Exam (elaborations) NURSING NR 224 Fundamentals TEST BANK (Ch. 45 Urinary Elimination)
Chapter 45: Urinary Elimination
1. If obstructed, which component of the urination system would cause peristaltic
waves?
a. Kidney
b. Ureters
c. Bladder
d. Urethra
ANS: B
2. When reviewing laboratory re...
NURSING NR 224 Fundamentals TEST
BANK (Ch. 45 Urinary Elimination)
Chapter 45: Urinary Elimination
1. If obstructed, which component of the urination system would cause peristaltic
waves?
a. Kidney
b. Ureters
c. Bladder
d. Urethra
ANS: B
2. When reviewing laboratory results, the nurse should immediately notify the health
care provider about which finding?
a. Glomerular filtration rate of 20 mL/min
b. Urine output of 80 mL/hr
c. pH of 6.4
d. Protein level of 2 mg/100 mL
ANS: A
, 3. A patient is experiencing oliguria. Which action should the nurse perform first?
a. Increase the patient’s intravenous fluid rate.
b. Encourage the patient to drink caffeinated beverages.
c. Assess for bladder distention.
d. Request an order for diuretics.
ANS: C
4. A patient requests the nurse’s assistance to the bedside commode and becomes
frustrated when unable to void in front of the nurse. The nurse understands the
patient’s inability to void because
a. Anxiety can make it difficult for abdominal and perineal muscles to relax enough
to void.
b. The patient does not recognize the physiological signals that indicate a need to
void.
c. The patient is lonely, and calling the nurse in under false pretenses is a way to get
attention.
d. The patient is not drinking enough fluids to produce adequate urine output.
ANS: A
, 5. The nurse knows that indwelling catheters are placed before a cesarean because
a. The patient may void uncontrollably during the procedure.
b. A full bladder can cause the mother’s heart rate to drop.
c. Spinal anesthetics can temporarily disable urethral sphincters.
d. The patient will not interrupt the procedure by asking to go to the bathroom.
ANS: C
6. The nurse knows that urinary tract infection (UTI) is the most common health care–
associated infection because
a. Catheterization procedures are performed more frequently than indicated.
b. Escherichia coli pathogens are transmitted during surgical or catheterization
procedures.
c. Perineal care is often neglected by nursing staff.
d. Bedpans and urinals are not stored properly and transmit infection.
ANS: B
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