Urinary Elimination

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Nursing, Theory, and Professional Practice
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Communication
Critical Thinking in Nursing
Introduction to the Nursing Process
Assessment
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Ethical and Legal Considerations
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Human Development Young Adult to Older Adult
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Stress and Coping
Sleep
Diagnostic Testing
Medication Administration
Pain Management
Perioperative Nursing Care
Oxygenation and Tissue Perfusion
Fluid, Electrolytes, and Acid-Base Balance
Bowel Elimination
Urinary Elimination
Death and Loss

All Questions

Question 1

Free

Multiple Choice

The nurse is caring for a patient who is recovering from septic shock. While in the ICU, the patient developed renal failure. Which type of renal failure did the patient most likely develop?

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Prerenal

Renal

Post-renal

Mixed

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Question 2

Free

Multiple Choice

The nurse is caring for a patient with diabetes insipidus. The patient has constant severe thirst, drinks fluids continuously, and voids 3 to 4 L of clear yellow urine daily. Which term will the nurse use in the record to describe this patient's urinary output?

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Anuria

Oliguria

Polyuria

Enuresis

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Question 3

Free

Multiple Choice

The nurse is caring for a patient who is experiencing stress incontinence. Which goal is the most important for this patient?

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The patient will carefully complete a voiding diary for the duration of 2 weeks.

The patient will not experience involuntary urination during coughing or sneezing.

The patient will be able to recognize and effectively manage perineal dermatitis.

The patient will demonstrate how to appropriately use urinary incontinence products.

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Question 4

Free

Multiple Choice

The nurse is caring for a postoperative patient whose urinary catheter was removed 8 hours previously. The patient has not been able to void since the catheter was removed and now reports suprapubic pain. What is the priority action of the nurse?

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Encourage oral fluid intake and administer a diuretic.

Obtain a urine sample to test for culture and sensitivity.

Carefully calculate the patient's daily intake and output.

Obtain an order to straight-catheterize the patient.

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Question 5

Free

Multiple Choice

The nurse is caring for a patient who recently underwent ileal conduit surgery. Which nursing diagnosis is the highest priority for this patient?

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Ineffective sexuality pattern related to changed body structure

Social isolation related to potential for accidental leakage of urine

Knowledge deficit related to care and maintenance of ostomy appliance

Disturbed body image related to presence of stoma and appliance

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Question 6

Multiple Choice

The nurse is caring for a patient who reports an urgent need to urinate but is unable to pass more than a few drops of urine on the toilet. Which is the priority assessment to be performed by the nurse?

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Bladder scan to determine the amount of urine in the bladder

Auscultation to assess circulation through the right and left renal arteries

Bimanual palpation to assess for possible enlargement of the kidneys

Calculate the patient's intake and output to check for fluid volume deficit

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Question 7

Multiple Choice

The nurse is caring for a seriously ill patient whose laboratory results show a serum creatinine level of 3.5 mg/dL and a serum BUN of 35 mg/dL. Which conclusion can the nurse draw from these test results?

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The patient is severely dehydrated.

The patient's kidneys have been damaged.

The patient has a urinary tract infection.

The patient has developed a renal calculus.

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Question 8

Multiple Choice

The nurse is caring for a patient who has developed kidney failure. Which test finding leads the nurse to contact the nephrologist and arrange for emergency hemodialysis?

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Serum potassium level 7.4 mEq/L

Serum creatinine level of 2.8 mg/dL

Large amounts of protein in the urine

1500 mL of retained urine in the bladder

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Question 9

Multiple Choice

The nurse is caring for a patient who will undergo ultrasound testing of the bladder and kidneys the next morning. Which instruction will the nurse provide to the patient about the test?

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"A small IV will be inserted into your arm to inject the contrast dye."

"You will need to drink lots of water but not use the toilet."

"You should not have anything to eat or drink after midnight."

"You will receive a cleansing enema before you have the test."

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Question 10

Multiple Choice

The nurse is caring for a patient who has urinary retention resulting from benign prostatic hyperplasia (BPH). The patient requires catheterization in order to drain the urine from his bladder. Which action will the nurse take to facilitate this procedure?

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Use a double-lumen Coudé catheter.

Attach a leg bag to the catheter prior to insertion.

Trim the pubic hair before cleaning the perineal area.

Wait until the bladder is full to perform catheterization.

