Chapter 31: Urinary Elimination and Care

Question 1 of 5

Which of the following best describes the importance of monitoring intake and output?

A. It helps determine the patient's fluid replacement needs.B. It can be used to correlate with daily weights.C. It is a good way to assess overall fluid balance.D. It helps determine the greatest source of fluid losses (for example, through diarrhea, insensible losses, or urine output).

Correct Answer: A,B,C,D

Rationale: Monitoring intake and output assesses fluid balance, guides replacement needs, correlates with weight changes, and identifies sources of fluid loss.

Question 2 of 5

Your patient returned from surgery (laparoscopy) 4 hours ago and complains of being unable to empty her bladder. What step should you take next?

A. Palpate her bladder and, if distended, perform a bladder scan.B. Catheterize her.C. Have her drink a full glass of water and then have her try to void again.D. Check her vital signs.

Correct Answer: A

Rationale: Palpating and scanning the bladder confirms urinary retention before proceeding to invasive measures like catheterization.

Question 3 of 5

Sometimes patients are not aware that they retain urine. If the residual urine volume is less than 300 mL and does not feel uncomfortable to the patient, is there any reason to try to correct the problem?

A. Yes, because the enlarged bladder can cause pressure on other organs.B. Yes, because residual urine can lead to urinary tract infections.C. Yes, because it can cause enlarged prostate in men or urethral strictures in women.D. No, if the patient is not uncomfortable, a residual urine of 300 mL or bible does not require treatment.

Correct Answer: B

Rationale: Residual urine, even if asymptomatic, can increase the risk of urinary tract infections due to bacterial growth in stagnant urine.

Question 4 of 5

Stress incontinence

A. Incontinence related to inability to get to the bathroomB. The brain does not receive a message that the bladder is fullC. Incontinence related to bladder spasms and contractionsD. The bladder does not empty because of an obstructionE. Incontinence related to weak pelvic floor musclesF. Loss of urine with no warning

Correct Answer: E

Rationale: Stress incontinence occurs due to weak pelvic floor muscles, causing urine leakage during activities like coughing or sneezing.

Question 5 of 5

Urge incontinence

A. Incontinence related to inability to get to the bathroomB. The brain does not receive a message that the bladder is fullC. Incontinence related to bladder spasms and contractionsD. The bladder does not empty because of an obstructionE. Incontinence related to weak pelvic floor musclesF. Loss of urine with no warning

Correct Answer: C

Rationale: Urge incontinence is caused by bladder spasms and contractions, leading to sudden, uncontrollable urges to urinate.

Chapter 31: Urinary Elimination and Care - Nurselytic

Nurselytic

ATI LPN

ATI LPN

Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills

Chapter 31 : Urinary Elimination and Care Questions

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

Access More Questions!

ATI LPN Basic

ATI LPN Premium

Similar Questions