Chapter 46 - Urinary Elimination

Front 1

The nurse is caring for a patient who exhibits slow movements associated with Parkinson’s disease. For which type of urinary incontinence should the nurse assess in this patient?

Back 1

Functional Incontinence

Front 2

How should the nurseposition a female patient for examining the genitalia for inflammation andinfection related to urinary elimination problems?

Back 2

Dorsal Recumbent

Front 3

Which type of incontinence is most likely to be associated with a urinary tract infection?

Back 3

Transient Incontinence

Front 4

What should the nurse include in the plan of care for a patient with urge urinary continence?

Back 4

Helping the patient strengthen the pelvic floor muscles and learn fluid and food modifications

Front 5

Mixed incontinence is a combination of:

Back 5

Stress and Urge

Front 6

The nurse is reviewing the medical record of a patient admitted with cystitis. What should the nurse associate with this diagnosis?

Back 6

Irritation of the Bladder.

Front 7

The nurse receives a prescription to obtain a post-void residual for a patient via catheterization. What is the best way to obtain this measurement?

Back 7

Intermittent Catheter

Front 8

Which nursing intervention is the best option for a patient with new-onset transient incontinence?

Back 8

Look for reversible causes.

Front 9

The nurse is reviewing the laboratory reports of a patient. The urine report shows the presence of large proteins in the urine. What is the most probable cause of proteinuria?

Back 9

Glomerular Injury.

Front 10

A nurse is assisting the primary health care provider in assessing a patient with altered urinary elimination. After assessing the patient, the primary health care provider suspects that the patient has an obstruction of the ureters. Which diagnostic test does the nurse expect the patient to undergo?

Back 10

Ultrasound of Urinary Bladder

Front 11

What are the characteristics associated with overflow urinary incontinence?

Back 11

High post void residual volume

Distended bladder on palpation

Nocturia

Front 12

A nurse is caring for an elderly patient who is receiving treatment for urinary incontinence. After reviewing the patient’s prescription, the nurse knows to observe the patient for cognitive impairment. Which medication is the patient most likely taking?

Back 12

Oxybutynin

Front 13

Which bone-related changes should the nurse expect to see in a patient with chronic renal failure?

Back 13

Demineralization

Front 14

Patients with which type of urinary incontinence can be at risk for severe elevation of blood pressure, pulse rate and diaphoresis?

Back 14

Reflex Urinary Incontinence.

Front 15

A nurse is assessing the severity of a patient’s urinary elimination problem. Which question is most appropriate?

Back 15

How often are you awakened at night to pee?

Front 16

A patient is being assessed for a possible urinary tract infection (UTI). Before sending a urinalysis specimen to the laboratory, the nurse collects a small amount of urine to perform a dipstick test. If the patient has a UTI, which component should be detected in the urine?

Back 16

Leukocytes

Front 17

Which term describes leakage of urine despite voluntary control of urination?

Back 17

Dribbling

Front 18

_________ is the feeling of the need to void immediately.

Back 18

Urgency

Front 19

________ is difficulty initiating urination.

Back 19

Hesitancy

Front 20

__________ is the involuntary loss of urine.

Back 20

Incontinence

Front 21

Which is a cause of transient urinary incontinence?

Back 21

Fecal Impaction