ATI Urinary Elimination - practice assessment. Questions & Answers with Rationales

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A client who has an elevated BUN is most likely to have a manifestation of A client who reports painful urination of a A client who reports urinary frequency A client who has glucose in his ur... ine ANS✔✔A client who reports urinary frequency Voiding a small amount of urine (less than 100 mL) frequently (2 to 3 times per hr), and dribbling of urine are manifestations of urinary retention. A nurse removes an indwelling urinary catheter that an older adult client has had in place for 2 days. The nurse should assess the client for which of the following expected outcomes after catheter removal? Temporary urinary retention Urinary frequency for several days Blood-tinged urine Highly concentrated urine ANS✔✔Temporary urinary retention Until the bladder regains its full tone, it is common for clients to develop urinary retention, If a client does not urinate for 6 to 8 hr after catheter removal, reinsertion might become necessary. A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has benign prostatic hyperplasia. Which of the following instructions should the nurse include? Perform catheterization when you recognize the urge to void. Hold the penis at a 30° to 45° angle when inserting the catheter. The client should Inflate the balloon when the urine flow stops. Use soap and water to wash the catheter after each use. ANS✔✔Use soap and water to wash the catheter after each use. The client should wash the catheter using soap and water and store it in a clean container after each use. A charge nurse is observing a newly-licensed nurse insert an indwelling urinary catheter for a male client. Which of the following actions by the newly-licensed nurse requires intervention by the charge nurse? - Lubricates the first 2.5 to 5 cm (2 in) of the catheter. - Dons sterile gloves before cleaning the client's meatus. - Secures the tubing to the client's upper thigh. - Pulls gently on the catheter to check for resistance after inflating the balloon. ANS✔✔Lubricates the first 2.5 to 5 cm (2 in) of the catheter. The nurse should lubricate the first 2.5 to 5 cm (1 to 2 in) of the catheter when inserting a catheter into a female client. The nurse should lubricate the first 15 to 17.5 cm (6 to 7 in) when inserting a catheter into a male client. cleaning the client's meatus. A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client? - "If the medicine causes an upset stomach, take an antacid at the same time." - "Limit your daily fluid intake while taking this medication." - "This medication can cause photophobia, so be sure to wear sunglasses outdoors." - "You should report any tendon discomfort you experience while taking this medication," ANS✔✔- "You should report any tendon discomfort you experience while taking this medication," The nurse should instruct the client to report any tendon discomfort as well as swelling or inflammation of the tendons due to the risk of tendon rupture. A nurse instructs a female client about collecting a midstream urine sample. Which of the following client statements indicates an understanding of the procedure? "I'Il urinate a little then stop." "I'Il use the cleansing wipe from front to back." "I'Ill clean the inside of the container with a wipe." "I'll use each cleansing wipe twice." ANS✔✔"TIl use the cleansing wipe from front to back." The client should cleanse the perineal area from front to back to avoid introducing bacteria from the anal area into the area of the urinary meatus. A nurse is planning on teaching a client who is scheduled for an intravenous pyelogram (IVP). Which of the following statements should the nurse include in the teaching? - "The procedure will be cancelled if the urinalysis indicates the presence of red blood cells." - "High frequency sound waves will be used to identify renal system structures." - "You will be able to resume your regular diet as soon as the test is complete." - "After the procedure you will be encouraged to drink plenty of fluids." ANS✔✔"After the procedure you will be encouraged to drink plenty of fluids." The nurse should encourage fluid intake after the procedure to help promote elimination of the dye used during the procedure. A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Which of the following indications should the nurse include? Select all that apply. Relief of urinary retention Convenience for the nursing staff or the client's family Measurement of residual urine after urination Routine acquisition of a urine specimen An open perineal wound ANS✔✔Relief of urinary retention Measurement of residual urine after urination An open perineal wound Valid indications for urinary catheterization include urinary retention, bladder distention, management of urinary elimination for clients who have spinal cord injuries, and prevention of urethral obstruction from blood clots following genitourinary surgery. A nurse is teaching a client who is scheduled for a cystoscopy. Which of the following information should the nurse include in the teaching? "You should limit fluids for 12 hr following the procedure." "You may have pink-tinged urine after this procedure." "You can eat a full liquid meal up to 1 hour before the procedure." "You will be placed on your right side during the procedure." ANS✔✔"You may have pink-tinged urine after this procedure." The client might have blood-tinged, or pink, urine after the procedure. The client should report dark red urine because it is an indication of bleeding. [Show More]

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