Deck 20: Assisting With Urinary Elimination

Question 1

Prior to applying the condom catheter,which action by the nurse is the most appropriate?

A)Documenting the use of the catheter
B)Inspecting and cleansing the penis
C)Calling the health care provider to obtain an order
D)Attaching the urinary drainage system securely

Answer 1

Inspecting and cleansing the penis

Question 2

The nurse is caring for a client with an indwelling catheter.When emptying the urine collection bag,the nurse notes the urine is cloudy with moderate amounts of sedimentation and a foul odor.Based on these assessment findings,what does the nurse suspect?

A)Urethral irritation
B)Bladder atrophy
C)Urinary tract infection
D)Kidney infection

Answer 2

Urinary tract infection

Question 3

When is it appropriate for the nurse to prepare a new ostomy pouch for a client?

A)After removing the old pouch in all instances
B)Before removing the old pouch in all instances
C)Before removing the old pouch whenever possible
D)After removing the old pouch whenever possible

Answer 3

Before removing the old pouch whenever possible

Question 4

The nurse is caring for a client with a newly created urinary diversion ostomy appliance.Which is the priority when caring for this client?

A)Increasing fluid intake
B)Limiting fluid intake
C)Administering IV fluids,because the client will be NPO
D)Teaching the client self-care and support persons' care

Question 5

The nurse is caring for an older adult male client who demonstrates frequent urinary incontinence.Which option could the nurse use to reduce the risk of skin damage secondary to urinary incontinence for this client?

A)Robinson catheter
B)Straight catheter
C)Condom catheter
D)Foley catheter

Question 6

The nurse is caring for a client with a prescription to discontinue the indwelling urinary catheter that has been in place for 2 weeks.Prior to removing the catheter,which action by the nurse is the most appropriate?

A)Clamping the catheter for increasing periods to retrain the bladder to hold increasing amounts of urine before emptying
B)Collecting urine to send for a culture and sensitivity
C)Having the client cleanse the urethral meatus with soap and water
D)Preparing a straight catheter for insertion if the client is unable to void after the indwelling catheter is removed

Question 7

Which term is not used interchangeably with urinary elimination?

A)Micturition
B)Voiding
C)Urination
D)Incontinence

Question 8

When collecting a urinary elimination history,which item is not appropriate for the nurse to )during this process?

A)History of erectile dysfunction
B)History of stress incontinence
C)History of labor and delivery
D)History of urinary frequency or difficulty starting the flow

Question 9

The nurse is caring for an older adult client with a medical diagnosis of benign prostatic hyperplasia resulting in urinary retention.When attempting to pass the catheter,the nurse encounters an obstruction,and cannot get the catheter to pass beyond it.Which action by the nurse is the most appropriate?

A)Documenting that catheterization is not possible,and notifying the health care provider
B)Attempting to pass a Coudé catheter
C)Attempting to push the catheter past the obstruction
D)Applying ice to the base of the penis,and attempting to pass the catheter in 30 minutes

Question 10

After applying a condom catheter,which items will the nurse include in the documentation?

A)Appearance of the penis,such as swelling or discoloration
B)Amount of urine flow
C)Assessment 30 minutes after application and every 8 hours thereafter
D)Any client complaints or concerns
E)Time of application

Question 11

The nurse is preparing to insert a urinary catheter.Place the steps for this procedure in the proper order.

A)Cleanse the meatus.Response
B)Apply sterile gloves.Response
C)Test the balloon of the indwelling catheter,if recommended by manufacturer.Response
D)Organize the supplies in the catheter kit.Response
E)Place a sterile drape under the buttocks of the female or penis of the male without contaminating the center of the drape.

Question 12

The nurse is caring for a client receiving continuous bladder irrigation following transurethral prostatectomy.When emptying the urine collection bag,the nurse notes that 500 mL of irrigant has infused with only 100 mL of drainage returned.Which is the priority action by the nurse?

A)Irrigating the outflow port using an irrigation syringe to determine patency
B)Notifying the health care provider immediately
C)Irrigating the irrigation port to determine patency
D)Continuing to monitor output

Question 13

The nurse is caring for a client who requires long-term catheterization who is allergic to latex.Which catheter would the nurse choose to insert?

A)PVC catheter
B)Plastic catheter
C)Silicone catheter
D)Latex catheter

Question 14

Which task could the nurse safely delegate to the unlicensed assistive personnel (UAP)?

A)Inserting a urinary retention catheter
B)Inserting a straight catheter
C)Applying a condom catheter
D)Collecting data for a urinary elimination history

Question 15

After emptying the urine from a urinal,which actions by the nurse are appropriate?

A)Rinsing the urinal
B)Recording the output on the intake and output record,if indicated
C)Returning the urinal to the bedside area,where the client can reach it,if the male client prefers
D)Placing the urinal between the client's legs and propping the penis in the opening,if the client is unable to do this independently
E)Donning clean gloves

Question 16

The nurse is initiating closed continuous bladder irrigation using a three-way catheter.Prior to beginning the flow of the irrigation fluid,which action by the nurse is the most appropriate?

A)Opening the roller clamp to the desired flow rate
B)Emptying the urine collection bag
C)Documenting the procedure
D)Assessing the drainage for amount,color,and clarity

Question 17

When performing catheter care,which action is not appropriate for the nurse to perform?

A)Applying sterile gloves
B)Washing the meatus and proximal catheter with soap and water
C)Drying the catheter and urinary meatus
D)Performing hand hygiene