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Intro to Nursing - Exam 4 Concepts -
Modules 13-16 questions with correct
answers
A female patient reports that she is experiencing burning on urination, frequency, and urgency. The
nurse notes that a clean-voided urine specimen is markedly cloudy. The probable cause of these
symptoms and findings is:
A. Cystitis.
B. Hematuria.
C. Pyelonephritis.
D. Dysuria. - correct answer -Answer: A.
Urine is cloudy in cystitis because of bacterial and white cells.
A male patient returned from the operating room 6 hours ago with a cast on his right arm. He has not
yet voided. Which action would be the most beneficial in assisting the patient to void?
A. Suggest he stand at the bedside
B. Stay with the patient
C. Give him the urinal to use in bed
D. Tell him that, if he doesn't urinate, he will be catheterized
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answer: A.
A man voids more easily in the standing position.
Elimination changes that result from inability of the bladder to empty properly may cause which of the
following? (Select all that apply.)
A. Incontinence
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B. Frequency
C. Urgency
D. Urinary retention
E. Urinary tract infection
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answers: A, B, C, D, E.
An older male patient states that he is having problems starting and stopping his stream of urine and he
feels the urgency to void. The best way to assist this patient is to:
A. Help him stand to void.
B. Place a condom catheter.
C. Have him practice Credé's method.
D. Initiate Kegel exercises.
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answer: D.
Kegel exercises strengthen pelvic floor muscles and are effective in urine control in patients with urge
incontinence and difficulty starting and stopping urination.
Since removal of the patient's Foley catheter, the patient has voided 50 to 100 mL every 2 to 3 hours.
Which action should the nurse take first?
A. Check for bladder distention
B. Encourage fluid intake
C. Obtain an order to recatheterize the patient
D. Document the amount of each voiding for 24 hours
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answer: A.
The patient may experience urinary retention after catheter removal. If amounts voided are small,
checking for bladder distention is necessary.
019021816_671316e8669f9_intro_to_nursing___exam_4_concepts___modules_13_16_questions_with_correct_answers(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
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To minimize the patient experiencing nocturia, the nurse would teach him or her to:
A. Perform perineal hygiene after urinating.
B. Set up a toileting schedule.
C. Double void.
D. Limit fluids before bedtime.
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answer: D.
With nocturia the patient has to get up during the night to urinate. Limiting fluids 2 hours before
bedtime minimizes nocturia.
A patient with a Foley catheter carries the collection bag at waist level when ambulating. The nurse tells
the patient that he or she is at risk for: (Select all that apply.)
A. Infection.
B. Retention.
C. Stagnant urine.
D. Reflux of urine.
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answers: A, D.
The patient is incontinent, and a condom catheter is placed. The nurse should take which action?
A. Secure the condom with adhesive tape
B. Change the condom every 48 hours
C. Assess the patient for skin irritation
D. Use sterile technique for placement
019021816_671316e8669f9_intro_to_nursing___exam_4_concepts___modules_13_16_questions_with_correct_answers(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
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(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answer: C.
Skin irritation can occur when the condom is twisted at the drainage tube attachment and obstructs
urine drainage.
After a transurethral prostatectomy a patient returns to his room with a triple-lumen indwelling
catheter and continuous bladder irrigation. The irrigation is normal saline at 150 mL/hr. The nurse
empties the drainage bag for a total of 2520 mL after an 8-hour period. How much of the total is urine
output? (Fill in the blank.)
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answer: 1320 mL.
The output is determined by calculating the amount of irrigation solution and subtracting that from the
total output: 150 × 8 = 1200. Total output is 2520. 2520 - 1200 = 1320 urine output., 1320 mL, The
output is determined by calculating the amount of irrigation solution and subtracting that from the total
output: 150 × 8 = 1200. Total output is 2520. 2520 - 1200 = 1320 urine output."
The nurse directs the NAP to remove a Foley catheter at 1300. The nurse would check if the patient has
voided by:
A. 1400.
B. 1600
C. 1700.
D. 2300.
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answer: C.
The patient may experience urinary retention after removal of the catheter. If 4 hours after Foley
removal have elapsed without voiding, it may be necessary to reinsert the Foley.
The postoperative patient has difficulty voiding after surgery and is feeling "uncomfortable" in the lower
abdomen. Which action should the nurse implement first?
