EXAM 4: URINARY & BOWEL ELIMINATION, 3
C'S, CLINICAL JUDGMENT (POTTER &
WELL DETAILED ANSWERS|LATEST
An ambulatory elderly woman with dementia is incontinent of urine. She has poor short
term memory and has not been seen toileting independently. What is the best nursing
intervention for this patient?
A. Recommend she be evaluated for an OAB medication.
B. Start a scheduled toileting program.
C. Recommend she be evaluated for an indwelling catheter.
D. Start a bladder retraining program - ANSWER- Start a schedule toileting program
When assessing a patient's first voided urine of the day, which finding should be reported to
the health care provider?
A. Pale yellow urine
B. Slightly cloudy urine
C. Light pink urine
D. Dark amber urine - ANSWER- Light pink urine
What instructions should the nurse give the NAP concerning a patient who has had an
indwelling urinary catheter removed that day?
A. Limit oral fluid intake to avoid possible urinary incontinence.
B. Expect patient complaints of suprapubic fullness and discomfort.
C. Report the time and amount of first voiding.
,D. Instruct patient to stay in bed and use a urinal or bedpan. - ANSWER- Report the
time and amount of first voiding
Which nursing assessment question would best indicate that an incontinent man with a
history of prostate enlargement might not be emptying his bladder adequately?
A. Do you leak urine when you cough or sneeze?
B. Do you need help getting to the toilet?
C. Do you dribble urine constantly?
D. Does it burn when you pass your urine? - ANSWER- Do you dribble urine
constantly?
A patient is scheduled to have an intravenous pyelogram (IVP) the next morning. Which
nursing measures should be implemented prior to the test?
Select all that apply.
A. Ask the patient about any allergies and reactions.
B. Instruct the patient that a full bladder is required for the test.
C. Instruct the patient to save all urine in a special container.
D. Ensure that informed consent has been obtained.
E. Explain that the test includes instrumentation of the urinary tract. - ANSWER- Ask
the pt about any allergies and reactions
Ensure that informed consent has been obtained
Which nursing interventions should the nurse implement when removing an indwelling
urinary catheter in an adult patient?
Select all that apply.
A. Attach a 3 mL syringe to the inflation port
, B. Allow the balloon to drain into the syringe by gravity.
C. Initiate a voiding record/bladder diary
D. Pull catheter quickly
E. Clamp the catheter prior to removal. - ANSWER- Allow the ballon to drain into the
syringe by gravity
Initiate a voiding record/bladder diary
Which nursing intervention minimizes the risk for trauma and infection when applying an
external/condom catheter?
A. Leave a gap of 3-5 inches between the tip of the penis and drainage tube
B. Shave the pubic area so that hair does not adhere
C. Wash with soap and water prior to applying the condom type catheter.
D. Apply tape to the condom sheath to keep it securely in place. - ANSWER- Wash with
soap and water prior to applying the condom type catheter
What should the nurse teach a young woman with a history of urinary tract infections about
UTI prevention?
Select all that apply.
A. Keep the bowels regular.
B. Limit water intake to 1-2 glasses a day
C. Wear cotton underwear
D. Cleanse the perineum from front to back.
C. Practice pelvic muscle exercise (Kegel) daily. - ANSWER- Keep the bowels regular
Wear cotton underwear
C'S, CLINICAL JUDGMENT (POTTER &
WELL DETAILED ANSWERS|LATEST
An ambulatory elderly woman with dementia is incontinent of urine. She has poor short
term memory and has not been seen toileting independently. What is the best nursing
intervention for this patient?
A. Recommend she be evaluated for an OAB medication.
B. Start a scheduled toileting program.
C. Recommend she be evaluated for an indwelling catheter.
D. Start a bladder retraining program - ANSWER- Start a schedule toileting program
When assessing a patient's first voided urine of the day, which finding should be reported to
the health care provider?
A. Pale yellow urine
B. Slightly cloudy urine
C. Light pink urine
D. Dark amber urine - ANSWER- Light pink urine
What instructions should the nurse give the NAP concerning a patient who has had an
indwelling urinary catheter removed that day?
A. Limit oral fluid intake to avoid possible urinary incontinence.
B. Expect patient complaints of suprapubic fullness and discomfort.
C. Report the time and amount of first voiding.
,D. Instruct patient to stay in bed and use a urinal or bedpan. - ANSWER- Report the
time and amount of first voiding
Which nursing assessment question would best indicate that an incontinent man with a
history of prostate enlargement might not be emptying his bladder adequately?
A. Do you leak urine when you cough or sneeze?
B. Do you need help getting to the toilet?
C. Do you dribble urine constantly?
D. Does it burn when you pass your urine? - ANSWER- Do you dribble urine
constantly?
A patient is scheduled to have an intravenous pyelogram (IVP) the next morning. Which
nursing measures should be implemented prior to the test?
Select all that apply.
A. Ask the patient about any allergies and reactions.
B. Instruct the patient that a full bladder is required for the test.
C. Instruct the patient to save all urine in a special container.
D. Ensure that informed consent has been obtained.
E. Explain that the test includes instrumentation of the urinary tract. - ANSWER- Ask
the pt about any allergies and reactions
Ensure that informed consent has been obtained
Which nursing interventions should the nurse implement when removing an indwelling
urinary catheter in an adult patient?
Select all that apply.
A. Attach a 3 mL syringe to the inflation port
, B. Allow the balloon to drain into the syringe by gravity.
C. Initiate a voiding record/bladder diary
D. Pull catheter quickly
E. Clamp the catheter prior to removal. - ANSWER- Allow the ballon to drain into the
syringe by gravity
Initiate a voiding record/bladder diary
Which nursing intervention minimizes the risk for trauma and infection when applying an
external/condom catheter?
A. Leave a gap of 3-5 inches between the tip of the penis and drainage tube
B. Shave the pubic area so that hair does not adhere
C. Wash with soap and water prior to applying the condom type catheter.
D. Apply tape to the condom sheath to keep it securely in place. - ANSWER- Wash with
soap and water prior to applying the condom type catheter
What should the nurse teach a young woman with a history of urinary tract infections about
UTI prevention?
Select all that apply.
A. Keep the bowels regular.
B. Limit water intake to 1-2 glasses a day
C. Wear cotton underwear
D. Cleanse the perineum from front to back.
C. Practice pelvic muscle exercise (Kegel) daily. - ANSWER- Keep the bowels regular
Wear cotton underwear
