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WorksheetsUnit 4
Total questions: 85
Worksheet time: 1hrs 6mins
Stores urine until urination occurs.
Bladder
Kidney
Ureter
Urethra
The most important organ of the urinary system, where blood is filtered.
Gallbladder
Ureter
Kidney
Urinary bladder
What is the main function of the urinary system?
Circulate blood through body
Removing carbon dioxide from the blood
Removing wastes and toxins from your body
Expelling feces
Structure where urine is released from the body to the outside world.
Kidney
Urethra
Renal Artery
Ureter
Renal Capsule
The muscle that controls urine exiting the body is the...
ureter.
sphincter.
urethra.
bladder.
The leaking of urine from the body due to inability to control the urethral sphincter.
incontinence
filtrate
renal
dialysis
The adjective that means "having to do with the kidney"
renal
hepatic
urinary
nephron
"Filtrate" refers to... (pick TWO)
What is KEPT after filtration
What is REMOVED by filtration
Blood
Urine
Renal Artery
A
D
E
F
B
Ureter
A
D
E
F
B
Urethra
A
B
C
D
Ureter
A
B
C
D
Put the movement of urine in order from creation to release
kidney, ureter, bladder, urethra
kidney, urethra, bladder, ureter
bladder, ureter, kidney, urethra
ureter, kidney, bladder, urethra
A nurse is inserting an indwelling urethral catheter. Which action does the nurse take to prepare the client to cooperate during the insertion of a catheter?
Provide the client with a booklet describing the procedure.
Close the door and curtain and explain the procedure to the client.
Explain the procedure to the family and have them explain to it to the client.
Include the family by explaining the procedure.
client at a health care facility has been diagnosed with polyuria. How would the nurse describe the client's condition in the medical record?
greater than normal urinary volume
inadequate elimination of urine
absence of urine
difficult or uncomfortable voiding
A nurse notes that the volume of the client's urinary elimination is less than 300 ml/day. Which nursing intervention will be appropriate to use with this client?
Requesting diuretic medication
Screening for hyperglycemia
Evaluating fluid intake
Advising client to drink extra coffee
The nurse is caring for a client who reports having cloudy, foul-smelling urine. Which assessment question should the nurse ask the client?
“Are you experiencing burning and frequency?”
“Do you have difficulty starting the stream of urine?”
“Are you having episodes of clear urine mixed with episodes of cloudy urine?”
“Do you have constipation?”
The health care provider notifies a client of a diagnosis of glycosuria. Which additional assessment information will the nurse obtain from the client next?
Frequency of urine
Intake and output
Blood pressure
Blood sugar
Upon assessment of the urine in a client's indwelling urinary catheter drain bag, the nurse notes the urine to be dark yellow. Which next step should the nurse implement?
Encourage fluid intake.
Restrict fluid intake.
No action is required.
Alert the health care provider of possible infection.
The nurse is caring for a client with weakness who is ambulatory but tires easily. Which method for urinary elimination does the nurse recommend?
fracture pan
bedside commode
bedpan
regular bathroom
A client at the health care facility has been diagnosed with total urinary incontinence. How could the nurse describe the condition of the client?
loss of small amount of urine when intra-abdominal pressure rises
need to void is perceived frequently, with short-lived ability to sustain control of flow
loss of urine control because a toilet is not accessible
loss of urine without any identifiable pattern or warning
A nurse is caring for an older adult client at his home. The client has had a condom catheter applied. Which describes a condom catheter?
a flexible sheath that is rolled around the penis
a bag attached by adhesive backing to the skin around the genitals
a urine drainage tube inserted but not left in place
a urine drainage tube that is left in place over a period of time
A postsurgical client has been admitted to the unit with an indwelling urinary catheter that was inserted in the operating room and which is scheduled for removal the following morning. How can the nurse best avoid backflow of urine into the client's bladder and subsequent infection?
Ensure that the collection bag is always lower than the client's bladder.
Irrigate the catheter if clots or pus are visible in the tubing or collection bag.
Ensure that the contents of the collection bag do not exceed 50% of capacity.
Position the client in a high Fowler position unless contraindicated.
