Question 1

The nurse understands that stress incontinence occurs:

Accepted Answer

A)  With a urinary tract infection (UTI) 
B)  Because of emotional strain 
C)  As a result of increased intraabdominal pressure 
D)  With a specific amount of urine in the bladder 
A)  With a urinary tract infection (UTI) 
B)  Because of emotional strain 
C)  As a result of increased intraabdominal pressure 
D)  With a specific amount of urine in the bladder C

Question 2

Which signs and symptoms are characteristic of a urinary tract infection (UTI)in an older adult?

Accepted Answer

A)  Fever 
B)  Uremia 
C)  Dysuria 
D)  Anorexia 
E)  Flank pain
F)Turbid urine 
A)  Fever 
B)  Uremia 
C)  Dysuria 
D)  Anorexia 
E)  Flank pain
F)Turbid urine D,F

Question 3

Long-term use of external catheters can lead to which complication(s)?

Accepted Answer

A)  Fungal skin infections 
B)  Penile skin maceration 
C)  Atrophy 
D)  Edema 
E)  Phimosis 
A)  Fungal skin infections 
B)  Penile skin maceration 
C)  Atrophy 
D)  Edema 
E)  Phimosis A,B,D,E

Question 4

An older woman tells the nurse practitioner that she fears her family will place her in a nursing home because she developed stress incontinence.Which recommendation should the nurse implement?

Accepted Answer

A)  Tell her to eliminate the use of caffeinated beverages. 
B)  Coordinate a family conference with the older adult. 
C)  Recommend exercises to strengthen the pelvic floor. 
D)  Schedule voiding for every 2 hours around the clock. 
A)  Tell her to eliminate the use of caffeinated beverages. 
B)  Coordinate a family conference with the older adult. 
C)  Recommend exercises to strengthen the pelvic floor. 
D)  Schedule voiding for every 2 hours around the clock.

Question 5

A large residual urine volume characterizes what type of incontinence?

Accepted Answer

A)  Urge 
B)  Stress 
C)  Overflow 
D)  Functional 
A)  Urge 
B)  Stress 
C)  Overflow 
D)  Functional

Question 6

Which action should be included in all bladder-retraining programs?

Accepted Answer

A)  Toileting at bedtime 
B)  Using adult incontinence pads 
C)  Toileting every hour 
D)  Providing 1000 ml of fluids daily 
A)  Toileting at bedtime 
B)  Using adult incontinence pads 
C)  Toileting every hour 
D)  Providing 1000 ml of fluids daily

Question 7

What is the most important aspect of care for the nurse to maintain when assisting an older patient with urinary incontinence?

Accepted Answer

A)  Availability of protective rubber garments 
B)  Using indwelling urinary catheters 
C)  Using smooth muscle relaxants 
D)  Maintaining an attitude that is respectful and positive about resolving the problem 
A)  Availability of protective rubber garments 
B)  Using indwelling urinary catheters 
C)  Using smooth muscle relaxants 
D)  Maintaining an attitude that is respectful and positive about resolving the problem

Question 8

An older adult is in the hospital because of heart failure and has become incontinent of urine.Which evidence-based resource should the nurse use to guide continence care for this patient?

Accepted Answer

A)  Nursing Standard Practice Protocol 
B)  The Borun Center training modules 
C)  Toolkit from the American Geriatrics Society 
D)  The Centers for Medicare and Medicaid Services 
A)  Nursing Standard Practice Protocol 
B)  The Borun Center training modules 
C)  Toolkit from the American Geriatrics Society 
D)  The Centers for Medicare and Medicaid Services

Question 9

An older adult who is on bed rest after surgery is prescribed morphine for pain.Which of the following is the nurse's priority for preventive care?

Accepted Answer

A)  Constipation 
B)  Diarrhea 
C)  Poor solid food intake 
D)  Poor liquid intake 
A)  Constipation 
B)  Diarrhea 
C)  Poor solid food intake 
D)  Poor liquid intake

Question 10

The nurse evaluates the urinalysis (UA)of a female patient with an indwelling urinary catheter.The UA report shows gross contamination of the urine.Rank the nursing interventions in order,beginning with the first intervention the nurse should implement.

Accepted Answer

A) Provide perineal hygiene. 
B) Provide urinary catheter care. 
C) Check the duration of catheterization. 
D) Obtain a urine specimen from a sterile port. 
E)  None of the above 
A) Provide perineal hygiene. 
B) Provide urinary catheter care. 
C) Check the duration of catheterization. 
D) Obtain a urine specimen from a sterile port. 
E)  None of the above

Question 11

Which option is part of a program that addresses bowel incontinence in an older adult patient?

