Question 1

The nurse is concerned that a client is at risk for the development of urinary tract infections.What did the nurse assess to come to this conclusion?

Accepted Answer

Wearing tight clothing can increase the risk for urinary tract infections by trapping moisture and promoting the growth of bacteria in the perineal area. None of the other options listed are directly associated with an increased risk for urinary tract infections.

Question 2

The nurse is performing urinary catheterization for a client.After using the nondominant hand to separate the client's labia for cleansing,the nurse will maintain this hand as being

Accepted Answer

The nondominant hand that is used to separate the client's labia is considered contaminated since it has come into contact with the client's skin and mucous membranes. The nurse should avoid touching any sterile items or equipment with this hand to prevent the spread of infection.

Question 3

The nurse is applying an external urinary device to a client.Before attaching the device to the drainage bag,what should the nurse do?

Accepted Answer

Ensuring that the condom is not twisted is crucial to prevent obstruction of urine flow, which could lead to complications.

Question 4

A client needs a test to determine the amount of residual urine.The nurse realizes that this assessment is used for which reason(s)?
(Select all that apply)

Accepted Answer

The answer of A client needs a test to determine...

Question 5

The nurse is documenting the insertion of a retention catheter for a client.What should be included in this documentation?
(Select all that apply)

Accepted Answer

The nurse should document the catheter size, the amount of urine that drained after insertion, and the client's tolerance of the procedure.

Question 6

The nurse is concerned that an older client with a retention catheter is developing a urinary tract infection.What assessment finding caused this concern?

Accepted Answer

Confusion is a common symptom of a urinary tract infection in older adults. A retention catheter can increase the risk of developing a urinary tract infection, as it provides a direct route for bacteria to enter the urinary tract. Elevated blood pressure, elevated heart rate, and leg pain are not typical signs of a urinary tract infection.

Question 7

The nurse is determining tasks to delegate to unlicensed assistive personnel (UAP).Which task should the nurse before delegating to this level of health care provider?

Accepted Answer

Only licensed nurses are allowed to insert a urinary catheter into a client. This task is outside the scope of practice for unlicensed assistive personnel.

Question 8

An older female client with a history of urinary tract infections has an indwelling urinary catheter.What should the nurse do to reduce this client's risk of developing an infection because of the catheter?
(Select all that apply)

Accepted Answer

To reduce the risk of infection in a client with an indwelling urinary catheter, the nurse should maintain a sterile closed drainage system, ensure the catheter and tubing are not kinked, wash their hands before manipulating the catheter, and keep the collection bag below the level of the bladder to prevent backflow of urine. Cleaning the peri-urethral area with antiseptics is not recommended as it can lead to the development of antimicrobial resistance. Instead, the peri-urethral area should be cleaned with soap and water during routine hygiene.

Question 9

The nurse wants to delegate the application of a condom catheter to unlicensed assistive personnel (UAP).What must the nurse assess prior to delegating this task?

Accepted Answer

The nurse must assess whether the client has unique needs, such as a latex allergy or skin sensitivity. This information is important to know before delegating the task to the UAP.

Question 10

The nurse has completed closed irrigation of a client's retention catheter.What specific information should the nurse document about this procedure?

Accepted Answer

Documenting any abnormal drainage, such as blood clots, pus, or mucous shreds, is crucial for monitoring the patient's condition and response to the irrigation.

Question 11

The nurse is instructing a client on ways to manage stress urinary incontinence.What should be included in this client's teaching?
(Select all that apply)

Accepted Answer

Limiting intake of caffeine and alcohol can help decrease bladder irritation and decrease urine production, which can worsen stress urinary incontinence. Limiting evening fluid intake can also help reduce the frequency of incontinence episodes. Increasing intake of citrus juices and beverages with artificial sweeteners may irritate the bladder and increase the risk of incontinence.

Question 12

A client with an indwelling urinary catheter is prescribed to receive sterile normal saline bladder irrigation at 100 mL/hr.After an 8-hour shift the nurse measures the client's output as being 1425 mL.What is the client's urine output for the 8-hour shift?
Calculate to the nearest whole number.

Accepted Answer

The answer of A client with an indwelling urinary catheter...

Question 13

A UAP has applied a condom catheter to a client.The nurse should document what information about this procedure?
(Select all that apply)

Accepted Answer

The answer of A UAP has applied a condom catheter...

Quiz 48: Urinary Elimination

The nurse is concerned that a client is at risk for the development of urinary tract infections.What did the nurse assess to come to this conclusion?

The nurse is performing urinary catheterization for a client.After using the nondominant hand to separate the client's labia for cleansing,the nurse will maintain this hand as being

The nurse is applying an external urinary device to a client.Before attaching the device to the drainage bag,what should the nurse do?

A client needs a test to determine the amount of residual urine.The nurse realizes that this assessment is used for which reason(s) ? (Select all that apply)

The nurse is documenting the insertion of a retention catheter for a client.What should be included in this documentation? (Select all that apply)

The nurse is concerned that an older client with a retention catheter is developing a urinary tract infection.What assessment finding caused this concern?

The nurse is determining tasks to delegate to unlicensed assistive personnel (UAP) .Which task should the nurse before delegating to this level of health care provider?

An older female client with a history of urinary tract infections has an indwelling urinary catheter.What should the nurse do to reduce this client's risk of developing an infection because of the catheter? (Select all that apply)

The nurse wants to delegate the application of a condom catheter to unlicensed assistive personnel (UAP) .What must the nurse assess prior to delegating this task?

The nurse has completed closed irrigation of a client's retention catheter.What specific information should the nurse document about this procedure?

The nurse is instructing a client on ways to manage stress urinary incontinence.What should be included in this client's teaching? (Select all that apply)

A client with an indwelling urinary catheter is prescribed to receive sterile normal saline bladder irrigation at 100 mL/hr.After an 8-hour shift the nurse measures the client's output as being 1425 mL.What is the client's urine output for the 8-hour shift? Calculate to the nearest whole number.

A UAP has applied a condom catheter to a client.The nurse should document what information about this procedure? (Select all that apply)