A nurse is the guest speaker at a women's club. Most of the women are older than 40 years of age and have asked the nurse to speak about health promotion topics. The nurse states that exercises may help with urinary urgency. Which exercise instruction will the nurse provide to the women?
Contract abdominal muscles 10 times per day.
Squat down and then jump up to a standing position.
Lie on the floor, raise, then lower your legs 20 times per day.
Contract the pubic muscles for 3 seconds, then relax.
A client is preparing to give a clean-catch specimen. Which instruction will the nurse provide?
Collect the first urine expelled.
After the initial stream is initiated, collect the sample.
Wait until the void is almost over to collect a specimen.
Collect the entire urinary output.
A client is admitted to the health care facility reporting pain on urination that is secondary to a urinary tract infection (UTI). The nurse documents this finding as:
polyuria
dysuria
nocturia
hematuria
A nurse uses a catheter to collect a sterile urine specimen from a client at a health care facility. If a catheter is required temporarily, which type of catheter should the nurse use?
condom catheter
urinary bag
straight catheter
retention catheter
A male patient in the clinic provides a urine sample that is red-orange in color. Which action should the nurse take first?
Notify the patient's health care provider.
Teach correct midstream urine collection.
Ask the patient about current medications.
Question the patient about urinary tract infection (UTI) risk factors.
Nursing staff on a hospital unit are reviewing rates of hospital-acquired infections (HAI) of the urinary tract. Which nursing action will be most helpful in decreasing the risk for HAI in patients admitted to the hospital?
Encouraging adequate oral fluid intake
Testing urine with a dipstick daily for nitrites
Avoiding unnecessary urinary catheterizations
Providing frequent perineal hygiene to patients
Which finding by the nurse will be most helpful in determining whether a 67-year-old patient with benign prostatic hyperplasia has an upper urinary tract infection (UTI)?
Bladder distention
Foul-smelling urine
Suprapubic discomfort
Costovertebral tenderness
Nocturnal (a) , known as nighttime bedwetting, usually subsides by 6 years of age.
Incontinence that results from weakness of the pelvic floor muscles can be treated by teaching the patient to perform (a) exercises.
A urinary (a) involves the surgical creation of an alternative route for excretion of urine.
The specific (a) of urine is a measure of the density of urine compared with the density of water.
A patient has a new colostomy placed and states "I cannot live my life like I used to". What type of loss is this patient experiencing?
Actual
Percieved
Maturation
Anticipatory
A person experiences a significant loss and refuses to acknowledge the loss. What type of grief is the person demonstrating
Mourning
Dysfunctional
Disenfranchised
True or false: There is a time limit by which a person should be done grieving a major loss.
True
False
Which of the following are signs of impending death in a person we know is actively dying? Select all that apply.
gurgling
loss of continence
mottling skin
Cheyne-Stokes respirations
Elevated BP
A legal document that tells providers how you want to be treated if you cannot make decisions about your medical treatment.
Living Will
POLST
DPOA for HC
True or false: The nursing practicing on the hospital unit where a patient is being kept alive by medical intervention but has been declared brain dead should approach the family about organ donation?
True
False
True or false: If a patient asks the nurse to pray with them, but the nurse would feel uncomfortable, the nurse should do it anyway to support the patient's spiritual health.
True
False
Select all that apply: Which of the following are aspects of spiritual health?
Purpose
Love
Belonging
Forgiveness
The absence of something to which the aected person has formed an attachment and can involve people, places, or things
Loss
Situational loss
Maturational loss
Actual loss
Loss that normally occurs with expected life changes across the lifespan
Loss
Situational loss
Maturational loss
Actual loss
Sudden unpredictable external events that bring change
Perceived loss
Situational loss
Maturational loss
Actual loss
Occurs when a person can no longer feel, hear, see, or know a person or object
Perceived loss
Situational loss
Maturational loss
Actual loss
Uniquely defines by the person experiencing loss
Perceived loss
Situational loss
Maturational loss
Actual loss
The emotional response to loss
Anticipatory grief
Normal grief
Grief
Complicated grief
Common reaction characterized by complex emotional, cognitive, social, and physical behavior
Anticipatory grief
Normal grief
Grief
Complicated grief
Occurs before the actual loss or death
Anticipatory grief
Normal grief
Disenfranchised grief
Complicated grief
Unusually prolonged grief with significant difficulty moving forwards
Anticipatory grief
Normal grief
Disenfranchised grief
Complicated grief
Grief that cannot be shared openly bc the relationship is not socially sanctioned, can't be shared, or seems less important
Anticipatory grief
Normal grief
Disenfranchised grief
Complicated grief
Legal document that communicates wishes about what type of medical care they want at end of life
Living wants
Advanced directive
Direct orders
Legal end of life direction
Which brain structure controls heart rate, blood pressure, and respirations during the body’s fight or flight response?
