N220: (Module 16 Urinary)Oxygenation video quizzes,
Hallmark final exam BSN-205
Terms in this set (227)
a. An elderly female carries her urinary drainage bag like a purse under her arm as
Which of the following demonstrate that
she ambulates.
further teaching is required to prevent
c. As a patient is being transferred in a wheelchair, he places the drainage bag in his
an infection related to being
lap.
catheterized? (Select all that apply.)
d. The NAP places a patient's drainage bag on a lowered side rail or on the floor.
a.An elderly female carries her urinary
drainage bag like a purse under her arm
The urinary drainage bag should be kept below the level of the bladder to
as she ambulates.
prevent reflux of urine into the bladder. Patients should be instructed to carry
b.The patient drinks an entire pitcher
the drainage bag below the level of the bladder, and to secure the drainage bag to
of water over the period of one
the side of the wheelchair below the level of the bladder during transfer. The
day.
urinary drainage bag should never be placed on a bedside rail because it could
c.As a patient is being transferred in a
accidentally be raised to a height higher than the level of the bladder and urine
wheelchair, he places the drainage bag
could reflux into the bladder. The urinary drainage bag should never be placed on
in his lap.
the floor; this is to avoid having bacteria enter the system through the drainage
d.The NAP places a patient's drainage bag
port. If allowed, fluids should be encouraged. The catheter should be secured to the
on a lowered side rail or on the floor.
patient to prevent trauma to the urethra. Swelling of tissues can impair urine flow
e. A female patient keeps her
and place the patient at further risk for urinary tract infection
catheter secured to her thigh with
tape.
,Which of the following are true regarding b.Aging can affect continence if the patient experiences impaired mobility or
the impact of aging related to urinary decreased muscle tone
elimination? (Select all that apply.) d. The elderly are at increased risk for urinary tract infection because of retained
a. The elderly are better able urine in the bladder
to concentrate urine than the middle-
aged adult. The very young and very old are less able to concentrate urine, placing them at risk
b.Aging can affect continence if the patient for dehydration. The elderly are at an increased risk of urinary incontinence if they
experiences impaired mobility or have impaired mobility that prevents them from getting to the bathroom in time or
decreased muscle tone. from manipulating buttons and zippers. Weak abdominal and pelvic floor
c.The elderly are less likely to muscles impair bladder contraction. Decreased muscle tone increases the risk
experience urinary frequency than for urinary incontinence. However, urinary incontinence is not a normal
middle-aged adults because they tend physiological result of the aging process. Urination frequency increases with age
to drink less. with decreased bladder tone. Because the bladder cannot contract as
d.The elderly are at increased risk for effectively, an older person often retains urine in the bladder after voiding
urinary tract infection because of (residual urine). This places the patient at increased risk for bacterial growth and
retained urine in the bladder development of UTIs.
e.It is part of the normal aging process
for elderly patients to become
incontinent.
During change-of-shift report the nurse The kidneys assist in the detoxification of medication metabolites.
states that a patient has early renal
failure and to be alert to this when The kidneys detoxify and eliminate by products of medication metabolism. If the
administering medications. Why would kidneys are unable to perform this function, medication toxicity can develop. The
this be a concern? nephron, the functional unit of the kidney, forms the urine. The bladder holds the urine
a. The kidneys assist in the until it is excreted. The liver is a primary site for medication metabolism
detoxification of medication
metabolites.
b.The patient may not be able to absorb
all of the medications.
c.The bladder acts as a filter to
remove wastes and form urine.
d. The kidneys are the
primary site for medication
metabolism.
The nursing instructor is reviewing the renal The nurse may use clean technique to insert an indwelling catheter.
system and urinary catheterization with her
students. Which statement, if made by a Sterile technique is used whether inserting a straight or indwelling urinary catheter.
nursing student, indicates that further Patients may use clean insertion technique in the home setting for intermittent
instruction is needed? catheterization. When the patient is in an acute care or long-term care setting,
a."The urinary tract is considered to sterile insertion technique is required because of the high risk for nosocomial
be sterile. infections. The urinary tract is sterile. The desire to urinate can be sensed when the
b.The nurse may use clean technique bladder contains a smaller amount of urine (150 to 200 mL in an adult and 50 to
to insert an indwelling catheter. 100 mL in a child).
c. "The urge to void is felt when the Minimum average hourly output is 30 mL.
bladder contains 150 to 200 mL in an
adult.
d."The minimum average hourly urine
output is 30 mL."
, A 53-year-old patient is being treated "What medications are you taking and when?"
for hypertension and a history of
thrombophlebitis (blood clots). She comes The nurse should first assess the patient's medication history before making any
to the clinic complaining, "I have to get up interpretation. The patient may be taking diuretics before going to bed or taking
all night to go to the bathroom, and I think other medications that can change the urine's color.
my urine looks orange!" What is the
nurse's best response?
a."It sounds like you may have a urinary
tract infection."
b."Your high blood pressure is
adversely affecting your kidneys.
c. have you tried to restrict you fluid intake?
d.what medications are you taking, when?
