ATI Urinary Elimination - practice
assessment questions with correct answers
A nurse is implementing a bladder retraining program for a client.
| | | | | | | | | |
Which of the following actions should the nurse take?
| | | | | | | | |
Assist the client to the bathroom every 2 hr.
| | | | | | | |
Restrict oral fluid intake during waking hours.
| | | | | | |
Encourage the client to hold her breath when feeling the urge to| | | | | | | | | | |
urinate.
|
Provide adult diapers until bladder retraining is successful. -
| | | | | | | |
CORRECT ANSWER Encourage the client to hold her breath
| | | | | | | |
when feeling the urge to urinate.
| | | | | |
The nurse should encourage the client to take deep, slow breaths to
| | | | | | | | | | |
help diminish the urge to urinate.
| | | | | |
A nurse is teaching a client who has a new diagnosis of urge
| | | | | | | | | | | |
incontinence. Which of the following information should the nurse
| | | | | | | | |
include in the teaching? (Select all that apply.)
| | | | | | | |
"Your provider might prescribe anticholinergic medications." "You
| | | | | |
should limit fluids in the evening."
| | | | | |
"You should restrict your intake of caffeine."
| | | | | |
"You might require intermittent urinary catheterization."
| | | | |
,"You might require an anterior vaginal repair." - CORRECT
| | | | | | | |
ANSWER "Your provider might prescribe anticholinergic
| | | | |
medications"
|
Anticholinergic medications suppress bladder contractions and | | | | |
increase bladder capacity.
| | |
"You should limit fluids in the evening" .
| | | | | | |
Limiting fluid intake in the evening prior to bedtime helps prevent an
| | | | | | | | | | |
overload of fluid in the bladder during hours of sleep.
| | | | | | | | | |
"You should restrict your intake of caffeine"
| | | | | |
The restriction of caffeine is effective in the treatment of urge
| | | | | | | | | |
incontinence because caffeine is a bladder irritant.
| | | | | | |
A nurse is reviewing the medical record of a client who has a urinary
| | | | | | | | | | | | |
tract infection (UTI). Which of the following findings should the nurse
| | | | | | | | | | |
recognize as a risk factor?
| | | | |
COPD
Diabetesmellitus |
Anemia
|
Osteoporosis - CORRECT ANSWER | | | Diabetes mellitus |
Diabetes mellitus is a risk for factor for a UTI due to the increased
| | | | | | | | | | | | |
amount of glucose present in the urine.
| | | | | | |
A nurse is caring for a client and observes that the client's urine is
| | | | | | | | | | | | |
dark amber, cloudy, and has an unpleasant odor. The nurse should
| | | | | | | | | | |
recognize that these findings are associated with which of the
| | | | | | | | | |
following?
|
Urinary tract infection
| |
, Urinaryincontinence |
Urinary frequency
| |
Urinary retention - CORRECT ANSWER | | | | Urinary tract infection | |
A client who has a urinary tract infection has urine that appears
| | | | | | | | | | |
cloudy and concentrated because of the presence of WBCS, RBCS
| | | | | | | | | |
and bacteria, The urine often has an unpleasant odor.
| | | | | | | | |
A nurse is caring for a client who is 5 hr postoperative following a
| | | | | | | | | | | | |
transurethral resection of the prostate (TURP). The nurse notes that
| | | | | | | | | |
the client's indwelling urinary catheter has not drained in the past
| | | | | | | | | | |
hour. Which of the following actions should the nurse take first?
| | | | | | | | | | |
Notify the provider. | |
Check the tubing for kinks. | | | |
Adjust the rate of the bladder irrigant.
| | | | | |
Irrigate the catheter. - CORRECT ANSWER | | | | | Check the tubing | |
for kinks.
| |
When providing client care, the nurse should first use the least
| | | | | | | | | |
restrictive intervention; nurse must ensure constant flow of the
| | | | | | | | |
bladder irrigant into the catheter and outward drainage therefore,
| | | | | | | | |
the nurse should check the catheter tubing for kinks. The from the
| | | | | | | | | | | |
catheter to prevent clotting, which could occlude the catheter
| | | | | | | | |
lumen.
|
A nurse is caring for a female client who has recurrent kidney stones
| | | | | | | | | | | |
and is scheduled for an intravenous pyelogram. Which of the
| | | | | | | | | |
following statements by the client should the nurse report to the
| | | | | | | | | | |
provider?
|
"I drink at least 2 quarts of fluid every day."
| | | | | | | | |
"The last time I voided it was painful and red-tinged." "My
| | | | | | | | | |
period ended 2 days ago."
