Chapter 34: Urinary Elimination
1. Which of the following statements should be included in the nu rses
teaching plan for older adults regarding urinary elimination?
a. Most older adults experience an increased blood flow to the kidneys
b. Kidney function progressivel y increases as the body ages
c. The kidneys become more effective in filtration with age
d. Nocturia and urinary retention are more common in older adults
CORRECT ANSWER: D
Feedback:
Nocturia and urinary retention are more common in older adults.
2. Which of the following statements should the nurse convey to the mother
of a 3- year-old son who has not achieved urinary continence?
a. Incontinence after the age of 3 years is not normal
b. Boys may take longer for daytime continence than girls
c. Boys may walk by 1 year and should be continent by 3 years
d. Daytime continence is usuall y not achieved by boy s until age 5
CORRECT ANSWER: B
Feedback:
Children in North American cultures usuall y achieve daytime urinary
continence by 3 years of age; boys may take longer than girls.
Nighttime continence may not occur until 4 or 5 years of age.
,3. An infant is born with spina bifida. She may have
a. Alterations in urinary elimination
b. Increased urine production
c. Renal failure
d. Excessive loss of sodium in the urine
CORRECT ANSWER: A
Feedback:
Congenital malformations of the central nervous system may cause
serious alterations in urinary elimination.
4. Which of the following ranges for urine output in 24 hours is considered
normal for an adult?
a. 1,0001,200 cc
b. 1,2001,500 cc
c. 1,6001,900 cc
d. 2,0002,400 cc
CORRECT ANSWER: B
Feedback:
The total amount of urine v oided during a 24-hour period usuall y
ranges between 1,200 and 1,500 mL.
5. When a patient is diagnosed with a urinary tract infection, the nurse
anticipates that the patients urine will be
a. Transparent with an aromatic odor
b. Light yellow with a faint ammon ia odor
, c. Cloudy with an offensive odor
d. Greenish with a strong ammonia odor
CORRECT ANSWER: C
Feedback:
A strong, offensive odor is not normall y present in urine that is free of
infection.
6. A patient has been NPO after midnight for surgery. It is 11: 00 AM and the
nurse has asked her to void before being transferred to the surgical suite.
The nurse should expect her urine to be
a. Pale yellow
b. Colorless
c. Dark amber
d. Tea colored
CORRECT ANSWER: C
Feedback:
Urine may be dark amber or orange -brown if it is very concentrated
secondary to a decreased fluid intake. Urine is lighter than normal if it
is diluted. Foods or drugs can also alter the color of urine. Tea -colored
or very dark urine is a sign of dehydration.
7. The micturition reflex is the
a. Process of filtration beginning with the glomerulus
b. Act of bladder contraction and perceived need to void
c. Reabsorption of the substances the body wants to retain
1. Which of the following statements should be included in the nu rses
teaching plan for older adults regarding urinary elimination?
a. Most older adults experience an increased blood flow to the kidneys
b. Kidney function progressivel y increases as the body ages
c. The kidneys become more effective in filtration with age
d. Nocturia and urinary retention are more common in older adults
CORRECT ANSWER: D
Feedback:
Nocturia and urinary retention are more common in older adults.
2. Which of the following statements should the nurse convey to the mother
of a 3- year-old son who has not achieved urinary continence?
a. Incontinence after the age of 3 years is not normal
b. Boys may take longer for daytime continence than girls
c. Boys may walk by 1 year and should be continent by 3 years
d. Daytime continence is usuall y not achieved by boy s until age 5
CORRECT ANSWER: B
Feedback:
Children in North American cultures usuall y achieve daytime urinary
continence by 3 years of age; boys may take longer than girls.
Nighttime continence may not occur until 4 or 5 years of age.
,3. An infant is born with spina bifida. She may have
a. Alterations in urinary elimination
b. Increased urine production
c. Renal failure
d. Excessive loss of sodium in the urine
CORRECT ANSWER: A
Feedback:
Congenital malformations of the central nervous system may cause
serious alterations in urinary elimination.
4. Which of the following ranges for urine output in 24 hours is considered
normal for an adult?
a. 1,0001,200 cc
b. 1,2001,500 cc
c. 1,6001,900 cc
d. 2,0002,400 cc
CORRECT ANSWER: B
Feedback:
The total amount of urine v oided during a 24-hour period usuall y
ranges between 1,200 and 1,500 mL.
5. When a patient is diagnosed with a urinary tract infection, the nurse
anticipates that the patients urine will be
a. Transparent with an aromatic odor
b. Light yellow with a faint ammon ia odor
, c. Cloudy with an offensive odor
d. Greenish with a strong ammonia odor
CORRECT ANSWER: C
Feedback:
A strong, offensive odor is not normall y present in urine that is free of
infection.
6. A patient has been NPO after midnight for surgery. It is 11: 00 AM and the
nurse has asked her to void before being transferred to the surgical suite.
The nurse should expect her urine to be
a. Pale yellow
b. Colorless
c. Dark amber
d. Tea colored
CORRECT ANSWER: C
Feedback:
Urine may be dark amber or orange -brown if it is very concentrated
secondary to a decreased fluid intake. Urine is lighter than normal if it
is diluted. Foods or drugs can also alter the color of urine. Tea -colored
or very dark urine is a sign of dehydration.
7. The micturition reflex is the
a. Process of filtration beginning with the glomerulus
b. Act of bladder contraction and perceived need to void
c. Reabsorption of the substances the body wants to retain