A 68-year-old female patient is 14 French, 5-mL balloon, latex catheter
admitted for knee replacement surgery Women require a 14 to 16 French catheter; it is usually best to begin with the smaller
with an expected hospital stay of 2 size. A 5-mL balloon is a common size balloon. Latex and rubber catheters are
weeks. She has no known allergies. The recommended for use up to 3 weeks. A Coude (elbowed/curved) catheter is
health care provider has ordered an often used for males with prostatic hypertrophy. Plastic catheters are suitable
indwelling Foley catheter to be inserted only for intermittent use because of their inflexibility. Men require a 16 to 18 French
preoperatively. catheter; this would be too large for Mrs. Kelly. Pure silicon or Teflon catheters are
Which catheter should the nurse choose? best suited for long-term use (2 to 3 months). The 8 French, 3-mL balloon, latex
a.14 French, 5-mL balloon, latex catheter catheter is a pediatric catheter.
b. Coude catheter
c. 16 French plastic catheter
d.18 Free, 5-mL balloon, latex catheter
e.8 French, 3-mL balloon, latex catheter
f 16 French, 30 mL balloon, silicon catheter
A health care provider has ordered an To determine urinary retention
indwelling catheter to be inserted to
bedside drainage. Which of the following is A straight catheter or bladder scan may be used to determine urinary retention and
NOT an expected indication for Foley would not be an indication for an indwelling catheter. Indications for an
catheterization? indwelling catheter include preparing for surgery, to obtain accurate output
a.Preoperative status. measurements, and for incontinent patients in which a wound needs to heal
b.To determine urinary retention
c. to obtain accurate urinary output in
a critically ill patient.
d.To allow a pressure ulcer on the
coccyx to heal in a patient with urinary
incontinence.
Obtaining a urine sample from an True
indwelling catheter requires sterile Sterile technique is used to prevent contamination of the sterile specimen and
technique. to avoid introducing microorganisms into a closed urinary system, which could
True cause a UTI.
False
After a patient has had a Foley catheter for False
1 week, a urine specimen may be obtained A urine specimen may be obtained through an indwelling catheter only at the time
from the bedside drainage bag. of catheter insertion, before it is connected to the bedside drainage bag.
True
False
Hallmark final exam BSN-205
Terms in this set (227)
a. An elderly female carries her urinary drainage bag like a purse under her arm as
Which of the following demonstrate that
she ambulates.
further teaching is required to prevent
c. As a patient is being transferred in a wheelchair, he places the drainage bag in his
an infection related to being
lap.
catheterized? (Select all that apply.)
d. The NAP places a patient's drainage bag on a lowered side rail or on the floor.
a.An elderly female carries her urinary
drainage bag like a purse under her arm
The urinary drainage bag should be kept below the level of the bladder to
as she ambulates.
prevent reflux of urine into the bladder. Patients should be instructed to carry
b.The patient drinks an entire pitcher
the drainage bag below the level of the bladder, and to secure the drainage bag to
of water over the period of one
the side of the wheelchair below the level of the bladder during transfer. The
day.
urinary drainage bag should never be placed on a bedside rail because it could
c.As a patient is being transferred in a
accidentally be raised to a height higher than the level of the bladder and urine
wheelchair, he places the drainage bag
could reflux into the bladder. The urinary drainage bag should never be placed on
in his lap.
the floor; this is to avoid having bacteria enter the system through the drainage
d.The NAP places a patient's drainage bag
port. If allowed, fluids should be encouraged. The catheter should be secured to the
on a lowered side rail or on the floor.
patient to prevent trauma to the urethra. Swelling of tissues can impair urine flow
e. A female patient keeps her
and place the patient at further risk for urinary tract infection
catheter secured to her thigh with
tape.
,Which of the following are true regarding b.Aging can affect continence if the patient experiences impaired mobility or
the impact of aging related to urinary decreased muscle tone
elimination? (Select all that apply.) d. The elderly are at increased risk for urinary tract infection because of retained
a. The elderly are better able urine in the bladder
to concentrate urine than the middle-
aged adult. The very young and very old are less able to concentrate urine, placing them at risk
b.Aging can affect continence if the patient for dehydration. The elderly are at an increased risk of urinary incontinence if they
experiences impaired mobility or have impaired mobility that prevents them from getting to the bathroom in time or
decreased muscle tone. from manipulating buttons and zippers. Weak abdominal and pelvic floor
c.The elderly are less likely to muscles impair bladder contraction. Decreased muscle tone increases the risk
experience urinary frequency than for urinary incontinence. However, urinary incontinence is not a normal
middle-aged adults because they tend physiological result of the aging process. Urination frequency increases with age
to drink less. with decreased bladder tone. Because the bladder cannot contract as
d.The elderly are at increased risk for effectively, an older person often retains urine in the bladder after voiding
urinary tract infection because of (residual urine). This places the patient at increased risk for bacterial growth and
retained urine in the bladder development of UTIs.
e.It is part of the normal aging process
for elderly patients to become
incontinent.
