ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 31 : Urinary Elimination and Care Questions
Question 1 of 5
You are caring for a patient with an indwelling catheter. You have an order to discontinue the catheter this morning. The patient also has had an IV infusing at 100 mL/hr through the night. The patient is taking liquids and eating ice chips. At 7:00 a.m., you notice that the output on the previous shift was 290 mL of dark amber urine and the patient's intake totaled 960 mL. Which action will you take?
Correct Answer: B
Rationale: Low output (290 mL) compared to high intake (960 mL) and dark amber urine suggest possible retention or dehydration, warranting physician consultation.
Question 2 of 5
Which independent nursing measure would you implement?
Correct Answer: B
Rationale: Performing a bladder scan is an independent nursing action to assess for urinary retention in a patient with low voiding volumes.
Question 3 of 5
You gather the following assessment data: bladder is distended, patient is complaining of lower abdominal discomfort, urinary output has totaled 150 mL in 6 hours after the catheter was discontinued, and the patient is voiding frequently in very small amounts. You decide to notify the physician. What order will you expect to receive?
Correct Answer: A
Rationale: The symptoms and low output suggest urinary retention, likely requiring catheterization to relieve the distended bladder.
Question 4 of 5
also known as overactive bladder, is the inability to keep urine in the bladder long enough to get to the restroom.
Correct Answer: A
Rationale: Urge incontinence is characterized by a sudden, intense urge to urinate followed by involuntary loss of urine, often due to an overactive bladder.
Question 5 of 5
A blood test called measures a waste product normally eliminated from the body by the kidneys. Elevated levels may reflect infection or some degree of kidney impairment.
Correct Answer: B
Rationale: Creatinine is a waste product filtered by the kidneys, and elevated levels in a blood test indicate kidney impairment or infection.