Deck 10: Elimination

Question 1

The nurse understands that stress incontinence occurs:

A) With a urinary tract infection (UTI)
B) Because of emotional strain
C) As a result of increased intraabdominal pressure
D) With a specific amount of urine in the bladder

Answer 1

As a result of increased intraabdominal pressure

Question 2

An older adult who is on bed rest after surgery is prescribed morphine for pain.Which of the following is the nurse's priority for preventive care?

A) Constipation
B) Diarrhea
C) Poor solid food intake
D) Poor liquid intake

Answer 2

Constipation

Question 3

The nurse assesses a male resident in a nursing home for urinary incontinence and determines that he is unaware of the problem.Which recommendation should the nurse implement?

A) Limit oral fluid intake.
B) Provide regular toileting.
C) Apply absorbent undergarment.
D) Encourage frequent rest periods.

Answer 3

Provide regular toileting.

Question 4

Which action should be included in all bladder-retraining programs?

A) Toileting at bedtime
B) Using adult incontinence pads
C) Toileting every hour
D) Providing 1000 ml of fluids daily

Question 5

The nurse evaluates the urinalysis (UA)of a female patient with an indwelling urinary catheter.The UA report shows gross contamination of the urine.Rank the nursing interventions in order,beginning with the first intervention the nurse should implement.

A)Provide perineal hygiene.
B)Provide urinary catheter care.
C)Check the duration of catheterization.
D)Obtain a urine specimen from a sterile port.
E) None of the above

Question 6

A large residual urine volume characterizes what type of incontinence?

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

Question 7

Which of the following is a true statement about elimination in older adults?

A) Defecation less than once each day is not necessarily constipation.
B) Mineral oil is recommended as a laxative for the older adult.
C) Excessive sleep can be a symptom of constipation.
D) Leaking liquid feces should be treated as diarrhea.

Question 8

An older adult is in the hospital because of heart failure and has become incontinent of urine.Which evidence-based resource should the nurse use to guide continence care for this patient?

A) Nursing Standard Practice Protocol
B) The Borun Center training modules
C) Toolkit from the American Geriatrics Society
D) The Centers for Medicare and Medicaid Services

Question 9

An older woman tells the nurse practitioner that she fears her family will place her in a nursing home because she developed stress incontinence.Which recommendation should the nurse implement?

A) Tell her to eliminate the use of caffeinated beverages.
B) Coordinate a family conference with the older adult.
C) Recommend exercises to strengthen the pelvic floor.
D) Schedule voiding for every 2 hours around the clock.

Question 10

The nurse is caring for a patient who has recently had an indwelling catheter placed.The nurse should assess the patient for:

A) An increase in oral fluid intake
B) A change in mental status
C) Upper back pain
D) A decrease in activity

Question 11

Continuous indwelling catheter use is indicated for which condition(s)?

A) Urethral obstruction
B) Urinary retention
C) Stress incontinence
D) Severely impaired skin integrity

Question 12

Which option is part of a program that addresses bowel incontinence in an older adult patient?

A) Ensuring that a toilet or commode is readily accessible to the patient
B) Encouraging the intake of 1 liter of water each day
C) Expecting a rapid and full recovery
D) Toileting the patient 10 to 15 minutes after meals

Question 13

What is the most important aspect of care for the nurse to maintain when assisting an older patient with urinary incontinence?

A) Availability of protective rubber garments
B) Using indwelling urinary catheters
C) Using smooth muscle relaxants
D) Maintaining an attitude that is respectful and positive about resolving the problem

Question 14

Which signs and symptoms are characteristic of a urinary tract infection (UTI)in an older adult?

A) Fever
B) Uremia
C) Dysuria
D) Anorexia
E) Flank pain
F)Turbid urine

Question 15

Long-term use of external catheters can lead to which complication(s)?

A) Fungal skin infections
B) Penile skin maceration
C) Atrophy
D) Edema
E) Phimosis

Question 16

The nurse wants to begin helping a resident who is overweight and has urinary incontinence with healthy bladder behavior skills.Which intervention should the nurse implement?

A) Begin a low-calorie diet for weight management.
B) Schedule voiding at 2- to 4-hour intervals.
C) Instruct the resident to practice abdominal exercises.
D) Reduce the time between an urge to void and voiding.