During change-of-shift report the nurse The kidneys assist in the detoxification of medication metabolites.
states that a patient has early renal
failure and to be alert to this when The kidneys detoxify and eliminate by products of medication metabolism. If the
administering medications. Why would kidneys are unable to perform this function, medication toxicity can develop. The
this be a concern? nephron, the functional unit of the kidney, forms the urine. The bladder holds the urine
a. The kidneys assist in the until it is excreted. The liver is a primary site for medication metabolism
detoxification of medication
metabolites.
b.The patient may not be able to absorb
all of the medications.
c.The bladder acts as a filter to
remove wastes and form urine.
d. The kidneys are the
primary site for medication
metabolism.
The nursing instructor is reviewing the renal The nurse may use clean technique to insert an indwelling catheter.
system and urinary catheterization with her
students. Which statement, if made by a Sterile technique is used whether inserting a straight or indwelling urinary catheter.
nursing student, indicates that further Patients may use clean insertion technique in the home setting for intermittent
instruction is needed? catheterization. When the patient is in an acute care or long-term care setting,
a."The urinary tract is considered to sterile insertion technique is required because of the high risk for nosocomial
be sterile. infections. The urinary tract is sterile. The desire to urinate can be sensed when the
b.The nurse may use clean technique bladder contains a smaller amount of urine (150 to 200 mL in an adult and 50 to
to insert an indwelling catheter. 100 mL in a child).
c. "The urge to void is felt when the Minimum average hourly output is 30 mL.
bladder contains 150 to 200 mL in an
adult.
d."The minimum average hourly urine
output is 30 mL."
, A 53-year-old patient is being treated "What medications are you taking and when?"
for hypertension and a history of
thrombophlebitis (blood clots). She comes The nurse should first assess the patient's medication history before making any
to the clinic complaining, "I have to get up interpretation. The patient may be taking diuretics before going to bed or taking
all night to go to the bathroom, and I think other medications that can change the urine's color.
my urine looks orange!" What is the
nurse's best response?
a."It sounds like you may have a urinary
tract infection."
b."Your high blood pressure is
adversely affecting your kidneys.
c. have you tried to restrict you fluid intake?
d.what medications are you taking, when?
A 68-year-old female patient is 14 French, 5-mL balloon, latex catheter
admitted for knee replacement surgery Women require a 14 to 16 French catheter; it is usually best to begin with the smaller
with an expected hospital stay of 2 size. A 5-mL balloon is a common size balloon. Latex and rubber catheters are
weeks. She has no known allergies. The recommended for use up to 3 weeks. A Coude (elbowed/curved) catheter is
health care provider has ordered an often used for males with prostatic hypertrophy. Plastic catheters are suitable
indwelling Foley catheter to be inserted only for intermittent use because of their inflexibility. Men require a 16 to 18 French
preoperatively. catheter; this would be too large for Mrs. Kelly. Pure silicon or Teflon catheters are
Which catheter should the nurse choose? best suited for long-term use (2 to 3 months). The 8 French, 3-mL balloon, latex
a.14 French, 5-mL balloon, latex catheter catheter is a pediatric catheter.
b. Coude catheter
c. 16 French plastic catheter
d.18 Free, 5-mL balloon, latex catheter
e.8 French, 3-mL balloon, latex catheter
f 16 French, 30 mL balloon, silicon catheter
A health care provider has ordered an To determine urinary retention
indwelling catheter to be inserted to
bedside drainage. Which of the following is A straight catheter or bladder scan may be used to determine urinary retention and
NOT an expected indication for Foley would not be an indication for an indwelling catheter. Indications for an
catheterization? indwelling catheter include preparing for surgery, to obtain accurate output
a.Preoperative status. measurements, and for incontinent patients in which a wound needs to heal
b.To determine urinary retention
c. to obtain accurate urinary output in
a critically ill patient.
d.To allow a pressure ulcer on the
coccyx to heal in a patient with urinary
incontinence.
Obtaining a urine sample from an True
indwelling catheter requires sterile Sterile technique is used to prevent contamination of the sterile specimen and
technique. to avoid introducing microorganisms into a closed urinary system, which could
True cause a UTI.
False
After a patient has had a Foley catheter for False
1 week, a urine specimen may be obtained A urine specimen may be obtained through an indwelling catheter only at the time
from the bedside drainage bag. of catheter insertion, before it is connected to the bedside drainage bag.
True
False
