Urinary Elimination
A patient reports pain and burning during urination. Which term describes this symptom?
A. Polyuria
B. Dysuria
C. Anuria
D. Oliguria
B. Dysuria
Which food would the nurse recommend to a patient with constipation?
A. Cheese
B. Eggs
C. Apples
D. White rice
C. Apples
Order:
Acetaminophen 650 mg
Available:
325 mg tablets
How many tablets?
A. 1 tablet
B. 2 tablets
C. 3 tablets
D. 4 tablets
B. 2 tablets
Which intervention helps prevent constipation?
A. Bedrest
B. Increase dietary fiber
C. Restrict fluids
D. Delay toileting
B. Increase dietary fiber
Who should the nurse see first?
A. Patient requesting a bedpan
B. Patient with urinary urgency
C. Patient reporting chest pain while on the toilet
D. Patient with constipation
C. Patient reporting chest pain while on the toilet
Which patient is at the highest risk for developing a urinary tract infection?
A. A healthy 25-year-old who exercises daily
B. A patient with an indwelling urinary catheter
C. A patient who drinks 3 L of water daily
D. A patient recovering from pneumonia
B. A patient with an indwelling urinary catheter
Which medication commonly causes constipation?
A. Metformin
B. Magnesium hydroxide
C. Morphine
D. Amoxicillin
C. Morphine
Order:
Amoxicillin 500 mg
Available:
250 mg/5 mL
How many mL?
A. 5mL
B. 10mL
C. 15mL
D. 20mL
B. 10mL
A patient is taking phenazopyridine (Pyridium). Which urine color should the nurse expect?
A. Green
B. Orange
C. Clear
D. Purple
B. Orange
Who should the nurse assess first?
A. Patient with stress incontinence
B. Patient with no urine output for 5 hours after surgery
C. Patient requesting pain medication
D. Patient awaiting discharge
B. Patient with no urine output for 5 hours after surgery
The nurse is caring for a patient with an indwelling urinary catheter. Where should a sterile urine specimen be obtained?
A. Drainage bag
B. Bedpan
C. Catheter sampling port
D. Toilet hat
C. Catheter sampling port
Which assessment technique should the nurse perform first during an abdominal assessment?
A. Palpation
B. Inspection
C. Percussion
D. Deep palpation
B. Inspection
Order:
Heparin 5,000 units
Available:
10,000 units/mL
How many mL?
A. 0.25mL
B. 0.5mL
C. 1mL
D. 2mL
B. 0.5mL
The nurse is caring for a patient with diarrhea. Which intervention is the priority?
A. Restrict fluids
B. Protect the skin
C. Encourage cheese
D. Administer laxatives
B. Protect the skin
Which findings suggest dehydration?
□ Concentrated urine
□ Dry mucous membranes
□ Increased skin turgor
□ Tachycardia
□ Hypotension
□ Concentrated urine
□ Dry mucous membranes
□ Tachycardia
□ Hypotension
Which nursing interventions help prevent catheter-associated urinary tract infections?
□ Keep the drainage bag below bladder level.
□ Perform catheter care routinely.
□ Disconnect tubing every shift.
□ Remove the catheter as soon as possible.
□ Encourage adequate fluid intake if not contraindicated.
□ Keep the drainage bag below bladder level.
□ Perform catheter care routinely.
□ Remove the catheter as soon as possible.
□ Encourage adequate fluid intake if not contraindicated.
Which patients are at increased risk for constipation?
□ Patient on opioid medication
□ Older adult on bedrest
□ Marathon runner
□ Patient with low-fiber diet
□ Patient who exercises daily
□ Patient on opioid medication
□ Older adult on bedrest
□ Patient with low-fiber diet
Order:
Ondansetron 4 mg IV
Available:
2 mg/mL
How many mL?
A. 1mL
B. 2mL
C. 3mL
D. 4mL
B. 2mL
Which nursing interventions promote normal urinary elimination?
□ Encourage adequate fluid intake.
□ Encourage regular toileting.
□ Restrict fluids before bedtime only if ordered.
□ Encourage pelvic floor exercises.
□ Encourage patients to ignore the urge to void.
□ Encourage adequate fluid intake.
□ Encourage regular toileting.
□ Encourage pelvic floor exercises.
A patient with an ileostomy reports dizziness, weakness, and decreased urine output. Which action is the priority?
A. Encourage ambulation
B. Assess for dehydration and notify the provider
C. Increase dietary fiber
D. Administer a laxative
B. Assess for dehydration and notify the provider
A nurse receives report on four patients. Which patient should be assessed first?
A. A patient with stress incontinence requesting assistance to the bathroom
B. A patient whose urine output has been 20 mL/hr for the last 3 hours
C. A patient with nocturia
D. A patient requesting a bedpan
B. A patient whose urine output has been 20 mL/hr for the last 3 hours
Which patient requires immediate assessment?
A. No bowel movement for 2 days
B. Loose stool after antibiotics
C. Distended abdomen, vomiting, severe abdominal pain
D. Chronic hemorrhoids
C. Distended abdomen, vomiting, severe abdominal pain
The provider orders 750 mg of amoxicillin PO. The medication available is 250 mg/5 mL.
How many mL will the nurse administer?
A. 5 mL
B. 10 mL
C. 15 mL
D. 20 mL
C. 15 mL
The nurse inserts an indwelling urinary catheter. Which action requires intervention?
A. Uses sterile gloves
B. Secures catheter to thigh
C. Places drainage bag above the bladder
D. Keeps tubing free of kinks
C. Places drainage bag above the bladder
A postoperative patient has the following assessment findings:
What is the nurse's priority action?
A. Encourage oral fluids
B. Assist the patient to ambulate to the bathroom
C. Notify the provider immediately for a catheterization order or follow the urinary retention protocol
D. Reassess in one hour
C. Notify the provider immediately for a catheterization order or follow the urinary retention protocol