| | | | |
assessment questions with correct answers
A nurse is implementing a bladder retraining program for a client.
| | | | | | | | | |
Which of the following actions should the nurse take?
| | | | | | | | |
Assist the client to the bathroom every 2 hr.
| | | | | | | |
Restrict oral fluid intake during waking hours.
| | | | | | |
Encourage the client to hold her breath when feeling the urge to| | | | | | | | | | |
urinate.
|
Provide adult diapers until bladder retraining is successful. -
| | | | | | | |
CORRECT ANSWER Encourage the client to hold her breath
| | | | | | | |
when feeling the urge to urinate.
| | | | | |
The nurse should encourage the client to take deep, slow breaths to
| | | | | | | | | | |
help diminish the urge to urinate.
| | | | | |
A nurse is teaching a client who has a new diagnosis of urge
| | | | | | | | | | | |
incontinence. Which of the following information should the nurse
| | | | | | | | |
include in the teaching? (Select all that apply.)
| | | | | | | |
"Your provider might prescribe anticholinergic medications." "You
| | | | | |
should limit fluids in the evening."
| | | | | |
"You should restrict your intake of caffeine."
| | | | | |
"You might require intermittent urinary catheterization."
| | | | |
,"You might require an anterior vaginal repair." - CORRECT
| | | | | | | |
ANSWER "Your provider might prescribe anticholinergic
| | | | |
medications"
|
Anticholinergic medications suppress bladder contractions and | | | | |
increase bladder capacity.
| | |
"You should limit fluids in the evening" .
| | | | | | |
Limiting fluid intake in the evening prior to bedtime helps prevent an
| | | | | | | | | | |
overload of fluid in the bladder during hours of sleep.
| | | | | | | | | |
"You should restrict your intake of caffeine"
| | | | | |
The restriction of caffeine is effective in the treatment of urge
| | | | | | | | | |
incontinence because caffeine is a bladder irritant.
| | | | | | |
A nurse is reviewing the medical record of a client who has a urinary
| | | | | | | | | | | | |
tract infection (UTI). Which of the following findings should the nurse
| | | | | | | | | | |
recognize as a risk factor?
| | | | |
COPD
Diabetesmellitus |
Anemia
|
Osteoporosis - CORRECT ANSWER | | | Diabetes mellitus |
Diabetes mellitus is a risk for factor for a UTI due to the increased
| | | | | | | | | | | | |
amount of glucose present in the urine.
| | | | | | |
A nurse is caring for a client and observes that the client's urine is
| | | | | | | | | | | | |
dark amber, cloudy, and has an unpleasant odor. The nurse should
| | | | | | | | | | |
recognize that these findings are associated with which of the
| | | | | | | | | |
following?
|
Urinary tract infection
| |
, Urinaryincontinence |
Urinary frequency
| |
Urinary retention - CORRECT ANSWER | | | | Urinary tract infection | |
A client who has a urinary tract infection has urine that appears
| | | | | | | | | | |
cloudy and concentrated because of the presence of WBCS, RBCS
| | | | | | | | | |
and bacteria, The urine often has an unpleasant odor.
| | | | | | | | |
A nurse is caring for a client who is 5 hr postoperative following a
| | | | | | | | | | | | |
transurethral resection of the prostate (TURP). The nurse notes that
| | | | | | | | | |
the client's indwelling urinary catheter has not drained in the past
| | | | | | | | | | |
hour. Which of the following actions should the nurse take first?
| | | | | | | | | | |
Notify the provider. | |
Check the tubing for kinks. | | | |
Adjust the rate of the bladder irrigant.
| | | | | |
Irrigate the catheter. - CORRECT ANSWER | | | | | Check the tubing | |
for kinks.
| |
When providing client care, the nurse should first use the least
| | | | | | | | | |
restrictive intervention; nurse must ensure constant flow of the
| | | | | | | | |
bladder irrigant into the catheter and outward drainage therefore,
| | | | | | | | |
the nurse should check the catheter tubing for kinks. The from the
| | | | | | | | | | | |
catheter to prevent clotting, which could occlude the catheter
| | | | | | | | |
lumen.
|
A nurse is caring for a female client who has recurrent kidney stones
| | | | | | | | | | | |
and is scheduled for an intravenous pyelogram. Which of the
| | | | | | | | | |
following statements by the client should the nurse report to the
| | | | | | | | | | |
provider?
|
"I drink at least 2 quarts of fluid every day."
| | | | | | | | |
"The last time I voided it was painful and red-tinged." "My
| | | | | | | | | |
period ended 2 days ago."
| | | | |
