NR 505 Chapter 46-Urinary Elimination Final Exam Complete Key Questions with 100% Correct Solutions||UPDATED 2025/2026 A+ GRADED!!! BRAND NEW VERSION

NR 505 Chapter 46-Urinary Elimination Final Exam Complete Key Questions with 100% Correct Solutions||UPDATED 2025/2026 A+ GRADED!!! BRAND NEW VERSION A male patient returned from the operating room 6 hours ago with a cast on his right arm. He has not yet voided. Which action would be most beneficial in assisting the patient to void? 1 Suggest he stand at the bedside. 2 Stay with the patient. 3 Give him the urinal to use in bed. 4 Tell him that, if he doesn't urinate, he will be catheterized. - ANSWER 1 Suggest he stand at the bedside. A man voids more easily in the standing position. A patient tells a nurse, "My urine output is lower even after increasing my fluid intake." What does the nurse suspect is the reason behind the patient's condition? 1 Urinary tract infection 2 Inflammation of the prostate gland 3 Uncontrolled diabetes mellitus 4 Increased production of antidiuretic hormone - ANSWER 4 Increased production of antidiuretic hormone Decreased urine output in relation to fluid intake is known as oliguria, which may be caused by increased production of antidiuretic hormone. Urinary tract infections may cause dysuria, urgency, frequency, and nocturia, but not oliguria. Inflammation of the prostate gland may cause dysuria, but not oliguria. Uncontrolled diabetes mellitus may cause polyuria, but not oliguria. A nurse is teaching a 55-kg patient about the promotion of normal micturition by maintaining optimal fluid intake. The nurse is aware that the patient has normal renal function and no heart disease or alterations that require fluid restriction. What is the approximate amount of fluid that the nurse should instruct the patient to drink per day? Record your answer in mL using a whole number. ____ - ANSWER 1650 A patient with normal renal function who does not have heart disease or alterations that require fluid restriction should have approximately 30 mL of fluids per kilogram of body weight. Therefore, the approximate amount of fluid that the nurse should instruct the patient to drink per day is 30 x 55 = 1650 mL. A nurse is caring for a patient who is receiving treatment for a urinary elimination problem. After a few days of taking the prescribed medications, the patient reports a dry mouth, constipation, and blurred vision. Which medication is the most likely cause of the patient's symptoms? 1 Atropine 2 Mirabegron 3 Fesoterodine 4 Phenazopyridine - ANSWER 3 Fesoterodine Antimuscarinic agents, such as fesoterodine, are used to treat different types of urinary incontinence. These medications may cause dry mouth, constipation, and blurred vision. Anticholinergics, such as atropine, inhibit bladder contractility and thereby increase the risk for urinary retention. Mirabegron may also be used to treat different types of urinary incontinence, but it is not an antimuscarinic agent and does not result in the side effects of dry mouth, constipation, and blurred vision. Patients with painful urination associated with urinary tract infections may be prescribed urinary analgesics such as phenazopyridine, which will turn the urine orange. (pg. ) Which symptoms should the nurse anticipate in a patient with urge urinary incontinence? Select all that apply. 1 Distended bladder on palpation 2 Leaks on the way to the bathroom 3 Leaks without awareness 4 Strong urge or leaks upon hearing water running 5 Loss of a small volume of urine while coughing or laughing - ANSWER 2 Leaks on the way to the bathroom 4 Strong urge or leaks upon hearing water running Patients with urge incontinence may report leaks on the way to the bathroom and a strong urge or leaks when they hear water running. A distended bladder on palpation is a characteristic of overflow incontinence or urinary retention. Reflex incontinence is characterized by leakage of urine without awareness. Patients with stress incontinence may report the loss of a small volume of urine while coughing or laughing. (pg. 1105) A nursing instructor asks a nursing student to explain the evaluation phase of a patient who underwent urinary catheterization due to compromised bladder function. Which statement if made by the student indicates a need for further education? 1 "During the evaluation phase,the nurse reassesses the patient's urination pattern." 2 "During the evaluation phase, the nurse asks the patient if expectations are being met." 3 "During the evaluation phase, the nurse explains the procedure and the importance of the catheter to the patient." 