Chapter 26: Urinary Function

Chapter 26: Urinary Function

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When caring for older adults, the nurse expects to encounter the normal urinary age-related outcome of:

a.	urinary incontinence.
b.	low-grade bladder infection.
c.	nocturia.
d.	urinary residual volume.

 

 

ANS:  C

With age, increased urine formation at night leads to nocturia. The other findings are not age-related changes.

 

DIF:    Remembering (Knowledge)             REF:   Page 542        OBJ:   26-1

TOP:   Nursing Process: Assessment           MSC:  Health Promotion

 

2. An 87-year-old patient has suddenly become incontinent. What should the nurse’s first action be?

a.	Review the patient’s record for medications that may be causing urinary incontinence.
b.	Seek an order for an indwelling urinary catheter to prevent skin breakdown.
c.	Limit the patient’s fluid intake to reduce the feeling of having to void so often.
d.	Teach the patient to void every 2 hours when awake during the day or night.

 

 

ANS:  A

Medication is a common cause of incontinence and should always be suspected as a potential cause of new incontinence. A catheter is not needed. Limiting fluids leads to dehydration. Voiding every 2 hours at night will disrupt sleep.

 

DIF:    Understanding (Comprehension)      REF:   Page 542        OBJ:   26-5

TOP:   Nursing Process: Assessment           MSC:  Physiologic Integrity

 

3. An older adult patient reports “losing urine” when she bends over or gets out of a chair. What type of incontinence does the nurse plan interventions for?

a.	Overflow
b.	Urge
c.	Functional
d.	Stress

 

 

ANS:  D

Stress incontinence is commonly seen in older women who involuntarily lose urine as the result of a sudden increase in intraabdominal pressure. Overflow incontinence consists of frequent involuntary losses of small amounts of urine. Functional incontinence is manifested by loss of large volumes of urine because of a lack of awareness of the need to void or a mobility problem. Urge incontinence is accompanied by a sudden urge to void.

 

DIF:    Remembering (Knowledge)             REF:   Page 543        OBJ:   26-3

TOP:   Nursing Process: Assessment           MSC:  Physiologic Integrity

 

4. When assessing the patient for urinary incontinence, which patient symptom best supports the nursing diagnosis of overflow incontinence?

a.	“I have small accidents ever since I developed a cystocele.”
b.	“It burns so badly after I urinate that I hold it as long as I can.”
c.	“I can’t make it to the toilet when I feel the need to urinate.”
d.	“I lose small amounts of urine when I sneeze or laugh hard.”

 

 

ANS:  A

Typically, individuals with overflow incontinence complain of frequent losses of small volumes of urine, which are commonly a result of cystoceles. Burning indicates a urinary tract infection. “Not making it” to the bathroom is generally functional incontinence. Losing control of the bladder with sneezing or laughing is a manifestation of stress incontinence.

 

DIF:    Remembering (Knowledge)             REF:   Page 543        OBJ:   26-3

TOP:    Nursing Process: Assessment    MSC:   Physiologic Integrity