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Exam 28: Urinary Elimination

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Question 1

Multiple Choice

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The nurse is caring for a patient with suspected kidney dysfunction. In reviewing the patient's home medication list, the nurse is most alerted to which medications? Select all that apply.

A) Aspirin
B) Gentamicin
C) Estrogen
D) Ibuprofen
E) Insulin

F) A) and B)
G) B) and C)

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Question 2

Multiple Choice

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The nurse is caring for a patient who has had an indwelling urinary catheter inserted for the past 5 days. In reviewing and revising the plan of care, what is the most important nursing diagnosis for this patient?

A) Disturbed Body Image
B) Risk for Infection
C) Risk for Impaired Skin Integrity
D) Risk for Decreased Urine Output

E) A) and B)
F) None of the above

Correct Answer

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B

Question 3

Multiple Choice

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Which interventions are appropriate for an older adult patient with urinary incontinence? Select all that apply.

The nurse is preparing a client for a computerized tomography with contrast media. Which instruction will the nurse share with the client?

The nurse is inserting an indwelling urinary catheter for a female patient. Upon insertion of the catheter, the nurse accidentally touches the patient's leg and bed sheet with the tip of the catheter. What is the most appropriate action by the nurse?

Which action should the nurse take when beginning bladder training using scheduled voiding?

The nurse meets resistance when irrigating a patient's urinary catheter. Which action would the nurse perform first?

Which outcome is appropriate for the patient who underwent urinary diversion surgery and creation of an ileal conduit (conventional urostomy) for invasive bladder cancer?

The nurse is calculating the intake and output (I&O) for a patient. On the I&O record, the following information is noted: milk 140 mL at breakfast, voided 240 mL after breakfast, 120 mL of coffee at 1000, and urinated 300 mL at 1100. Which amount will the nurse document for the total urine output?

The nurse notes that a patient's indwelling urinary catheter tubing contains sediment and crusting at the meatus. Which action should the nurse take?

The nurse is checking for costovertebral angle tenderness. Which technique would the nurse use?

Which statement best describes how normal voluntary urination occurs?

The nurse measures the urine output of a patient who requires a bedpan to void. Which action should the nurse take first? Put on gloves, and:

A patient who sustained a spinal cord injury will perform intermittent self-catheterization after discharge. After discharge teaching, which statement by the patient would indicate correct understanding of the procedure?

The nurse is preparing a young adult, female patient for intravenous pyelogram (IVP) . What are the priority actions by the nurse prior to this procedure? Select all that apply.

Which urine specific gravity would be expected in a patient admitted with dehydration?

What is the best technique for obtaining a sterile urine specimen from an indwelling urinary catheter?

The nurse is teaching a female patient with stress incontinence how to perform pelvic floor muscle exercises (PFMEs) . Which statement indicates the patient understands the procedure?

A mother tells the nurse at an annual well-child checkup that her 6-year-old son occasionally "wets himself" during the day. Which response by the nurse is appropriate?

The student nurse asks the healthcare provider if an indwelling urinary catheter will be prescribed for a hospitalized patient who is incontinent. The healthcare provider explains that catheters should be utilized only when absolutely necessary because: