NF 29 Promoting Urinary Elimination
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Which of the following is a nursing measure to help patients urinate normally?

  • Assessing a patient's urinary status
  • Teaching a patient how to perform Kegel exercises (correct)
  • Inserting an indwelling catheter
  • Performing intermittent bladder irrigation

What is the purpose of indwelling catheterization?

  • To provide continuous bladder irrigation
  • To help patients urinate normally
  • To assess a patient's urinary status
  • To obtain a urine specimen (correct)

Which of the following is a nursing skill related to urinary elimination?

  • Performing intermittent bladder irrigation
  • Obtaining a urine specimen from an indwelling catheter
  • Assisting patients with toileting (correct)
  • Applying a condom catheter

What is the term for the presence of blood in the urine?

<p>Hematuria (C)</p> Signup and view all the answers

Which structure connects each kidney to the bladder?

<p>Ureter (A)</p> Signup and view all the answers

What is the average urine output in 24 hours?

<p>1000 to 1500 mL (D)</p> Signup and view all the answers

What is the exit point for urination and the entrance point for a catheter?

<p>Urinary meatus (C)</p> Signup and view all the answers

What can interfere with urinary elimination if there is pressure on it from an enlarged prostate?

<p>Trauma to the urethra (C)</p> Signup and view all the answers

Which of the following factors can affect normal urination?

<p>All of the above (D)</p> Signup and view all the answers

What does a dark amber color of urine indicate?

<p>Presence of bilirubin (C)</p> Signup and view all the answers

What is the normal range for specific gravity of urine?

<p>1.020 to 1.030 (C)</p> Signup and view all the answers

What is the average frequency of urination for adults?

<p>5 to 10 times a day (C)</p> Signup and view all the answers

Which of the following is a common symptom of cystitis?

<p>Burning urination (B)</p> Signup and view all the answers

What is the normal pH range for urine?

<p>5.5 to 7.0 (B)</p> Signup and view all the answers

What is the term for the involuntary release of urine?

<p>Incontinence (A)</p> Signup and view all the answers

What is the term for decreased amount of urine output?

<p>Oliguria (D)</p> Signup and view all the answers

Which of the following is a common abnormality found in urinalysis?

<p>All of the above (D)</p> Signup and view all the answers

What should a patient do when providing a simple voided specimen for urinalysis?

<p>All of the above (D)</p> Signup and view all the answers

What is the recommended timing for sending a urine specimen to the laboratory?

<p>Within 5 to 10 minutes (A)</p> Signup and view all the answers

What is the recommended amount of urine needed for a specimen?

<p>Approximately 1½ inches (A)</p> Signup and view all the answers

Which of the following devices is used to obtain a urine specimen from an infant or toddler?

<p>Adhesive bag (B)</p> Signup and view all the answers

What should be done if a patient is suspected of having a urinary stone?

<p>Strain all urine when voided (A)</p> Signup and view all the answers

Which nursing diagnosis is related to the risk of kidney injury from urine blockage?

<p>Injury, risk for (C)</p> Signup and view all the answers

What is the purpose of using an urine sieve when straining urine?

<p>To remove impurities from urine (A)</p> Signup and view all the answers

Which nursing diagnosis is related to the risk of infection?

<p>Infection, risk for (B)</p> Signup and view all the answers

What is the purpose of aspirating urine from a drainage port?

<p>To obtain a urine specimen (B)</p> Signup and view all the answers

Which of the following is the correct procedure for obtaining a midstream urine specimen for a female patient?

<p>Clean down the center of the area from front to back in one stroke; discard the swab. (B)</p> Signup and view all the answers

What is the purpose of obtaining a midstream urine specimen for a female patient?

<p>To obtain a specimen that is relatively free from external contamination. (A)</p> Signup and view all the answers

What is the correct procedure for obtaining a midstream urine specimen for a male patient?

<p>Cleanse the end of the penis from front to back in circles; discard the swab. (A)</p> Signup and view all the answers

What is the purpose of obtaining a midstream urine specimen for a male patient?

