Eliopoulos Geronotological Nursing Ch
19: Urinary Elimination Questions And
Answers
A v75-year-old vclient vtells vthe vnurse, v"When vI vfeel vthe vneed vto vurinate, vI vcannot
hold vit vuntil vI vget vto vthe vtoilet." vWhich vsuggestion vwould vbe vappropriate?
A. v"Do vnot vdrink vany vliquids vafter v6 vpm. vThis vwill vdecrease vyour vurine vvolume."
B. v"Make va vurination vschedule vas vto vwhen vyou vare vincontinent vduring vthe vday."
C. v"Remind vyourself vto vurinate vevery vtwo vhours vduring vthe vday."
D. v"You vdon't vhave vto vtell vyour vhealth vcare vprovider vbecause vthis vis vvery
unusual." v- vAnswer v- vAns: vC
A vgerontological vnurse vpractitioner vis vassessing va v65-year-old vclient. vThe vclient
has va vhistory vof vanemia valong vwith vintermittent vbloody vurine. vThe vclient vdenies
any vabdominal vor vflank vpain, vcloudy vurine, vor vdysuria. vBased von vthese vfindings,
which vcondition vwould vthe vnurse vpractitioner vsuspect?
A. vGlomerulonephritis
B. vRenal vcalculi
C. vBladder vcancer
D. vUrinary vtract vinfection v- vAnswer v- vAns: vC
A vnurse vis vproviding vcare vfor va v75-year-old vmale vclient vwho vhas vnot vvoided
urine vsince vthe vbeginning vof vthe vshift. vThe vclient vstates vthat vthis vhas vhappened
before vbut vhe vis vunable vto vvoid veven vthough vhe vfeels vlike vhe vhas vtoo. vAn
, ultrasound vbladder vscan vindicates vthat vthere vis v780 vml vof vurine vin vthe vclient's
bladder. vThe vnurse vwould vsuspect vwhich vcondition vas vthe vmost vlikely vcause vof vthe vurinary
vretention?
A. vFecal vimpaction
B. vProstatic vhypertrophy
C. vNeurogenic vincontinence
D. vBladder vmuscle vhypertrophy v- vAnswer v- vAns: vB
A vnurse vis vassessing va v71-year-old vclient's vurinary vfunction. vWhich vfinding
would vthe vnurse videntify vas va vcause vfor vconcern?
A. vTesting vfor vstress vincontinence vyields va vfew vdrops vof vurine von vgauze
B. vThe vcolor vof vthe vclient's vurine vis vpale vyellow
C. vThe vpH vof vurine vsample vis v9.0
D. vThe vurine vhas va vfaint, varomatic vodor v- vAnswer v- vAns: vC
A v77-year-old vclient vhas vpresented vto vthe vprimary vcare vprovider vwith va
complaint vof vrecent vhematuria. vWhich vof vthe vfollowing vaspects vof vthe vclient's
history vwould vmost vclearly vsignal vto vthe vcare vprovider va vrisk vof vbladder vcancer?
A. vThe vclient vhas vbeen va vheavy vdrinker vas van vadult.
B. vThe vclient vhas vpoor vnutritional vstatus vand veats va vhigh-salt vdiet vemphasizing
processed vfoods.
C. vThe vclient vhas vbeen va vsmoker vsince vthe vage vof v15.
D. vThe vclient vhas va vhistory vof vrecurrent vurinary vtract vinfections. v- vAnswer v- vAns: vC
A v75-year-old vclient vhas vpresented vto vthe vemergency vdepartment vwith vrecent
fatigue, vnausea, vand vvomiting. vThe vclient's vtemperature vis v101.8 v°F vorally vand
19: Urinary Elimination Questions And
Answers
A v75-year-old vclient vtells vthe vnurse, v"When vI vfeel vthe vneed vto vurinate, vI vcannot
hold vit vuntil vI vget vto vthe vtoilet." vWhich vsuggestion vwould vbe vappropriate?
A. v"Do vnot vdrink vany vliquids vafter v6 vpm. vThis vwill vdecrease vyour vurine vvolume."
B. v"Make va vurination vschedule vas vto vwhen vyou vare vincontinent vduring vthe vday."
C. v"Remind vyourself vto vurinate vevery vtwo vhours vduring vthe vday."
D. v"You vdon't vhave vto vtell vyour vhealth vcare vprovider vbecause vthis vis vvery
unusual." v- vAnswer v- vAns: vC
A vgerontological vnurse vpractitioner vis vassessing va v65-year-old vclient. vThe vclient
has va vhistory vof vanemia valong vwith vintermittent vbloody vurine. vThe vclient vdenies
any vabdominal vor vflank vpain, vcloudy vurine, vor vdysuria. vBased von vthese vfindings,
which vcondition vwould vthe vnurse vpractitioner vsuspect?
A. vGlomerulonephritis
B. vRenal vcalculi
C. vBladder vcancer
D. vUrinary vtract vinfection v- vAnswer v- vAns: vC
A vnurse vis vproviding vcare vfor va v75-year-old vmale vclient vwho vhas vnot vvoided
urine vsince vthe vbeginning vof vthe vshift. vThe vclient vstates vthat vthis vhas vhappened
before vbut vhe vis vunable vto vvoid veven vthough vhe vfeels vlike vhe vhas vtoo. vAn
, ultrasound vbladder vscan vindicates vthat vthere vis v780 vml vof vurine vin vthe vclient's
bladder. vThe vnurse vwould vsuspect vwhich vcondition vas vthe vmost vlikely vcause vof vthe vurinary
vretention?
A. vFecal vimpaction
B. vProstatic vhypertrophy
C. vNeurogenic vincontinence
D. vBladder vmuscle vhypertrophy v- vAnswer v- vAns: vB
A vnurse vis vassessing va v71-year-old vclient's vurinary vfunction. vWhich vfinding
would vthe vnurse videntify vas va vcause vfor vconcern?
A. vTesting vfor vstress vincontinence vyields va vfew vdrops vof vurine von vgauze
B. vThe vcolor vof vthe vclient's vurine vis vpale vyellow
C. vThe vpH vof vurine vsample vis v9.0
D. vThe vurine vhas va vfaint, varomatic vodor v- vAnswer v- vAns: vC
A v77-year-old vclient vhas vpresented vto vthe vprimary vcare vprovider vwith va
complaint vof vrecent vhematuria. vWhich vof vthe vfollowing vaspects vof vthe vclient's
history vwould vmost vclearly vsignal vto vthe vcare vprovider va vrisk vof vbladder vcancer?
A. vThe vclient vhas vbeen va vheavy vdrinker vas van vadult.
B. vThe vclient vhas vpoor vnutritional vstatus vand veats va vhigh-salt vdiet vemphasizing
processed vfoods.
C. vThe vclient vhas vbeen va vsmoker vsince vthe vage vof v15.
D. vThe vclient vhas va vhistory vof vrecurrent vurinary vtract vinfections. v- vAnswer v- vAns: vC
A v75-year-old vclient vhas vpresented vto vthe vemergency vdepartment vwith vrecent
fatigue, vnausea, vand vvomiting. vThe vclient's vtemperature vis v101.8 v°F vorally vand
