Full Test Bank Assisting With Urinary Elimination Chapter 25 - Digital Test Bank | Nursing Assistants 5e Carter by Pamela J Carter. DOCX document preview.
Test Generator Questions, Chapter 25, Assisting With Urinary Elimination
Format: Multiple Choice
Chapter Number: 25
Client Needs: Physiological Integrity: Basic Care and Comfort
Cognitive Level: Understand
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 566, Assisting With Bedside Commodes, Bedpans, and Urinals
1. Which piece of equipment will the nursing assistant use to best assist a resident with a badly sprained ankle to urinate?
A) A bedside commode
B) A commode hat
C) A fracture pan
D) A bedpan
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 2
Page and Header: 566, Assisting With Bedside Commodes, Bedpans, and Urinals
2. A male client or resident uses a bedpan for:
A) urinating.
B) bowel movements.
C) both bowel movements and urinating.
D) urinating when standing isn’t possible.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 2
Page and Header: 566, Assisting With Bedside Commodes, Bedpans, and Urinals
3. Which piece of equipment will the nursing assistant use to help a client who recently experienced a hip replacement with bowel elimination?
A) A bedside commode
B) A fracture pan
C) A bedpan
D) A urinal
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 4
Page and Header: 564, Introduction to Urinary Elimination
4. What is the most important reason to honor a client’s request for assistance with elimination as quickly as possible?
A) Failing to answer the call light promptly increases the client’s risk of falling from trying to get out of the bed alone.
B) Failing to answer the call light promptly can lead to more work for the nursing assistant if the client is incontinent.
C) Elimination is a basic physiologic need that must be met.
D) Many clients find elimination to be very embarrassing.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 4
Page and Header: 564, Introduction to Urinary Elimination
5. What would the nursing assistant do to ensure privacy when assisting a person who needs assistance with elimination?
A) Drawing the privacy curtain when the person is using a bedside commode.
B) Draping the person with a bath blanket to expose only the perineum.
C) Leaving the client’s room when the person is in the bathroom.
D) Encouraging the person to lock the bathroom door when toileting.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 4
Page and Header: 564, Introduction to Urinary Elimination
6. What factor in a health care setting is most likely to interfere psychologically with a person’s normal elimination habits?
A) The nursing assistant’s inability to be available when the person needs toileting
B) Cultural or religious beliefs that stress modesty when using a bedpan
C) Embarrassment surrounding the need for help with elimination
D) The person may be incontinent of urine or feces.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 578, Obtaining a Urine Specimen
7. Before collecting a specimen of urine or feces, the nursing assistant must know:
A) what storage method is to be used.
B) what blood type the person’s is.
C) whether gloves must be used.
D) when the person last ate.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 2
Page and Header: 578, Obtaining a Urine Specimen
8. The doctor suspects that a resident has a urinary tract infection. It is most likely the nursing assistant will be asked to collect a:
A) stool specimen.
B) routine urine specimen.
C) midstream urine specimen.
D) stool and a urine specimen.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 2
Page and Header: 566, Assisting With Bedside Commodes, Bedpans, and Urinals
9. How is a standard bedpan positioned?
A) Like a regular toilet seat
B) Underneath the toilet or commode seat
C) With the narrow end pointed toward the head of the bed
D) With the wide end pointed toward the foot of the bed
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 2
Page and Header: 566, Assisting With Bedside Commodes, Bedpans, and Urinals
10. What will the nursing assistant do when preparing to assist a person with using a bedpan?
A) Help wash the person’s hands.
B) Put the bed to its lowest position.
C) Raise the head of the bed as tolerated.
D) Hand the bedpan to the person so he or she can sit on it.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 581, Measuring Urine Output
11. When it is necessary to measure a person’s urine output and the person is using a regular toilet, what device is used to collect the urine?
A) A urinal
B) A graduate
C) A commode hat
D) A urine drainage bag
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 3
Page and Header: 566, Assisting With Bedside Commodes, Bedpans, and Urinals
12. Where can a clean urinal be stored?
A) It may be hung over the side rail.
B) On top of the bedside table
C) On the overbed table
D) In the bathroom
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 2
Page and Header: 564, Introduction to Urinary Elimination
13. On visual inspection, normal urine should appear:
A) cloudy and yellow.
B) clear and red-tinged.
C) cloudy and red-tinged.
D) clear and straw-colored.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 4
Page and Header: 564, Introduction to Urinary Elimination
14. Which factor(s) influence a person’s urinary pattern? Select all that apply.
A) The types of medications the person takes
B) The person’s lifelong elimination habits
C) The amount of fluids the person drinks
D) The person’s gender
E) The person’s age
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 2
Page and Header: 581, Measuring Urine Output
15. When a person voids 300 mL of urine over a 24-hour period, the term used to describe the urine output is:
A) oliguria.
B) polyuria.
C) diuresis.
D) anuria.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 575, Caring for a Person Who Is Incontinent of Urine
16. Which is a cause of temporary urinary incontinence?
A) Decreased bladder muscle tone
B) A bladder infection
C) Dementia
D) Paralysis
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 3
Page and Header: 575, Caring for a Person Who Is Incontinent of Urine
17. The nursing assistant is caring for a client with stress incontinence. What measure(s) should the nursing assistant employ? Select all that apply.
