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20 terms

NCLEX style Potter/Perry urinary elimination

urinary elimination NCLEX questions
A female client reports that she is experiencing burning on urination, frequency, and urgency. The nurse notes that a clean-voided specimen is merkedly cloudy. The probable cause of these symptoms and findings is:

A. Cystitis
B. Renal stone
C. Hemorrage
D. Incontinence
Improper catheter care
Hospital-aquired urinary tract infections (UTIs) are often related to poor hand washing and:

A. Poor urinary output
B. Poor perineal hygiene
C. Use of urinary drainage bags
D. Improper catheter care
Bright orange to rust
Some medications change the color of the urine. Pyridium colors the urine:

A. Blue
B. Brown
C. Yello
D. Bright orange to rust
For 2 hours before bedtime
to minimize nocturia, clients should avoid fluids:

A. After lunch
B. In the late afternoon
C. For 2 hours before bedtime
D. For 4 hours before bedtime
Urinary reflux
Maintaining a Foley catheter drainage bag in the dependent position prevents:

A. Urinary reflux
B. Urinary retention
C. Reflex incontinence
D. Urinary incontinence
Snug and secure but without causing constriction that impedes blood flow
When a condom catheter is applied, the catheter should be secured on the penile shaft in such manner that the catheter is:

A. Tight and draining well
B. Dependent and draining well
C. Secured with adhesive tape applied in a circular pattern
D. Snug and secure but without causing constriction that impedes blood flow.
There are no special precautions that must be taken
A client undergoes ultrasonography of a kidney. The nurse providing postprocedure care remembers that:

A. There are no special precautions that must be taken.
B. Each urine specimen must be assessed for blood for 24 hours.
C. All urine must be saved in a rediation-safe container for 12 hours.
D. Contact with the client must be linited to 10 minutes each hour for 6 hours.
as a result of the adaptation response to surgery, the nurse expects that for the first 1 to 2 days after the clinet's surgery the client's urine ouptu will:

A. Increase
B. Decrease
Retention overflow
A client underwent total knee replacement and was placed on patient-controlled anaglesia (PCA). THe client has been activating the drug button an average of 4 times per hour. The nurse has assisted the client on and off the bedpan 2 or 3 times and hour, for the past 2 hours. Urine output was about 50mL with each void. THe nurse now beins to suspect:

A. Fluid overload
B. Urge incontinence
C. Retention overflow
D. Urinary tract infection (UTI)
Escherichia coli
The nurse recognizes that the organism that most frequently causes urinary tract infections (UTIs) in women is:

A. Aspergillus
B. Streptococcus
C. Escherichia coli
D. Staphylococcus aureus
Return the foreskin over the glans penis
The nurse is about to insert a urinary catheter into an uncircumcise patient. After retracting the foreskin and inserting and securing the catheter, the nurse must be sure to:

A. Secure the catheter to the client's leg.
B. Clean the urinary meatus with povidone-iodine
C. Return the foreskin over the glans penis.
D. Culture the first urine to drain into the collecting bag.
Allergies to shellfish
A client is scheduled for an intravenous pyelogram (IVP). Before the test the most important assessment the nurse performs is asking about:

A. Allergies to shellfish
B. Previous experience with IVP
C. Family history of a reaction to IVP
D. Ability to remain still during the procedure
Renal damage
Urinary retention
Urinary tract infection (UTI)
Elimination changes that result from obsturction to the flow of urine in the urinary collecting system may cause which of the following? (Select all that apply.)

A. Blood clots
B. Dehydration
C. Renal damage
D. Urinary retention
E. Urinary tract infection (UTI)
Turning the water tap on

Ambulating the client to the bathroom

Trickling warm water over the mons pubis
A femal client is having difficulty voiding after childbirth. The nurse implements which of the following intervbentions to promote voiding? (Select all the apply.)

A.Turning the water tap on
B. Ambulating the client to the bathroom
C. Trickling warm water over the mons pubis
D. Offering the client a large glass of cranberry juice.
E. Positioning the client on a fractur bedpan flat in bed.
A client reports to the nurse that he wakes up early because of a need to urinate. The nurse recommens that the client avoid which of the following liquids after 8 pm.? (Select all the apply.)

A. Tea
B. Cola
C. Wine
D. Coffee
Increase intake of fluids.
Always use clean technique
A client with multiple sclerosis is being taught how to preform self-catheterization. As part of this teaching the nurse instructs the client to do which of the following? (Select all the apply.)

A. Increase intake of fluids.
B. Always use clean technique.
C. Always use sterile technique.
D. Use petroleum jelly to lubricate the catheter tip.
Cranberry juice
Whole-grain breads
The nurse is teaching a group of young (20-25 year old) women how to prevent urinary tract infections (UTI's). Which of the following foods does the nurse recommend consuming to reduce the incidence of of UTIs? (Selct all the apply.)

A. Prunes
B. Cranberry juice
C. Grapefruit juice
D. Whole-grain breads
The urine appears concentrated and cloudy because of the presence of white blood cells or ......?
After undergoing transurethral prostectomy, a client returns to his room with a triple-lumen indwelling catheter for continous bladder irrigation. The irrigation fluid is normal saline delivered at a rate of 150 mL/hr. After 8 hrs, the nurse empties the dranage bag, which contains a total of 2520 mL. Of the total how many mL is urine output?