NUR 168 Chapter 37 UPDATED ACTUAL
Exam Questions and CORRECT Answers
effects of aging on urination - CORRECT ANSWER - - The diminished ability of the
kidneys to concentrate urine may result in nocturia (urination during the night).
- Decreased bladder muscle tone may reduce the capacity of the bladder to hold urine, resulting
in increased frequency of urination.
- Decreased bladder contractility may lead to urine retention and stasis, which increases the
likelihood of UTI.
- Neuromuscular problems, degenerative joint problems, alterations in thought processes, and
weakness may interfere with voluntary control and the ability to reach a toilet in time.
Medication effects on urination - CORRECT ANSWER - - Anticoagulants may cause
hematuria (blood in the urine), leading to a pink or red color.
- Diuretics can lighten the color of urine to pale yellow.
- Phenazopyridine, a urinary tract analgesic, can cause orange or orange-red urine.
- The antidepressant amitriptyline or B-complex vitamins can turn urine green or blue-green.
- Levodopa (L-dopa), an antiparkinson drug, and injectable iron compounds can lead to brown or
black urine.
Anuria - CORRECT ANSWER - 24-hour urine output is less than 50 mL
Dysuria - CORRECT ANSWER - Painful or difficult urination
Frequency - CORRECT ANSWER - Increased incidence of voiding
Glycosuria - CORRECT ANSWER - Presence of glucose in the urine
Nocturia - CORRECT ANSWER - Awakening at night to urinate
, Oliguria - CORRECT ANSWER - 24-hour urine output is less than 400 mL
Polyuria - CORRECT ANSWER - Excessive output of urine (diuresis)
Proteinuria - CORRECT ANSWER - Protein in the urine
Pyuria - CORRECT ANSWER - Pus in the urine
Urgency - CORRECT ANSWER - Strong desire to void
Urinary incontinence - CORRECT ANSWER - Involuntary loss of urine
Focused Assessment Guide - Factors to assess - CORRECT ANSWER - - Usual patterns
of urinary elimination
- Recent changes in urinary elimination
- Aids to elimination
- Present or past occurrence of voiding difficulties (nature of problem, onset, frequency, causes,
severity, symptoms, intervention attempted, results)
- Presence of urinary diversion (normal routine, history of problems)
A comprehensive nursing assessment of the functioning of a patient's urinary system includes the
following: - CORRECT ANSWER - - Collection of data about the patient's voiding
patterns, habits, and difficulties and a history of current or past urinary problems
- Assessment of the bladder, if indicated, and urethral meatus; assessment of skin integrity and
hydration; and examination of the urine
- Correlation of these findings with the results of diagnostic tests and procedures for examining
the urine and the urinary tract
postvoid residual (PVR) - CORRECT ANSWER - the amount of urine remaining in the
bladder immediately after voiding
Exam Questions and CORRECT Answers
effects of aging on urination - CORRECT ANSWER - - The diminished ability of the
kidneys to concentrate urine may result in nocturia (urination during the night).
- Decreased bladder muscle tone may reduce the capacity of the bladder to hold urine, resulting
in increased frequency of urination.
- Decreased bladder contractility may lead to urine retention and stasis, which increases the
likelihood of UTI.
- Neuromuscular problems, degenerative joint problems, alterations in thought processes, and
weakness may interfere with voluntary control and the ability to reach a toilet in time.
Medication effects on urination - CORRECT ANSWER - - Anticoagulants may cause
hematuria (blood in the urine), leading to a pink or red color.
- Diuretics can lighten the color of urine to pale yellow.
- Phenazopyridine, a urinary tract analgesic, can cause orange or orange-red urine.
- The antidepressant amitriptyline or B-complex vitamins can turn urine green or blue-green.
- Levodopa (L-dopa), an antiparkinson drug, and injectable iron compounds can lead to brown or
black urine.
Anuria - CORRECT ANSWER - 24-hour urine output is less than 50 mL
Dysuria - CORRECT ANSWER - Painful or difficult urination
Frequency - CORRECT ANSWER - Increased incidence of voiding
Glycosuria - CORRECT ANSWER - Presence of glucose in the urine
Nocturia - CORRECT ANSWER - Awakening at night to urinate
, Oliguria - CORRECT ANSWER - 24-hour urine output is less than 400 mL
Polyuria - CORRECT ANSWER - Excessive output of urine (diuresis)
Proteinuria - CORRECT ANSWER - Protein in the urine
Pyuria - CORRECT ANSWER - Pus in the urine
Urgency - CORRECT ANSWER - Strong desire to void
Urinary incontinence - CORRECT ANSWER - Involuntary loss of urine
Focused Assessment Guide - Factors to assess - CORRECT ANSWER - - Usual patterns
of urinary elimination
- Recent changes in urinary elimination
- Aids to elimination
- Present or past occurrence of voiding difficulties (nature of problem, onset, frequency, causes,
severity, symptoms, intervention attempted, results)
- Presence of urinary diversion (normal routine, history of problems)
A comprehensive nursing assessment of the functioning of a patient's urinary system includes the
following: - CORRECT ANSWER - - Collection of data about the patient's voiding
patterns, habits, and difficulties and a history of current or past urinary problems
- Assessment of the bladder, if indicated, and urethral meatus; assessment of skin integrity and
hydration; and examination of the urine
- Correlation of these findings with the results of diagnostic tests and procedures for examining
the urine and the urinary tract
postvoid residual (PVR) - CORRECT ANSWER - the amount of urine remaining in the
bladder immediately after voiding
