PrepU CH 36 urinary elimination, PrepU Chapter 36: Urinary
Elimination, Nursing Chapter 37 (urinary Elimination), Ch. 37
Urinary Elimination, PrepU Ch 37 Urination, Chapter 37:
Urinary Elimination Exam Q’s & A’s
Which of the following statements should the nurse convey to the mother of a 3-...
PrepU CH 36 urinary elimination, PrepU Chapter 36: Urinary Elimination, Nursing Chapter 37 (urinary Elimination), Ch. 37 Urinary Elimination, PrepU Ch 37 Urination, Chapter 37: Urinary Elimination Exam Q’s & A’s Which of the following statements should the nurse convey to the mother of a 3 -year-old son who has not achieved urinary continence? -Answer -oys may take longer for daytime continence than girls During a visit to the pediatrician's office, a parent inquires about toilet training her 2 -
year-old daughter. The nurse informs the mother that one factor in determining toilet -
training readiness is when: a) The child cannot control urination until seated on the toilet. b) The child ignores the desire to void. c) The child can hold the urine for 4 to 5 hours. d) The child can recognize bladder fullness. -Answer -Child can recognize bladder fullness Which of the following statements should the nurse convey to the mother of a 3 -year-old son who has not achieved urinary continence? -Answer -Boys may take longer for daytime continence than girls A sterile urine specimen for culture and sensitivity has been ordered for a client who has an indwelling urinary catheter. How should the nurse obtain this specimen? -Answer - withdraw several milliliters of urine from the port on the collection tubing, using a syringe and needle Kidneys -Answer --located on either side of the vertebral column behind the peritoneum in the upper abdominal cavity -help maintain the composition &volume of body fluids -about once every 30 min, the body's total volume passes through the kidneys for waste removal -filter &excrete blood constituents that aren't needed -urine is product -nephron is basic structural unit the pressure within the bladder is greatest when -Answer -during urination *detrusor muscle contracts, internal sphincter relaxes, and urine enters the posterior urethra* A woman complains of bladder urgency. It is most important to assess -Answer -
Caffeine intake A client at the health care facility has been diagnosed with total urinary incontinence. How could the nurse describe the condition of the client? -Answer -loss of urine without any identifiable pattern or warning restraint of voiding is thought to occur_____ -Answer -subconsciously Urethra -Answer --transports urine from bladder to exterior of body -males is 5 1/2 to 61/2 inches long -females is 1 1/2 or 2 1/2 inches long A nurse assessing the access site of a hemodialysis catheter cannot palpate a thrill or hear a bruit. What is the most likely cause of this emergency situation? a) There is an infection at the site. b) There is leaking from the site. c) There is trauma to the bladder. d) The access may be clotting off. -Answer -The access may be clotting off A nurse is using a bladder scanner to assess the bladder volume of a patient with urinary frequency. In which of the following positions would the nurse place the patient? -Answer -Supine Use of an indwelling urinary catheter leads to the loss of bladder tone. -Answer -true Which symptom will have a great impact on the extracellular fluid for water conservation? -Answer -burns involuntary loss of urine -Answer -urinary incontinence Urinary incontinence -Answer -any involuntary loss of urine that causes a problem The nurse has been closely monitoring a patient who has recently had her indwelling urinary catheter removed. In the six hours since the catheter was removed, the patient has yet to void. How should the nurse first respond to this assessment finding? a) Obtain an order for an oral diuretic and administer this drug to the patient. b) Inform the physician and request blood work to assess the patient's renal function. c) Reinsert the patient's urinary catheter. d) Assess the patient's bladder by palpation and bedside ultrasound. -Answer -Assess the patient's bladder by palpation and bedside ultrasound. You are preparing to assess a patient's postvoid residual using a bladder scanner. Arrange the following steps in the correct order. -Answer -Press the appropriate gender button. Position scanner head with directional arrow pointing to the head. Press scanner head onto the skin 1 to 1.5 inches above the symphysis pubis. Aim scanner head toward coccyx and activate scan. Verify screen crossbars fall within bladder image. Observe and record the volume measurement on the screen. Which of the following is an accurate guideline to follow if there is not an immediate flow of urine after a catheter has been inserted? -Answer -Have the patient take a deep breath, which helps to relax the perineal and abdominal muscles. Which of the following is an advantage of using a condom catheter for a male patient who has frequent episodes of urinary incontinence? a) The patient can apply it himself with minimal supervision. b) It collects urine into a drainage bag without the risk of infection associated with indwelling urinary catheters. c) It can be left in place for a long period of time. d) A sterile urine specimen can be obtained from the drainage bag tubing. -Answer -It collects urine into a drainage bag without the risk of infection associated with indwelling urinary catheters.
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