Chapter 29 Promoting Urinary Elimination

Chapter 29  Promoting Urinary Elimination

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse caring for a severely dehydrated patient who has a Foley catheter in place assesses the patient to confirm adequate urine perfusion by the urine output of:
a.
15 mL.
b.
30 mL.
c.
45 mL.
d.
60 mL.

ANS: B
There should be an average hourly urine output of 30 mL.

DIF: Cognitive Level: Knowledge REF: p. 543
OBJ: Clinical Practice #1 TOP: Urinary Output
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

2. To help reduce a patient’s risk of recurrent cystitis, the nurse teaches the patient to:
a.
eat citrus fruits to alkalinize the urine.
b.
always wipe the perineal area from back to front.
c.
take long, warm bubble baths.
d.
wear cotton underwear and avoid nylon or constrictive clothing.

ANS: D
The patient should wear cotton underwear and avoid nylon and constrictive clothing that worsens perineal moisture.

DIF: Cognitive Level: Comprehension REF: p. 544
OBJ: Clinical Practice #1 TOP: Prevention of Urinary Infections
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Detection of Disease

3. The nurse is aware that in the older adult, a urinary infection may cause the patient to:
a.
run an exceptionally high temperature.
b.
have foul urine and diarrhea.
c.
become disoriented and confused.
d.
become irritable.

ANS: C
Urinary infections in the older adult patient may not be manifested by fever. There are subtle changes in mental status.

DIF: Cognitive Level: Comprehension REF: p. 544
OBJ: Clinical Practice #1 TOP: Urinary Infection in the Older Adult
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

4. To prevent changes in the chemical characteristics of urine, a nurse sends a sample of fresh urine to the laboratory for urinalysis within at least:
a.
1 to 2 minutes.
b.
3 to 5 minutes.
c.
5 to 10 minutes.
d.
20 to 30 minutes.

ANS: C
Urine that stands for 15 minutes or longer changes characteristics, and the urinalysis will no longer be accurate.

DIF: Cognitive Level: Comprehension REF: p. 547
OBJ: Clinical Practice #1 TOP: Urinalysis
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort

5. A patient has been ordered to have a 24-hour urine collection as part of a diagnostic workup. The action taken to perform this procedure correctly is to:
a.
continue the collection if the patient accidentally voids directly into the toilet.
b.
obtain a container and put it in a warm water bath in the bathroom.
c.
have the patient void at the beginning of the collection and throw it away.
d.
have the patient void for the last time a few hours before the collection ends.

ANS: C
The patient’s bladder should be empty when the test begins; for this reason, the urine obtained at the start time is discarded and the urine collected should be stored on ice during the 24-hour period.

DIF: Cognitive Level: Application REF: p. 546
OBJ: Clinical Practice #1 TOP: 24 Hour Urine Collection
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort