Chapter 20 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

Chapter 20 Skills in Clinical Nursing 8th Edition by Audrey J. Berman- Shirlee Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE.  Choose the one alternative that best completes the statement or answers the question.

• The nurse is caring for an elderly male client who demonstrates frequent urinary The 1) physician does not want to expose the client to a possible UTI. Which of the following options could the nurse use to reduce the risk of skin damage secondary to urinary incontinence for this

client?

1. A) Robinson catheter B) Straight catheter
2. C) Condom catheter D) Foley catheter

Answer: C

Explanation: A)       The condom catheter fits over the penis and reduces skin contact with urine by diverting the urine to a collection bag. It is not invasive, and can be applied as a nursing order. The Robinson catheter is a specific type of red straight catheter, and requires a physician’s order. A Foley catheter is an indwelling catheter that requires a physician’s order. Use of both the indwelling catheter and the straight

catheter are invasive procedures.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

1. The condom catheter fits over the penis and reduces skin contact with urine by diverting the urine to a collection It is not invasive, and can be applied as a nursing order. The Robinson catheter is a specific type of red straight catheter, and requires a physician’s order. A Foley catheter is an indwelling catheter that requires a physician’s order. Use of both the indwelling catheter and the straight

catheter are invasive procedures.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

1. The condom catheter fits over the penis and reduces skin contact with urine by diverting the urine to a collection It is not invasive, and can be applied as a nursing order. The Robinson catheter is a specific type of red straight catheter, and requires a physician’s order. A Foley catheter is an indwelling catheter that requires a physician’s order. Use of both the indwelling catheter and the straight

catheter are invasive procedures.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

1. The condom catheter fits over the penis and reduces skin contact with urine by diverting the urine to a collection It is not invasive, and can be applied as a nursing order. The Robinson catheter is a specific type of red straight catheter, and requires a physician’s order. A Foley catheter is an indwelling catheter that requires a physician’s order. Use of both the indwelling catheter and the straight

catheter are invasive procedures.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Planning

Objective: Learning Outcome 20-1: Define the key terms used in the skills of urinary elimination.

 

• Each of the following terms are used interchangeably with urinary elimination except: 2)

1. B) Voiding.                      C) Urination.                    D) Incontinence.

Answer: D

Explanation: A)      Micturition, voiding, or urination indicates the act of urinary elimination. Incontinence indicates lack of control of elimination, and can be applied to

urinary control or bowel control.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

1. Micturition, voiding, or urination indicates the act of urinary elimination.

Incontinence indicates lack of control of elimination, and can be applied to

urinary control or bowel control.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

1. Micturition, voiding, or urination indicates the act of urinary elimination.

Incontinence indicates lack of control of elimination, and can be applied to

urinary control or bowel control.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

1. Micturition, voiding, or urination indicates the act of urinary elimination.

Incontinence indicates lack of control of elimination, and can be applied to

urinary control or bowel control.

Cognitive Level: Knowledge

Client Need: Physiological Integrity

Nursing Process: Assessment

Objective: Learning Outcome 20-1: Define the key terms used in the skills of urinary elimination.

 

• When collecting a urinary elimination history, the nurse would question all of the following except: 3)

1. History of erectile
2. History of stress
3. The female client would be asked how many children she has and how they were
4. History of urinary frequency or difficulty starting the

Answer: A

Explanation: A)      Erectile dysfunction would not be linked to urinary elimination in most cases, so this would not be part of the urinary elimination history. All of the other issues

would be important to assess.

Cognitive Level: Application

Client Need: Health Promotion and Maintenance

Nursing Process: Assessment

1. Erectile dysfunction would not be linked to urinary elimination in most cases, so this would not be part of the urinary elimination All of the other issues

would be important to assess.

Cognitive Level: Application

Client Need: Health Promotion and Maintenance

Nursing Process: Assessment

1. Erectile dysfunction would not be linked to urinary elimination in most cases, so this would not be part of the urinary elimination All of the other issues

would be important to assess.

