Chapter 48 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 48 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

The nurse is assessing a client’s urinary elimination. Which factor should the nurse keep in mind as influencing this elimination?

1. Age
2. Body image
3. Knowledge
4. Socioeconomic status

Correct Answer: 1

Rationale 1: Development factors such as how old the client is influence urinary elimination.

Rationale 2: Body image does not influence urinary elimination.

Rationale 3: Knowledge does not influence urinary elimination.

Rationale 4: Socioeconomic status does not influence urinary elimination.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 2. Identify factors that influence urinary elimination.

MNL Learning Outcome: 4.8.2. Recognize factors affecting urinary elimination.

Page Number: 1178

Question 2

Type: MCSA

The nurse realizes that which client is at risk for difficulty in urinary elimination?

1. A client who had bladder cancer and now has a newly created ileal conduit
2. A 25-year-old female client with low self-esteem
3. An 80-year-old male reporting frequent urination at night
4. The client with hypertension who takes a diuretic every day for blood pressure

Correct Answer: 3

Rationale 1: The client who had bladder cancer and now has an ileal conduit doesn’t have kidney damage, only the bladder removed. Continued urine production through the ileal conduit will need to be observed and assessed frequently by the staff.

Rationale 2: The 25-year-old experiencing low self-esteem has a psychological problem and will need therapy to find the root of the problem.

Rationale 3: The client who is 80 years old with frequent urination at night is having problems with his prostate. Older male adults experience urinary retention due to prostate enlargement causing an alteration in urinary elimination.

Rationale 4: The client with high blood pressure takes her medication to remove excess fluid from the body, and as long as urine elimination increases, there should be no problems.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3. Identify common causes of selected urinary problems.

MNL Learning Outcome: 4.8.2. Recognize factors affecting urinary elimination.

Page Number: 1180

Question 3

Type: MCSA

A client tells the nurse about the need to get up several times throughout the night to void. The nurse suspects the client is experiencing nocturia due to which factor?

1. Decrease in bladder tone
2. Decrease in blood supply
3. Decrease in number of nephrons
4. Decrease in cardiac output

Correct Answer: 1

Rationale 1: Nocturia is voiding frequently at night. An increased intake of fluid causes some increase in the frequency of voiding. Conditions such as urinary tract infection (UTI), stress, and pregnancy can cause frequent voiding of small quantities of urine. Total fluid intake and output may be normal.

Rationale 2: A decrease in blood supply causes an increase in urine concentration.

Rationale 3: A decrease in the number of nephrons decreases the filtration rate.

Rationale 4: A decrease in cardiac output decreases peripheral circulation, which would decrease urinary output during both the day and the night.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 3. Identify common causes of selected urinary problems.

MNL Learning Outcome: 4.8.2. Recognize factors affecting urinary elimination.

Page Number: 1180