<p>To obtain a specimen for a culture and sensitivity test when a UTI is suspected. (C)</p> Signup and view all the answers

Which structure connects the kidneys to the bladder?

<p>Ureters (B)</p> Signup and view all the answers

What is the normal range for urine output in 24 hours?

<p>1000-1500 mL (B)</p> Signup and view all the answers

What is the average capacity of the bladder?

<p>1000-1500 mL (A)</p> Signup and view all the answers

What is the function of the glomerulus in the nephron?

<p>Filtering blood (C)</p> Signup and view all the answers

Which of the following is a nursing measure to help patients urinate normally?

<p>Encouraging the patient to drink plenty of fluids (D)</p> Signup and view all the answers

What is the purpose of using an urine sieve when straining urine?

<p>To remove large particles from the urine (D)</p> Signup and view all the answers

What is the term for the presence of blood in the urine?

<p>Hematuria (A)</p> Signup and view all the answers

What is the normal range for specific gravity of urine?

<p>1.010-1.025 (B)</p> Signup and view all the answers

Which of the following is a common cause of urinary incontinence in women after childbirth?

<p>Decreased muscle tone in the bladder (A)</p> Signup and view all the answers

What is the normal range for urine specific gravity?

<p>1.010 to 1.030 (D)</p> Signup and view all the answers

What is the average urine output for adult males per void?

<p>300 to 500 mL (A)</p> Signup and view all the answers

What is the main factor affecting normal urination?

<p>Neurologic and muscle development (A)</p> Signup and view all the answers

Which of the following is a common symptom of cystitis?

<p>Burning during urination (B)</p> Signup and view all the answers

What is the term for the presence of blood in the urine?

<p>Hematuria (A)</p> Signup and view all the answers

What is the normal pH range for urine?

<p>4.0 to 6.0 (B)</p> Signup and view all the answers

What is the purpose of indwelling catheterization?

<p>To provide continuous bladder drainage (C)</p> Signup and view all the answers

Which of the following is a common symptom of a urinary tract infection (UTI)?

<p>Frequent urination (C)</p> Signup and view all the answers

What is the purpose of obtaining a midstream urine specimen for urinalysis?

<p>To ensure a clean catch of urine for accurate test results (C)</p> Signup and view all the answers

What is the average frequency of urination for adults?

<p>4-8 times per day (C)</p> Signup and view all the answers

What does the presence of ketones in the urine indicate?

<p>The patient is in ketoacidosis (C)</p> Signup and view all the answers

Which of the following is the correct procedure for obtaining a midstream urine specimen for a female patient?

<p>Clean the left side of the area from back to front and then the center (C)</p> Signup and view all the answers

What is the purpose of obtaining a midstream urine specimen for a male patient?

<p>To obtain a sterile specimen when a sterile specimen is ordered (D)</p> Signup and view all the answers

What is the correct procedure for obtaining a midstream urine specimen for a male patient?

<p>Cleanse the end of the penis in circles starting at the urinary meatus (A)</p> Signup and view all the answers

What is the purpose of a 24-hour urine specimen?

<p>To determine the amount of a specified chemical excreted through the urine in a 24-hour period (D)</p> Signup and view all the answers

Which of the following devices is used to obtain a urine specimen from an infant or toddler?

<p>Urine drainage bag (C)</p> Signup and view all the answers

What is the recommended amount of urine needed for a specimen?

<p>100 mL (C)</p> Signup and view all the answers

What is the purpose of obtaining a midstream urine specimen for a female patient?

<p>To detect urinary tract infections (C)</p> Signup and view all the answers

What is the term for the involuntary release of urine?

<p>Urinary incontinence (B)</p> Signup and view all the answers

What is the normal range for specific gravity of urine?

<p>1.020-1.030 (C)</p> Signup and view all the answers

Which nursing diagnosis is related to the risk of infection?

<p>Risk for infection (C)</p> Signup and view all the answers

Which of the following is a common cause of urinary incontinence in women after childbirth?

<p>Hormonal changes (B)</p> Signup and view all the answers

What is the purpose of indwelling catheterization?

