Question 1

An elderly female client requires a Foley catheter insertion;however,she is unable to be placed in a dorsal recumbent position.What nursing action do you take?

Accepted Answer

Place her in a side-lying position,upper leg placed across lower leg.

Question 2

When evaluating the output of a client who has just returned from the operating room following a transurethral resection of the prostate (TURP),you find bright red blood in the collection bag from the continuous irrigation (CPI)system.Your initial action is to

Accepted Answer

A) Decrease the irrigation flow rate. 
B) Obtain vital signs. 
C) Increase the irrigation flow rate. 
D) Call the physician. 
A) Decrease the irrigation flow rate. 
B) Obtain vital signs. 
C) Increase the irrigation flow rate. 
D) Call the physician. C

Question 3

The client who experiences stress incontinence can learn to help control micturition by practicing contraction of __________ muscles.

Accepted Answer

The client can help control micturition by practicing contraction of pelvic floor muscles.

Question 4

Match between columns
                        Premises: If you are unable to insert a catheter into a male client,apply slight traction to the penile shaft by pulling in an upward direction.

If a catheter is inadvertently inserted into the vagina,leave it in place while inserting a new catheter into the urethra.

The urinary meatus is cleansed in a circular motion moving from the periphery to the meatus opening.

When removing a retention catheter,cut the balloon part just beyond the junction from the catheter.

Accepted Answer

The Answer of True and False is...

Question 5

Disequilibrium syndrome in the hemodialysis client is treated with

Accepted Answer

Hypertonic

Question 6

Upon inserting the straight catheter,you find that urine is not flowing.Your next action is to

Accepted Answer

A) Remove the catheter,check the meatus,and reinsert the catheter. 
B) Obtain a new,larger-sized catheter and insert it. 
C) Reassess if catheter is in the vagina;if so,remove and reinsert into meatus. 
D) Insert the catheter a little farther,wait a few seconds,and if urine does not flow,reassess placement. 
A) Remove the catheter,check the meatus,and reinsert the catheter. 
B) Obtain a new,larger-sized catheter and insert it. 
C) Reassess if catheter is in the vagina;if so,remove and reinsert into meatus. 
D) Insert the catheter a little farther,wait a few seconds,and if urine does not flow,reassess placement.

Question 7

A urinary diversion collection pouch differs from a fecal collection pouch in which way?

Accepted Answer

It has a s

Question 8

The bladder scanner measures the volume of urine in the bladder,but it is not used for __________ clients.

Accepted Answer

The bladder scanner

Question 9

Match between columns
                        Premises: Permanent dual lumen
Femoral vein
Arteriovenous fistula
Central venous dual lumen

Accepted Answer

The Answer of Device inserted into superior vena cava and is...

Question 10

The kidney reduces mL of actual filtrate to __________ mL of urine per minute to produce a urinary output of __________ mL per day.

Accepted Answer

The answer of The kidney reduces mL of actual filtrate...

Question 11

Individuals lose approximately 2400 mL of fluid per day.Write in the approximate loss from the following mechanisms.
__________ a.Urine output
__________ b.Lungs
__________ c.Skin
__________ d.Feces

Accepted Answer

a.1500
b.2

Question 12

When filling a Foley (retention catheter)balloon,the nurse injects

Accepted Answer

the entire contents

Question 13

An ileal conduit

Accepted Answer

A) diverts urine through a stoma. 
B) diverts urine directly to the urethra. 
C) diverts stool through a stoma. 
D) collects urine and is accessed by catheterization. 
A) diverts urine through a stoma. 
B) diverts urine directly to the urethra. 
C) diverts stool through a stoma. 
D) collects urine and is accessed by catheterization.

Question 14

You proceed to catheterize Mrs.Franks.After placing the sterile absorbent pad under the client,what is the next action?

Accepted Answer

A) Place outer white wrap under the client's buttocks. 
B) Put on sterile gloves. 
C) Open sterile catheter package. 
D) Pour antiseptic solution over cotton balls. 
A) Place outer white wrap under the client's buttocks. 
B) Put on sterile gloves. 
C) Open sterile catheter package. 
D) Pour antiseptic solution over cotton balls.

Question 15

Match between columns
                        Premises: Distal tubule
Loop of Henle
Proximal tubule

Accepted Answer

The Answer of Obligatory reabsorption of water occurs. and Reabsorption is...

