Question 1

The nurse is preparing the patient for a bladder scan to determine postvoid residual (PVR).Which of the following is part of the preparation?

Accepted Answer

A) Limit food intake for 2 hours before the scan. 
B) Begin scan 10 minutes after the patient has voided. 
C) Limit liquid intake for 30 minutes before the scan. 
D) Administer an analgesic 30 minutes before the scan. 
A) Limit food intake for 2 hours before the scan. 
B) Begin scan 10 minutes after the patient has voided. 
C) Limit liquid intake for 30 minutes before the scan. 
D) Administer an analgesic 30 minutes before the scan. B

Question 2

A single-lumen catheter that is inserted into the bladder through the urethra only to empty the bladder and then is removed is known as a _______________ catheter.

Accepted Answer

straight or intermittent
straight
intermittent
A straight or intermittent catheter is a single-lumen catheter that is inserted into the bladder through the urethra only to empty the bladder,and then is removed.Use this type of catheter on a one-time basis,for example,to determine the amount of residual urine in the bladder,or intermittently,when the patient cannot urinate because of a urinary obstruction or a neurological disorder such as spinal cord injury.

Question 3

__________________ involves the insertion of a urinary catheter directly into the bladder through the lower abdominal wall.Urine drains from the catheter into a urinary drainage bag.

Accepted Answer

Suprapubic catheterization
Suprapubic catheterization involves the insertion of a urinary catheter directly into the bladder through the lower abdominal wall.Urine drains from the catheter into a urinary drainage bag.Suprapubic catheters are inserted with local or general anesthetic for short- or long-term use.

Question 4

The nurse is assessing a patient whose 24-hour output is 2400 mL.Which finding reflects the nurse's understanding of urine output?

Accepted Answer

A) Increased output 
B) Decreased output 
C) Normal output 
D) Balanced output 
A) Increased output 
B) Decreased output 
C) Normal output 
D) Balanced output

Question 5

When observing a patient for symptoms of dehydration,the nurse should observe which assessment?

Accepted Answer

A) Increased salivation 
B) Diuresis 
C) Periorbital edema 
D) Decreased capillary filling 
A) Increased salivation 
B) Diuresis 
C) Periorbital edema 
D) Decreased capillary filling

Question 6

Antimicrobial catheters coated with silver or antibiotics have been shown to reduce the incidence of ________________.

Accepted Answer

catheter-associated urinary tr

Question 7

The nurse has been ordered to perform closed intermittent irrigation of a patient's indwelling urinary catheter.Which intervention is indicative of safe practice?

Accepted Answer

A) Applies sterile gloves. 
B) Instills 100 mL of irrigant. 
C) Leaves the drainage tubing unclamped irrigation. 
D) Determines the amount of urinary drainage by subtracting the amount of irrigant from the total output. 
A) Applies sterile gloves. 
B) Instills 100 mL of irrigant. 
C) Leaves the drainage tubing unclamped irrigation. 
D) Determines the amount of urinary drainage by subtracting the amount of irrigant from the total output.

Question 8

When evaluating the health care team member's ability to apply a condom catheter,it is most important for the nurse to provide further instruction for which intervention?

Accepted Answer

A) Clipping of hair at the base of the penis 
B) Applying skin preparation to the penis before catheter placement 
C) Using regular adhesive tape to hold the catheter in place 
D) Leaving 1 to 2 inches of space between the tip of the penis and the end of the catheter 
A) Clipping of hair at the base of the penis 
B) Applying skin preparation to the penis before catheter placement 
C) Using regular adhesive tape to hold the catheter in place 
D) Leaving 1 to 2 inches of space between the tip of the penis and the end of the catheter

Question 9

The risk for catheter-associated urinary tract infection can be reduced by using ___________ when inserting the catheter.

Accepted Answer

aseptic technique
Numerous stu

Question 10

The nurse is caring for a patient who has an indwelling urinary catheter.Which intervention is most important to include in this patient's plan of care?

