NFDN 1002 Unit 5 Elimination
Notes and Quiz
Comprehensive Questions
(Frequently Most Tested) with
Verified Answers
Which type of ostomy puts a patient at risk for electrolyte and fluid deficiency? - Answer: ileostomy
Which type of ostomy is usually formed in the upper right quadrant ? - Answer: Urostomy
Which type of continent diversion makes a bladder out of a piece of the ileum ? - Answer: Neobladder
Urination incontinence can be caused by? - Answer: Constipation
Which is a sign of fecal impaction? - Answer: Overflow incontinence
Enlarged prostrate can lead to which type of incontinence? - Answer: Retention Incontinence
A client with MS commonly develops this type of incontinence - Answer: Neurogenic Incontinence
A client who has dementia will benefit from the following incontinence strategy? - Answer: Timed
toileting
A client with stress incontinence will benefit from strategy of incontinence managemen - Answer: Kegel
exercises
Which of the following ostomies often have problem with gas accumulation in the pouching system? -
Answer: Colostomy
,What are possible complications that can occur when a client has an indwelling catheter? Select all that
apply. - Answer: *Urethral or perineal irritation or discomfort.
*Tearing or trauma to perineal tissue.
*Urine backing up into the bladder.
*By passing or blocking of the catheter.
*Increased risk for urinary tract infection.
What is the examination of urine for certain chemicals and physical properties called? - Answer: Routine
Urinalysis
What is the examination of urine under a microscope called? - Answer: Microscopic Urinalysis
Is it necessary to collect urine for routine and microscopic urinalysis in a sterile fashion? - Answer: No, it
may be placed in a clean container
What is NOT considered routine teaching for a client with an indwelling catheter? - Answer: Take a
picture of the urine output
What is the normal urinary output for an adult? - Answer: 30 ml/hour
Nutrition and fluid intake influence on elimination - Answer: -Dehydration
-Fluid overload
-Alcohol intake
Body fluid loss influencing elimination - Answer: -Diarrhea
-vomiting
-Diaphoresis
-Wound drainage; nasogastric tube drainage
-Burns
-Blood loss
, Medication influencing elimination - Answer: -Diuretics
-Anticholinergic agents
-Tricyclic antidepressants
-Antihistamines
-Narcotics
Pathological conditions influence elimination - Answer: -UTI's
-Urinary calculus (kidney stones)
-GHF
-Shock
-Hypertension
-Diabetes Mellites
-Arthritis
-Parkinson's disease
-Degenerative joint disease
Altered urinary function - Answer: -Some conditions are temporary and some are permanent
-Neurogenic bladder - unable to detect when bladder is full, lacks sphincter control
-Obstruction - hydroneprosis
-ESRD - hemodialysis, peritoneal dialysis
-UTI's - Escherichia coli
Assessment of urine - Answer: -Intake and output
-Characteristics
-Color - pale straw to amber color
-Clarity - transparent unless pathology is present
-Odor - ammonia-like in nature
Notes and Quiz
Comprehensive Questions
(Frequently Most Tested) with
Verified Answers
Which type of ostomy puts a patient at risk for electrolyte and fluid deficiency? - Answer: ileostomy
Which type of ostomy is usually formed in the upper right quadrant ? - Answer: Urostomy
Which type of continent diversion makes a bladder out of a piece of the ileum ? - Answer: Neobladder
Urination incontinence can be caused by? - Answer: Constipation
Which is a sign of fecal impaction? - Answer: Overflow incontinence
Enlarged prostrate can lead to which type of incontinence? - Answer: Retention Incontinence
A client with MS commonly develops this type of incontinence - Answer: Neurogenic Incontinence
A client who has dementia will benefit from the following incontinence strategy? - Answer: Timed
toileting
A client with stress incontinence will benefit from strategy of incontinence managemen - Answer: Kegel
exercises
Which of the following ostomies often have problem with gas accumulation in the pouching system? -
Answer: Colostomy
,What are possible complications that can occur when a client has an indwelling catheter? Select all that
apply. - Answer: *Urethral or perineal irritation or discomfort.
*Tearing or trauma to perineal tissue.
*Urine backing up into the bladder.
*By passing or blocking of the catheter.
*Increased risk for urinary tract infection.
What is the examination of urine for certain chemicals and physical properties called? - Answer: Routine
Urinalysis
What is the examination of urine under a microscope called? - Answer: Microscopic Urinalysis
Is it necessary to collect urine for routine and microscopic urinalysis in a sterile fashion? - Answer: No, it
may be placed in a clean container
What is NOT considered routine teaching for a client with an indwelling catheter? - Answer: Take a
picture of the urine output
What is the normal urinary output for an adult? - Answer: 30 ml/hour
Nutrition and fluid intake influence on elimination - Answer: -Dehydration
-Fluid overload
-Alcohol intake
Body fluid loss influencing elimination - Answer: -Diarrhea
-vomiting
-Diaphoresis
-Wound drainage; nasogastric tube drainage
-Burns
-Blood loss
, Medication influencing elimination - Answer: -Diuretics
-Anticholinergic agents
-Tricyclic antidepressants
-Antihistamines
-Narcotics
Pathological conditions influence elimination - Answer: -UTI's
-Urinary calculus (kidney stones)
-GHF
-Shock
-Hypertension
-Diabetes Mellites
-Arthritis
-Parkinson's disease
-Degenerative joint disease
Altered urinary function - Answer: -Some conditions are temporary and some are permanent
-Neurogenic bladder - unable to detect when bladder is full, lacks sphincter control
-Obstruction - hydroneprosis
-ESRD - hemodialysis, peritoneal dialysis
-UTI's - Escherichia coli
Assessment of urine - Answer: -Intake and output
-Characteristics
-Color - pale straw to amber color
-Clarity - transparent unless pathology is present
-Odor - ammonia-like in nature
