ATI URINARY ELIMINATION NEWEST
VERSION EXAM WITH BEST SOLUTIONS
GUARANTEED PASS
A nurse is preparing to discontinue a client's indwelling
urinary catheter. Which of the following actions should the
nurse take first?
Deflate the catheter balloon using a sterile syringe.
Measure and document the urine in the drainage bag.
Remove the tape or device securing the catheter to the
client's thigh Position the client supine. - answer-Position
the client supine.
The first action the nurse should take using the nursing
process is to place the client in a supine position. This
permits adequate visualization and assessment of the
perineal area and promotes client comfort and relaxation.
A client who has an elevated BUN is most likely to have a
manifestation of
,A client who reports painful urination of a
A client who reports urinary frequency
A client who has glucose in his urine - answer-A client who
reports urinary frequency
Voiding a small amount of urine (less than 100 mL)
frequently (2 to 3 times per hr), and dribbling of urine are
manifestations of urinary retention.
A nurse removes an indwelling urinary catheter that an
older adult client has had in place for 2 days. The nurse
should assess the client for which of the following
expected outcomes after catheter removal?
Temporary urinary retention
Urinary frequency for several days
Blood-tinged urine
Highly concentrated urine - answer-Temporary urinary
retention
,Until the bladder regains its full tone, it is common for
clients to develop urinary retention, If a client does not
urinate for 6 to 8 hr after catheter removal, reinsertion
might become necessary.
A nurse is providing discharge teaching about clean
intermittent self-catheterization for a client who has benign
prostatic hyperplasia. Which of the following instructions
should the nurse include?
Perform catheterization when you recognize the urge to
void.
Hold the penis at a 30° to 45° angle when inserting the
catheter.
The client should Inflate the balloon when the urine flow
stops.
Use soap and water to wash the catheter after each use. -
answer-Use soap and water to wash the catheter after
each use.
The client should wash the catheter using soap and water
and store it in a clean container after each use.
, A charge nurse is observing a newly-licensed nurse insert
an indwelling urinary catheter for a male client. Which of
the following actions by the newly-licensed nurse requires
intervention by the charge nurse?
- Lubricates the first 2.5 to 5 cm (2 in) of the catheter.
- Dons sterile gloves before cleaning the client's meatus.
- Secures the tubing to the client's upper thigh.
- Pulls gently on the catheter to check for resistance after
inflating the balloon. - answer-Lubricates the first 2.5 to 5
cm (2 in) of the catheter.
The nurse should lubricate the first 2.5 to 5 cm (1 to 2 in)
of the catheter when inserting a catheter into a female
client. The nurse should lubricate the first 15 to 17.5 cm (6
to 7 in) when inserting a catheter into a male client.
cleaning the client's meatus.
A nurse is teaching a client who has a urinary tract
infection (UTI) and is taking ciprofloxacin. Which of the
following instructions should the nurse give to the client?
VERSION EXAM WITH BEST SOLUTIONS
GUARANTEED PASS
A nurse is preparing to discontinue a client's indwelling
urinary catheter. Which of the following actions should the
nurse take first?
Deflate the catheter balloon using a sterile syringe.
Measure and document the urine in the drainage bag.
Remove the tape or device securing the catheter to the
client's thigh Position the client supine. - answer-Position
the client supine.
The first action the nurse should take using the nursing
process is to place the client in a supine position. This
permits adequate visualization and assessment of the
perineal area and promotes client comfort and relaxation.
A client who has an elevated BUN is most likely to have a
manifestation of
,A client who reports painful urination of a
A client who reports urinary frequency
A client who has glucose in his urine - answer-A client who
reports urinary frequency
Voiding a small amount of urine (less than 100 mL)
frequently (2 to 3 times per hr), and dribbling of urine are
manifestations of urinary retention.
A nurse removes an indwelling urinary catheter that an
older adult client has had in place for 2 days. The nurse
should assess the client for which of the following
expected outcomes after catheter removal?
Temporary urinary retention
Urinary frequency for several days
Blood-tinged urine
Highly concentrated urine - answer-Temporary urinary
retention
,Until the bladder regains its full tone, it is common for
clients to develop urinary retention, If a client does not
urinate for 6 to 8 hr after catheter removal, reinsertion
might become necessary.
A nurse is providing discharge teaching about clean
intermittent self-catheterization for a client who has benign
prostatic hyperplasia. Which of the following instructions
should the nurse include?
Perform catheterization when you recognize the urge to
void.
Hold the penis at a 30° to 45° angle when inserting the
catheter.
The client should Inflate the balloon when the urine flow
stops.
Use soap and water to wash the catheter after each use. -
answer-Use soap and water to wash the catheter after
each use.
The client should wash the catheter using soap and water
and store it in a clean container after each use.
, A charge nurse is observing a newly-licensed nurse insert
an indwelling urinary catheter for a male client. Which of
the following actions by the newly-licensed nurse requires
intervention by the charge nurse?
- Lubricates the first 2.5 to 5 cm (2 in) of the catheter.
- Dons sterile gloves before cleaning the client's meatus.
- Secures the tubing to the client's upper thigh.
- Pulls gently on the catheter to check for resistance after
inflating the balloon. - answer-Lubricates the first 2.5 to 5
cm (2 in) of the catheter.
The nurse should lubricate the first 2.5 to 5 cm (1 to 2 in)
of the catheter when inserting a catheter into a female
client. The nurse should lubricate the first 15 to 17.5 cm (6
to 7 in) when inserting a catheter into a male client.
cleaning the client's meatus.
A nurse is teaching a client who has a urinary tract
infection (UTI) and is taking ciprofloxacin. Which of the
following instructions should the nurse give to the client?
