Deck 18: Assisting With Urinary Elimination

Question 1

A catheter is

A) A tube used to drain or inject fluid through a body opening
B) An artificial way to remove waste and excess fluid from the body
C) A small bedpan with a thin rim
D) A container used to measure urine

Answer 1

A tube used to drain or inject fluid through a body opening

Question 2

The healthy adult produces about

A) 1500 mL of urine each shift
B) 1500 mL of urine a day
C) 1000 mL of urine each shift
D) 1000 mL of urine a day

Answer 2

1500 mL of urine a day

Question 3

The urinary system removes

A) Solid wastes
B) Carbon dioxide
C) Sweat
D) Waste products from the blood

Answer 3

Waste products from the blood

Question 4

A resident has control of her bladder. The person could not get to the bathroom in time because her signal light was not answered promptly. The person was incontinent of urine. This is

A) Mixed incontinence
B) Overflow incontinence
C) Functional incontinence
D) Stress incontinence

Question 5

Dysuria means

A) Sugar in the urine
B) Blood in the urine
C) A scant amount of urine
D) Painful or difficult urination

Question 6

Hematuria means

A) Sugar in the urine
B) Blood in the urine
C) Scant amount of urine
D) Difficult or painful urination

Question 7

People usually urinate at the following times except

A) At bedtime
B) After sleep
C) Before meals
D) During sleep

Question 8

The loss of urine at predictable intervals when the bladder is full is

A) Overflow incontinence
B) Stress incontinence
C) Reflex incontinence
D) Urinary incontinence

Question 9

Which of the following should you report to the nurse?

A) Pale yellow urine
B) Straw-colored urine
C) Red-colored urine
D) Amber-colored urine

Question 10

After voiding, the person is

A) Assisted with hand washing
B) Transferred back to bed
C) Given fluids
D) Screened with the privacy curtain

Question 11

Oliguria is

A) A scant amount of urine
B) The production of abnormally large amounts of urine
C) The need to void at once
D) Voiding at frequent intervals

Question 12

Nocturia means

A) Painful or difficult urination
B) Frequent urination at night
C) The production of abnormally large amounts of urine
D) Voiding or urination

Question 13

The involuntary loss or leakage of urine is

A) Urinary urgency
B) Urinary frequency
C) Urinary incontinence
D) Urge incontinence

Question 14

Normal urine has a

A) Faint odor
B) Strong odor
C) Sweet odor
D) Ammonia odor

Question 15

Small amounts of urine leak from a bladder that is always full. This is

A) Functional incontinence
B) Mixed incontinence
C) Overflow incontinence
D) Stress incontinence

Question 16

The loss of urine in response to a sudden, urgent need to void is

A) Overflow incontinence
B) Urge incontinence
C) Reflex incontinence
D) Stress incontinence

Question 17

Urine leaks during exercise and certain movements that cause pressure on the bladder. This is

A) Overflow incontinence
B) Reflex incontinence
C) Urge incontinence
D) Stress incontinence

Question 18

You are assisting with urinary elimination needs. Which is incorrect?

A) Practice medical asepsis.
B) Practice surgical asepsis.
C) Follow Standard Precautions.
D) Follow the Bloodborne Pathogen Standard.

Question 19

Urination is

A) The production of abnormally large amounts of urine
B) The process of emptying urine from the bladder
C) The need to void at once
D) Voiding at frequent intervals

Question 20

You are assisting with urinary elimination needs. Which is incorrect?

A) Provide for privacy.
B) Follow the person's care plan and voiding routines and habits.
C) Place the signal light and toilet tissue within reach.
D) Stay with the person until the person is finished voiding.

Question 21

A resident has incontinence. You must

A) Answer the person's signal light promptly
B) Place toilet tissue within the person's reach
C) Teach the person pelvic muscle exercises
D) Choose incontinence products for the person

Question 22

Which statement about incontinence is incorrect?

A) It is a cause of falls.
B) Infection can occur.
C) Skin breakdown can occur.
D) It is a matter of personal choice.

Question 23

Complications from incontinence include the following except

A) Dementia
B) Falls
C) Pressure ulcers
D) Infections

Question 24

Which statement about using the commode is incorrect?

A) Wheels are locked after the commode is positioned over the toilet.
B) Commodes are always used in the bathroom.
C) The person needs to wear non-skid footwear.
D) The person is assisted with hand washing after using the commode.

Question 25

A patient has a catheter. The drainage bag must be kept

A) Above the level of the bladder
B) Below the level of the bladder
C) At the level of the bladder
D) At the person's right side

Question 26

A resident has incontinence. Dry garments and linens are provided

A) Every shift
B) Every day
C) In the morning and at bedtime
D) Whenever needed

Question 27

A resident with dementia urinates in plants and the trash can. You can do the following except

A) Follow the person's bathroom routine as closely as possible
B) Observe for signs that the person needs to void
C) Insert an indwelling catheter
D) Tell the nurse when the person is incontinent

Question 28

A resident had 4 incontinent episodes this morning. You are becoming short-tempered and impatient. What should you do?

A) Remind the person to use the bedpan.
B) Ask the person to use the bathroom every hour.
C) Tell the person that other residents need your help.
D) Talk to the nurse.

