Deck 22: Urinary Function

Question 1

An older adult patient reports "losing urine" when bending over or getting out of a chair.What type of incontinence does the nurse plan interventions for?

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

Answer 1

Stress

Question 2

A patient has a history of smoking and now has painless hematuria.After a workup,the patient is told the diagnosis of bladder cancer.What action by the nurse is most important?

A)Allow the patient to verbalize feelings.
B)Educate the patient on care of an ileal conduit.
C)Teach the patient how to manage nausea.
D)Offer a social work referral to complete a living will.

Answer 2

Allow the patient to verbalize feelings.

Question 3

An older patient is admitted with possible chronic renal failure (CRF).Which lab value does the nurse notify the physician about as a priority?

A)Increased calcium level
B)Increased red blood cells
C)Decreased BUN level
D)Decreased GFR

Answer 3

Decreased GFR

Question 4

A nurse is assessing an older patient for the possible cause of his acute urinary incontinence.Which actions by the nurse are most important? (Select all that apply. )

A)Asking when his last normal bowel movement was
B)Monitoring his intake and output
C)Determining if he has been screened for prostatic hypertrophy
D)Asking him if he awakens during the night to urinate
E)Measuring his abdominal girth

Question 5

When assessing the patient for urinary incontinence,which patient symptom best supports the nursing diagnosis of overflow incontinence?

A)"I have small accidents ever since I developed multiple sclerosis."
B)"It burns so badly after I urinate that I hold it as long as I can."
C)"I can't make it to the toilet when I feel the need to urinate."
D)"I lose small amounts of urine when I sneeze or laugh hard."

Question 6

A patient in a long-term care facility has incontinence.What assessment by the nurse is most important before designing interventions for this problem?

A)Cognitive status
B)Ambulatory status
C)Cardiovascular status
D)History of childbirth

Question 7

An older cognitively impaired adult patient is being discharged to a daughter's home.The nurse knows continued success of the patient's bladder training for urinary incontinence primarily rests on which of the following?

A)Patient's ability to follow instructions
B)Severity of the impairment of the urinary sphincter
C)Patient's ability to sense the need to urinate
D)Daughter's ability to support the training

Question 8

A patient has a glomerular filtration rate (GFR)of 19 mL/min/1.73 m².What assessment findings correlate with this condition? (Select all that apply. )

A)Fatigue
B)Weakness
C)Edema
D)No specific symptoms
E)Headaches

Question 9

An older adult patient's urinary incontinence is being addressed by prompted voiding.The nurse instructs all ancillary staff to do which of the following? (Select all that apply. )

A)Provide only minimal fluids after 7 PM.
B)Keep the patient on the toilet until voiding occurs.
C)Allow the patient to void at times other than those scheduled.
D)Offer toileting during the night only when the patient is awake.
E)Encourage the patient to toilet himself.

Question 10

An older adult has a resistant strain of pneumonia.To best minimize the patient's risk of developing acute renal failure,the nurse would do which of the following?

A)Monitors the patient's serum blood urea nitrogen (BUN)and creatinine.
B)Helps the patient select low-sodium foods from her daily menu.
C)Measures and records the patient's urinary output.
D)Chooses an analgesic other than ibuprofen.

Question 11

An 87-year-old patient has suddenly become incontinent.What would the nurse do first?

A)Review the patient's record for medications that can cause urinary incontinence.
B)Seek an order for an indwelling urinary catheter to prevent skin breakdown.
C)Limit the patient's fluid intake to reduce the feeling of having to void so often.
D)Teach the patient to void every 2 hours when awake during the day or night.

Question 12

A patient treats chronic kidney failure with peritoneal dialysis.The patient notes the fluid draining out of the abdomen is cloudy and foul smelling.What action by the nurse is best?

A)Assess the patient for other signs of infection.
B)Document the findings in the patient's chart.
C)Call the rapid response team immediately.
D)Request a prescription for an antibiotic.

Question 13

A patient is scheduled to have surgery for prostate cancer in a few weeks.What action by the nurse is most important?

A)Discuss options and their effect on sexuality.
B)Ensure the patient has advance directives.
C)Offer the patient a tour of the operating room.
D)Determine if the patient prefers outpatient surgery.

Question 14

When caring for older adults,the nurse expects to encounter the normal urinary age-related outcome of

A)urinary incontinence.
B)low-grade bladder infection.
C)nocturia.
D)urinary residual volume.

Question 15

What information does the nurse share with the student about normal age-related changes in the kidneys?

A)Renal mass increases.
B)The glomerular filtration rate decreases.
C)Poor renal function occurs after age 65.
D)There are no real age-related changes.

Question 16

A male patient has benign prostatic enlargement.He is at risk for what type of acute kidney injury?

A)Prerenal
B)Intrarenal
C)Postrenal
D)Combined form

Question 17

The nurse is admitting an older patient with benign prostate hyperplasia (BPH).The nurse will focus primary assessments on which of the following?

A)Family history of prostate disorders
B)Onset of symptoms
C)Psychosocial impact of the diagnosis
D)Typical urinary voiding patterns

Question 18

The nurse working in the gerontology clinic understands which facts related to incontinence? (Select all that apply. )

A)It is a normal age-related change.
B)It is an independent predictor of nursing home admission.
C)It contributes to falls and injuries.
D)It can disrupt sleep.
E)It can lead to urinary tract infections.

Question 19

When preparing educational information regarding benign prostatic hyperplasia (BPH)for a group of older male patients,the nurse includes which of the following? (Select all that apply. )

A)Eighty percent of males experience the symptoms by age 80.
B)Diabetes mellitus is a risk factor.
C)It is only as the prostate enlarges that symptoms occur.
D)The resulting urinary retention can cause urinary tract infections.
E)Symptoms are a result of urethral obstruction.

Question 20

A male patient reports difficulty starting a urine stream and a weak urine flow.When prompted to seek medical attention,the patient asks why,as it's "obviously" benign prostatic hypertrophy.What response by the nurse is best?

A)"You never know;it could be cancer."
B)"You should have any change checked out."
C)"Only the physician can make a diagnosis."
D)"BPH and prostate cancer have similar symptoms."