Fundamentals of Nursing 107: Urinary Elimination Final Exam Questions And Answers Fully Solved.

A patient's health care provider orders a postvoid residual urine volume by either bladder scan or straight catheterization. The patient states an inability to void. What is your initial nursing intervention? A. Implement measures to stimulate voiding. B. Catheterize the patient and record the amount of urine obtained. C. Measure bladder volume with the bladder scan and record the volume. D. Notify the health care provider that the patient cannot void. - Correct AnswersA. Implement measures to stimulate voiding. Which nursing intervention decreases the risk for catheter-associated urinary tract infection (CAUTI)? A. Daily cleansing the urinary meatus with antiseptic solution B. Hanging the urinary drainage bag below the level with the bladder C. Changing the urinary drainage bag daily D. Irrigating the urinary catheter with sterile water - Correct AnswersB. Hanging the urinary drainage bag below the level with the bladder Which of the following places the steps for insertion of an indwelling catheter in a female patient in appropriate order? 1. Insert and advance catheter. 2. Lubricate catheter. 3. Inflate catheter balloon. 4. Cleanse urethral meatus. 5. Drape patient with the sterile square and fenestrated drapes. 6. When urine appears advance another 2.5 to 5 cm. 7. Prepare sterile field and supplies. 8. Gently pull catheter until resistance is felt. 9. Attach drainage tubing. A. 7, 2, 5, 4, 1, 6, 3, 8, 9 B. 7, 5, 2, 4, 6, 1, 3, 8, 9 C. 5, 7, 2, 4, 1, 6, 3, 8, 9 D. 5, 7, 4, 2, 1, 6, 8, 3, 9 - Correct AnswersC. 5, 7, 2, 4, 1, 6, 3, 8, 9 What does a nurse teach a female patient recovering from a urinary tract infection about prevention? (Select all that apply.) A. Keep the bowels regular. B. Limit water intake to 1 to 2 glasses a day. C. Wear cotton underwear. D. Cleanse the perineum from front to back. - Correct AnswersA. Keep the bowels regular C. Wear cotton underwear D. Cleanse the perineum from front to back. Which organ systems assist in voiding? [Select all that apply.] A. Bladder B. Arteries C. Gluteus Maximus D. Central Nervous System E. Urinary Sphincter - Correct AnswersA. Bladder D. Central Nervous System E. Urinary Sphincter Which statement from a patient suffering from an urinary tract infection requires the nurse to follow up? A. "I always wipe from front to back after I use the toilet." B. "The less water I drink, the less frequently I have to go." C. "I avoid drinking water right before bed to avoid waking up at night." D. "During the day I drink lots of coffee to stay awake." - Correct AnswersD. "During the day I drink lots of coffee to stay awake." What factors influence urinary elimination? - Correct AnswersPsychological Factors Growth & Development Sociocultural Factors Personal Habits Fluid Intake Surgical Procedures Medications Diagnostic Examinations A patient complains that she often awakes in the middle of the night to urinate. What term describes what the patient is experiencing? A. Dysuria B. Proteinuria C. Nocturia D. Bacteremia - Correct AnswersC. Nocturia An elderly woman with dementia is incontinent of urine. She ambulates with a cane, has poor short-term memory, and never alerts staff that she has an urge to void. The staff do not usually see her using the toilet. What is the best nursing intervention for this patient? A. Insert a catheter. B. Offer her a bedpan every two hours. C. Ask NAP to monitor her for signs of urinary incontinence. D. Start a bladder retraining program. E. Start a scheduled toileting program. - Correct AnswersE. Start a scheduled toileting program. During an assessment, a patient states, "Whenever I use the bathroom, I notice my boxers are already damp with urine. It's like I'm leaking urine all day long." What question would the nurse ask the patient to better understand the nature of the patient's constant dribbling? A. "Have you tried Kegel exercises?" B. "How many glasses of water do you drink a day?" C. "Do you need help getting to the bathroom?" D. "Do you have a history of prostate disease?" - Correct AnswersC. "Do you have a history of prostate disease?" Nocturia can be caused by which two of the following conditions? A. Early renal disease B. Too much fluid intake before bed C. High protein diet D. Insomnia - Correct AnswersA. Early renal disease B. Too much fluid intake before bed A patient states, "I think have dysuria. It burns when I pee." Is the patient correct? If not, what term describes the patient's correct condition? - Correct AnswersYes, the patient is correct. Name the components of the urinary system. - Correct AnswersKidneys, ureters, bladder, urethra During an assessment, a patient states, "Whenever I use the bathroom, I notice my boxers are already damp with urine. It's like I'm leaking urine all day long." What question would the nurse ask the patient to better understand the nature of the patient's constant dribbling? A. "Have you tried Kegel exercises?" B. "How many glasses of water do you drink a day?" C. "Do you need help getting to the bathroom?" D. "Do you have a history of prostate disease?" - Correct AnswersD. "Do you have a history of prostate