<p>To empty the bladder (C)</p> Signup and view all the answers

What is the normal pH range for urine?

<p>4-6 (C)</p> Signup and view all the answers

What does the presence of ketones in the urine indicate?

<p>Diabetes mellitus (B)</p> Signup and view all the answers

Which of the following structures is responsible for extracting metabolic waste and excess water from the blood?

<p>Nephrons (A)</p> Signup and view all the answers

What is the average urine output in 24 hours for an adult?

<p>1000 to 1500 mL (C)</p> Signup and view all the answers

Which of the following factors can interfere with urinary elimination?

<p>Decreased kidney perfusion (D)</p> Signup and view all the answers

What is the role of the internal and external urinary sphincters?

<p>To control the flow of urine out of the body (B)</p> Signup and view all the answers

Which of the following factors can affect normal urination?

<p>All of the above (D)</p> Signup and view all the answers

What is the normal color of urine?

<p>Straw colored or amber (B)</p> Signup and view all the answers

What does a foul odor in urine indicate?

<p>Infection (A)</p> Signup and view all the answers

What is the normal range for specific gravity of urine?

<p>1.010 to 1.030 (C)</p> Signup and view all the answers

Which of the following is a nursing measure to help patients urinate normally?

<p>Assisting patients with toileting (C)</p> Signup and view all the answers

What is the purpose of indwelling catheterization?

<p>To drain urine from the bladder continuously (C)</p> Signup and view all the answers

What is the term for the involuntary release of urine?

<p>Urinary incontinence (D)</p> Signup and view all the answers

What is the purpose of obtaining a midstream urine specimen for a female patient?

<p>To minimize contamination from the external genitalia (A)</p> Signup and view all the answers

Which of the following is a symptom of cystitis?

<p>Painful urination (A)</p> Signup and view all the answers

What is the pH range of normal urine?

<p>5.5 to 7.0 (B)</p> Signup and view all the answers

What is the term for painful or difficult urination?

<p>Dysuria (A)</p> Signup and view all the answers

What is the term for decreased amount of urine output?

<p>Oliguria (D)</p> Signup and view all the answers

Which of the following is the correct procedure for obtaining a midstream urine specimen for a female patient?

<p>Clean the area from front to back in one stroke (D)</p> Signup and view all the answers

Which of the following is the correct procedure for obtaining a midstream urine specimen for a male patient?

<p>Clean the area from back to front in one stroke (C)</p> Signup and view all the answers

Which of the following is the correct procedure for obtaining a sterile catheterized specimen?

<p>Clean the area from front to back in one stroke (B)</p> Signup and view all the answers

What is the purpose of a 24-hour urine specimen?

<p>To determine the amount of a specific chemical excreted in a 24-hour period (B)</p> Signup and view all the answers

Which of the following is a nursing diagnosis related to urinary elimination?

<p>Urinary retention (C)</p> Signup and view all the answers

What is the purpose of using an adhesive device to obtain a urine specimen from an infant or toddler?

<p>To collect urine for analysis (D)</p> Signup and view all the answers

What is the recommended procedure for obtaining a urine specimen from an infant or toddler?

<p>Attach the device to the skin and wait for urine to collect (D)</p> Signup and view all the answers

What is the purpose of straining urine when a patient is suspected of having a urinary stone?

<p>To save any stones for laboratory testing (C)</p> Signup and view all the answers

What is the purpose of aspirating urine from a drainage port?

<p>To collect urine for analysis (C)</p> Signup and view all the answers

What is the term for the presence of blood in the urine?

<p>Hematuria (B)</p> Signup and view all the answers

Which of the following is a nursing measure to help patients urinate normally?

<p>Encouraging fluid intake (C)</p> Signup and view all the answers

What is the purpose of using an adhesive device to obtain a urine specimen from an infant or toddler?

<p>To collect a clean-catch urine specimen (B)</p> Signup and view all the answers

What is the average capacity of the bladder?

<p>500-750 mL (D)</p> Signup and view all the answers

What is the term for painful or difficult urination?

<p>Dysuria (B)</p> Signup and view all the answers

Which structure connects each kidney to the bladder?

