Question 1

The nurse is caring for a patient who recently underwent ileal conduit surgery. Which nursing diagnosis is the highest priority for this patient?

Accepted Answer

A)  Impaired sexual function related to changed body structure 
B)  Social isolation related to potential for accidental leakage of urine 
C)  Lack of knowledge related to care and maintenance of ostomy appliance 
D)  Disturbed body image related to presence of stoma and appliance

Question 2

The nurse is caring for a patient who is to undergo computed tomography (CT) of the kidneys and ureters. Which assessment finding by the nurse must be reported to the provider and radiologist before the patient has the procedure?

Accepted Answer

A)  The patient is allergic to bananas and latex. 
B)  The patient thinks that she might be pregnant. 
C)  The patient has a family history of bladder cancer. 
D)  The patient currently has a urinary tract infection.

Question 3

The nurse is caring for a patient who will undergo ultrasound testing of the bladder and kidneys the next morning. Which instruction will the nurse provide to the patient about the test?

Accepted Answer

A)  "A small IV will be inserted into your arm to inject the contrast dye." 
B)  "You will need to drink lots of water but not use the toilet." 
C)  "You should not have anything to eat or drink after midnight." 
D)  "You will receive a cleansing enema before you have the test."

Question 4

The nurse is caring for a patient who has just had an intravenous pyelography (IVP) completed. Which assessment is the nurse's highest priority after the patient returns from the test?

Accepted Answer

A)  Calculate the patient's intake and output. 
B)  Monitor for discoloration of the patient's urine. 
C)  Assess for possible iodine or shellfish allergies. 
D)  Inquire if the patient has burning or pain with urination.

Question 5

The nurse is caring for an incontinent male patient who has a deep decubitus ulcer on his sacrum. Which intervention will best manage the patient's urinary incontinence and facilitate healing of the ulcer?

Accepted Answer

A)  Use of disposable absorbable incontinence briefs 
B)  Daily application of perineal barrier cream containing zinc oxide 
C)  Careful perineal care and application of a condom catheter 
D)  Insertion of a single-lumen straight urinary catheter

Exam 41: Urinary Elimination

The nurse is caring for a patient who recently underwent ileal conduit surgery. Which nursing diagnosis is the highest priority for this patient?

The nurse is caring for a patient who is to undergo computed tomography (CT) of the kidneys and ureters. Which assessment finding by the nurse must be reported to the provider and radiologist before the patient has the procedure?

The nurse is caring for a patient who will undergo ultrasound testing of the bladder and kidneys the next morning. Which instruction will the nurse provide to the patient about the test?

The nurse is caring for a patient who has just had an intravenous pyelography (IVP) completed. Which assessment is the nurse's highest priority after the patient returns from the test?

The nurse is caring for an incontinent male patient who has a deep decubitus ulcer on his sacrum. Which intervention will best manage the patient's urinary incontinence and facilitate healing of the ulcer?