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Question 11

Multiple Choice

The nurse is caring for an incontinent male patient who has a deep decubitus ulcer on his sacrum. Which intervention will best manage the patient's urinary incontinence and facilitate healing of the ulcer?

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Use of disposable absorbable incontinence briefs

Daily application of perineal barrier cream containing zinc oxide

Careful perineal care and application of a condom catheter

Insertion of a single-lumen straight urinary catheter

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Question 12

Multiple Choice

The nurse is caring for a patient who has urinary frequency. Which nursing diagnosis is the highest priority for this patient?

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Risk for compromised human dignity r/t occasional incontinence

Risk-prone health behavior r/t living alone at home with nocturia

Risk for contamination r/t urine contact with perineal area skin

Risk for falls r/t hurried trips to the bathroom during the day and night

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Question 13

Multiple Choice

The nurse is caring for a patient who has just had an intravenous pyelography (IVP) completed. Which assessment is the nurse's highest priority after the patient returns from the test?

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Carefully calculate of the patient's intake and output.

Monitor for discoloration of the patient's urine.

Assess for possible iodine or shellfish allergies.

Inquire if the patient has burning or pain with urination.

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Question 14

Multiple Choice

The nurse is caring for a patient with benign prostatic hypertrophy who states that he feels a constant urge to urinate but cannot pass more than 30 to 60 mL of urine into the toilet at a time. The nurse performs a bladder scan and finds that there are 1100 mL of urine in the patient's bladder. What is the priority nursing diagnosis for this patient?

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Alteration in comfort r/t continual urge to urinate

Overflow urinary incontinence r/t over-distention of the bladder

Urinary retention r/t obstruction of urinary bladder outlet

Toileting self-care deficit r/t inability to pass urine into the toilet

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Question 15

Multiple Choice

The nurse is caring for a patient who had prostate surgery the previous day. The patient has had significantly decreased urine output over the last shift despite ample oral and IV fluid intake. The patient's urine from the indwelling catheter is cherry red with occasional small clots. What is the appropriate action of the nurse?

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Remove the urinary catheter and replace it with a new one

Gently irrigate the catheter using warmed sterile normal saline

Send a sample of the patient's urine to the laboratory for analysis

Call the physician and obtain an order for kidney and bladder ultrasound

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Question 16

Multiple Choice

The nurse is caring for a patient with the nursing diagnosis of Urge urinary incontinence related to urinary tract infection. Which statement is appropriate for the "as evidenced by" portion of the patient's diagnosis?

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Sudden leakage of urine when patient is unable to get to the toilet in time.

Continuous urine flow from the bladder regardless of attempts to use the toilet

Leakage of urine from the bladder when the patient coughs, sneezes, or laughs

Leakage of urine because the patient is unable to indicate need to use the toilet

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Question 17

Multiple Choice

The nurse is caring for a patient with an indwelling urinary catheter caused by severe prostate enlargement. Which is the priority nursing diagnosis for this patient?

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Risk for infection r/t indwelling urinary catheter

Disturbed body image r/t presence of catheter

Risk for contamination r/t potential leakage of urine on clothing

Urinary retention r/t blockage of bladder outlet

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Question 18

Multiple Choice

The preceptor is watching a nursing student care for a male patient who requires a condom catheter. Which action by the nursing student indicates that the procedure is performed correctly?

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Sterile gloves are donned before touching the catheter.

Adhesive tape is applied securely around the base of the penis.

Water-soluble lubricant is applied to the end of the catheter.

The foreskin is returned to its natural position before the catheter is applied.

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Question 19

Multiple Choice

The nurse is caring for a patient with a history of type I diabetes. Which assessment finding indicates to the nurse that the patient may not be compliant with his diabetic treatment regimen?

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The patient is always thirsty and frequently voids very large amounts of urine.

The patient's urine is very concentrated with a dark amber color.

The patient complains of throbbing flank pain and burning with urination.

The patient has urinary hesitancy and difficulty initiating a stream of urine.

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Question 20

Multiple Choice

The nurse is caring for a patient who is to undergo computed tomography (CT) of the kidneys and ureters. Which assessment finding by the nurse must be reported to the physician and radiologist before the patient has the procedure?

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The patient is allergic to bananas and latex.

The patient thinks that she might be pregnant.

The patient has a family history of bladder cancer.

The patient currently has a urinary tract infection.

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