Chapter 31 Urinary Elimination and Care

Chapter 31  Urinary Elimination and Care

Complete Chapter Questions And Answers
 

Sample Questions

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. While evaluating the potential presence of a urinary tract infection (UTI), the nurse would be most interested in which of the following laboratory values?
A.
Urine specific gravity
B.
Urine pH
C.
Blood urea nitrogen
D.
Creatinine

____ 2. While assessing for the risk of stress incontinence, the nurse would recognize which of the following as a contributing factor?
A.
Cesarean birth
B.
Male gender
C.
History of vaginal surgery
D.
Mental status

____ 3. The nurse is caring for a patient with stress incontinence. Teaching has been effective if the patient states
A.
“I need to do Kegel exercises to help strengthen the muscles that control the urine.”
B.
“I need to drink fluids with my meals but not in between meals.”
C.
“I should not do sit-ups since that will increase my abdominal pressure.”
D.
“I should avoid things that make me sneeze or cough.”

____ 4. The nurse is caring for a patient with incontinence who has a new order for a urine specimen to evaluate the presence of a urinary tract infection. It would be appropriate for the nurse to use
A.
An indwelling catheter.
B.
A three-way catheter.
C.
A straight catheter.
D.
A coudé catheter.

____ 5. The nurse receives a report on a patient who just returned from surgery following a transurethral prostatectomy. The nurse is told that the patient has a urinary catheter. The nurse will most likely find
A.
A suprapubic catheter.
B.
A three-way catheter.
C.
A condom catheter.
D.
A coudé catheter.

Chapter 31. Urinary Elimination and Care
Answer Section

MULTIPLE CHOICE

1. ANS: B

Feedback
A
Urine specific gravity is the result of comparing the weight of a substance with an equal amount of water
B
Determining the pH of the urine is helpful in the diagnosis and management of UTIs, which tend to make the urine more alkaline. Chapter Objective: Discuss characteristics of normal urine and the significance of abnormal characteristics.
C
Urea is a waste product excreted by the kidneys.
D
Creatinine is the waste product of muscle metabolism and is a reflection of kidney function.

PTS: 1 REF: Chapter: 31 | Page: 711 OBJ: Chapter Objective: 31-3
KEY: Content Area: Laboratory Values | Integrated Process: Nursing Process/Assessment | Client Need: Reduction of Risk Potential | Cognitive Level: Comprehension

2. ANS: C

Feedback
A
Vaginal delivery increases risk of stress incontinence.
B
Women are more prone to stress incontinence than men.
C
Stress incontinence occurs with increased abdominal pressure, causing urine to leak out of the bladder. Stress incontinence is seen more in women than in men. Increased abdominal pressure can be caused by coughing, laughing, sneezing, vomiting, and heavy lifting or straining—anything that elicits a “bearing down” effect. Factors that may contribute to the development of stress incontinence include vaginal births, previous pelvic or vaginal surgery, genetics, hormone levels, and chronic medical conditions. Chapter Objective: Enumerate types of urinary incontinence.
D
Mental status will not impact stress incontinence.

PTS: 1 REF: Chapter: 31 | Page: 718 OBJ: Chapter Objective: 31-6
KEY: Content Area: Elimination | Integrated Process: Nursing Process/Assessment | Client Need: Basic Care and Comfort | Cognitive Level: Application

3. ANS: A

Feedback
A
One treatment for stress incontinence involves teaching the patient to perform Kegel exercises, which will strengthen and tone the pelvic floor muscles. Chapter Objective: Describe nursing interventions to help manage incontinence.
B
There is no need to limit fluids.
C
General exercise is associated with reduced incidence of incontinence.
D
It is best to teach the woman to strengthen her pelvic floor muscles to help reduce stress incontinence.

PTS: 1 REF: Chapter: 31 | Page: 718 OBJ: Chapter Objective: 31-7
KEY: Integrated Process: Teaching/Learning | Client Need: Basic Care and Comfort | Cognitive Level: Application

4. ANS: C

Feedback
A
An indwelling catheter remains in the urinary bladder for a designated period of time.
B
A three-way catheter is only used in one specific situation: after a male patient has had a transurethral resection of the prostate.
C
A straight catheter is used only for insertion into the urinary bladder to obtain a sterile urine specimen or for a one-time drainage of urine from the bladder. Chapter Objective: Identify purposes, types, and sizes of urinary catheters.
D
A coudé catheter is used specifically to accommodate an enlarged prostate in male patients.

PTS: 1 REF: Chapter: 31 | Page: 720 OBJ: Chapter Objective: 31-12
KEY: Content Area: Elimination | Integrated Process: Nursing Process/Implementation | Client Need: Basic Care and Comfort | Cognitive Level: Application

5. ANS: B

Feedback
A
A suprapubic catheter is placed due to trauma or surgery to the urethra, or if an indwelling catheter cannot be inserted into the bladder.
B
A three-way catheter is only used in one specific situation: after a male patient has had a transurethral resection of the prostate. Chapter Objective: Identify purposes, types, and sizes of urinary catheters.
C
A condom catheter is used for males who are incontinent of urine to avoid the risk of infection that is related to the insertion of an indwelling catheter. It is similar to a regular condom and is applied by rolling it onto the penis.
D
A coudé catheter is used specifically to accommodate an enlarged prostate in male patients.

PTS: 1 REF: Chapter: 31 | Page: 720 OBJ: Chapter Objective: 31-12
KEY: Content Area: Elimination | Integrated Process: Nursing Process/Assessment | Client Need: Basic Care and Comfort | Cognitive Level: Application