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Promoting Urinary Elimination

Amanda Burton 55 questions

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Questions in this quiz (55)

  1. 1A patient returned from same-day surgery 4 hours ago. He is awake and alert, but has not been able to void. He cannot be discharged until he voids. He has had 1000 mL of IV fluid. Which intervention would be the most likely to help this patient urinate?
    1. AGive more liquids by mouth.
    2. BWait at least 3 more hours.
    3. CHelp him stand by the bedside to void.
    4. DCall the physician and obtain an order for a foley catheter.
  2. 2A patient with cystitis is prescribed phenazopyridine HCI (Pyridium). Which statement by the patient indicates that she has understood the teaching points for this medication?
    1. A"This medication helps to flush the bladder."
    2. B"This medication prevents resistance to organisms."
    3. C"This medication turns the urine orange or red.
    4. D"This medication relieves my symptoms because it cures infection."
  3. 3The nurse is obtaining a urine specimen for a patient who has an existing Foley catheter. Below are the steps for the procedure. Place these steps in the correct order.

    [blank_start]____[blank_end] Scrub the aspiration port of the drainage tubing with an alcohol pad.
    ____ Aspirate 3 mL of urine by gently pulling back on the plunger.
    ____ Clamp the tube below the aspiration port.
    ____ Empty the syringe into the sterile container; do not touch the inside of the container.
    ____ Close and label the container. Unclamp the catheter.
    ____ Attach a needless connector with attached syringe into the aspiration port.
    1. A2, 4, 1, 5, 6, 3
    2. B4, 3, 5, 1, 6, 2
    3. C1, 2, 3, 4, 5, 6
    4. D5, 2, 4, 6, 1, 3
    5. E2, 5, 6, 1, 3, 4
    6. F1, 4, 2, 5, 6, 3
  4. 4A nurse is caring for a patient who is newly incontinent. What is the priority action?
    1. AHelp the patient void every 2 hours.
    2. BDecrease the fluid intake, especially in the evening.
    3. CGather data to find the cause of incontinence.
    4. DEncourage expression of embarrassment.
  5. 5The nurse has just collected a midstream urine specimen from a patient. Which urine characteristic would be of the greatest concern?
    1. AUrine smells slightly of ammonia.
    2. BUrine is dilute.
    3. CUrine is slightly cloudy.
    4. DUrine is dark brown.
  6. 6A patient in a long-term facility has a retention catheter in place. The nurse identifies RISK for infection as a nursing diagnosis. Which urine abnormality supports the choice of this diagnosis.
    1. AGlycosuria
    2. BKetonuria
    3. CPresence of casts
    4. DPresence of bilirubin
  7. 7A patient is admitted with urinary retention. There is an order to insert a Foley catheter into his bladder. He attempts to void and passes 100 mL of urine Before catheterization, the nurse should:
    1. Ause a condom catheter with a leg bag
    2. Bwait 2 hours and have him try to void again
    3. Chave him rink two to three glasses of water
    4. Dperform a bladder scan to determine amount of urine retained
  8. 8The nurse is catheterizing a male patient, who is confused. He moves several times during the procedure despite repeated verbal instructions to remain calm, quiet, and still. Which nursing diagnosis is the priority related to the presence of the catheter for this patient?
    1. ARisk for injury
    2. BRisk for infection
    3. CNoncompliance
    4. DDeficient knowledge
  9. 9The nurse is catheterizing a male patient. Resistance is met, the nurse should:
    1. Aapply more pressure with a twisting motion to insert the catheter
    2. Bobtain a new sterile kit and try again with a sterile Coude catheter
    3. Cask him to take a deep breath and slowly exhale as the catheter is inserted
    4. Ddiscontinue the procedure and try again after the patient relaxes
  10. 10The nurse must assist several patients to use the bed pan. Which patient is most likely to need a fracture pan?
    1. APatient who is passing a large amount of liquid stool
    2. BPatient who is post-surgical for hip repair
    3. CPatient who is obese and immobile
    4. DPatient who is unsteady and has mild cardiac failure

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Description
Fundamentals Quiz on Promoting Urinary Elimination , created by Amanda Burton on 01/10/2017.
Language
English
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