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Urinary Elimination

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Question 1
Free
Multiple Choice

A nurse is teaching a patient about the urinary system. In which order will the nurse present the structures, following the flow of urine?

Choose correct answer/s
A

Kidney, urethra, bladder, ureters

B

Kidney, ureters, bladder, urethra

C

Bladder, kidney, ureters, urethra

D

Bladder, kidney, urethra, ureters

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Question 2
Free
Multiple Choice

A nurse is reviewing urinary laboratory results. Which finding will cause the nurse to follow up?

Choose correct answer/s
A

Protein level of 2 mg/100 mL

B

Urine output of 80 mL/hr

C

Specific gravity of 1.036

D

pH of 6.4

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Question 3
Free
Multiple Choice

A patient is experiencing oliguria. Which action should the nurse perform first?

Choose correct answer/s
A

Assess for bladder distention.

B

Request an order for diuretics.

C

Increase the patient's intravenous fluid rate.

D

Encourage the patient to drink caffeinated beverages.

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Question 4
Free
Multiple Choice

A patient requests the nurse's help to the bedside commode and becomes frustrated when unable to void in front of the nurse. How should the nurse interpret the patient's inability to void?

Choose correct answer/s
A

The patient can be anxious, making 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.

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Question 5
Free
Multiple Choice

The patient is having lower abdominal surgery and the nurse inserts an indwelling catheter. What is the rationale for the nurse's action?

Choose correct answer/s
A

The patient may void uncontrollably during the procedure.

B

Local trauma sometimes promotes excessive urine incontinence.

C

Anesthetics can decrease bladder contractility and cause urinary retention.

D

The patient will not interrupt the procedure by asking to go to the bathroom.

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Question 6
Multiple Choice

The nurse, upon reviewing the history, discovers the patient has dysuria. Which assessment finding is consistent with dysuria?

Choose correct answer/s
A
Blood in the urine
B
Burning upon urination
C
Immediate, strong desire to void
D
Awakes from sleep due to urge to void
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Question 7
Multiple Choice

An 86-year-old patient is experiencing uncontrollable leakage of urine with a strong desire to void and even leaks on the way to the toilet. Which priority nursing diagnosis will the nurse include in the patient's plan of care?

Choose correct answer/s
A
Functional urinary incontinence
B
Urge urinary incontinence
C
Impaired skin integrity
D
Urinary retention
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Question 8
Multiple Choice

A patient has fallen several times in the past week when attempting to get to the bathroom. The patient gets up 3 or 4 times a night to urinate. Which recommendation by the nurse is most appropriate in correcting this urinary problem?

Choose correct answer/s
A
Limit fluid and caffeine intake before bed.
B
Leave the bathroom light on to illuminate a pathway.
C
Practice Kegel exercises to strengthen bladder muscles.
D
Clear the path to the bathroom of all obstacles before bedtime.
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Question 9
Multiple Choice

A nurse is caring for a male patient with urinary retention. Which action should the nurse take first?

Choose correct answer/s
A
Limit fluid intake.
B
Insert a urinary catheter.
C
Assist to a standing position.
D
Ask for a diuretic medication.
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Question 10
Multiple Choice

Upon palpation, the nurse notices that the bladder is firm and distended; the patient expresses an urge to urinate. Which question is most appropriate?

Choose correct answer/s
A
"Does your urinary problem interfere with any activities?"
B
"Do you lose urine when you cough or sneeze?"
C
"When was the last time you voided?"
D
"Are you experiencing a fever or chills?"
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Question 11
Multiple Choice

A nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel?

Choose correct answer/s
A
Obtaining a midstream urine specimen
B
Interpreting a bladder scan result
C
Inserting a straight catheter
D
Irrigating a catheter
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Question 12
Multiple Choice

While receiving a shift report on a patient, the nurse is informed that the patient has urinary incontinence. Upon assessment, which finding will the nurse expect?

Choose correct answer/s
A
An indwelling Foley catheter
B
Reddened irritated skin on buttocks
C
Tiny blood clots in the patient's urine
D
Foul-smelling discharge indicative of infection
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Question 13
Multiple Choice

A nurse is inserting a catheter into a female patient. When the nurse inserts the catheter, no urine is obtained. The nurse suspects the catheter is not in the urethra. What should the nurse do?

Choose correct answer/s
A
Throw the catheter way and begin again.
B
Fill the balloon with the recommended sterile water.
C
Remove the catheter, wipe with alcohol, and reinsert after lubrication.
D
Leave the catheter in the vagina as a landmark for insertion of a new, sterile catheter.
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Question 14
Multiple Choice

A patient asks about treatment for stress urinary incontinence. Which is the nurse's best response?

Choose correct answer/s
A
Perform pelvic floor exercises.
B
Avoid voiding frequently.
C
Drink cranberry juice.
D
Wear an adult diaper.
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Question 15
Multiple Choice

The nurse suspects cystitis related to a lower urinary tract infection. Which clinical manifestation does the nurse expect the patient to report?

Choose correct answer/s
A
Dysuria
B
Flank pain
C
Frequency
D
Fever
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Question 16
Multiple Choice

Which assessment question should the nurse ask if stress incontinence is suspected?

Choose correct answer/s
A
"Do you think your bladder feels distended?"
B
"Do you empty your bladder completely when you void?"
C
"Do you experience urine leakage when you cough or sneeze?"
D
"Do your symptoms increase with consumption of alcohol or caffeine?"
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Question 17
Multiple Choice

To obtain a clean-voided urine specimen from a female patient, what should the nurse teach the patient to do?

Choose correct answer/s
A
Cleanse the urethral meatus from the area of most contamination to least.
B
Initiate the first part of the urine stream directly into the collection cup.
C
Drink fluids 5 minutes before collecting the urine specimen.
D
Hold the labia apart while voiding into the specimen cup.
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Question 18
Multiple Choice

A nurse is reviewing results from a urine specimen. What will the nurse expect to see in a patient with a urinary tract infection?

Choose correct answer/s
A
Casts
B
Protein
C
Crystals
D
Bacteria
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Question 19
Multiple Choice

The patient is taking phenazopyridine. When assessing the urine, what will the nurse expect?

Choose correct answer/s
A
Red color
B
Orange color
C
Dark amber color
D
Intense yellow color
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Question 20
Multiple Choice

Which clinical manifestation will the nurse expect to observe in a patient with excessive white blood cells present in the urine?

Choose correct answer/s
A
Reduced urine specific gravity
B
Increased blood pressure
C
Abnormal blood sugar
D
Fever with chills
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