Question 1

Which nursing diagnosis related to alternations in urinary function in an older adult should be a nurse's first priority?

Accepted Answer

A)  Self-care deficit related to decreased mobility 
B)  Risk of infection 
C)  Anxiety related to urinary frequency 
D)  Impaired self-esteem related to lack of independence 
A)  Self-care deficit related to decreased mobility 
B)  Risk of infection 
C)  Anxiety related to urinary frequency 
D)  Impaired self-esteem related to lack of independence

Question 2

Which observation by the nurse best indicates that bladder irrigation for urinary retention has been effective?

Accepted Answer

A)  Recording an output that is larger than the amount instilled 
B)  Presence of blood clots or sediment in the drainage bag 
C)  Reduction in discomfort from bladder distention 
D)  Visualizing clear urinary catheter tubing 
A)  Recording an output that is larger than the amount instilled 
B)  Presence of blood clots or sediment in the drainage bag 
C)  Reduction in discomfort from bladder distention 
D)  Visualizing clear urinary catheter tubing

Question 3

The nurse suspects that a urinary tract infection has progressed to cystitis when the patient complains of which symptom?

Accepted Answer

A)  Dysuria 
B)  Flank pain 
C)  Frequency 
D)  Fever and chills 
A)  Dysuria 
B)  Flank pain 
C)  Frequency 
D)  Fever and chills

Question 4

The nurse properly obtains a 24-hour urine specimen collection by

Accepted Answer

A)  Asking the patient to void and to discard the first sample. 
B)  Keeping the urine collection container on ice. 
C)  Withholding all patient medications for the day. 
D)  Asking the patient to notify the staff before and after every void. 
A)  Asking the patient to void and to discard the first sample. 
B)  Keeping the urine collection container on ice. 
C)  Withholding all patient medications for the day. 
D)  Asking the patient to notify the staff before and after every void.

Exam 45: Urinary Elimination

Which nursing diagnosis related to alternations in urinary function in an older adult should be a nurse's first priority?

Which observation by the nurse best indicates that bladder irrigation for urinary retention has been effective?

The nurse suspects that a urinary tract infection has progressed to cystitis when the patient complains of which symptom?

The nurse properly obtains a 24-hour urine specimen collection by

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