Urinary Elimination Discussion Questions

Urinary Elimination Discussion Questions
1. A hospitalized 70-year-old adult has a computed
tomography (CT) scan with contrast at 11 a.m. The
patient has an IV running at 125 mL per hour and
ingested 50 percent of lunch with a cup of coffee and
4 oz of soup at 12 noon. The nurse is going on a break
at 1 p.m. and provides the following information to
the nurse accepting responsibility for the patient.
Which information about the patient is of most
concern to the nurse accepting responsibility for
the patient?
1. Urine output – 100 mL
2. Presence of slight nausea
3. Medicated for a mild headache
4. Blood pressure – 150/84 mm Hg
2. A nurse is assisting a female patient who is experiencing numerous daily episodes of urge incontinence to
gain better bladder control. Which outcome reflects
achievement of a goal associated with this patient’s
urge incontinence?
1. Urinates every two hours while remaining dry
between voiding
2. Wears an adult incontinence brief only when
venturing outside the home
3. Empties the bladder every time before leaving
the house, limiting incontinence
4. Uses deep, slow breathing until the sensation to
void subsides, increasing intervals between voiding
3. A nurse identifies that a patient may be experiencing
urinary retention. Which clinical indicators support
this inference? Select all that apply.
1. Voiding small amounts of urine
several times hourly
2. Abdominal palpation indicating
bladder distention
3. Tenderness over the symphysis pubis on
palpation
4. Dysuria on urination
5. Blood-tinged urine
4. A nurse is caring for an older adult female who says,
“Why am I always getting bladder infections?” Which
response by the nurse is most appropriate?
1. “Women have a shorter urethra than men do, and
that makes women more susceptible than men to
bladder infections.”
Urinary Elimination Discussion Questions
2. “Older adults may experience retained urine, which
becomes more acidic and promotes the development
of bladder infections.”
3. “It is hard for women to cleanse the urinary
meatus, which increases the risk of
bladder infections.”
4. “Infrequent sexual intercourse predisposes women to
bladder infections.”
5. A nurse is caring for a patient who has a urinary
retention catheter. The primary health-care provider
orders a urine culture and sensitivity. Which step
ensures that the collected specimen is sterile?
1. Swab the specimen port with an antiseptic swab.
2. Don sterile gloves when obtaining the specimen.
3. Use a urinalysis container to collect the specimen.
4. Collect the specimen early in the morning before
breakfast.
6. A primary health-care provider prescribes nitrofurantoin (Macrodantin) 100 mg twice a day by mouth
for a patient with a urinary tract infection. The pharmacy sends up unit dose packages labeled 25 mg per
capsule. The primary nurse on the 12-hour day shift
checks the medication drawer to ensure that there
are enough capsules for the next 24 hours. How
many tablets should be available for disbursement
to the patient?
Answer: capsules
7. While all of the following clinical manifestations are
important to report to a primary health-care
provider, which is most important?
1. Anuria
2. Dysuria
3. Polyuria
4. Nocturia
8. A patient reports concern about not having urinated
in several hours. The patient reports the sensation
of the need to void and has moderate abdominal
distention. What should the nurse do first?
1. Encourage the patient to drink more fluid.
2. Stroke the inner aspect of the patient’s thigh.
3. Pour warm water over the patient’s perineal area.
Urinary Elimination Discussion Questions
4. Have the patient assume an upright position for
voiding.
9. A patient with a history of urinary tract infections asks
the nurse for suggestions to limit their occurrence.
Which should the nurse encourage the patient to
ingest to inhibit the growth of microorganisms that
can cause a bladder infection? Select all that apply.
1. Eggs
2. Meats
3. Apple juice
4. Cranberry juice
5. Whole-grain breads
10. Which nursing intervention is most effective when
assisting a patient to completely empty the bladder?
1. Place the patient’s hands in warm water.
2. Stroke an inner aspect of the patient’s thigh.
3. Encourage the patient to attempt to double void.
4. Turn a faucet on in the patient’s room to produce
sounds of flowing water.

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