Accepted Answer

A) Maintaining tension on the tubing 
B) Emptying the urinary collection bag every 24 hours 
C) Cleaning in a circular motion from the meatus down the catheter 
D) Keeping the drainage bag on the bed or attached to the side rails 
A) Maintaining tension on the tubing 
B) Emptying the urinary collection bag every 24 hours 
C) Cleaning in a circular motion from the meatus down the catheter 
D) Keeping the drainage bag on the bed or attached to the side rails

Question 11

The nurse notes that urine does not flow after a female patient is catheterized.The nurse believes that the catheter has been placed into the vagina.Which action should the nurse take?

Accepted Answer

A) Remove the catheter and reinsert it. 
B) Irrigate the catheter with saline. 
C) Leave the catheter in place and insert another one. 
D) Insert the catheter 9 to 10 inches farther into the patient to verify that it is in the vagina. 
A) Remove the catheter and reinsert it. 
B) Irrigate the catheter with saline. 
C) Leave the catheter in place and insert another one. 
D) Insert the catheter 9 to 10 inches farther into the patient to verify that it is in the vagina.

Question 12

When providing care for a patient with a suprapubic catheter who has acquired a urinary tract infection (UTI),which intervention is most important for the nurse to implement?

Accepted Answer

A) Using clean technique 
B) Securing the tube to the inner thigh 
C) Cleansing the insertion site in a direction toward the drain 
D) Promoting intake of 2200 mL of fluid per day 
A) Using clean technique 
B) Securing the tube to the inner thigh 
C) Cleansing the insertion site in a direction toward the drain 
D) Promoting intake of 2200 mL of fluid per day

Question 13

The nurse receives an order to insert a Foley catheter.In obtaining a catheter of the right size,the nurse is aware that large catheters can lead to which complication?

Accepted Answer

A) Urethral damage 
B) Bladder relaxation 
C) Obstruction of urinary flow 
D) Decreased risk for infection 
A) Urethral damage 
B) Bladder relaxation 
C) Obstruction of urinary flow 
D) Decreased risk for infection

Question 14

On the basis of the nurse's assessment of kidney function for an adult patient,which finding is normal?

Accepted Answer

A) 10 mL/hr 
B) 20 mL/hr 
C) 30 mL/hr 
D) 100 mL/hr 
A) 10 mL/hr 
B) 20 mL/hr 
C) 30 mL/hr 
D) 100 mL/hr

Question 15

When providing care for a patient in need of an indwelling catheter,the nurse understands that which of the following is an indication for this need?

Accepted Answer

A) Presence of stage III and IV pressure ulcers 
B) Presence of a yeast infection 
C) Need for inaccurate measurement of urinary output 
D) Need to manage urinary elimination 
A) Presence of stage III and IV pressure ulcers 
B) Presence of a yeast infection 
C) Need for inaccurate measurement of urinary output 
D) Need to manage urinary elimination

Question 16

The nurse is caring for a patient who has an indwelling catheter attached to a drainage bag.To achieve the desired outcome of this procedure,which nursing action should be taken?

Accepted Answer

A) Make sure the tubing has dependent loops to gather urine. 
B) Make sure the tubing is coiled and secured to the bed. 
C) Make sure the tubing is kinked. 
D) Make sure the collection bag is higher than the bladder. 
A) Make sure the tubing has dependent loops to gather urine. 
B) Make sure the tubing is coiled and secured to the bed. 
C) Make sure the tubing is kinked. 
D) Make sure the collection bag is higher than the bladder.

Question 17

When the balloon on an indwelling urinary catheter is inflated and the patient expresses discomfort,it is essential for the nurse to take which action?

Accepted Answer

A) Remove the catheter. 
B) Continue to blow up the balloon because discomfort is expected. 
C) Aspirate the fluid from the balloon and advance the catheter. 
D) Pull back on the catheter slightly to determine tension. 
A) Remove the catheter. 
B) Continue to blow up the balloon because discomfort is expected. 
C) Aspirate the fluid from the balloon and advance the catheter. 
D) Pull back on the catheter slightly to determine tension.

