Urinary Elimination Discussion Paper

Urinary Elimination Discussion Paper
8. The patient is incontinent, and a condom catheter is placed.
The nurse should take which action?
1. Secure the condom with adhesive tape
2. Change the condom every 48 hours
3. Assess the patient for skin irritation
4. Use sterile technique for placement
9. After a transurethral prostatectomy a patient returns to his
room with a triple-lumen indwelling catheter and continuous
bladder irrigation. The irrigation is normal saline at 150 mL/
hr. The nurse empties the drainage bag for a total of 2520 mL
after an 8-hour period. How much of the total is urine output?
__________________________________
10. The nurse is planning to remove a Foley catheter at 1300. The
nurse would check if the patient has voided by:
1. 1400.
2. 1600
3. 1700.
4. 2300.
11. The postoperative patient has difficulty voiding after surgery
and is feeling “uncomfortable” in the lower abdomen. Which
action should the nurse implement first?
1. Encourage fluid intake
2. Administer pain medication
3. Catheterize the patient
4. Turn on the bathroom faucet as he tries to void
12. The patient is to have an intravenous pyelogram (IVP). Which
of the following apply to this procedure? (Select all that apply.)
1. Note any allergies.
2. Monitor intake and output.
3. Provide for perineal hygiene.
4. Assess vital signs.
5. Encourage fluids after the procedure.
13. The nurse assesses that the patient has a full bladder, and the
patient states that he or she is having difficulty voiding. The
nurse would teach the patient to:
1. Use the double-voiding technique.
2. Perform Kegel exercises.
3. Use Credé’s method.
4. Keep a voiding diary.
14. The patient states that she “loses urine” every time she laughs
or coughs. The nurse teaches the patient measures to regain
urinary control. The nurse recognizes the need for further
teaching when the patient states:
1. “I will perform my Kegel exercises every day.”
2. “I joined weight watchers.”
3. “I drink two glasses of wine with dinner.”
4. “I have tried urinating every 3 hours.”
15. The nurse notes that the patient’s Foley catheter bag has been
empty for 4 hours. The priority action would be to:
1. Irrigate the Foley.
2. Check for kinks in the tubing.
3. Notify the health care provider.
4. Assess the patient’s intake.

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