Chapter 43: Urinary Elimination

Chapter 43: Urinary Elimination Potter et al: Canadian Fundamentals of Nursing, 6th Edition If obstructed, which component of the urination system would cause peristaltic waves? - ANSWER-Ureters. 2. When reviewing laboratory results, the nurse should immediately notify the health care provider about which finding? - ANSWER-Glomerular filtration rate of 20 mL/min. 3. A patient is experiencing oliguria. Which action should the nurse perform first? - ANSWER-Assess for bladder distension. 4. A patient requests the nurse's assistance to the bedside commode and becomes frustrated when unable to void in front of the nurse. The nurse understands that the patient is unable to void for which reason? - ANSWER-Anxiety can make it difficult for abdominal and perineal muscles to relax enough to void. 5. The nurse knows that urinary tract infection (UTI) is the most common health care-associated infection for which reason? - ANSWER-Escherichia coli pathogens are transmitted during surgical or catheterization procedures. 6. An 86-year-old patient tells the nurse that she is experiencing uncontrollable leakage of urine. Which nursing diagnosis should the nurse include in the patient's plan of care? - ANSWER-Urinary incontinence. 7. A patient has fallen several times in the past week when attempting to get to the bathroom. The patient informs the nurse that he gets up three or four times a night to urinate. Which recommendation by the nurse is most appropriate in correcting this urinary problem? - ANSWER-Limit fluid and caffeine intake before bed. 8. When caring for a patient with urinary retention, the nurse would anticipate an order for which of the following? - ANSWER-A urinary catheter. 9. Upon palpation, the nurse notices that the bladder is firm and distended; the patient expresses an urge to urinate. The nurse should follow up by asking which question? - ANSWER-"When was the last time you voided?" 10. Which of the following is the primary function of the kidneys? - ANSWER-Maintaining fluid and electrolyte balance. 11. While receiving a shift report on a patient, the nurse is informed that the patient has urinary incontinence. Upon assessment, what would the nurse expect to find? - ANSWER-Reddened irritated skin on the buttocks. Which nursing diagnosis related to alterations in urinary function in an older person should be a nurse's first priority for action? - ANSWER-Risk of infection. 13. A patient asks about treatment for urge urinary incontinence. The nurse's best response is which advice to the patient? - ANSWER-Perform pelvic floor exercises. 14. The nurse suspects that a urinary tract infection has progressed to cystitis when the patient complains of which symptom? - ANSWER-Frequency 15. Which assessment question should the nurse ask if stress incontinence is suspected? - ANSWER-"Do you experience urine leakage when you cough or sneeze?" 16. To obtain a clean-voided urine specimen from a female patient, the nurse should teach the patient to do which of the following? - ANSWER-Hold the labia apart while voiding into the specimen cup.