4 "During the evaluation phase, the nurse asks the patient about any permanent change in elimination." - ANSWER 3 "During the evaluation phase, the nurse explains the procedure and the importance of the catheter to the patient." During the planning phase (not the evaluation phase) of the nursing process, the nurse explains the surgical procedure and the importance of the catheter to the patient. During the evaluation phase, the nurse reassesses the patient's urination pattern, asks the patient if the expectations are being met, and asks the patient about any permanent change in elimination. (pg. 1132) The nurse, along with an nursing assistive person (NAP), is catheterizing a patient with a neurogenic bladder. What are the responsibilities of the NAP? Select all that apply. 1 Maintain the privacy of the patient. 2 Provide perineal care. 3 Assist in the positioning of the patient. 4 Insert catheter into the urethral meatus. 5 Inflate the balloon fully as per the manufacturer's direction. - ANSWER 1 Maintain the privacy of the patient. 2 Provide perineal care. 3 Assist in the positioning of the patient. Nursing assistive personnel (NAP) are responsible for maintaining the privacy of the patient. The NAP also provide perineal care before and after the procedure, and are responsible for assisting the nurse in positioning the patient for catheterization. Inserting the catheter into the urethral meatus and inflating the balloon of the catheter are skilled activities that should be performed by the nurse. (pg. 1140) The patient has to provide a urine sample. Which actions should the nurse perform? Select all that apply. 1 Instruct patient to obtain a midstream sample. 2 Instruct patient to obtain a last-stream sample. 3 Instruct patient to obtain a sample at the beginning of urination. 4 Transport specimen to the laboratory within 15-30 minutes. 5 Refrigerate specimen if it does not reach the laboratory within 30 minutes. - ANSWER 1 Instruct patient to obtain a midstream sample. 4 Transport specimen to the laboratory within 15-30 minutes. 5 Refrigerate specimen if it does not reach the laboratory within 30 minutes. The nurse should collect a midstream urine sample as that is free from urethral and dermal contaminants. Because bacteria grow quickly in urine, the specimen should be transported to the laboratory within 15 to 30 minutes. Urine not received by the laboratory within 30 minutes should be refrigerated to prevent bacteria from growing. However, refrigeration should not exceed 2 hours. Last stream samples usually contain dermal contaminants. Initial-stream samples contain urethral contaminants. (pg. 1130) What nursing intervention is the nurse least likely to provide to a patient diagnosed with stress urinary incontinence related to a weakened pelvic musculature? 1 Encouraging the patient to lose weight 2 Reinforcing teaching related to type 2 diabetes 3 Advising the patient to maintain adequate hydration 4 Instructing the patient to avoid caffeine and other bladder irritants - ANSWER 2 Reinforcing teaching related to type 2 diabetes If a patient is diagnosed with stress urinary incontinence related to a weakened pelvic musculature, the nurse is least likely to reinforce teaching related to type 2 diabetes. This type of teaching is needed in cases where there is risk of infection due to diabetes. A patient who has stress urinary incontinence related to a weakened pelvic musculature should be encouraged to lose weight and maintain adequate hydration. The nurse should also instruct the patient to avoid caffeine and other bladder irritants. (pg. 1117) The nurse is providing care to a patient who has reached the maximum administration rate for the prescribed enteral feedings. How often should the nurse weigh the patient based on the current data? 1 Daily 2 Monthly 3 Three times per week 4 Every 3 months - ANSWER 3 Three times per week A patient who has reached the maximum administration rate for the prescribed enteral feedings should be weighed three times per week. Weighing the patient daily is done until the maximum administration rate is achieved. Monthly weights or weigh-ins that occur every 3 months are too infrequent to allow the nurse to appropriately monitor the patient's weight. (pg. 1093) What is the correct amount space allowed between the tip of the penis and the end of the catheter while placing a condom catheter on a patient? 1 1.5 to 3 cm 2 2.5 to 5 cm 3 3.5 to 5 cm 4 4.5 to 6 cm - ANSWER 2 2.5 to 5 cm While placing a condom catheter on the patient, the nurse should allow a space of 2.5 to 5 cm (1 to 2 inches) between the tip of the penis and the end of the catheter. (pg. 1125) During which phase of the nursing process does the nurse consult other health care professionals to adopt the best nursing intervention for a patient diagnosed with nutritional disturbances? 1 Planning 2 Evaluation 3 Assessment 4 Implementation - ANSWER 1 Planning