Pituitary Gland
Medulla Oblongata
Reticular Formulation
Cerebellum
After a provider has informed a patient that he has colon cancer, the nurse enters the room to find the patient gazing out the window in thought. Which response by the nurse is most appropriate?
"Would you like for me to sit down with you for a few minutes so you can talk about this?"
"Don't be sad. People live with cancer every day."
"I know another patient whose colon cancer was cured with surgery."
"Have you thought about how you are going to tell your family?"
The patient has just received news of the death of a relative. Over the next few hours, what physiologic response should the nurse attribute to the alarm reaction caused by the stress of this event?
Drop in blood pressure from 130/80 to 120/70
Increase in heart rate from 65 to 90
Increase in urine output from 60mL/hr to 200mL/hr
Decrease in oxygen saturation from 94% to 89%
Jean, an experienced nurse, gradually begins to fatigue easily. She also becomes emotionally exhausted, asking herself, “Why did I ever become a nurse?” What syndrome is Jean experiencing?
Compassion fatigue
Burnout
Stress Management
Depression
Which of the following is a behavioral change to stress?
overeating
muscle tension
nervousness
impatient
During which stage of the body's stress response does your body adapt to the stressor and you become irritable?
Alarm
Resistance
Fatigue
Exhaustion
During which stage of the body's stress response are hormones released?
Resistance
Alarm
Fatigue
Recovery
The nurse repositions a client who has difficulty breathing. Which nursing action, when performed following the intervention, demonstrates evaluation?
Instructing the client the importance of mobility
Arranging the pillows behind the client's back
Checking the client's respiratory status
Changing the rate of flow for the oxygen delivery system
One hour after receiving pain medication, a postoperative client reports intense pain. What is the nurse's most appropriate first action?
Discuss the frequency of pain medication orders with the client.
Assess the client to determine the cause of the pain
Consult with the healthcare provider for additional pain orders
Assist the client to reposition and splint the incision site
What is the purpose of evaluation in the nursing process?
To create a plan to address client problems.
To determine the client problems.
To systematically gather information related to the physical, mental, spiritual, socioeconomic, and cultural status of an individual, group, or community.
To evaluate a client’s response to nursing interventions and reach a nursing judgment regarding the extent to which outcomes have been met.
What is the purpose of reflection in the nursing process?
To evaluate a client’s response to nursing interventions and reach a nursing judgment regarding the extent to which outcomes have been met.
To determine the client problems.
To systematically gather information related to the physical, mental, spiritual, socioeconomic, and cultural status of an individual, group, or community.
To improve future nursing care by learning from past experiences.
During the evaluation phase, the nurse finds that the patient’s condition has not improved as expected. Which is the best response to this scenario?
Ignore these findings
Change the diagnosis
Implement the same plan more vigorously
Reassess the patient and modify the care plan
Which statement indicates that a plan to assist a client in developing and following an exercise program has been effective?
"I have just been too busy to do my daily exercises."
"I guess I will begin the activity we discussed next week."
"I know I should exercise, but my health is not very good."
"I have lost 10 pounds (4.5 kg) because I walk 2 miles (3.2 km) every day."
The nurse is caring for a client who is postoperative and has pain that is an 8 on a scale of 0 to 10. There is an order for intravenous pain medication every 4 hours as needed. The nurse administers the prescribed pain medication to the client. What should the nurse do to assist in meeting this client’s desired outcome of a pain scale score less than 4 on a scale of 0 to 10?
Call the surgeon to report the pain level.
Continue making rounds on other clients and let the client rest.
Evaluate the client’s pain level after the appropriate amount of time has elapsed for the pain medication to take effect.
Modify the plan of care to include an additional pain medication because the client’s pain is so severe.