A. Encourage fluid intake
019021816_671316e8669f9_intro_to_nursing___exam_4_concepts___modules_13_16_questions_with_correct_answers(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
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Intro to Nursing - Exam 4 Concepts -
Modules 13-16 questions with correct
answers
A female patient reports that she is experiencing burning on urination, frequency, and urgency. The
nurse notes that a clean-voided urine specimen is markedly cloudy. The probable cause of these
symptoms and findings is:
A. Cystitis.
B. Hematuria.
C. Pyelonephritis.
D. Dysuria. - correct answer -Answer: A.
Urine is cloudy in cystitis because of bacterial and white cells.
A male patient returned from the operating room 6 hours ago with a cast on his right arm. He has not
yet voided. Which action would be the most beneficial in assisting the patient to void?
A. Suggest he stand at the bedside
B. Stay with the patient
C. Give him the urinal to use in bed
D. Tell him that, if he doesn't urinate, he will be catheterized
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answer: A.
A man voids more easily in the standing position.
Elimination changes that result from inability of the bladder to empty properly may cause which of the
following? (Select all that apply.)
A. Incontinence
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B. Frequency
C. Urgency
D. Urinary retention
E. Urinary tract infection
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answers: A, B, C, D, E.
An older male patient states that he is having problems starting and stopping his stream of urine and he
feels the urgency to void. The best way to assist this patient is to:
A. Help him stand to void.
B. Place a condom catheter.
C. Have him practice Credé's method.
D. Initiate Kegel exercises.
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answer: D.
Kegel exercises strengthen pelvic floor muscles and are effective in urine control in patients with urge
incontinence and difficulty starting and stopping urination.
Since removal of the patient's Foley catheter, the patient has voided 50 to 100 mL every 2 to 3 hours.
Which action should the nurse take first?
A. Check for bladder distention
B. Encourage fluid intake
C. Obtain an order to recatheterize the patient
D. Document the amount of each voiding for 24 hours
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answer: A.
The patient may experience urinary retention after catheter removal. If amounts voided are small,
checking for bladder distention is necessary.
019021816_671316e8669f9_intro_to_nursing___exam_4_concepts___modules_13_16_questions_with_correct_answers(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
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To minimize the patient experiencing nocturia, the nurse would teach him or her to:
A. Perform perineal hygiene after urinating.
B. Set up a toileting schedule.
C. Double void.
D. Limit fluids before bedtime.
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answer: D.
With nocturia the patient has to get up during the night to urinate. Limiting fluids 2 hours before
bedtime minimizes nocturia.
A patient with a Foley catheter carries the collection bag at waist level when ambulating. The nurse tells
the patient that he or she is at risk for: (Select all that apply.)
A. Infection.
B. Retention.
C. Stagnant urine.
D. Reflux of urine.
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answers: A, D.
The patient is incontinent, and a condom catheter is placed. The nurse should take which action?
A. Secure the condom with adhesive tape
B. Change the condom every 48 hours
C. Assess the patient for skin irritation
D. Use sterile technique for placement
019021816_671316e8669f9_intro_to_nursing___exam_4_concepts___modules_13_16_questions_with_correct_answers(*((&#*!(*#*($$(*($(*$Y(&*&$(*)&*)((&$*^$&*&$
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(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answer: C.
Skin irritation can occur when the condom is twisted at the drainage tube attachment and obstructs
urine drainage.
After a transurethral prostatectomy a patient returns to his room with a triple-lumen indwelling
catheter and continuous bladder irrigation. The irrigation is normal saline at 150 mL/hr. The nurse
empties the drainage bag for a total of 2520 mL after an 8-hour period. How much of the total is urine
output? (Fill in the blank.)
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answer: 1320 mL.
The output is determined by calculating the amount of irrigation solution and subtracting that from the
total output: 150 × 8 = 1200. Total output is 2520. 2520 - 1200 = 1320 urine output., 1320 mL, The
output is determined by calculating the amount of irrigation solution and subtracting that from the total
output: 150 × 8 = 1200. Total output is 2520. 2520 - 1200 = 1320 urine output."
The nurse directs the NAP to remove a Foley catheter at 1300. The nurse would check if the patient has
voided by:
A. 1400.
B. 1600
C. 1700.
D. 2300.
(Potter: Fundamentals of Nursing, 8th Edition, Chapter 45) - correct answer -Answer: C.
The patient may experience urinary retention after removal of the catheter. If 4 hours after Foley
removal have elapsed without voiding, it may be necessary to reinsert the Foley.
The postoperative patient has difficulty voiding after surgery and is feeling "uncomfortable" in the lower
abdomen. Which action should the nurse implement first?
A. Encourage fluid intake
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