Chapter 36 Urinary Elimination

Chapter 36  Urinary Elimination

Complete Chapter Questions And Answers
 

Sample Questions

1.
During a visit to the pediatrician’s office, a parent inquires about toilet training her daughter age 2 years. The nurse informs the mother that one factor in determining toilet-training readiness is when …
A)
the child can recognize bladder fullness.
B)
the child can hold the urine for four to five hours.
C)
The child cannot control urination until seated on the toilet.
D)
The child ignores the desire to void.
Ans:
A

Feedback:

Toilet training usually begins around ages 2 or 3 years. Toilet training should not begin until the child is able to hold urine for two hours, recognize the feeling of bladder fullness, communicate the need to void, and control urination until seated on the toilet.

2.
A client with urine retention related to a complete prostatic obstruction requires a urinary catheter to drain the bladder. Which type of catheter is most appropriate for a client that has an obstructed urethra?
A)
Suprapubic catheter
B)
Indwelling urethral catheter
C)
Intermittent urethral catheter
D)
Straight catheter
Ans:
A

Feedback:

A suprapubic catheter is used for long-term continuous drainage and is inserted through a small incision above the pubic area. Suprapubic bladder drainage diverts urine from the urethra when injury, stricture, prostatic obstruction, or abdominal surgery has compromised the flow of urine through the urethra.

3.
A patient has developed edema in her lower legs and feet, prompting her physician to prescribe furosemide (Lasix), a diuretic medication. After the client has begun this new medication, what should the nurse anticipate?
A)
Increased output of dilute urine
B)
Increased urine concentration
C)
A risk of urinary tract infections
D)
Transient incontinence and increased urine production
Ans:
A

Feedback:

Diuretics result in moderate to severe increases in the production of dilute urine. Concentration will decrease, not increase, and there is no accompanying risk of urinary tract infections. For some clients, this sudden increase in urine output may precipitate transient incontinence, but this remains an abnormal finding.

4.
A nurse is preparing to catheterize a female client. What will the nurse consider when comparing the anatomy of the female urethra with that of the male urethra?
A)
Has different innervation
B)
No connection with bladder
C)
Shorter in length
D)
Longer in length
Ans:
C

Feedback:

The anatomy of the urethra differs in males and females. The male urethra is about 51/2 to 61/4 inches (13.7 to 16.2 cm) long. The female urethra is about 11/2 to 21/2 inches (3.7 to 6.2 cm) long. This difference is important in terms of catheterization and risk for infection.

5.
Which of the following describes the term micturition?
A)
Emptying the bladder
B)
Catheterizing the bladder
C)
Collecting a urine specimen
D)
Experiencing total incontinence
Ans:
A

Feedback:

The process of emptying the bladder is known as urination, micturition, or voiding.