RNSG 1216 Urinary Elimination Exam Questions With Correct Answers

Patient-Centered Care - Answer Understand patient values and preferences Try to adapt procedures to minimize the invasive nature of catheterization and maintain a patient's dignity and respect Many cultures have specific beliefs and practices related to elimination, privacy, and gender-specific care Urinary Elimination - Answer Urinary elimination support Helping a patient to a toilet or a bedside commode Assisting with a urinal Performing catheterization Implement measures to minimize risk for infection Elimination of Waste - Answer Patients who are unable to maintain normal elimination habits require assistance Bedpan/Bedside Commode/Urinal Enema administration Fecal Impaction Removal/Bowel Management Systems Catheterization/Diversions The nurse must understand factors that promote, impede, or alter normal bowel and bladder elimination Principles for Practice - Answer Adequate oral intake is essential for bladder health Evaluate urinary input: Know the average output range for a patient Know the signs of dehydration and fluid overload Assess patient's most recent serum electrolytes Weigh a patient to determine fluid status Evidence-Based Practice - Answer Catheter-associated urinary tract infection (CAUTI) prevention practices Aseptically inserting urinary catheters Limiting use of indwelling catheters Using smallest catheter and removing as soon as possible Secure indwelling catheters Maintaining closed drainage system Maintaining free flow of urine Perform routine perineal care daily, after soiling Safety Guidelines - Answer 1.Regularly assess and determine patients' functional status. 2. Evaluate a patient's normal pattern of micturition. 3. Consider a patient's age when assessing voiding habits. 4.Patients who need assistance with elimination should have a call bell within easy reach and the offer for assistance at regular intervals. 5.Maintain aseptic technique when catheterizing a patient to prevent CAUTI. Elimination pattern - Answer Stool characteristics Routines Bowel diversions Appetite changes Diet history Daily fluid intake Surgery or illness - Answer Medications Emotional state Exercise Pain or discomfort Social history Mobility and dexterity