CORRECT Answers
A condom catheter is to be used for an adult male client Leaving a 2.5- to 5-cm space between the tip of the penis and the end of the
in the extended care facility. Which of the following catheter
techniques is appropriate for the nurse to use in applying
the condom catheter?
Select one:
a. Using sterile gloves
b. Wrapping the adhesive tape securely around the base
of the penis
c. Leaving a 2.5- to 5-cm space between the tip of the
penis and the end of the catheter
d. Taping the tubing tightly to the thigh and attaching the
drainage bag to the bed frame
The unit manager is evaluating the care of a new nursing Collect the specimen after the initial stream of urine has passed.
staff member. Which of the following techniques is
appropriate for the nurse to implement to obtain a clean-
voided urine specimen?
Select one:
a. Apply sterile gloves for the procedure.
b. Restrict fluids before the specimen collection.
c. Place the specimen in a clean urinalysis container.
d. Collect the specimen after the initial stream of urine
has passed.
,An order is written for the client's indwelling urinary Cuts the catheter to deflate the balloon
catheterization to be discontinued. While observing the
new staff nurse providing care to this client and
implementing the prescriber's order, the unit manager
determines that further instruction about catheter
removal is required for the new nurse if he or she does
which one of the following?
Select one:
a. Drapes the female client between the thighs
b. Obtains a specimen before removal
c. Cuts the catheter to deflate the balloon
d. Checks the client's output for 24 hours after removal
The nurse is working with a client who has a urinary Special skin care is a priority.
diversion. Included in the plan of care for this client is
which of the following instructions?
Select one:
a. Special clothing will need to be ordered to fit around
the diversion.
b. A stomal bag will need to be worn only at night.
c. A reduction in physical activity will be planned.
d. Special skin care is a priority.
Immediately after an intravenous pyelogram (IVP), the An allergic reaction to the contrast material
nurse should observe the client for which of the following
symptoms?
Select one:
a .Infection in the urinary bladder
b. An allergic reaction to the contrast material
c. Urinary suppression caused by injury to kidney tissues
d. Incontinence as a result of paralysis of the urinary
sphincter
, The nurse suspects that the client has a urinary tract Dysuria
infection (UTI) based on the client exhibiting which of the
following early signs or symptoms?
Select one:
a. Chills
b. Dysuria
c. Flank pain
d. Lower back pain
In determining the client's urinary status, which of the 1500 to 1600 mL per day
following does the nurse anticipate the urinary output for
an average adult should be?
Select one:
a. 800 to 1000 mL per day
b. 1000 to 1200 mL per day
c. 1500 to 1600 mL per day
d. 2000 to 2300 mL per day
Urinary elimination may be altered with different Polyuria
pathophysiological conditions. For the client with
diabetes mellitus, the nurse anticipates which of the
following initial urinary signs or symptoms?
Select one:
a. Urgency
b. Dysuria
c. Hematuria
d. Polyuria
A postpartum client has been unable to void since her Pour warm water over the client's perineum.
delivery of a baby this morning. Which of the following
nursing measures would be beneficial for the client
initially?
Select one:
a. Increase the client's fluid intake to 3500 mL.
b. Insert indwelling Foley catheter.
c. Pour warm water over the client's perineum.
d. Apply firm pressure over the client's bladder.
A 3-year-old child is visiting the pediatric clinic. The nurse Offer fluids 30 minutes in advance.
suspects that the child has a urinary tract infection (UTI).
Which of the following methods is appropriate for the
nurse to implement to obtain a urine specimen from the
child?
Select one:
a. Use an indwelling catheter.
b. Offer fluids 30 minutes in advance.
c. Apply pressure over the urinary bladder.
d. Place a diaper on the child and squeeze out the
specimen.