Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
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Chapter 30- Urinary Elimination
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The nurse is caring for an 18-year-old female client with a urinary tract infection. Which of the following is a factor that most affects the pattern of urine elimination in this client? | |
| A) | Integrity of the client’s spinal cord | |
| B) | Diminished capacity of the client’s bladder | |
| C) | Degenerative changes in the client’s cerebral cortex | |
| D) | Relaxation of the client’s pelvic floor muscle tone | |
| Ans: | A | |
| Feedback: | ||
| Patterns of urinary elimination depend on the integrity of the spinal cord as well as physiologic, emotional, and social factors. Diminished bladder capacity, relaxation of pelvic floor muscle tone, and degenerative changes in the cerebral cortex are age-related changes that increase the risk of incontinence and lead to urinary urgency, respectively, in older adults. | ||
| 2. | When collecting a urine sample from a client for examination, the nurse notes that the sample appears dark amber in color. Which of the following could cause this variation in color of the urine? | |
| A) | Dehydration | |
| B) | Infection | |
| C) | Urinary stasis | |
| D) | Presence of blood | |
| Ans: | A | |
| Feedback: | ||
| The urine appears dark amber in color due to dehydration. A reddish-brown urine sample is indicative of the presence of blood. Infection and stasis would cause the urine to appear cloudy. | ||
| 3. | A nurse notes that a client’s urine output is less than 300 ml over the past 24 hours. Which of the following could be the possible cause for the client’s decreased output? | |
| A) | Diuretic medication | |
| B) | Endocrine disease | |
| C) | Kidney dysfunction | |
| D) | Liver disease | |
| Ans: | C | |
| Feedback: | ||
| Kidney dysfunction could be a possible cause for the low volume of urination by the client. Diuretic medication and endocrine disease would increase the volume of urination. Liver disease would cause the urine to appear brown in color. | ||
| 4. | A nurse collects a clean-catch specimen from a client at a health care facility. Which of the following statements describes a clean-catch urine sample? | |
| A) | A sample of fresh urine collected in a clean container. | |
| B) | A sample of urine collected in a sterile room environment. | |
| C) | A sample of urine collected over a period of 24 hours. | |
| D) | A sample of urine that is considered sterile. | |
| Ans: | D | |
| Feedback: | ||
| A clean-catch specimen is a sample of urine that is considered sterile. A clean-catch specimen is preferred to a randomly voided specimen. This method of collection is preferred when a urine specimen is needed during a client’s menstrual cycle. A void specimen is a sample of fresh urine collected in a clean container. A catheter specimen is a sample of urine collected in a sterile environment using a catheter. A 24-hour specimen is a sample of urine collected over a 24-hour period. | ||
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