NS 510: Urinary Elimination

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Question 1 of 1

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503344

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Which assessment question should the nurse ask if stress incontinence is suspected?

Select the correct answer(s).

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Explanation

Stress incontinence can be related to intra-abdominal pressure causing urine leakage, as would happen during coughing or sneezing. Asking the pt about the fullness of his bladder would rule out retention & overflow. An inability to void completely can refer to urge incontinence. Physiological causes & medications can effect elimination, but this is not related to stress incontinence.

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Upon palpation, the nurse notices that the bladder is firm & distended; the pt expresses an urge to urinate. The nurse should

Select the correct answer(s).

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Explanation

To obtain an accurate assessment, the nurse should first determine the source of the discomfort. Urinary retention causes the bladder to be firm & distended. Further assessment to determine the pathology of the condition can be performed later. Questions concerning fever & chills, changing urination patterns, & losing urine during coughing or sneezing focus on specific pathological conditions.

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Which of the following is the primary function of the kidney?

Select the correct answer(s).

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Explanation

The main purpose of the kidney is to maintain fluid & electrolyte balance by filtering waste products & regulating pressures. The kidneys filter the byproducts of medication metabolism. The bladder stores & excretes urine. The kidneys help to maintain RBC volume by producing erythropoietin.

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When caring for a pt with urinary retention, the nurse would anticipate an order for:

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Explanation

A urinary catheter would relieve urinary retention. Reducing fluids would reduce the amount of urine produced but would not alleviate the urine retention. Diuretic medication would increase urine production & may worsen the discomfort caused by urine retention. A renal angiogram is an inappropriate diagnostic test for urinary retention.

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The nurse suspects that a UTI has progressed to cystitis when the pt complains of which symptom?

Select the correct answer(s).

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Explanation

Cystitis is inflammation of the bladder; associated Sx include hematuria & urgency/frequency. Dysuria is a common symptom of a lower UTI. Flank pain, fever, & chills are all signs of pyelonephritis.

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The nurse anticipates urinary diversion from the kidneys to a site other than the bladder for which patient?

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Explanation

Urinary diversion would be needed in a patient with abdominal trauma who might have injury to the urinary system. Genital warts are not needed for urinary diversion. Patients with a prostatectomy may require intermittent catheterization after the procedure. End-stage renal disease would not be affected by rerouting the flow of urine.

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Which nursing actions are acceptable when collecting a urine specimen? (Select all that apply.)

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Explanation

All specimens should be labeled appropriately and processed in a timely fashion. Allow patients time and privacy to void. Children may have difficulty voiding; attaching a plastic bag gives the child more time and freedom to void. Urine cultures can take up to 48 hours to develop. Gown, gloves, and mask are not necessary for specimen handling unless otherwise indicated. Urine should not be squeezed from diapers.

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The nurse properly obtains a 24-hour urine specimen collection by (Select all that apply.)

Select the correct answer(s).

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Explanation

When obtaining a 24-hour urine specimen, it is important to keep the urine in cool condition. The patient should be asked to void and to discard the urine before the procedure begins. Medications do not need to be held unless indicated by the provider. If properly educated about the collection procedure, the patient can maintain autonomy and perform the procedure alone, taking care to maintain the integrity of the solution.

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Which of the following are indications for irrigating a urinary catheter? (Select all that apply.)

Select the correct answer(s).

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Explanation

Catheter irrigation is used to flush and remove blockage that may be impeding the catheter from properly draining the bladder. Irrigation is used to remove blood clots in the bladder following surgery. For patients with bladder infection, an antibiotic irrigation is often ordered. A ruptured catheter balloon will involve extensive follow-up and possible surgery to remove the particles. Renal calculi obstruct the ureters and therefore the flow of urine before it reaches the bladder.

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Which of the following symptoms are most closely associated with uremic syndrome? (Select all that apply.)

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Explanation

Uremic syndrome is associated with end-stage renal disease. Signs and symptoms include headache, altered mental status, coma, seizures, nausea, vomiting, and pericarditis.

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The nurse understands that peritoneal dialysis and hemodialysis use which processes to clean the patient's blood? (Select all that apply.)

Select the correct answer(s).

