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NSG 3024 CHAPTER 34 QUIZ
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NSG 3024 CHAPTER 34 QUIZChapter 34: Urinary Elimination
Potter: Essentials for Nursing Practice, 8th Edition
MULTIPLE CHOICE
1. An 80-year-old woman with a history of diabetes and arthritis has made an appointment
with her health care provider for complaints of urinary incontinence (UI). The patient states
that she has recently become incontinent of urine and thinks it is because of her age. What is
the best response from the nurse?
a. “That is not normal. You must have a UTI.”
b. “You need to decrease your fluid intake so you don't have to go to the bathroom as
often.”
c. “Are you having issues with walking to the bathroom or toileting?”
d. “As you get older the sensations that your bladder is full become hypersensitive
and cause a person to go to the bathroom more frequently.”
ANS: C
Functional UI is caused by factors that prohibit or interfere with a patient’s access to the
toilet or other acceptable receptacle for urine. It is a significant problem for older adults who
experience problems with mobility or the dexterity to manage their clothing and toileting
behaviors. Functional UI may also be caused by poor motivation for continence, as seen in
severe depression or by cognitive decline that has impaired the ability to sense and act upon
the urge to void in an appropriate manner. Functional UI can be associated with underlying
stress, urge, or mixed UI. In many cases functional incontinence is the direct result of
caregivers not responding in a timely manner to requests for help with toileting.
PTS: 1 DIF: Cognitive Level: Remembering (Knowledge)
REF: 953-954 OBJ: Identify factors that commonly influence urinary elimination.
TOP: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
2. At a recent staff meeting the staff educator discussed the importance of catheter care for the
prevention of urinary tract infections (UTI). What percentage of health care–associated
infections result from indwelling catheter use?
a. 10%
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: Remembering (Knowledge)
REF: 953 OBJ: Discuss nursing measures to reduce urinary tract infections.
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
, 3. A 56-year-old patient, who has recently become postmenopausal, made an appointment with
her health care provider for symptoms of an UTI. The patient has had three previously
diagnosed UTIs in the past 4 months. She asks the nurse if this is a normal occurrence with
postmenopausal women. What is the best response from the nurse?
a. “Yes, because as women go through menopause, the lining of the urethra becomes
more susceptible to infections.”
b. “No, but why don’t you ask your health care provider for some antibiotics to keep
on hand?”
c. “Yes, and this must be frustrating because as we become older our body starts to
cause us more problems.”
d. “Yes, and this is why I’m not looking forward to going through menopause.”
ANS: A
There is a decrease in estrogenization of perineal tissue in women that increases the risk of
urinary tract infection. The vaginal tissue of postmenopausal women may be dryer and less
pink than in younger women. Health care providers would not give antibiotics to keep on
hand. Nurses should not imply that a UTI is an expected problem of aging. Relaying what
the nurse thinks about aging is not appropriate to voice to the patient.
PTS: 1 DIF: Cognitive Level: Applying (Application)
REF: 953 | 962 OBJ: Discuss nursing measures to reduce urinary tract infections.
TOP: Nursing Process: Implementation MSC: Client Needs: Physiological Integrity
4. A mother has brought her 3-year-old child to the clinic for an annual well-child checkup.
The mother tells the nurse that the child is in the process of being potty trained. The child
will state that the need to go to the bathroom, but refuses to go on the toilet. What is the
nurse’s best response?
a. “This occurs because the child might be frightened of falling in the toilet.”
b. “It is recommended that you try putting her in ‘time-out’ if she continues to refuse
to sit on the toilet.”
c. “Sometimes children at that age see urine and feces as part of themselves.”
d. “Stop, your child 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. The neurological
system is not well developed until 2 to 3 years of age. Up until this time, the small child is
not able to associate the sensations of filling and urge with urination. When the child
recognizes feelings of urge, he or she can hold urine for 1 to 2 hours, and is able to
communicate a need to eliminate, toilet training becomes successful. Fear of falling in the
toilet may be a concern, but it is not the most appropriate answer for this question.
PTS: 1 DIF: Cognitive Level: Remembering (Knowledge)
REF: 957 OBJ: Identify factors that commonly influence urinary elimination.
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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