<p>Ureter (B)</p> Signup and view all the answers

What is the average urine output for adult males per void?

<p>200-400 mL (A)</p> Signup and view all the answers

What is the purpose of using an adhesive device to obtain a urine specimen from an infant or toddler?

<p>To prevent urine leakage (D)</p> Signup and view all the answers

What can interfere with urinary elimination if there is pressure on it from an enlarged prostate?

<p>Urinary retention (C)</p> Signup and view all the answers

Which of the following is a symptom of cystitis?

<p>Malaise (D)</p> Signup and view all the answers

What is the pH range of normal urine?

<p>5.5 to 7.0 (C)</p> Signup and view all the answers

What is the term for painful or difficult urination?

<p>Dysuria (A)</p> Signup and view all the answers

What is the term for decreased amount of urine output?

<p>Oliguria (D)</p> Signup and view all the answers

Which of the following is a common symptom of cystitis?

<p>Frequent urination (C)</p> Signup and view all the answers

What does a foul odor in urine indicate?

<p>Urinary tract infection (B)</p> Signup and view all the answers

What is the purpose of using an adhesive device to obtain a urine specimen from an infant or toddler?

<p>To prevent contamination of the specimen (A)</p> Signup and view all the answers

What is the normal pH range for urine?

<p>6.0-7.0 (B)</p> Signup and view all the answers

Which of the following factors can affect normal urination?

<p>All of the above (D)</p> Signup and view all the answers

What is the normal range for specific gravity of urine?

<p>1.010 to 1.030 (A)</p> Signup and view all the answers

What does a foul odor in urine indicate?

<p>Infection (C)</p> Signup and view all the answers

What changes occur in the urinary system with aging?

<p>Decrease in bladder capacity (B)</p> Signup and view all the answers

Which of the following is the correct procedure for obtaining a midstream urine specimen for a female patient?

<p>Clean the center of the area from front to back in one stroke (B)</p> Signup and view all the answers

What is the purpose of obtaining a midstream urine specimen for urinalysis?

<p>To obtain a specimen that is relatively free from external contamination (C)</p> Signup and view all the answers

What is the purpose of indwelling catheterization?

<p>To drain urine from the bladder when the patient is unable to void (C)</p> Signup and view all the answers

What is the normal pH range for urine?

<p>6.0-7.0 (B)</p> Signup and view all the answers

Which of the following devices is used to obtain a urine specimen from an infant or toddler?

<p>Adhesive device (C)</p> Signup and view all the answers

What is the purpose of using an adhesive device to obtain a urine specimen from an infant or toddler?

<p>To collect urine for analysis (A)</p> Signup and view all the answers

Which nursing diagnosis is related to the risk of infection?

<p>Infection, risk for (B)</p> Signup and view all the answers

What is the purpose of straining urine when a patient is suspected of having a urinary stone?

<p>To save and send the stone to the laboratory (D)</p> Signup and view all the answers

Which nursing diagnosis is related to the risk of kidney injury from urine blockage?

<p>Injury, risk for (D)</p> Signup and view all the answers

What is the normal range for specific gravity of urine?

<p>1.000-1.020 (D)</p> Signup and view all the answers

Which of the following is a symptom of cystitis?

<p>Painful urination (D)</p> Signup and view all the answers

Which of the following is a common cause of cystitis?

<p>Bacterial infection (D)</p> Signup and view all the answers

What is the normal pH range for urine?

<p>4.0 to 6.0 (A)</p> Signup and view all the answers

What is the purpose of cranberry products in preventing bladder infections?

<p>To prevent bacterial growth (A)</p> Signup and view all the answers

Which of the following factors can cause alteration in urinary patterns?

<p>Prostate surgery (D)</p> Signup and view all the answers

What changes occur in the urinary system with aging?

<p>All of the above (D)</p> Signup and view all the answers

What is the normal range for specific gravity of urine?

<p>1.010 to 1.030 (D)</p> Signup and view all the answers

Which of the following is a symptom of cystitis?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a common symptom of urinary tract infection (UTI)?

