BASIC NURSING ESSENTIALS FOR PRACTICE 7TH EDITION BY POTTER
BASIC NURSING ESSENTIALS FOR PRACTICE 7TH EDITION BY POTTER
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Chapter 33: Urinary Elimination
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| A. | “Most older people are incontinent.” |
| B. | “It’s too bad that as we age our bodies start failing us.” |
| C. | “It is a myth that incontinence is part of the aging process.” |
| D. | “At least you made it to 80 before experiencing incontinence.” |
ANS: C
It is a myth that incontinence is part of the aging process; however, UI affects approximately 30% of older adults living at home and about 50% of older adults in nursing homes.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 951
OBJ: Identify factors that commonly influence urinary elimination
TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
| A. | 50% |
| B. | 60% |
| C. | 70% |
| D. | 80% |
ANS: D
Eighty percent of health care–associated infections are associated with indwelling catheter use.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 949
OBJ: Discuss nursing measures to reduce urinary tract infections
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
| A. | “As we go through menopause, the lining of the urethra becomes more susceptible to infections.” |
| B. | “Why don’t you ask your health care provider for some antibiotics to keep on hand.” |
| C. | “That must be frustrating.” |
| D. | “I’m not looking forward to going through menopause.” |
ANS: A
Decreased levels of estrogen tend to cause the urethral mucosa to become thinner and more fragile and consequently more easily traumatized and infected.
PTS: 1 DIF: Cognitive Level: Application REF: 953
OBJ: Discuss nursing measures to reduce urinary tract infections
TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
| A. | “She might be frightened of falling in the toilet.” |
| B. | “You might try putting her in ‘time-out’ when she refuses to sit on the toilet.” |
| C. | “Sometimes children her age see urine and feces as part of themselves.” |
| D. | “She is too young to worry about potty-training.” |
ANS: C
When children begin to achieve bladder control and learn the appropriate skills, they sometimes resist urinating on the toilet. Children often associate their urine and feces as extensions of self, and they do not want to flush part of themselves away.
PTS: 1 DIF: Cognitive Level: Knowledge REF: 953
OBJ: Identify factors that commonly influence urinary elimination
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
| A. | “Would it be better to request a straight catheter instead?” |
| B. | “I think it would be better to put a disposable undergarment on her.” |
| C. | “Could we try a toileting schedule before you request the Foley?” |
| D. | “I think that is a good idea; it will prevent skin breakdown.” |
ANS: C
You are in a key position to serve as a patient advocate by suggesting noninvasive alternatives to catheterization use. For example, you may decrease the risk for UTI by suggesting the use of a bladder scanner to evaluate bladder urine volume without invasive instrumentation or implement a toileting schedule for the incontinent patient.
PTS: 1 DIF: Cognitive Level: Analysis REF: 954
OBJ: Discuss nursing measures to promote normal urination and to control incontinence
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
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