C HAPTER 29: P ROMOTING U RINARY
E LIMINATION
Williams: deWit's Fundamental Co ncepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. A nurse is cleansing the perineal area of a female patient who is having a
urinary catheter inserted. The nurse should use the last povidone iodine –
soaked cotton ball to cleanse downward over the:
a. urinary meatus.
b. left labia.
c. right labia.
d. perirectal area.
ANS: A
The urinary meatus is cleansed after the labia on each side are
cleansed.
DIF: Cognitive Level: Comprehension REF: p. 557|Skill 29 -
3 OBJ: Clinical Practice #5 TOP: Catheterizing the
Female Patient KEY: Nursing Process Step: Implementation
MSC: NC LEX: Physiological Integrit y: Basic Care and
Comfort
,2. When attempting to catheterize a male patient, there is resistance to
catheter insertion. The nurse’s initial intervention should be to:
a. withdraw the catheter and start over.
b. ask the patient to take a deep breath.
c. ask the patient to bear down and hold his breath.
d. ask that the patient lie on the right side.
ANS: B
If resistance is met, the catheter should be twisted, and the patient
should be asked to take a deep breath, which relaxes the urinary
sphincter.
DIF: Cognitive Level: Application REF: p. 560|Skill 29 -4
OBJ: Clinical Practice #5 TOP: Catheterizing the
Male Patient KEY: Nursing Process Step: Implementation
MSC: NC LEX: Physiological Integrit y: Basic Care and
Comfort
3. A patient has just had a urinary drainage catheter removed. The nurse
plans to measure intake and output for this patient for another:
a. 1 to 2 hours.
b. 4 to 6 hours.
c. 6 to 8 hours.
d. 12 to 24 hours.
ANS: D
Measuring intake and output for 12 to 24 hours after catheter removal
allows time to note whether the bladder is draining adequately.
, DIF: Cognitive Level: Application REF: p. 563 OBJ:
Clinical Practice #1 TOP: Removal of Indwelling Catheter
KEY: Nursing Process Step: Implementation MSC:
NCLEX: Physiological Integrit y: Basic Care an d Comfort
4. A male patient who suffered a spinal cord injury is learning to perform
self-urinary catheterization before being discharged to home. The
statement made by the patient that indicates more instruction is needed is:
a. “It is a sterile procedure.”
b. “The catheter should be pinched before it is withdrawn.”
c. “The penis is lifted to a 60 - to 90-degree angle for catheter
insertion.”
d. “The procedure is done sitting on the toilet.”
ANS: A
Urinary catheterization in the home after spinal cord injury is usuall y a
clean procedure rather than a sterile one.
DIF: Cognitive Level: Anal ysis REF: p. 565 OBJ:
Theory #4 TOP: Self Catheterization KEY: Nursing
Process Step: Application MSC: NC LEX: Physiological
Integrit y: Basic Care and Comfort
5. An adult patient h as an order to have his urinary catheter irrigated with
normal saline. The nurse plans to draw up how much solution into the
sterile irrigation syringe?
a. 1 to 20 mL
b. 20 to 30 mL
E LIMINATION
Williams: deWit's Fundamental Co ncepts and Skills for Nursing, 5th
Edition
MULTIPLE CHOICE
1. A nurse is cleansing the perineal area of a female patient who is having a
urinary catheter inserted. The nurse should use the last povidone iodine –
soaked cotton ball to cleanse downward over the:
a. urinary meatus.
b. left labia.
c. right labia.
d. perirectal area.
ANS: A
The urinary meatus is cleansed after the labia on each side are
cleansed.
DIF: Cognitive Level: Comprehension REF: p. 557|Skill 29 -
3 OBJ: Clinical Practice #5 TOP: Catheterizing the
Female Patient KEY: Nursing Process Step: Implementation
MSC: NC LEX: Physiological Integrit y: Basic Care and
Comfort
,2. When attempting to catheterize a male patient, there is resistance to
catheter insertion. The nurse’s initial intervention should be to:
a. withdraw the catheter and start over.
b. ask the patient to take a deep breath.
c. ask the patient to bear down and hold his breath.
d. ask that the patient lie on the right side.
ANS: B
If resistance is met, the catheter should be twisted, and the patient
should be asked to take a deep breath, which relaxes the urinary
sphincter.
DIF: Cognitive Level: Application REF: p. 560|Skill 29 -4
OBJ: Clinical Practice #5 TOP: Catheterizing the
Male Patient KEY: Nursing Process Step: Implementation
MSC: NC LEX: Physiological Integrit y: Basic Care and
Comfort
3. A patient has just had a urinary drainage catheter removed. The nurse
plans to measure intake and output for this patient for another:
a. 1 to 2 hours.
b. 4 to 6 hours.
c. 6 to 8 hours.
d. 12 to 24 hours.
ANS: D
Measuring intake and output for 12 to 24 hours after catheter removal
allows time to note whether the bladder is draining adequately.
, DIF: Cognitive Level: Application REF: p. 563 OBJ:
Clinical Practice #1 TOP: Removal of Indwelling Catheter
KEY: Nursing Process Step: Implementation MSC:
NCLEX: Physiological Integrit y: Basic Care an d Comfort
4. A male patient who suffered a spinal cord injury is learning to perform
self-urinary catheterization before being discharged to home. The
statement made by the patient that indicates more instruction is needed is:
a. “It is a sterile procedure.”
b. “The catheter should be pinched before it is withdrawn.”
c. “The penis is lifted to a 60 - to 90-degree angle for catheter
insertion.”
d. “The procedure is done sitting on the toilet.”
ANS: A
Urinary catheterization in the home after spinal cord injury is usuall y a
clean procedure rather than a sterile one.
DIF: Cognitive Level: Anal ysis REF: p. 565 OBJ:
Theory #4 TOP: Self Catheterization KEY: Nursing
Process Step: Application MSC: NC LEX: Physiological
Integrit y: Basic Care and Comfort
5. An adult patient h as an order to have his urinary catheter irrigated with
normal saline. The nurse plans to draw up how much solution into the
sterile irrigation syringe?
a. 1 to 20 mL
b. 20 to 30 mL
