Question 1

Doris Smith had a vaginal hysterectomy 3 days ago.She is now on a clamping protocol for the suprapubic catheter.Place an X in front of the true statements.

Accepted Answer

A) The catheter is clamped until Doris voids spontaneously.__________ 
B) The catheter is unclamped every 3-4 hours for drainage purposes.__________ 
C) The catheter is opened for 5 minutes after the client voids.__________ 
D) Residual urine is measured after the first voiding and then on a daily basis.__________ 
E) The catheter is clamped for the night in preparation for removal.__________ 
F)When the residual urine is less than 100 mL on two successive voidings,the client is ready for catheter removal.__________ 
A) The catheter is clamped until Doris voids spontaneously.__________ 
B) The catheter is unclamped every 3-4 hours for drainage purposes.__________ 
C) The catheter is opened for 5 minutes after the client voids.__________ 
D) Residual urine is measured after the first voiding and then on a daily basis.__________ 
E) The catheter is clamped for the night in preparation for removal.__________ 
F)When the residual urine is less than 100 mL on two successive voidings,the client is ready for catheter removal.__________

Question 2

The client has a continuous bladder irrigation (CBI).When you assess the client,you find the urine collection bag is empty after 1 hour.Your initial action is to

Accepted Answer

A) Disconnect the catheter and instill 50 mL irrigant with firm pressure. 
B) Observe if the irrigating solution is infusing into the bladder. 
C) Irrigate the catheter by inserting a fluid-filled syringe into the injection port. 
D) Change the catheter as it is probably occluded. 
A) Disconnect the catheter and instill 50 mL irrigant with firm pressure. 
B) Observe if the irrigating solution is infusing into the bladder. 
C) Irrigate the catheter by inserting a fluid-filled syringe into the injection port. 
D) Change the catheter as it is probably occluded.

Question 3

Central venous dual lumen dialysis catheters are maintained by

Accepted Answer

A) daily flush with saline. 
B) daily flush with dilute heparin. 
C) weekly flush with dilute heparin. 
D) only the nephrology nurse. 
A) daily flush with saline. 
B) daily flush with dilute heparin. 
C) weekly flush with dilute heparin. 
D) only the nephrology nurse.

Question 4

To determine patency of a hemodialysis fistula or graft,the nurse assesses for presence of a

Accepted Answer

The answer of To determine patency of a hemodialysis fistula...

Question 5

A urinary diversion was done on a client with cancer of the bladder.You are assigned to apply the pouch.
Which of the following actions do you complete? 
Place an X in front of the letter.

Accepted Answer

A) Trace size of stoma on wafer.__________ 
B) Cut opening 1 inch larger than stoma.__________ 
C) Apply protective barrier to skin around stoma.__________ 
D) Tape pouch securely to skin.__________ 
A) Trace size of stoma on wafer.__________ 
B) Cut opening 1 inch larger than stoma.__________ 
C) Apply protective barrier to skin around stoma.__________ 
D) Tape pouch securely to skin.__________

Question 6

When the urine begins to flow through Mrs.Frank's straight catheter,your next action is to inflate the catheter balloon with sterile water.

Accepted Answer

A) True 
 B)False

Question 7

A sense of urgency to void occurs when approximately __________ to __________ mL of urine is collected in the bladder.

Accepted Answer

The answer of A sense of urgency to void occurs...

Question 8

A decrease in urinary output may be due to

Accepted Answer

A) Enlarged prostate 
B) Decrease in ADH secretion 
C) Alcohol intake 
D) Diuretic administration 
A) Enlarged prostate 
B) Decrease in ADH secretion 
C) Alcohol intake 
D) Diuretic administration

Question 9

When preparing the female client for catheterization,the most critical area to prep is the

Accepted Answer

A) vaginal inlet 
B) urinary meatus 
C) labia minora 
D) anal opening 
A) vaginal inlet 
B) urinary meatus 
C) labia minora 
D) anal opening

Exam 22: Urinary Elimination

Doris Smith had a vaginal hysterectomy 3 days ago.She is now on a clamping protocol for the suprapubic catheter.Place an X in front of the true statements.

The client has a continuous bladder irrigation (CBI).When you assess the client,you find the urine collection bag is empty after 1 hour.Your initial action is to

Central venous dual lumen dialysis catheters are maintained by

To determine patency of a hemodialysis fistula or graft,the nurse assesses for presence of a

A urinary diversion was done on a client with cancer of the bladder.You are assigned to apply the pouch. Which of the following actions do you complete? Place an X in front of the letter.

When the urine begins to flow through Mrs.Frank's straight catheter,your next action is to inflate the catheter balloon with sterile water.

A sense of urgency to void occurs when approximately __________ to __________ mL of urine is collected in the bladder.

A decrease in urinary output may be due to

When preparing the female client for catheterization,the most critical area to prep is the

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

A sense of urgency to void occurs when approximately to mL of urine is collected in the bladder.