Exam 3 1135 Latest Questions with
Complete Verified Solutions 2026
Updated.
A patient has fallen several times in the past week when attempting to get to the bathroom. The
patient gets up 3 or 4 times a night to urinate. Which recommendation by the nurse is most
appropriate in correcting this urinary problem?
a.
Limit fluid and caffeine intake before bed.
b.
Leave the bathroom light on to illuminate a pathway.
c.
Practice Kegel exercises to strengthen bladder muscles.
d.
Clear the path to the bathroom of all obstacles before bedtime. - Answer ANS: A
Reducing fluids, especially caffeine and alcohol, before bedtime can reduce nocturia. To prevent
nocturia, suggest that the patient avoid drinking fluids 2 hours before bedtime. Clearing a path
to the bathroom, illuminating the path, or shortening the distance to the bathroom may reduce
falls but will not correct the urination problem. Kegel exercises are useful if a patient is
experiencing stress incontinence.
DIF:Apply (application)REF:1107 | 1118-1119
OBJ: Discuss nursing measures to promote normal micturition and improve bladder control.
A nurse is caring for a male patient with urinary retention. Which action should the nurse take
first?
,a.
Limit fluid intake.
b.
Insert a urinary catheter.
c.
Assist to a standing position.
d.
Ask for a diuretic medication. - Answer ANS: C
In some patients just helping them to a normal position to void prompts voiding. A urinary
catheter would relieve urinary retention, but it is not the first measure; other nursing
interventions should be tried before catheterization. Reducing fluids would reduce the amount
of urine produced but would not alleviate the urine retention and is usually not recommended
unless the retention is severe. Diuretic medication would increase urine production and may
worsen the discomfort caused by urine retention.
DIF:Apply (application)REF:1111 | 1119
OBJ: Discuss nursing measures to promote normal micturition and improve bladder control.
While receiving a shift report on a patient, the nurse is informed that the patient has urinary
incontinence. Upon assessment, which finding will the nurse expect?
a.
An indwelling Foley catheter
b.
Reddened irritated skin on buttocks
, c.
Tiny blood clots in the patient's urine
d.
Foul-smelling discharge indicative of infection - Answer ANS: B
Urinary incontinence is uncontrolled urinary elimination; if the urine has prolonged contact with
the skin, skin breakdown can occur. An indwelling Foley catheter is a solution for urine
retention. Blood clots and foul-smelling discharge are often signs of infection.
DIF:Apply (application)REF:1105 | 1126-1127
OBJ: Compare and contrast common alterations associated with urinary elimination.
A patient asks about treatment for stress urinary incontinence. Which is the nurse's best
response?
a.
Perform pelvic floor exercises.
b.
Avoid voiding frequently.
c.
Drink cranberry juice.
d.
Wear an adult diaper. - Answer ANS: A
Complete Verified Solutions 2026
Updated.
A patient has fallen several times in the past week when attempting to get to the bathroom. The
patient gets up 3 or 4 times a night to urinate. Which recommendation by the nurse is most
appropriate in correcting this urinary problem?
a.
Limit fluid and caffeine intake before bed.
b.
Leave the bathroom light on to illuminate a pathway.
c.
Practice Kegel exercises to strengthen bladder muscles.
d.
Clear the path to the bathroom of all obstacles before bedtime. - Answer ANS: A
Reducing fluids, especially caffeine and alcohol, before bedtime can reduce nocturia. To prevent
nocturia, suggest that the patient avoid drinking fluids 2 hours before bedtime. Clearing a path
to the bathroom, illuminating the path, or shortening the distance to the bathroom may reduce
falls but will not correct the urination problem. Kegel exercises are useful if a patient is
experiencing stress incontinence.
DIF:Apply (application)REF:1107 | 1118-1119
OBJ: Discuss nursing measures to promote normal micturition and improve bladder control.
A nurse is caring for a male patient with urinary retention. Which action should the nurse take
first?
,a.
Limit fluid intake.
b.
Insert a urinary catheter.
c.
Assist to a standing position.
d.
Ask for a diuretic medication. - Answer ANS: C
In some patients just helping them to a normal position to void prompts voiding. A urinary
catheter would relieve urinary retention, but it is not the first measure; other nursing
interventions should be tried before catheterization. Reducing fluids would reduce the amount
of urine produced but would not alleviate the urine retention and is usually not recommended
unless the retention is severe. Diuretic medication would increase urine production and may
worsen the discomfort caused by urine retention.
DIF:Apply (application)REF:1111 | 1119
OBJ: Discuss nursing measures to promote normal micturition and improve bladder control.
While receiving a shift report on a patient, the nurse is informed that the patient has urinary
incontinence. Upon assessment, which finding will the nurse expect?
a.
An indwelling Foley catheter
b.
Reddened irritated skin on buttocks
, c.
Tiny blood clots in the patient's urine
d.
Foul-smelling discharge indicative of infection - Answer ANS: B
Urinary incontinence is uncontrolled urinary elimination; if the urine has prolonged contact with
the skin, skin breakdown can occur. An indwelling Foley catheter is a solution for urine
retention. Blood clots and foul-smelling discharge are often signs of infection.
DIF:Apply (application)REF:1105 | 1126-1127
OBJ: Compare and contrast common alterations associated with urinary elimination.
A patient asks about treatment for stress urinary incontinence. Which is the nurse's best
response?
a.
Perform pelvic floor exercises.
b.
Avoid voiding frequently.
c.
Drink cranberry juice.
d.
Wear an adult diaper. - Answer ANS: A
