Test
Bladder Elimination
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Preguntas del test (24)
1A 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:
- ACystitis
- BHematuria
- CPyelonephritis
- DDysuria
2A 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?
- ASuggest he stand at the bedside.
- BStay with the patient.
- CGive him the urinal to use in bed.
- DTell him that, if he doesn't urinate, he will be catheterized
3Elimination changes that result from inability of the bladder to empty properly may cause which of the following? (Select all that apply.)
- AIncontinence
- BFrequency
- CUrgency
- DUrinary retention
- EUrinary tract infection
4An 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:
- AHelp him stand to void.
- BPlace a condom catheter.
- CHave him practice the Crede's method.
- DInitiate Kegel exercises.
5Since 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?
- ACheck for bladder distention.
- BEncourage fluid intake.
- CObtain an order to recatheterize the patient.
- DDocument the amount of each voiding for 24 hours.
6To minimize the patient experiencing nocturia, the nurse would teach him or her to:
- APerform perineal hygiene after urinating.
- BSet up a toileting schedule.
- CDouble void.
- DLimit fluids before bedtime.
7A 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.)
- AInfection
- BRetention
- CStagnant urine.
- DReflux of urine.
8The patient is incontinent, and a condom catheter is placed. The nurse should take which action?
- ASecure the condom with adhesive tape
- BChange the condom every 48 hours.
- CAssess the patient for skin irritation.
- DUse sterile technique for placement.
9After 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.
- AVerdadero
- BFalso
10The nurse directs the NAP to remove a Foley catheter at 1300. The nurse would check if the patient has voided by:
- A1400
- B1600
- C1700
- D2300
11The postoperative patient has difficulty voiding after surgery and is feeling "uncomfortable" in the lower abdomen. Which action should the nurse implement first?
- AEncourage fluid intake.
- BAdminister pain medication.
- CCatheterize the patient
- DTurn on the bathroom faucet as he tries to void.
12The patient is to have an intravenous pyelogram (IVP). Which of the following apply to this procedure? (Select all that apply.)
- ANote any allergies.
- BMonitor intake and output.
- CProvide for perineal hygiene.
- DAssess vital signs.
- EEncourage fluids after the procedure.
13The 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:
- AUse the double-voiding technique.
- BPerform Kegel exercises.
- CUse Crede's method.
- DKeep a voiding diary.
14That 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:
- A"I will perform my Kegel exercises every day."
- B"I joined weight watchers."
- C"I drink two glasses of wine with dinner."
- D"I have tried urinating every 3 hours."
15The nurse notes that the patient's Foley catheter bag has been empty for 4 hours. The priority action would be to:
- AIrrigate the Foley.
- BCheck for kinks in the tubing.
- CNotify the health care provider.
- DAssess the patient's intake.
16Mrs. Rantz complains of leaking urine when she coughs and laughs. This is known as:
- AUrge inconinence
- BStress incontinence
- CReflex incontinence
- DFunctional incontinence
17Ms. Hathaway has a UTI. Which of the following symptoms would you expect her to exhibit?
- ADysuria
- BOliguria
- CPolyuria
- DProteinuria
18The 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?
- AFrequent, loose stools
- BThirst and feeling "worn out"
- CShortness of breath and audible wheezing
- DFeeling dizzy and warm with obvious facial flushing.
19The 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:
- ADrink at least 2000 mL of fluid daily
- BAlways wipe the perineum from front to back
- CDrink plenty of orange and grapefruit juices.
- DExplain the possible side effects of medication.
20A 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.)
- ALimit total daily fluid intake.
- BDecrease or avoid caffeine.
- CIncrease the intake of calcium supplements.
- DAvoid the intake of alcohol.
- EUse Credé maneuver.
21A client who has an indwelling catheter reports a need to urinate. Which of the following interventions should the nurse perform?
- ACheck to see whether the catheter is patent.
- BReassure the client that it is not possible for her to urinate.
- CRecatheterize the bladder with a larger-gauge catheter.
- DCollect a urine specimen for analysis.
22A provider prescribes a 24-hr urine collection for a client. Which of the following actions should the nurse take?
- ADiscard the first voiding.
- BKeep all voidings in a container at room temperature.
- CAsk the client to urinate and pour the urine into a specimen container.
- DAsk the client to urinate into the toilet, stop midstream, and finish urinating into the
specimen container.
23A 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.)
- AEstablish a schedule of voiding prior to meal times.
- BHave the client record voiding times.
- CGradually increase the voiding intervals.
- DRemind client to hold urine until next scheduled voiding time.
- EProvide a sterile container for voiding.
24A 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.)
- AHaving sexual intercourse on a frequent basis
- BLowering of testosterone levels
- CWiping from back to front
- DThe location of the urethra in relation to the anus
- EUndergoing frequent catheterization
Información
- Descripción
- College-Level Nursing Block 3 Test sobre Bladder Elimination, creado por cpeters el 26/02/2015.
- Autor
- cpeters
- Idioma
- English
- Visitas
- 145
- Etiquetas
- Valoración
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