NUR 168: CHAPTER 37: URINARY ELIMINATION
QUESTIONS WITH COMPLETE SOLUTIONS
1. A nurse caring for patients in a long-term care facility is often
required to collect urine specimens from patients for laboratory
testing. Which techniques for urine collection are performed
correctly? Select all that apply.
A) The nurse catheterizes a patient to collect a sterile urine
sample for routine urinalysis.
B) The nurse collects a clean-catch urine specimen in the
morning from a patient and stores it at room temperature until an
afternoon pick-up.
C) The nurse collects a sterile urine specimen from the
collection receptacle of a patient's indwelling catheter.
D) The nurse collects about 3 mL of urine from a patient's
indwelling catheter to send for a urine culture.
E) The nurse collects a urine specimen from a patient with a
urinary diversion by catheterizing the stoma.
F) The nurse discards the first urine of the day when performing
a 24-hour urine specimen collection on a patient. Correct
Answers D) The nurse collects about 3 mL of urine from a
patient's indwelling catheter to send for a urine culture.
E) The nurse collects a urine specimen from a patient with a
urinary diversion by catheterizing the stoma.
F) The nurse discards the first urine of the day when performing
a 24-hour urine specimen collection on a patient.
10. A nurse caring for a patient's hemodialysis access documents
the following: "5/10/20 0930 AV fistula patent in right upper
arm. Area is warm to touch and edematous. Patient denies pain
and tenderness. Positive bruit and thrill noted." Which
,documented finding would the nurse report to the primary care
provider?
A) Positive bruit noted.
B) Area is warm to touch and edematous.
C) Patient denies pain and tenderness.
D) Positive thrill noted. Correct Answers B) Area is warm to
touch and edematous.
11. A nurse is caring for an alert, ambulatory, older resident in a
long-term care facility who voids frequently and has difficulty
making it to the bathroom in time. Which nursing intervention
would be most helpful for this patient?
A) Teach the patient that incontinence is a normal occurrence
with aging.
B) Ask the patient's family to purchase incontinence pads for the
patient.
C) Teach the patient to perform PFMT exercises at regular
intervals daily.
D) Insert an indwelling catheter to prevent skin breakdown.
Correct Answers C) Teach the patient to perform PFMT
exercises at regular intervals daily.
12. A nurse is caring for a patient who is taking phenazopyridine
(a urinary tract analgesic). The patient questions the nurse: "My
urine was bright orangish red today; is there something wrong
with me?" What would be the nurse's best response?
A) "This is a normal finding when taking phenazopyridine."
B) "This may be a sign of blood in the urine."
C) "This may be the result of an injury to your bladder."
, D) "This is a sign that you are allergic to the medication and
must stop it." Correct Answers A) "This is a normal finding
when taking phenazopyridine."
13. A nurse is caring for a male patient who had a urinary sheath
applied following hip surgery. What action would be a priority
when caring for this patient?
A) Preventing the tubing from kinking to maintain free urinary
drainage
B) Not removing the sheath for any reason
C) Fastening the sheath tightly to prevent the possibility of
leakage
D) Maintaining bedrest at all times to prevent the sheath from
slipping off Correct Answers A) Preventing the tubing from
kinking to maintain free urinary drainage
14. A nurse is ordered to catheterize a patient following surgery.
Which nursing guideline would the nurse follow?
A) The nurse would use different equipment for catheterization
of male versus female patients.
B) The nurse should use the smallest appropriate indwelling
urinary catheter.
C) The nurse should always sterilize the equipment prior to
insertion.
D) The nurse should choose a 12F, 5-mL or 10-mL balloon,
unless ordered otherwise. Correct Answers B) The nurse
should use the smallest appropriate indwelling urinary catheter.
15. Data must be collected to evaluate the effectiveness of a plan
to reduce urinary incontinence in an older adult. Which
information is least important for the evaluation process?
QUESTIONS WITH COMPLETE SOLUTIONS
1. A nurse caring for patients in a long-term care facility is often
required to collect urine specimens from patients for laboratory
testing. Which techniques for urine collection are performed
correctly? Select all that apply.
A) The nurse catheterizes a patient to collect a sterile urine
sample for routine urinalysis.
B) The nurse collects a clean-catch urine specimen in the
morning from a patient and stores it at room temperature until an
afternoon pick-up.
C) The nurse collects a sterile urine specimen from the
collection receptacle of a patient's indwelling catheter.
D) The nurse collects about 3 mL of urine from a patient's
indwelling catheter to send for a urine culture.
E) The nurse collects a urine specimen from a patient with a
urinary diversion by catheterizing the stoma.
F) The nurse discards the first urine of the day when performing
a 24-hour urine specimen collection on a patient. Correct
Answers D) The nurse collects about 3 mL of urine from a
patient's indwelling catheter to send for a urine culture.
E) The nurse collects a urine specimen from a patient with a
urinary diversion by catheterizing the stoma.
F) The nurse discards the first urine of the day when performing
a 24-hour urine specimen collection on a patient.
10. A nurse caring for a patient's hemodialysis access documents
the following: "5/10/20 0930 AV fistula patent in right upper
arm. Area is warm to touch and edematous. Patient denies pain
and tenderness. Positive bruit and thrill noted." Which
,documented finding would the nurse report to the primary care
provider?
A) Positive bruit noted.
B) Area is warm to touch and edematous.
C) Patient denies pain and tenderness.
D) Positive thrill noted. Correct Answers B) Area is warm to
touch and edematous.
11. A nurse is caring for an alert, ambulatory, older resident in a
long-term care facility who voids frequently and has difficulty
making it to the bathroom in time. Which nursing intervention
would be most helpful for this patient?
A) Teach the patient that incontinence is a normal occurrence
with aging.
B) Ask the patient's family to purchase incontinence pads for the
patient.
C) Teach the patient to perform PFMT exercises at regular
intervals daily.
D) Insert an indwelling catheter to prevent skin breakdown.
Correct Answers C) Teach the patient to perform PFMT
exercises at regular intervals daily.
12. A nurse is caring for a patient who is taking phenazopyridine
(a urinary tract analgesic). The patient questions the nurse: "My
urine was bright orangish red today; is there something wrong
with me?" What would be the nurse's best response?
A) "This is a normal finding when taking phenazopyridine."
B) "This may be a sign of blood in the urine."
C) "This may be the result of an injury to your bladder."
, D) "This is a sign that you are allergic to the medication and
must stop it." Correct Answers A) "This is a normal finding
when taking phenazopyridine."
13. A nurse is caring for a male patient who had a urinary sheath
applied following hip surgery. What action would be a priority
when caring for this patient?
A) Preventing the tubing from kinking to maintain free urinary
drainage
B) Not removing the sheath for any reason
C) Fastening the sheath tightly to prevent the possibility of
leakage
D) Maintaining bedrest at all times to prevent the sheath from
slipping off Correct Answers A) Preventing the tubing from
kinking to maintain free urinary drainage
14. A nurse is ordered to catheterize a patient following surgery.
Which nursing guideline would the nurse follow?
A) The nurse would use different equipment for catheterization
of male versus female patients.
B) The nurse should use the smallest appropriate indwelling
urinary catheter.
C) The nurse should always sterilize the equipment prior to
insertion.
D) The nurse should choose a 12F, 5-mL or 10-mL balloon,
unless ordered otherwise. Correct Answers B) The nurse
should use the smallest appropriate indwelling urinary catheter.
15. Data must be collected to evaluate the effectiveness of a plan
to reduce urinary incontinence in an older adult. Which
information is least important for the evaluation process?
