DeWit's Fundamental Concepts and Skills for Nursing, 5th Edition By Patricia A. Williams
DeWit's Fundamental Concepts and Skills for Nursing, 5th Edition By Patricia A. Williams
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Chapter 29: Promoting Urinary Elimination
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | 15 mL. |
| b. | 30 mL. |
| c. | 45 mL. |
| d. | 60 mL. |
ANS: B
There should be an average hourly urine output of 30 mL.
DIF: Cognitive Level: Knowledge REF: p. 543
OBJ: Clinical Practice #1 TOP: Urinary Output
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
| a. | eat citrus fruits to alkalinize the urine. |
| b. | always wipe the perineal area from back to front. |
| c. | take long, warm bubble baths. |
| d. | wear cotton underwear and avoid nylon or constrictive clothing. |
ANS: D
The patient should wear cotton underwear and avoid nylon and constrictive clothing that worsens perineal moisture.
DIF: Cognitive Level: Comprehension REF: p. 544
OBJ: Clinical Practice #1 TOP: Prevention of Urinary Infections
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Detection of Disease
| a. | run an exceptionally high temperature. |
| b. | have foul urine and diarrhea. |
| c. | become disoriented and confused. |
| d. | become irritable. |
ANS: C
Urinary infections in the older adult patient may not be manifested by fever. There are subtle changes in mental status.
DIF: Cognitive Level: Comprehension REF: p. 544
OBJ: Clinical Practice #1 TOP: Urinary Infection in the Older Adult
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
| a. | 1 to 2 minutes. |
| b. | 3 to 5 minutes. |
| c. | 5 to 10 minutes. |
| d. | 20 to 30 minutes. |
ANS: C
Urine that stands for 15 minutes or longer changes characteristics, and the urinalysis will no longer be accurate.
DIF: Cognitive Level: Comprehension REF: p. 547
OBJ: Clinical Practice #1 TOP: Urinalysis
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
| a. | continue the collection if the patient accidentally voids directly into the toilet. |
| b. | obtain a container and put it in a warm water bath in the bathroom. |
| c. | have the patient void at the beginning of the collection and throw it away. |
| d. | have the patient void for the last time a few hours before the collection ends. |
ANS: C
The patient’s bladder should be empty when the test begins; for this reason, the urine obtained at the start time is discarded and the urine collected should be stored on ice during the 24-hour period.
DIF: Cognitive Level: Application REF: p. 546
OBJ: Clinical Practice #1 TOP: 24 Hour Urine Collection
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
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