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WorksheetsChapter 16 The Urinary System
Total questions: 30
Worksheet time: 15mins
The CNA answers a call light of a resident who is pacing, holding onto the lower abdomen, complains he can only void a few drops and is unable to start a stream. The CNA suspects ______.
Urinary incontinence
Renal failure
Urinary retention
hematuria
The Foley bag must be kept lower than the resident's bladder so that ________.
the resident will be more comfortable in bed.
urine will not return to the bladder, causing infection.
the bag will be hidden and the resident will not be embarrassed.
urine will not leak out, soiling the bed.
A resident's perineal area ould be cleansed before which specimen is collected?
24-hour urine specimen
Routine urine specimen
pediatric routine urine specimen
midstream (clean-catch) urine specimen
Which of the following is NOT the NA's responsibility when caring for residents who have urinary catheters?
inserting the catheter
ensuring the catheter drains properly
preventing infection
recording urinary output
When performing catheter care, the NA should wash the catheter___________.
towards the meatus
with Betadine soap
away from the meatus
with alcohol
The goal of bladder training is to ________?
stop using a catheter.
prevent skin problems caused by incontinence.
prevent UTI's from indwelling catheters.
gain voluntary control or urination.
A NA is recording the output of a resident who has a Foley catheter. She sees that the urine bag is empty. What should she do first?
Irrigate the catheter
Check for kinks in the tube
Replace the drainage bag
Replace the catheter
Before ambulating a resident who has a Foley catheter, the NA should first ________?
clamp off the catheter and disconnect it
let the leg bag dangle between the resident's legs
carry the bag below the bladder level
hide the bag in a pillow case
Urination is also referred to as _______?
defecation
enuresis
voiding
flatus
Incontinence is a normal age-related change?
True
False
Which of the following is NOT considered a normal age-related change of the urinary system?
The kidneys filter the blood more efficiently
Bladder muscle tone weakens
The bladder holds less urine, causing more frequent urination
The bladder may not empty completely, causing an increased chance for infection
Why are women more likely than men to have urinary tract infections?
Due to the different locations of the gonads
Due to not filtering blood in the kidneys properly
Due to having a shorter urethra
Due to urinary incontinence
Your resident complains of burning with urination, bloody urine, frequency, and urgency. Which disorder to you suspect?
CRF
ESRD
UTI
DM
How can the NA promote normal urination?
Suggest the resident drink less fluids throughout the day
Place the resident in a supine position
Tell the resident to limit their exercise and activity
Offer frequent trips to the bathroom
Which of the following is a condition in which the kidneys have failed and dialysis is required to remove the body's waste products in order to sustain life?
CHF
ESRD
UTI
DM
If a resident is undergoing dialysis, they should drink more fluids to replace the fluids being removed by dialysis.
True
False
Which of the following statements is true of urination?
Indwelling catheters do not affect muscle tone.
Fluids high in sodium increase urinary output.
A lack of privacy can affect urination, as can stress
The bladder holds more urine as people age, causing them to urinate less frequently
What is urine loss caused by environmental, cognitive, or physical reasons?
Stess incontinence
Urge incontinence
Functional incontinence
Overflow incontinence
Which of the following needs to be reported to the nurse?
Burning or pressure when urinating
urinary output of 1200 to 1500ml per day
Pale yellow urine
Clear urine
Which of the following must be included when labeling a urine speciment container? The resident's __________
name
DOB
Date and time collected
type of specimen (urine)
When collecting a 24-hour urine sample, it is important to do all of the following except __________?
store urine container in a refrigerator or on ice
Discard the first void to begin the collection time
Start the collection over if a sample was accidentally flushed down the toilet
Start collecting urine and begin the collection time with the resident's first void
When testing urine samples, which of the following is considered a NORMAL finding?
+ glucose
pH of 5.0
+ blood
+ ketones
Which type of catheter is removed immediately after urine is drained and does not remain inside the bladder?
indwelling catheter
Straight catheter
drainage catheter
condom catheter
How often should a NA change the depends/briefs of an incontinent resident?
q 30 min
q 1 hours
q 2 hours
q 4 hours
Which is NOT a function of the urinary system?
To eliminate waste products from the blood
To maintain water balance in the body
To regulate hormone levels in the body
To assist in the regulation of blood pressure
A type of catheter that fits over the penis is called _________?
a Texas (condom) catheter
an internal catheter
a straight catheter
an indwelling catheter
A__________is a ring-like muscle that opens and closes an opening in the body.
bursae
sphincter
ligament
tissue
One important task to complete when collecting a 24-hour urne specimen is to _____________.
Use a specimen kit to collect the urine
Clean the perineal area before collecting the specimen
Use strainers to filter all urine from the resident
Hang a sign visible to all staff to indicate a 24-hour collection is in progress
Urine production is increased when a resident drinks_______.
Caffeinated beverages
warm milk
yogurt
high sodium fluids
The following should be reported to the nurse when observing a resident's urine.
it is amber colored
urine that is transparent or clear
urine that has a strong odor
urine that is cloudy after standing
