NSG 3024 CHAPTER 34 QUIZ | VERIFIED SOLUTION

NSG 3024 CHAPTER 34 QUIZ Chapter 34: Urinary Elimination Potter: Essentials for Nursing Practice, 8th Edition MULTIPLE CHOICE 1. An 80-year-old woman with a history of diabetes and arthritis has made an appointment with her health care provider for complaints of urinary incontinence (UI). The patient states that she has recently become incontinent of urine and thinks it is because of her age. What is the best response from the nurse? a. “That is not normal. You must have a UTI.” b. “You need to decrease your fluid intake so you don't have to go to the bathroom as often.” c. “Are you having issues with walking to the bathroom or toileting?” d. “As you get older the sensations that your bladder is full become hypersensitive and cause a person to go to the bathroom more frequently.” At a recent staff meeting the staff educator discussed the importance of catheter care for the prevention of urinary tract infections (UTI). What percentage of health care–associated infections result from indwelling catheter use? a. 10% b. 60% c. 70% d. 80% A 56-year-old patient, who has recently become postmenopausal, made an appointment with her health care provider for symptoms of an UTI. The patient has had three previously diagnosed UTIs in the past 4 months. She asks the nurse if this is a normal occurrence with postmenopausal women. What is the best response from the nurse? a. “Yes, because as women go through menopause, the lining of the urethra becomes more susceptible to infections.” b. “No, but why don’t you ask your health care provider for some antibiotics to keep on hand?” c. “Yes, and this must be frustrating because as we become older our body starts to cause us more problems.” d. “Yes, and this is why I’m not looking forward to going through menopause.” A mother has brought her 3-year-old child to the clinic for an annual well-child checkup. The mother tells the nurse that the child is in the process of being potty trained. The child will state that the need to go to the bathroom, but refuses to go on the toilet. What is the nurse’s best response? a. “This occurs because the child might be frightened of falling in the toilet.” b. “It is recommended that you try putting her in ‘time-out’ if she continues to refuse to sit on the toilet.” c. “Sometimes children at that age see urine and feces as part of themselves.” d. “Stop, your child is too young to worry about potty-training.” The nurse on a rehabilitation unit is caring for a 77-year-old patient who had undergone total knee replacement surgery. Since surgery, the patient has had several instances of urinary incontinence. The health care provider is contemplating the order of a Foley catheter. What is the nurse’s best response to this suggestion? a. “Perhaps you could order intermittent straight catheter insertions instead?” b. “I think it would be better to put a disposable undergarment on her.” c. “Could we try a toileting schedule before you order the Foley?” d. “I think that is a good idea; it will prevent skin breakdown.” The nurse is assessing a 76-year-old man in a nursing home with a diagnosis of UTI. The nurse notes that the patient is complaining of right flank pain. To assess for tenderness, the nurse should gently do which of the following? a. Auscultate the costovertebral angle. b. Palpate the tenth intercostal space. c. Percuss the costovertebral angle. d. Palpate the area above the ischial spine.