Question 29

A patient has a catheter. When the person is in bed, you attach the drainage bag to

A) An IV bag
B) The bed frame
C) The bed rail
D) The back of a chair

Question 30

After a person uses the commode, the container is

A) Thoroughly cleaned and disinfected
B) Discarded and replaced with a new one
C) Hung on the bed rail
D) Placed in the bedside stand

Question 31

A fracture pan is used for the following reasons except

A) The person is in traction
B) The person has limited back motion
C) The person had hip replacement surgery
D) The person is incontinent

Question 32

Catheters are used for the following purposes except

A) Promoting comfort for persons who are dying
B) Protecting wounds and pressure ulcers from urine
C) Hourly urinary output measurements
D) Treating the cause of incontinence

Question 33

A man is going to use the urinal. What should he do with the urinal when he is done?

A) Place it on the bedside stand.
B) Place it on the overbed table.
C) Hang it on the bed rail.
D) Lay it on the bed.

Question 34

A patient finished urinating. The person cannot clean her genital area. Which action is incorrect?

A) Wear gloves.
B) Wipe the area from the anus to the urethra.
C) Use fresh tissue for each wipe.
D) Provide perineal care if necessary.

Question 35

Which do men use to void?

A) Bedpans
B) Fracture pans
C) Urinals
D) Commodes

Question 36

You assist a patient onto the bedpan. How should you position the person?

A) In a sitting position
B) On the person's left side
C) On the person's right side
D) Supine

Question 37

To properly use incontinence products, which of the following should be done?

A) Follow OBRA guidelines and the care plan
B) Follow the manufacturer's instructions and agency procedures
C) Ask the person what to do
D) Provide perineal care

Question 38

Which statement about incontinence is incorrect?

A) It affects the person emotionally.
B) A catheter is needed.
C) Good skin care is needed.
D) Dry garments and linens are needed

Question 39

A patient has a catheter. Which prevents urine from flowing freely?

A) Coiling the drainage tubing on the bed
B) Making sure the person does not lay on the tubing
C) Keeping the tubing free of kinks
D) Raising the drainage bag above the bladder

Question 40

A filled urinal presents safety hazards because

A) It is easily spilled
B) It is a source of odors
C) It is an unpleasant sight
D) It needs to be emptied

Question 41

You are going to apply a condom catheter. Which action is incorrect?

A) Follow the manufacturer's instructions.
B) Wash the penis with soap and water.
C) Apply elastic tape in a spiral around the penis.
D) Leave a 2-inch space between the penis and the end of the catheter.

Question 42

The goal of bladder training is to

A) Remove the catheter
B) Treat incontinence
C) Gain control of urination
D) Prevent infection

Question 43

You are giving catheter care. Which action is correct?

A) Clean downward, away from the meatus.
B) Clean toward the meatus.
C) Clean using up and down strokes.
D) Clean from right to left.

Question 44

You are using a safety pin and rubber band to secure drainage tubing to bottom linens. Which is incorrect?

A) The safety pin must work properly.
B) The rubber band must not be frayed or over-stretched.
C) The pin is not inserted through the catheter.
D) The pin points toward the person.

Question 45

A resident has an indwelling catheter. Which is incorrect?

A) A closed drainage system is used.
B) The drainage bag touches the floor.
C) When the person walks, the drainage bag is held lower than the bladder.
D) Drainage tubing is attached to the catheter.

Question 46

A female resident has a catheter. To prevent excess catheter movement, you need to secure it to

A) The bed
B) Her abdomen
C) Her inner thigh
D) An IV pole

Question 47

A person's catheter is accidentally disconnected from the drainage tubing. What should you do?

A) Reconnect the ends after wiping them with antiseptic wipes.
B) Put the ends down. Call for the nurse.
C) Get a new drainage bag.
D) Change the drainage system.

Question 48

A resident has a catheter. A bladder training program is part of the person's care plan. The training program involves

A) Having the person use the toilet at scheduled times
B) Giving the person 15 to 20 minutes to start voiding
C) Clamping the catheter for a certain period of time, then unclamping it to let urine drain
D) Removing the catheter every 3 to 4 hours

Question 49

Unless directed otherwise, urinary drainage bags are emptied

A) Every morning
B) At bedtime
C) At the end of every shift
D) At the start of every shift

Question 50

When giving catheter care, hold the catheter near the

A) Vagina
B) Genitals
C) Meatus
D) Perineum

Question 51

You are going to apply a condom catheter. The catheter is

A) Rolled onto the penis
B) Applied in a spiral fashion around the penis
C) Inserted into the urethra
D) Secured with adhesive tape

Question 52

A resident has a catheter. Catheter care is given

A) According to the care plan
B) Daily
C) Twice a day
D) Every shift

Question 53

You are emptying a urinary drainage bag. The drain

A) Can touch the measuring container
B) Is cleaned with antiseptic wipes
C) Must not touch any surface
D) Is kept clamped

Question 54

You are assigned to two residents with catheters. When emptying their drainage bags, which action is correct?

A) Use the same measuring container for both residents.
B) Use a different measuring container for each person.
C) Use the measuring container in the dirty utility room.
D) Use whatever is handy.

Question 55

A patient has a catheter. Before cleaning the person's catheter, you need to

A) Give perineal care
B) Empty the drainage bag
C) Change the standard drainage bag to a leg bag
D) Disconnect the catheter from the drainage bag

Question 56

To apply a condom catheter, do the following except

A) Follow the manufacturer's instructions
B) Wash the penis with soap and water
C) Use elastic tape
D) Apply tape completely around the penis

Question 57

Persons with catheters need perineal care

A) Daily
B) As directed by the care plan
C) At bedtime
D) When their drainage bags are emptied

Question 58

A resident has a catheter. When the person is in bed, drainage tubing is secured to the

A) Inner thigh
B) Bed frame
C) Mattress
D) Bottom linens