Exam (elaborations) NURSING NR 224 Fundamentals TEST BANK (Ch. 45 Urinary Elimination)
Chapter 45: Urinary Elimination
1. If obstructed, which
... [Show More] component of the urination system would cause peristaltic
waves?
a. Kidney
b. Ureters
c. Bladder
d. Urethra
ANS: B
2. When reviewing laboratory results, the nurse should immediately notify the health
care provider about which finding?
a. Glomerular filtration rate of 20 mL/min
b. Urine output of 80 mL/hr
c. pH of 6.4
d. Protein level of 2 mg/100 mL
ANS: A
NURSING NR 224 Fundamentals TEST
BANK (Ch. 45 Urinary Elimination)
3. A patient is experiencing oliguria. Which action should the nurse perform first?
a. Increase the patient’s intravenous fluid rate.
b. Encourage the patient to drink caffeinated beverages.
c. Assess for bladder distention.
d. Request an order for diuretics.
ANS: C
4. A patient requests the nurse’s assistance to the bedside commode and becomes
frustrated when unable to void in front of the nurse. The nurse understands the
patient’s inability to void because
a. Anxiety can make it difficult for abdominal and perineal muscles to relax enough
to void.
b. The patient does not recognize the physiological signals that indicate a need to
void.
c. The patient is lonely, and calling the nurse in under false pretenses is a way to get
attention.
d. The patient is not drinking enough fluids to produce adequate urine output.
ANS: A
5. The nurse knows that indwelling catheters are placed before a cesarean because
a. The patient may void uncontrollably during the procedure.
b. A full bladder can cause the mother’s heart rate to drop.
c. Spinal anesthetics can temporarily disable urethral sphincters.
d. The patient will not interrupt the procedure by asking to go to the bathroom.
ANS: C
6. The nurse knows that urinary tract infection (UTI) is the most common health care–
associated infection because
a. Catheterization procedures are performed more frequently than indicated.
b. Escherichia coli pathogens are transmitted during surgical or catheterization
procedures.
c. Perineal care is often neglected by nursing staff.
d. Bedpans and urinals are not stored properly and transmit infection.
ANS: B
7. An 86-year-old patient tells the nurse that she is experiencing uncontrollable
leakage of urine. Which nursing diagnosis should the nurse include in the patient’s
plan of care?
a. Urinary retention
b. Hesitancy
c. Urgency
d. Urinary incontinence
ANS: D
8. A patient has fallen several times in the past week when attempting to get to the
bathroom. The patient informs the nurse that he gets up 3 or 4 times a night to urinate.
Which recommendation by the nurse is most appropriate in correcting this urinary
problem?
a. Clear the path to the bathroom of all obstacles before bed.
b. Leave the bathroom light on to illuminate a pathway.
c. Limit fluid and caffeine intake before bed.
d. Practice Kegel exercises to strengthen bladder muscles.
ANS: C
9. When caring for a patient with urinary retention, the nurse would anticipate an order
for
a. Limited fluid intake.
b. A urinary catheter.
c. Diuretic medication.
d. A renal angiogram.
ANS: B
10. Upon palpation, the nurse notices that the bladder is firm and distended; the patient
expresses an urge to urinate. The nurse should follow up by asking
a. “When was the last time you voided?”
b. “Do you lose urine when you cough or sneeze?”
c. “Have you noticed any change in your urination patterns?”
d. “Do you have a fever or chills?”
11. Which of the following is the primary function of the kidney?
a. Metabolizing and excreting medications
b. Maintaining fluid and electrolyte balance
c. Storing and excreting urine
d. Filtering blood cells and proteins
ANS: B
12. While receiving a shift report on a patient, the nurse is informed that the patient
has urinary incontinence. Upon assessment, the nurse would expect to find
a. An indwelling Foley catheter.
b. Reddened irritated skin on the buttocks.
c. Tiny blood clots in the patient’s urine.
d. Foul-smelling discharge indicative of a UTI.
ANS: B
13. Which nursing diagnosis related to alternations in urinary function in an older
adult should be a nurse’s first priority?
a. Self-care deficit related to decreased mobility
b. Risk of infection
c. Anxiety related to urinary frequency
d. Impaired self-esteem related to lack of independence
ANS: B
14. A patient asks about treatment for urge urinary incontinence. The nurse’s best
response is to advise the patient to
a. Perform pelvic [Show Less]