Question 16

The client with an incontinent urinary diversion must

Accepted Answer

A) practice pelvic floor muscle exercises. 
B) avoid a high fiber diet. 
C) wear a pouch for urine collection. 
D) access urine by catheterization. 
A) practice pelvic floor muscle exercises. 
B) avoid a high fiber diet. 
C) wear a pouch for urine collection. 
D) access urine by catheterization.

Question 17

The purpose of CBI (continuous bladder irrigation)with a three-way catheter is to

Accepted Answer

Prevent cl

Question 18

The nurse obtains a urine specimen from a client with a retention cather from the .

Accepted Answer

The answer of The nurse obtains a urine specimen from...

Question 19

All of the following actions can be used to stimulate voiding except

Accepted Answer

A) Putting oil of wintergreen on a cotton ball in the bedpan. 
B) Placing a hot washcloth on the client's abdomen. 
C) Ambulating the client. 
D) Providing a sitz bath. 
A) Putting oil of wintergreen on a cotton ball in the bedpan. 
B) Placing a hot washcloth on the client's abdomen. 
C) Ambulating the client. 
D) Providing a sitz bath.

Question 20

State four self-care safety precautions that should be included in a teaching plan for the client with vascular access for hemodialysis.
a.______________
b.______________
c.______________
d.______________

Accepted Answer

a.No blood pressure taken on access arm.

Exam 22: Urinary Elimination

An elderly female client requires a Foley catheter insertion;however,she is unable to be placed in a dorsal recumbent position.What nursing action do you take?

When evaluating the output of a client who has just returned from the operating room following a transurethral resection of the prostate (TURP),you find bright red blood in the collection bag from the continuous irrigation (CPI)system.Your initial action is to

The client who experiences stress incontinence can learn to help control micturition by practicing contraction of __________ muscles.

Disequilibrium syndrome in the hemodialysis client is treated with

Upon inserting the straight catheter,you find that urine is not flowing.Your next action is to

A urinary diversion collection pouch differs from a fecal collection pouch in which way?

The bladder scanner measures the volume of urine in the bladder,but it is not used for __________ clients.

The kidney reduces mL of actual filtrate to __________ mL of urine per minute to produce a urinary output of __________ mL per day.

Individuals lose approximately 2400 mL of fluid per day.Write in the approximate loss from the following mechanisms. __________ a.Urine output __________ b.Lungs __________ c.Skin __________ d.Feces

When filling a Foley (retention catheter)balloon,the nurse injects

An ileal conduit

You proceed to catheterize Mrs.Franks.After placing the sterile absorbent pad under the client,what is the next action?

The client with an incontinent urinary diversion must

The purpose of CBI (continuous bladder irrigation)with a three-way catheter is to

The nurse obtains a urine specimen from a client with a retention cather from the .

All of the following actions can be used to stimulate voiding except

State four self-care safety precautions that should be included in a teaching plan for the client with vascular access for hemodialysis. a.______________ b.______________ c.______________ d.______________

Professional Nursing

Nursing Process and Critical Thinking

Managing Client Care: Documentation and Delegation

Communication and Nurse-Client Relationship

Admission, Transfer, and Discharge

Client Education and Discharge Planning

Safe Client Environment and Restraints

Bathing, Bedmaking, and Maintaining Skin Integrity

Personal Hygiene

Vital Signs

Physical Assessment

Body Mechanics and Positioning

Exercise and Ambulation

Infection Control

Disaster Preparedness Bioterrorism

Pain Management

Alternative Therapies and Stress Management

Medication Administration

Nutritional Management and Ng Intubation

Specimen Collection

Diagnostic Procedures

Bowel Elimination

Heat and Cold Therapies

Wound Care and Dressings

Perioperative Care

Orthopedic Interventions

Intravenous Therapy

Central Vascular Access

Respiratory Care

Circulatory Maintenance

Neurological Management - New

Advanced Nursing Skills

End of Life Care

Filters

The kidney reduces mL of actual filtrate to mL of urine per minute to produce a urinary output of mL per day.

Individuals lose approximately 2400 mL of fluid per day.Write in the approximate loss from the following mechanisms. a.Urine output b.Lungs c.Skin d.Feces

State four self-care safety precautions that should be included in a teaching plan for the client with vascular access for hemodialysis. a. b. c. d.