Urinary Elimination NURS 226 – Nursing Fundamentals Review, Study
Guide and Practice Questions
A patient is scheduled to have an intravenous pyelogram (IVP) the next morning. Which nursing
measures should be implemented before the test? (select all that apply)
1. ask the patient about any allergies and reactions
2. instruct the patient that a full bladder is required for the test
3. instruct the patient to save all the urine in a special container
4. ensure that informed consent has been obtained
5. instruct the patient that facial flushing can occur when the contrast media is given - correct
answer ✔✔1, 4, 5
What is a critical step when inserting an indwelling catheter into a male patient?
1. slowly inflate the catheter balloon with sterile saline
2. secure the catheter drainage tubing to the bedsheets
3. advance the catheter to the bifurcation of the drainage and balloon ports
4. advance the catheter until urine flows, then insert 1/4 inch more - correct answer ✔✔3
Which instruction should the nurse give the assistive personnel concerning a patient who has
had an indwelling urinary catheter removed that day?
1. limit oral fluid intake to avoid possible urinary incontinence
2. expect patient complaints of suprapubic fullness and discomfort
3. report the time and amount of first voiding
4. instruct patient to stay in bed and use a urinal or bedpan - correct answer ✔✔3
A postoperative patient with a three-way indwelling urinary catheter and continuous bladder
irrigation (CBI) complains of lower abdominal pain and distension. What should be the nurse's
initial intervention (s)? (select all that apply)
, 1. increase the rate of the CBI
2. assess the patency of the drainage system
3. measure urine output
4. assess vital signs
5. administer ordered pain medications - correct answer ✔✔2, 3
An ambulatory elderly woman with dementia is incontinent of urine. She has poor short term
memory and has not been seen toileting independently. What is the best nursing intervention
for this patient?
1. recommend that she be evaluated for an overactive bladder (OAB) medication
2. establish a toileting schedule
3. recommend that she be evaluated for an indwelling catheter
4. start a bladder-retraining program - correct answer ✔✔2
What should the nurse teach a young woman with a history of UTIs about UTI prevention?
(select all that apply)
1. maintain regular bowel elimination
2. limit water intake to 1 to 2 glasses a day
3. wear cotton underwear
4. cleanse the perineum from front to back
5. practice pelvic muscle exercise (Kegel) daily - correct answer ✔✔1, 3, 4
Place the following 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
Guide and Practice Questions
A patient is scheduled to have an intravenous pyelogram (IVP) the next morning. Which nursing
measures should be implemented before the test? (select all that apply)
1. ask the patient about any allergies and reactions
2. instruct the patient that a full bladder is required for the test
3. instruct the patient to save all the urine in a special container
4. ensure that informed consent has been obtained
5. instruct the patient that facial flushing can occur when the contrast media is given - correct
answer ✔✔1, 4, 5
What is a critical step when inserting an indwelling catheter into a male patient?
1. slowly inflate the catheter balloon with sterile saline
2. secure the catheter drainage tubing to the bedsheets
3. advance the catheter to the bifurcation of the drainage and balloon ports
4. advance the catheter until urine flows, then insert 1/4 inch more - correct answer ✔✔3
Which instruction should the nurse give the assistive personnel concerning a patient who has
had an indwelling urinary catheter removed that day?
1. limit oral fluid intake to avoid possible urinary incontinence
2. expect patient complaints of suprapubic fullness and discomfort
3. report the time and amount of first voiding
4. instruct patient to stay in bed and use a urinal or bedpan - correct answer ✔✔3
A postoperative patient with a three-way indwelling urinary catheter and continuous bladder
irrigation (CBI) complains of lower abdominal pain and distension. What should be the nurse's
initial intervention (s)? (select all that apply)
, 1. increase the rate of the CBI
2. assess the patency of the drainage system
3. measure urine output
4. assess vital signs
5. administer ordered pain medications - correct answer ✔✔2, 3
An ambulatory elderly woman with dementia is incontinent of urine. She has poor short term
memory and has not been seen toileting independently. What is the best nursing intervention
for this patient?
1. recommend that she be evaluated for an overactive bladder (OAB) medication
2. establish a toileting schedule
3. recommend that she be evaluated for an indwelling catheter
4. start a bladder-retraining program - correct answer ✔✔2
What should the nurse teach a young woman with a history of UTIs about UTI prevention?
(select all that apply)
1. maintain regular bowel elimination
2. limit water intake to 1 to 2 glasses a day
3. wear cotton underwear
4. cleanse the perineum from front to back
5. practice pelvic muscle exercise (Kegel) daily - correct answer ✔✔1, 3, 4
Place the following 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