Accepted Answer

A)  Ensuring that a toilet or commode is readily accessible to the patient 
B)  Encouraging the intake of 1 liter of water each day 
C)  Expecting a rapid and full recovery 
D)  Toileting the patient 10 to 15 minutes after meals 
A)  Ensuring that a toilet or commode is readily accessible to the patient 
B)  Encouraging the intake of 1 liter of water each day 
C)  Expecting a rapid and full recovery 
D)  Toileting the patient 10 to 15 minutes after meals

Question 12

The nurse assesses a male resident in a nursing home for urinary incontinence and determines that he is unaware of the problem.Which recommendation should the nurse implement?

Accepted Answer

A)  Limit oral fluid intake. 
B)  Provide regular toileting. 
C)  Apply absorbent undergarment. 
D)  Encourage frequent rest periods. 
A)  Limit oral fluid intake. 
B)  Provide regular toileting. 
C)  Apply absorbent undergarment. 
D)  Encourage frequent rest periods.

Question 13

Which of the following is a true statement about elimination in older adults?

Accepted Answer

A)  Defecation less than once each day is not necessarily constipation. 
B)  Mineral oil is recommended as a laxative for the older adult. 
C)  Excessive sleep can be a symptom of constipation. 
D)  Leaking liquid feces should be treated as diarrhea. 
A)  Defecation less than once each day is not necessarily constipation. 
B)  Mineral oil is recommended as a laxative for the older adult. 
C)  Excessive sleep can be a symptom of constipation. 
D)  Leaking liquid feces should be treated as diarrhea.

Question 14

The nurse is caring for a patient who has recently had an indwelling catheter placed.The nurse should assess the patient for:

Accepted Answer

A)  An increase in oral fluid intake 
B)  A change in mental status 
C)  Upper back pain 
D)  A decrease in activity 
A)  An increase in oral fluid intake 
B)  A change in mental status 
C)  Upper back pain 
D)  A decrease in activity

Question 15

Continuous indwelling catheter use is indicated for which condition(s)?

Accepted Answer

A)  Urethral obstruction 
B)  Urinary retention 
C)  Stress incontinence 
D)  Severely impaired skin integrity 
A)  Urethral obstruction 
B)  Urinary retention 
C)  Stress incontinence 
D)  Severely impaired skin integrity

Question 16

The nurse wants to begin helping a resident who is overweight and has urinary incontinence with healthy bladder behavior skills.Which intervention should the nurse implement?

Accepted Answer

A)  Begin a low-calorie diet for weight management. 
B)  Schedule voiding at 2- to 4-hour intervals. 
C)  Instruct the resident to practice abdominal exercises. 
D)  Reduce the time between an urge to void and voiding. 
A)  Begin a low-calorie diet for weight management. 
B)  Schedule voiding at 2- to 4-hour intervals. 
C)  Instruct the resident to practice abdominal exercises. 
D)  Reduce the time between an urge to void and voiding.

Exam 10: Elimination

The nurse understands that stress incontinence occurs:

Which signs and symptoms are characteristic of a urinary tract infection (UTI)in an older adult?

Long-term use of external catheters can lead to which complication(s)?

An older woman tells the nurse practitioner that she fears her family will place her in a nursing home because she developed stress incontinence.Which recommendation should the nurse implement?

A large residual urine volume characterizes what type of incontinence?

Which action should be included in all bladder-retraining programs?

What is the most important aspect of care for the nurse to maintain when assisting an older patient with urinary incontinence?

An older adult is in the hospital because of heart failure and has become incontinent of urine.Which evidence-based resource should the nurse use to guide continence care for this patient?

An older adult who is on bed rest after surgery is prescribed morphine for pain.Which of the following is the nurse's priority for preventive care?

The nurse evaluates the urinalysis (UA)of a female patient with an indwelling urinary catheter.The UA report shows gross contamination of the urine.Rank the nursing interventions in order,beginning with the first intervention the nurse should implement.

Which option is part of a program that addresses bowel incontinence in an older adult patient?

The nurse assesses a male resident in a nursing home for urinary incontinence and determines that he is unaware of the problem.Which recommendation should the nurse implement?

Which of the following is a true statement about elimination in older adults?

The nurse is caring for a patient who has recently had an indwelling catheter placed.The nurse should assess the patient for:

Continuous indwelling catheter use is indicated for which condition(s)?

The nurse wants to begin helping a resident who is overweight and has urinary incontinence with healthy bladder behavior skills.Which intervention should the nurse implement?

Introduction to Healthy Aging

Gerontological Nursing History, Education, and Roles

Care Across the Continuum

Culture and Aging

Theories of Aging and Physical Changes

Social, Psychological, Spiritual, and Cognitive Aspects of Aging

Assessment and Documentation for Optimal Care

Safe Medication Use

Nutrition and Hydration

Rest, Sleep, and Activity

Promoting Healthy Skin and Feet

Promoting Safety

Living With Chronic Illness

Pain and Comfort

Diseases Affecting Vision and Hearing

Metabolic Disorders

Bone and Joint Problems

Cardiovascular and Respiratory Disorders

Neurological Disorders

Cognitive Impairment

Mental Health

Economic and Legal Issues

Relationships, Roles, and Transitions

Loss, Death, and Palliative Care

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