<p>Frequent urination (A)</p> Signup and view all the answers

What is the recommended intervention for a postmenopausal woman experiencing recurrent UTIs?

<p>Offer vaginal estrogen (A)</p> Signup and view all the answers

What is the purpose of obtaining a midstream urine specimen for urinalysis?

<p>To ensure accurate results (A)</p> Signup and view all the answers

What does the presence of ketones in the urine indicate?

<p>Ketoacidosis (C)</p> Signup and view all the answers

Which of the following is a nursing measure to help patients urinate normally?

<p>Encouraging the patient to drink plenty of fluids (A)</p> Signup and view all the answers

What is the purpose of indwelling catheterization?

<p>To relieve urinary retention (B)</p> Signup and view all the answers

What is the average capacity of the bladder?

<p>500-800 milliliters (C)</p> Signup and view all the answers

What is the normal range for specific gravity of urine?

<p>1.010-1.030 (B)</p> Signup and view all the answers

Which of the following is the correct order of the urinary structures involved in elimination, from the kidneys to the outside of the body?

<p>Ureter, bladder, kidney, urethra (B)</p> Signup and view all the answers

What is the average urine output per day?

<p>1000 to 1500 mL/day (B)</p> Signup and view all the answers

What is the normal range for bladder capacity?

<p>1000 to 1500 mL (A)</p> Signup and view all the answers

What is the purpose of the internal sphincter in the urinary system?

<p>To relax in response to the micturition reflex (A)</p> Signup and view all the answers

Which device is used to obtain a urine specimen from an infant or toddler?

<p>Adhesive device (D)</p> Signup and view all the answers

What is the purpose of straining urine when a patient is suspected of having a urinary stone?

<p>To save and send the stone for analysis (D)</p> Signup and view all the answers

What is the purpose of aspirating urine from a drainage port?

<p>To obtain a urine specimen for analysis (A)</p> Signup and view all the answers

Which nursing diagnosis is related to the risk of infection?

<p>Infection, risk for (B)</p> Signup and view all the answers

What is the purpose of using an adhesive device to obtain a urine specimen from an infant or toddler?

<p>To collect a urine specimen for analysis (B)</p> Signup and view all the answers

Which of the following devices is used to obtain a urine specimen from an infant or toddler?

<p>Adhesive device (D)</p> Signup and view all the answers

Which of the following is the correct procedure for obtaining a midstream urine specimen for a female patient?

<p>Clean the right side of the area from front to back in one stroke; discard the swab. With a new swab, clean the left side of the area from front to back in one stroke; discard the swab. With another swab, clean down the center of the area from front to back in one stroke; discard the swab. Pick up the specimen container by the outside; void a small amount of urine into the toilet; catch the middle portion of urine by moving the container into the stream. Collect about 1 oz of urine. (D)</p> Signup and view all the answers

Which of the following is the correct procedure for obtaining a midstream urine specimen for a male patient?

<p>Cleanse the end of the penis: start at the urinary meatus (opening) and work outward in circles; discard the swab. Repeat the cleansing process with one more swab. Pick up the specimen container; with the foreskin still retracted, begin urinating and pass a small amount of urine. Move the specimen container into the stream and collect about 1 oz of urine without touching the container to the skin. Put the container down on the sink or on a paper towel. Finish urinating into the toilet. Replace the foreskin. Replace the lid on the container, being careful not to touch the inside of the container or lid. Rinse and dry the outside of the container. Perform hand hygiene. (A), Cleanse the end of the penis: start at the urinary meatus (opening) and work outward in circles; discard the swab. Repeat the cleansing process with one more swab. Pick up the specimen container; with the foreskin still retracted, begin urinating and pass a small amount of urine. Move the specimen container into the stream and collect about 1 oz of urine without touching the container to the skin. Put the container down on the sink or on a paper towel. Finish urinating into the toilet. Replace the foreskin. Replace the lid on the container, being careful not to touch the inside of the container or lid. Rinse and dry the outside of the container. Perform hand hygiene. (B)</p> Signup and view all the answers

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