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College-Level Nursing Block 3 Quiz on Bladder Elimination, created by cpeters on 26/02/2015.

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Bladder Elimination

Question 1 of 24

1

A female patient reports that she is experiencing burning on urination, frequency, and urgency. The nurse notes that a clean-voided urine specimen is markedly cloudy. The probably cause of these symptoms and findings is:

Select one of the following:

  • Cystitis

  • Hematuria

  • Pyelonephritis

  • Dysuria

Explanation

Question 2 of 24

1

A male patient returned from the operating room 6 hours ago with a cast on his right arm. He has not yet voided. Which action would be the most beneficial in assisting the patient to void?

Select one of the following:

  • Suggest he stand at the bedside.

  • Stay with the patient.

  • Give him the urinal to use in bed.

  • Tell him that, if he doesn't urinate, he will be catheterized

Explanation

Question 3 of 24

1

Elimination changes that result from inability of the bladder to empty properly may cause which of the following? (Select all that apply.)

Select one or more of the following:

  • Incontinence

  • Frequency

  • Urgency

  • Urinary retention

  • Urinary tract infection

Explanation

Question 4 of 24

1

An older male patient states that he is having problems starting and stopping his stream of urine and he feels the urgency to void. The best way to assist this patient is to:

Select one or more of the following:

  • Help him stand to void.

  • Place a condom catheter.

  • Have him practice the Crede's method.

  • Initiate Kegel exercises.

Explanation

Question 5 of 24

1

Since removal of the patient's Foley catheter, the patient has voided 50 to 100 mL every 2 to 3 hours. Which action should the nurse take first?

Select one or more of the following:

  • Check for bladder distention.

  • Encourage fluid intake.

  • Obtain an order to recatheterize the patient.

  • Document the amount of each voiding for 24 hours.

Explanation

Question 6 of 24

1

To minimize the patient experiencing nocturia, the nurse would teach him or her to:

Select one of the following:

  • Perform perineal hygiene after urinating.

  • Set up a toileting schedule.

  • Double void.

  • Limit fluids before bedtime.

Explanation

Question 7 of 24

1

A patient with a Foley catheter carries the collection bag at waist level when ambulating. The nurse tells the patient that he or she is at risk for: (Select all that apply.)

Select one or more of the following:

  • Infection

  • Retention

  • Stagnant urine.

  • Reflux of urine.

Explanation

Question 8 of 24

1

The patient is incontinent, and a condom catheter is placed. The nurse should take which action?

Select one of the following:

  • Secure the condom with adhesive tape

  • Change the condom every 48 hours.

  • Assess the patient for skin irritation.

  • Use sterile technique for placement.

Explanation

Question 9 of 24

1

After a transurethral prostatectomy a patient returns to his room with a triple-lumen indwelling catheter and continuous bladder irrigation. The irrigation is normal saline at 150 mL/hr. The nurse empties the drainage bag for a total of 2520 mL after an 8-hour period. Total urine output afterwards is 1320 mL.

Select one of the following:

  • True
  • False

Explanation

Question 10 of 24

1

The nurse directs the NAP to remove a Foley catheter at 1300. The nurse would check if the patient has voided by:

Select one of the following:

  • 1400

  • 1600

  • 1700

  • 2300

Explanation

Question 11 of 24

1

The postoperative patient has difficulty voiding after surgery and is feeling "uncomfortable" in the lower abdomen. Which action should the nurse implement first?

Select one of the following:

  • Encourage fluid intake.

  • Administer pain medication.

  • Catheterize the patient

  • Turn on the bathroom faucet as he tries to void.

Explanation

Question 12 of 24

1

The patient is to have an intravenous pyelogram (IVP). Which of the following apply to this procedure? (Select all that apply.)

Select one or more of the following:

  • Note any allergies.

  • Monitor intake and output.

  • Provide for perineal hygiene.

  • Assess vital signs.

  • Encourage fluids after the procedure.

Explanation

Question 13 of 24

1

The nurse assesses that the patient has a full bladder, and the patient states that he or she is having difficulty voiding. The nurse would teach the patient to:

Select one of the following:

  • Use the double-voiding technique.

  • Perform Kegel exercises.

