Chapter 33 Urinary Elimination

$2.50

Pay And Download The Complete Chapter Questions And Answers

Chapter 33  Urinary Elimination

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. Mrs. Woods is an 80-year-old active widow in very good health. She has made an appointment with her health care provider due to a recent bout with urinary incontinence (UI). Mrs. Woods tells Cheryl, the nurse preparing her, that she has recently become incontinent of urine and thinks it is due to her age. What is he best response from Cheryl?
A.
“Most older people are incontinent.”
B.
“It’s too bad that as we age our bodies start failing us.”
C.
“It is a myth that incontinence is part of the aging process.”
D.
“At least you made it to 80 before experiencing incontinence.”

ANS: C
It is a myth that incontinence is part of the aging process; however, UI affects approximately 30% of older adults living at home and about 50% of older adults in nursing homes.

PTS: 1 DIF: Cognitive Level: Knowledge REF: 951
OBJ: Identify factors that commonly influence urinary elimination
TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance

2. Ira is a nurse who is discussing catheter care with Mike, a nursing assistive personnel. Ira tells Mike that catheter care is very important in the prevention of urinary tract infections (UTI). Ira cites research that states the percentage of health care–acquired infections associated with indwelling urinary catheters is which of the following?
A.
50%
B.
60%
C.
70%
D.
80%

ANS: D
Eighty percent of health care–associated infections are associated with indwelling catheter use.

PTS: 1 DIF: Cognitive Level: Knowledge REF: 949
OBJ: Discuss nursing measures to reduce urinary tract infections
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

3. Mrs. Thornton is a 56-year-old patient who has recently become postmenopausal. She told the nurse that ever since she had gone through menopause she noticed that she was getting more urinary tract infections. What is the best response from the nurse?
A.
“As we go through menopause, the lining of the urethra becomes more susceptible to infections.”
B.
“Why don’t you ask your health care provider for some antibiotics to keep on hand.”
C.
“That must be frustrating.”
D.
“I’m not looking forward to going through menopause.”

ANS: A
Decreased levels of estrogen tend to cause the urethral mucosa to become thinner and more fragile and consequently more easily traumatized and infected.

PTS: 1 DIF: Cognitive Level: Application REF: 953
OBJ: Discuss nursing measures to reduce urinary tract infections
TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity

4. Beth Ann is the mother of 3-year-old Haley. She has taken her to the clinic for her annual well-child checkup. Beth Ann tells Rodney, the nurse, that Haley will tell her when she has to go to the bathroom, but refuses to go on the toilet. What is Rodney’s best response?
A.
“She might be frightened of falling in the toilet.”
B.
“You might try putting her in ‘time-out’ when she refuses to sit on the toilet.”
C.
“Sometimes children her age see urine and feces as part of themselves.”
D.
“She is too young to worry about potty-training.”

ANS: C
When children begin to achieve bladder control and learn the appropriate skills, they sometimes resist urinating on the toilet. Children often associate their urine and feces as extensions of self, and they do not want to flush part of themselves away.

PTS: 1 DIF: Cognitive Level: Knowledge REF: 953
OBJ: Identify factors that commonly influence urinary elimination
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

5. Laura is a student nurse who is working on a rehabilitation unit in the hospital. She is caring for Mrs. Cruse, a 77-year-old patient who had undergone knee replacement surgery. Since Mrs. Cruse had surgery, she has had several instances of urinary incontinence. The nurse caring for Mrs. Cruse has told Laura that she will be calling the health care provider for an order to anchor a Foley catheter. What is Laura’s best response to this suggestion?
A.
“Would it be better to request a straight catheter instead?”
B.
“I think it would be better to put a disposable undergarment on her.”
C.
“Could we try a toileting schedule before you request the Foley?”
D.
“I think that is a good idea; it will prevent skin breakdown.”

ANS: C
You are in a key position to serve as a patient advocate by suggesting noninvasive alternatives to catheterization use. For example, you may decrease the risk for UTI by suggesting the use of a bladder scanner to evaluate bladder urine volume without invasive instrumentation or implement a toileting schedule for the incontinent patient.

PTS: 1 DIF: Cognitive Level: Analysis REF: 954
OBJ: Discuss nursing measures to promote normal urination and to control incontinence
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment

There are no reviews yet.

Add a review

Be the first to review “Chapter 33 Urinary Elimination”

Your email address will not be published. Required fields are marked *

Category: Tag:
Updating…
  • No products in the cart.