A) Place incontinence pads on the bed.
B) Follow the toileting schedule in the care plan.
C) Apply the incontinence briefs when the client is ambulatory.
D) Restrict fluids after 4 PM to decrease nighttime incontinence.
E) Use a condom catheter to a drain bag.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 570, Caring for a Person With an Indwelling Urinary Catheter
18. A urinary catheter may be used for an incontinent client when:
A) it is convenient for the nursing staff.
B) the client also has a urinary tract infection.
C) incontinence may cause or worsen pressure ulcers.
D) the bladder has been surgically removed for cancer.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 4
Page and Header: 570, Caring for a Person With an Indwelling Urinary Catheter
19. Which action when emptying a urine drainage bag is correct?
A) Report that the drainage bag needs emptying to the nurse.
B) Unsecure the urine drainage bag from the bed frame before beginning the emptying process.
C) Unclamp the emptying spout on the urine drainage bag and allow all the urine to drain into a graduate that has been placed on a paper towel on the floor below the urine drainage bag.
D) Disconnect the urine drainage bag from the catheter tubing, dispose of the urine in the toilet and the urine drainage bag in a facility-approved waste container, and attach a new urine drainage bag.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 3
Page and Header: 570, Caring for a Person With an Indwelling Urinary Catheter
20. The primary purpose of providing catheter care is to prevent:
A) an unpleasant odor.
B) the person’s self-esteem from being harmed.
C) urine from backflowing into the person’s bladder.
D) the development of a bladder or kidney infection.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 2
Page and Header: 570, Caring for a Person With an Indwelling Urinary Catheter
21. Which statement is true about caring for a person with an indwelling catheter?
A) There should be no slack left in the catheter tubing itself.
B) The urine drainage bag should be attached to the side rail of the bed.
C) A knot should be used to secure the catheter tubing to the person’s body.
D) The catheter tubing should be gently coiled and secured to the person’s leg.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 3
Page and Header: 570, Caring for a Person With an Indwelling Urinary Catheter
22. When providing catheter care, the catheter tubing is cleaned starting at the body and moving outward. How many inches of the catheter tubing should the nursing assistant clean?
A) 1
B) 2
C) 4
D) 18
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 575, Caring for a Person Who Is Incontinent of Urine
23. Incontinence that occurs in the absence of a physical or nervous system problem is referred to as:
A) urge incontinence.
B) stress incontinence.
C) overflow incontinence.
D) functional incontinence.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 1
Page and Header: 570, Caring for a Person With an Indwelling Urinary Catheter
24. Reflex incontinence occurs because a client:
A) has weak muscle tone.
B) is not able to make it to the bathroom in time.
C) does not feel the urge to urinate, and the bladder empties itself.
D) has a bladder infection, which results in a strong urge to void.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 3
Page and Header: 570, Caring for a Person With an Indwelling Urinary Catheter
25. A condom catheter is secured to the penis with:
A) a plastic clip.
B) a connection adapter.
C) a tape applied in a spiral manner.
D) a tape applied in an overlapping, circular manner.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 5
Page and Header: 564, Introduction to Urinary Elimination
26. The nursing assistant is caring for an older client in the home who reports recently needing to get up several times per night and urinate. What is the best action for the nursing assistant to take?
A) Report the recent nocturia to the nurse for further assessment.
B) Establish that the client is taking their medications on time.
C) Determine whether the client has drunk coffee before going to bed.
D) Investigate whether the client has experiences burning or strong urinary odor.
Difficulty: Easy
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 4
Page and Header: 564, Introduction to Urinary Elimination
27. The most important reason to provide a person with privacy when urinating is that:
A) it is a person’s legal right.
B) the nursing assistant needs to show respect.
C) not doing so can interfere with the person’s ability to urinate.
D) it is embarrassing for both if privacy is not provided.
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 3
Page and Header: 564, Introduction to Urinary Elimination
28. The nursing assistant tells the nurse immediately that when urinating, the resident:
A) reports feeling much better.
B) notices a burning feeling.
C) is embarrassed to ask for help.
D) needs help cleaning.
Difficulty: Moderate
Integrated Process: Communication and Documentation
Objective: 2
Page and Header: 566, Assisting With Bedside Commodes, Bedpans, and Urinals
29. Which statement shows that the nursing assistant understands the importance of proper bedpan placement?
A) “Bed pans need to be cleaned immediately after they are used.”
B) “I always assist when a resident needs help getting on a bedpan.”
C) “Sitting on a bedpan can easily cause a bruise on the client’s buttocks.”
D) “Warming the bedpan before placing under the client makes it more comfortable.”
Difficulty: Moderate
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Objective: 3
Page and Header: 566, Assisting With Bedside Commodes, Bedpans, and Urinals
30. What will the nursing assistant do when finding a clean urinal on the resident’s bedside table?
A) Place it in the bathroom.
B) Hang it on the bedside rail.
C) Ask if the resident needs to urinate.
D) Encourage the resident to call when needing to use the urinal.
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Digital Test Bank | Nursing Assistants 5e Carter
By Pamela J Carter