ATI URINARY ELIMINATION-PRACTICE ASSESSMENT
CORRECTLY ANSWERED QUESTIONS WITH RATIONALES.
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 - 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 - 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. - 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. - 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?
• "If the medicine causes an upset stomach, take an antacid at the same time."
• "Limit your daily fluid intake while taking this medication."
• "This medication can cause photophobia, so be sure to wear sunglasses
outdoors."
• "You should report any tendon discomfort you experience while taking this
medication," - - "You should report any tendon discomfort you experience
while taking this medication,"
The nurse should instruct the client to report any tendon discomfort as well as
swelling or inflammation of the tendons due to the risk of tendon rupture.
, A nurse instructs a female client about collecting a midstream urine sample.
Which of the following client statements indicates an understanding of the
procedure?
"I'Il urinate a little then stop."
"I'Il use the cleansing wipe from front to back."
"I'Ill clean the inside of the container with a
wipe."
"I'll use each cleansing wipe twice." - "TIl use the cleansing wipe from front to
back."
The client should cleanse the perineal area from front to back to avoid introducing
bacteria from the anal area into the area of the urinary meatus.
A nurse is planning on teaching a client who is scheduled for an intravenous
pyelogram (IVP). Which of the following statements should the nurse include in
the teaching?
• "The procedure will be cancelled if the urinalysis indicates the presence of
red blood cells."
• "High frequency sound waves will be used to identify renal system structures."
• "You will be able to resume your regular diet as soon as the test is complete."
• "After the procedure you will be encouraged to drink plenty of - "After
the procedure you will be encouraged to drink plenty of fluids."
The nurse should encourage fluid intake after the procedure to help promote
elimination of the dye used during the procedure.
A nurse is discussing indications for urinary catheterization with a newly
licensed nurse. Which of the following indications should the nurse include?
Select all that apply.
Relief of urinary retention
CORRECTLY ANSWERED QUESTIONS WITH RATIONALES.
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 - 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 - 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. - 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. - 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?
• "If the medicine causes an upset stomach, take an antacid at the same time."
• "Limit your daily fluid intake while taking this medication."
• "This medication can cause photophobia, so be sure to wear sunglasses
outdoors."
• "You should report any tendon discomfort you experience while taking this
medication," - - "You should report any tendon discomfort you experience
while taking this medication,"
The nurse should instruct the client to report any tendon discomfort as well as
swelling or inflammation of the tendons due to the risk of tendon rupture.
, A nurse instructs a female client about collecting a midstream urine sample.
Which of the following client statements indicates an understanding of the
procedure?
"I'Il urinate a little then stop."
"I'Il use the cleansing wipe from front to back."
"I'Ill clean the inside of the container with a
wipe."
"I'll use each cleansing wipe twice." - "TIl use the cleansing wipe from front to
back."
The client should cleanse the perineal area from front to back to avoid introducing
bacteria from the anal area into the area of the urinary meatus.
A nurse is planning on teaching a client who is scheduled for an intravenous
pyelogram (IVP). Which of the following statements should the nurse include in
the teaching?
• "The procedure will be cancelled if the urinalysis indicates the presence of
red blood cells."
• "High frequency sound waves will be used to identify renal system structures."
• "You will be able to resume your regular diet as soon as the test is complete."
• "After the procedure you will be encouraged to drink plenty of - "After
the procedure you will be encouraged to drink plenty of fluids."
The nurse should encourage fluid intake after the procedure to help promote
elimination of the dye used during the procedure.
A nurse is discussing indications for urinary catheterization with a newly
licensed nurse. Which of the following indications should the nurse include?
Select all that apply.
Relief of urinary retention