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Explanation

Osmosis and diffusion are the two processes used to clean the patient's blood in both types of dialysis. In peritoneal dialysis, osmosis and dialysis occur across the semi-permeable peritoneal membrane. In hemodialysis, osmosis and dialysis occur through the filter membrane on the artificial kidney. In peritoneal dialysis, the dialysate flows by gravity out of the abdomen.Gravity has no effect on cleansing of the blood. Filtration is the process that occurs in the glomerulus as blood flows through the kidney.

503154

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A pt is experiencing oliguria. Which action should the nurse perform first?

Select the correct answer(s).

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Explanation

The nurse first should gather all assessment data to determine the potential cause of oliguria. It could be that the pt does not have adequate intake, or it could be that the bladder sphincter is not functioning and the pt is retaining water. Increasing fluids is effective if the pt does not have adequate intake, or if dehydration occurs. Caffeine can work as a diuretic but is not helpful if an underlying pathology is present. An order for diuretics can be obtained IF the pt was retaining water.

503155

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A nurse anticipates urodynamic testing for a patient with which symptom?

Select the correct answer(s).

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Explanation

Urodynamic testing evaluates the muscle function of the bladder & is used to look for the cause of urinary incontinence. Severe flank pain indicates renal calculi; CT scan or IVP would be a more efficient diagnostic test. Blood indicates trauma to the urethral or bladder mucosa. Pain on elimination may warrant cultures to check for infection.

503156

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A pt requests the nurse's assistance to the bedside commode & becomes frustrated when unable to void in front of the nurse. The nurse understands the pt's inability to void because:

Select the correct answer(s).

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Explanation

Attempting to void in the presence of another can cause anxiety & tension in the muscles that make voiding difficult. The nurse should give the pt privacy & adequate time if appropriate. No evidence suggests that an underlying physiological or psych condition exists.

503157

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The nurse knows that indwelling catheters are placed before a cesarean because:

Select the correct answer(s).

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Explanation

Spinal anesthetics may cause urinary retention due to the inability to sense or carry out the need to void. The pt is more likely to retain urine, rather than experience uncontrollable voiding. With spinal anesthesia, the pt will not be able to ambulate during the procedure. A full bladder has no impact on the pulse rate of the mother.

NS 510: Urinary Elimination

Question 1 of 1

Time Left

Which assessment question should the nurse ask if stress incontinence is suspected?

Select the correct answer(s).

(0/0)

Explanation

Upon palpation, the nurse notices that the bladder is firm & distended; the pt expresses an urge to urinate. The nurse should

Select the correct answer(s).

(0/0)

Explanation

Which of the following is the primary function of the kidney?

Select the correct answer(s).

(0/0)

Explanation

When caring for a pt with urinary retention, the nurse would anticipate an order for:

Select the correct answer(s).

(0/0)

Explanation

The nurse suspects that a UTI has progressed to cystitis when the pt complains of which symptom?

Select the correct answer(s).

(0/0)

Explanation

The nurse anticipates urinary diversion from the kidneys to a site other than the bladder for which patient?

Select the correct answer(s).

(0/0)

Explanation

Which nursing actions are acceptable when collecting a urine specimen? (Select all that apply.)

Select the correct answer(s).

(0/0)

Explanation

The nurse properly obtains a 24-hour urine specimen collection by (Select all that apply.)

Select the correct answer(s).

(0/0)

Explanation

Which of the following are indications for irrigating a urinary catheter? (Select all that apply.)

Select the correct answer(s).

(0/0)

Explanation

Which of the following symptoms are most closely associated with uremic syndrome? (Select all that apply.)

Select the correct answer(s).

(0/0)

Explanation

The nurse understands that peritoneal dialysis and hemodialysis use which processes to clean the patient's blood? (Select all that apply.)

Select the correct answer(s).

(0/0)

Explanation

A pt is experiencing oliguria. Which action should the nurse perform first?

Select the correct answer(s).

(0/0)

Explanation

A nurse anticipates urodynamic testing for a patient with which symptom?

Select the correct answer(s).

(0/0)

Explanation

A pt requests the nurse's assistance to the bedside commode & becomes frustrated when unable to void in front of the nurse. The nurse understands the pt's inability to void because:

Select the correct answer(s).

(0/0)

Explanation

The nurse knows that indwelling catheters are placed before a cesarean because:

Select the correct answer(s).

(0/0)

Explanation

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