  • Use Crede's method.

  • Keep a voiding diary.

Explanation

Question 14 of 24

1

That patient states that she "loses urine" every time she laughs or coughs. The nurse teaches the patient measures to regain urinary control. The nurse recognizes the need for further teaching when the patient states:

Select one of the following:

  • "I will perform my Kegel exercises every day."

  • "I joined weight watchers."

  • "I drink two glasses of wine with dinner."

  • "I have tried urinating every 3 hours."

Explanation

Question 15 of 24

1

The nurse notes that the patient's Foley catheter bag has been empty for 4 hours. The priority action would be to:

Select one of the following:

  • Irrigate the Foley.

  • Check for kinks in the tubing.

  • Notify the health care provider.

  • Assess the patient's intake.

Explanation

Question 16 of 24

1

Mrs. Rantz complains of leaking urine when she coughs and laughs. This is known as:

Select one of the following:

  • Urge inconinence

  • Stress incontinence

  • Reflex incontinence

  • Functional incontinence

Explanation

Question 17 of 24

1

Ms. Hathaway has a UTI. Which of the following symptoms would you expect her to exhibit?

Select one of the following:

  • Dysuria

  • Oliguria

  • Polyuria

  • Proteinuria

Explanation

Question 18 of 24

1

The nurse is working in the radiology department with a patient who is having an intravenous pyelogram. Which of the following complaints by the patient is an abnormal response?

Select one of the following:

  • Frequent, loose stools

  • Thirst and feeling "worn out"

  • Shortness of breath and audible wheezing

  • Feeling dizzy and warm with obvious facial flushing.

Explanation

Question 19 of 24

1

The urinalysis of Ms. Hathaway reveals a high bacteria count. Ampicillin is prescribed for her UTI. The teaching plan for the prevention of a UTI should include all of the following except:

Select one of the following:

  • Drink at least 2000 mL of fluid daily

  • Always wipe the perineum from front to back

  • Drink plenty of orange and grapefruit juices.

  • Explain the possible side effects of medication.

Explanation

Question 20 of 24

1

A nurse in a provider’s office is assessing a client who reports losing control of urine whenever she coughs, laughs, or sneezes. The client relates a history of three vaginal births, but no serious accidents or illnesses. Which of the following interventions are appropriate for helping to control or eliminate the client’s incontinence? (Select all that apply.)

Select one or more of the following:

  • Limit total daily fluid intake.

  • Decrease or avoid caffeine.

  • Increase the intake of calcium supplements.

  • Avoid the intake of alcohol.

  • Use Credé maneuver.

Explanation

Question 21 of 24

1

A client who has an indwelling catheter reports a need to urinate. Which of the following interventions should the nurse perform?

Select one of the following:

  • Check to see whether the catheter is patent.

  • Reassure the client that it is not possible for her to urinate.

  • Recatheterize the bladder with a larger-gauge catheter.

  • Collect a urine specimen for analysis.

Explanation

Question 22 of 24

1

A provider prescribes a 24-hr urine collection for a client. Which of the following actions should the nurse take?

Select one of the following:

  • Discard the first voiding.

  • Keep all voidings in a container at room temperature.

  • Ask the client to urinate and pour the urine into a specimen container.

  • Ask the client to urinate into the toilet, stop midstream, and finish urinating into the
    specimen container.

Explanation

Question 23 of 24

1

A nurse is preparing to initiate a bladder training program for a client who has a voiding disorder. Which of the following actions should the nurse take? (Select all that apply.)

Select one or more of the following:

  • Establish a schedule of voiding prior to meal times.

  • Have the client record voiding times.

  • Gradually increase the voiding intervals.

  • Remind client to hold urine until next scheduled voiding time.

  • Provide a sterile container for voiding.

Explanation

Question 24 of 24

1

A nurse educator on a medical unit is reviewing factors that increase the risk of urinary tract infections (UTIs) with a group of assistive personnel. Which of the following should be included in the review? (Select all that apply.)

Select one of the following:

  • Having sexual intercourse on a frequent basis

  • Lowering of testosterone levels

  • Wiping from back to front

  • The location of the urethra in relation to the anus

  • Undergoing frequent catheterization

Explanation

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