has urinary incontinence. Which is the BEST nursing intervention for this patient?

a)

Providing skin care immediately after soiling

b)

Using a deodorant soap when providing skin care

c)

Drying the area well after providing perineal care

d)

Dusting the perineal area with alight film of cornstarch

17.

A confused patient is incontinent of urine and stool and smears the stool on the bed linens and bed rails. Which should be the initial patient goal?

a)

The patient will be clean and dry continuously

b)

The patient will become continent within a week

c)

The patient will stop soiling the environment immediately

d)

The patient will call for the bedpan whenever the urge to eliminate occurs

18.

A patient has a urinary retention catheter. Which is the MOST important when the nurse cares for this patient?

a)

Applying an antimicrobial agent to the urinary meatus 2 times a day

b)

Ensuring that the catheter remains connected to the collection bag

c)

Wearing sterile gloves when accessing the specimen port

d)

Increasing fluid intake to 3.000 mL a day

19.

Which information about a patient is communicated when a nurse documents that the patient has polyuria?

a)

Excreting excessive amounts of urine

b)

Experiencing pain on urination

c)

Retaining urine in the bladder

d)

Passing blood in the urine

20.

A patient is experiencing bladder irritability. Which fluid should the nurse teach the patient to include in the diet?

a)

Beer

b)

Coffee

c)

Orange juice

d)

Cranberry juice

21.

Which clinical manifestation identified by the nurse commonly is associated with excessive production of antidiuretic hormone (ADH)?

a)

Diuresis

b)

Oliguria

c)

Retention

d)

Incontinence

22.

A nurse must obtain a urine specimen from a patient. Which nursing intervention is the GREATEST help to most people who need to void for a urine test?

a)

Encouraging backward rocking motion

b)

Running water in the sink

c)

Exerting manual pressure on the abdomen

d)

Providing for privacy

23.

A patient is admitted to the emergency department because of hypertension and oliguria. For which additional clinical manifestation associated with this cluster of information should the nurse asess the patient?

a)

Thirst

b)

Retention

c)

Weight Gain

d)

Urinary Hesitancy