Deck 25: Assisting With Urinary Elimination

Question 1

Which piece of equipment will the nursing assistant use to best assist a resident with a badly sprained ankle to urinate?

A) A bedside commode
B) A commode hat
C) A fracture pan
D) A bedpan

Answer 1

A bedside commode

Question 2

A male client or resident uses a bedpan for:

A) urinating.
B) bowel movements.
C) both bowel movements and urinating.
D) urinating when standing isn't possible.

Answer 2

bowel movements.

Question 3

Which piece of equipment will the nursing assistant use to help a client who recently experienced a hip replacement with bowel elimination?

A) A bedside commode
B) A fracture pan
C) A bedpan
D) A urinal

Answer 3

A fracture pan

Question 4

What is the most important reason to honor a client's request for assistance with elimination as quickly as possible?

A) Failing to answer the call light promptly increases the client's risk of falling from trying to get out of the bed alone.
B) Failing to answer the call light promptly can lead to more work for the nursing assistant if the client is incontinent.
C) Elimination is a basic physiologic need that must be met.
D) Many clients find elimination to be very embarrassing.

Question 5

What would the nursing assistant do to ensure privacy when assisting a person who needs assistance with elimination?

A) Drawing the privacy curtain when the person is using a bedside commode.
B) Draping the person with a bath blanket to expose only the perineum.
C) Leaving the client's room when the person is in the bathroom.
D) Encouraging the person to lock the bathroom door when toileting.

Question 6

What factor in a health care setting is most likely to interfere psychologically with a person's normal elimination habits?

A) The nursing assistant's inability to be available when the person needs toileting
B) Cultural or religious beliefs that stress modesty when using a bedpan
C) Embarrassment surrounding the need for help with elimination
D) The person may be incontinent of urine or feces.

Question 7

Before collecting a specimen of urine or feces, the nursing assistant must know:

A) what storage method is to be used.
B) what blood type the person's is.
C) whether gloves must be used.
D) when the person last ate.

Question 8

The doctor suspects that a resident has a urinary tract infection. It is most likely the nursing assistant will be asked to collect a:

A) stool specimen.
B) routine urine specimen.
C) midstream urine specimen.
D) stool and a urine specimen.

Question 9

How is a standard bedpan positioned?

A) Like a regular toilet seat
B) Underneath the toilet or commode seat
C) With the narrow end pointed toward the head of the bed
D) With the wide end pointed toward the foot of the bed

Question 10

What will the nursing assistant do when preparing to assist a person with using a bedpan?

A) Help wash the person's hands.
B) Put the bed to its lowest position.
C) Raise the head of the bed as tolerated.
D) Hand the bedpan to the person so he or she can sit on it.

Question 11

When it is necessary to measure a person's urine output and the person is using a regular toilet, what device is used to collect the urine?

A) A urinal
B) A graduate
C) A commode hat
D) A urine drainage bag

Question 12

Where can a clean urinal be stored?

A) It may be hung over the side rail.
B) On top of the bedside table
C) On the overbed table
D) In the bathroom

Question 13

On visual inspection, normal urine should appear:

A) cloudy and yellow.
B) clear and red-tinged.
C) cloudy and red-tinged.
D) clear and straw-colored.

Question 14

Which factor(s) influence a person's urinary pattern? Select all that apply.

A) The types of medications the person takes
B) The person's lifelong elimination habits
C) The amount of fluids the person drinks
D) The person's gender
E) The person's age

Question 15

When a person voids 300 mL of urine over a 24-hour period, the term used to describe the urine output is:

A) oliguria.
B) polyuria.
C) diuresis.
D) anuria.

Question 16

Which is a cause of temporary urinary incontinence?

A) Decreased bladder muscle tone
B) A bladder infection
C) Dementia
D) Paralysis

Question 17

The nursing assistant is caring for a client with stress incontinence. What measure(s) should the nursing assistant employ? Select all that apply.

A) Place incontinence pads on the bed.
B) Follow the toileting schedule in the care plan.
C) Apply the incontinence briefs when the client is ambulatory.
D) Restrict fluids after 4 PM to decrease nighttime incontinence.
E) Use a condom catheter to a drain bag.

Question 18

A urinary catheter may be used for an incontinent client when:

A) it is convenient for the nursing staff.
B) the client also has a urinary tract infection.
C) incontinence may cause or worsen pressure ulcers.
D) the bladder has been surgically removed for cancer.

Question 19

Which action when emptying a urine drainage bag is correct?

A) Report that the drainage bag needs emptying to the nurse.
B) Unsecure the urine drainage bag from the bed frame before beginning the emptying process.
C) Unclamp the emptying spout on the urine drainage bag and allow all the urine to drain into a graduate that has been placed on a paper towel on the floor below the urine drainage bag.
D) Disconnect the urine drainage bag from the catheter tubing, dispose of the urine in the toilet and the urine drainage bag in a facility-approved waste container, and attach a new urine drainage bag.

Question 20

The primary purpose of providing catheter care is to prevent:

A) an unpleasant odor.
B) the person's self-esteem from being harmed.
C) urine from backflowing into the person's bladder.
D) the development of a bladder or kidney infection.

Question 21

Which statement is true about caring for a person with an indwelling catheter?

A) There should be no slack left in the catheter tubing itself.
B) The urine drainage bag should be attached to the side rail of the bed.
C) A knot should be used to secure the catheter tubing to the person's body.
D) The catheter tubing should be gently coiled and secured to the person's leg.

Question 22

When providing catheter care, the catheter tubing is cleaned starting at the body and moving outward. How many inches of the catheter tubing should the nursing assistant clean?

A) 1
B) 2
C) 4
D) 18

Question 23

Reflex incontinence occurs because a client:

A) has weak muscle tone.
B) is not able to make it to the bathroom in time.
C) does not feel the urge to urinate, and the bladder empties itself.
D) has a bladder infection, which results in a strong urge to void.

Question 24

A condom catheter is secured to the penis with:

A) a plastic clip.
B) a connection adapter.
C) a tape applied in a spiral manner.
D) a tape applied in an overlapping, circular manner.

Question 25

The nursing assistant is caring for an older client in the home who reports recently needing to get up several times per night and urinate. What is the best action for the nursing assistant to take?

A) Report the recent nocturia to the nurse for further assessment.
B) Establish that the client is taking their medications on time.
C) Determine whether the client has drunk coffee before going to bed.
D) Investigate whether the client has experiences burning or strong urinary odor.

Question 26

The most important reason to provide a person with privacy when urinating is that:

A) it is a person's legal right.
B) the nursing assistant needs to show respect.
C) not doing so can interfere with the person's ability to urinate.
D) it is embarrassing for both if privacy is not provided.

Question 27

The nursing assistant tells the nurse immediately that when urinating, the resident:

A) reports feeling much better.
B) notices a burning feeling.
C) is embarrassed to ask for help.
D) needs help cleaning.

Question 28

Which statement shows that the nursing assistant understands the importance of proper bedpan placement?

A) "Bed pans need to be cleaned immediately after they are used."
B) "I always assist when a resident needs help getting on a bedpan."
C) "Sitting on a bedpan can easily cause a bruise on the client's buttocks."
D) "Warming the bedpan before placing under the client makes it more comfortable."

Question 29

What will the nursing assistant do when finding a clean urinal on the resident's bedside table?

A) Place it in the bathroom.
B) Hang it on the bedside rail.
C) Ask if the resident needs to urinate.
D) Encourage the resident to call when needing to use the urinal.