Cognitive Level: Application

Client Need: Health Promotion and Maintenance

Nursing Process: Assessment

1. Erectile dysfunction would not be linked to urinary elimination in most cases, so this would not be part of the urinary elimination All of the other issues

would be important to assess.

Cognitive Level: Application

Client Need: Health Promotion and Maintenance

Nursing Process: Assessment

Objective: Learning Outcome 20-2: Identify essential components of a urinary elimination history.

 

• Which of the following could the nurse safely delegate to the unlicensed assistive personnel (UAP)? 4)

1. Insertion of a urinary retention catheter
2. Insertion of a straight catheter
3. Application of a condom catheter
4. Collection of data for a urinary elimination history

Answer: C

Explanation: A)      The application of a condom catheter could be safely delegated to the UAP. The other options should be completed by the RN because option 1 and 2 require sterile technique while option 4 requires a thorough assessment.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. The application of a condom catheter could be safely delegated to the The other options should be completed by the RN because option 1 and 2 require sterile technique while option 4 requires a thorough assessment.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. The application of a condom catheter could be safely delegated to the The other options should be completed by the RN because option 1 and 2 require sterile technique while option 4 requires a thorough assessment.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

1. The application of a condom catheter could be safely delegated to the The other options should be completed by the RN because option 1 and 2 require sterile technique while option 4 requires a thorough assessment.

Cognitive Level: Application

Client Need: Safe, Effective Care Environment

Nursing Process: Planning

Objective: Learning Outcome 20-3: Recognize when it is appropriate to delegate urinary care to unlicensed

assistive personnel.

• After emptying the urine from a urinal, the nurse would perform which of the following actions? 5) Select all that

1. Rinse the
2. Record the output on the intake and output record, if
3. Return the urinal to the bedside area, where the client can reach it, if the male client
   1. Place the urinal between the client’s legs and prop the penis in the opening, if the client is unable to do this
   2. E) Don clean

Answer: A, B, C

Explanation: A)      The urinal should be rinsed to remove any remaining urine. The output should be recorded if the client has monitored intake and output. The urinal should be returned to the bedside unit so it is handy when it is next required. The bottle should never be propped between the client’s legs, as it can lead to tissue damage. The nurse should already be wearing gloves if the urinal was just emptied.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The urinal should be rinsed to remove any remaining The output should be recorded if the client has monitored intake and output. The urinal should be returned to the bedside unit so it is handy when it is next required. The bottle should never be propped between the client’s legs, as it can lead to tissue damage. The nurse should already be wearing gloves if the urinal was just emptied.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The urinal should be rinsed to remove any remaining The output should be recorded if the client has monitored intake and output. The urinal should be returned to the bedside unit so it is handy when it is next required. The bottle should never be propped between the client’s legs, as it can lead to tissue damage. The nurse should already be wearing gloves if the urinal was just emptied.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The urinal should be rinsed to remove any remaining The output should be recorded if the client has monitored intake and output. The urinal should be returned to the bedside unit so it is handy when it is next required. The bottle should never be propped between the client’s legs, as it can lead to tissue damage. The nurse should already be wearing gloves if the urinal was just emptied.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

1. The urinal should be rinsed to remove any remaining The output should be recorded if the client has monitored intake and output. The urinal should be returned to the bedside unit so it is handy when it is next required. The bottle should never be propped between the client’s legs, as it can lead to tissue damage. The nurse should already be wearing gloves if the urinal was just emptied.

Cognitive Level: Application

Client Need: Physiological Integrity

Nursing Process: Implementation

Objective: Learning Outcome 20-4: Verbalize the steps used in:

1. Assisting clients with the use of a urinal.
2. Applying an external urinary device.
3. Performing urinary catheterization.
4. Performing catheter care and removal.
5. Performing bladder irrigation.
6. Performing urinary ostomy care.