Question 18

In assisting a male patient in using a urinal,which of the following actions should the nurse take? (Select all that apply. )

Accepted Answer

A) Assess for orthostatic hypotension. 
B) Assess the patient's normal elimination habits. 
C) Assess for periods of incontinence. 
D) Prop the urinal in place if the patient is unable to hold it. 
E) Always stay with the patient during urinal use. 
A) Assess for orthostatic hypotension. 
B) Assess the patient's normal elimination habits. 
C) Assess for periods of incontinence. 
D) Prop the urinal in place if the patient is unable to hold it. 
E) Always stay with the patient during urinal use.

Question 19

A ___________________ is a noninvasive alternative for management of male urinary incontinence.Because it is noninvasive,the risk for urinary tract infection (UTI)is decreased.The device fits over the penis and connects to a small collection bag that attaches to the leg with a strap,or to a standard urinary collection bag that hangs on the bedframe below the level of the bladder.

Accepted Answer

condom catheter
A condom catheter,also r

Question 20

A noninvasive device that is used to provide accurate determination of a patient's bladder volume by first creating an ultrasound image of the patient's bladder and then calculating the urine volume in the bladder is known as a ______________.

Accepted Answer

bladder scanner
The bladder scanner is n

Exam 34: Urinary Elimination

The nurse is preparing the patient for a bladder scan to determine postvoid residual (PVR).Which of the following is part of the preparation?

A single-lumen catheter that is inserted into the bladder through the urethra only to empty the bladder and then is removed is known as a _______________ catheter.

__________________ involves the insertion of a urinary catheter directly into the bladder through the lower abdominal wall.Urine drains from the catheter into a urinary drainage bag.

The nurse is assessing a patient whose 24-hour output is 2400 mL.Which finding reflects the nurse's understanding of urine output?

When observing a patient for symptoms of dehydration,the nurse should observe which assessment?

Antimicrobial catheters coated with silver or antibiotics have been shown to reduce the incidence of ________________.

The nurse has been ordered to perform closed intermittent irrigation of a patient's indwelling urinary catheter.Which intervention is indicative of safe practice?

When evaluating the health care team member's ability to apply a condom catheter,it is most important for the nurse to provide further instruction for which intervention?

The risk for catheter-associated urinary tract infection can be reduced by using ___________ when inserting the catheter.

The nurse is caring for a patient who has an indwelling urinary catheter.Which intervention is most important to include in this patient's plan of care?

The nurse notes that urine does not flow after a female patient is catheterized.The nurse believes that the catheter has been placed into the vagina.Which action should the nurse take?

When providing care for a patient with a suprapubic catheter who has acquired a urinary tract infection (UTI),which intervention is most important for the nurse to implement?

The nurse receives an order to insert a Foley catheter.In obtaining a catheter of the right size,the nurse is aware that large catheters can lead to which complication?

On the basis of the nurse's assessment of kidney function for an adult patient,which finding is normal?

When providing care for a patient in need of an indwelling catheter,the nurse understands that which of the following is an indication for this need?

The nurse is caring for a patient who has an indwelling catheter attached to a drainage bag.To achieve the desired outcome of this procedure,which nursing action should be taken?

When the balloon on an indwelling urinary catheter is inflated and the patient expresses discomfort,it is essential for the nurse to take which action?

In assisting a male patient in using a urinal,which of the following actions should the nurse take? (Select all that apply. )

A noninvasive device that is used to provide accurate determination of a patient's bladder volume by first creating an ultrasound image of the patient's bladder and then calculating the urine volume in the bladder is known as a ______________.

Using Evidence in Practice

Admitting, Transfer, and Discharge

Communication and Collaboration

Documentation and Informatics

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Exercise Mobility

Support Surfaces and Special Beds

Patient Safety

Disaster Preparedness

Pain Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Intravenous and Vascular Access Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Pressure Injury Prevention and Care

Wound Care and Irrigations

Dressings, Bandages, and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

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