Chapter 31: Urinary Elimination and Care - Nurselytic

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Chapter 31 : Urinary Elimination and Care Questions

Question 1 of 5

You are teaching a home care patient about self-catheterization. You know more teaching is needed when the patient states

Correct Answer: C

Rationale: Self-catheterization at home is a clean procedure, but gloves and proper cleaning are necessary to prevent infection; stating no precautions are needed is incorrect.

Question 2 of 5

Under what circumstances is it appropriate to use an indwelling catheter in a long-term care setting?

Correct Answer: C,D,E

Rationale: Indwelling catheters are appropriate for severe incontinence risking pressure ulcers, terminal illness, or when positioning causes significant pain.

Question 3 of 5

Which is true of UTIs in children?

Correct Answer: A,D,E

Rationale: UTIs are common in children, can cause accidents in toilet-trained children, and may present with nonspecific symptoms like poor feeding, vomiting, and diarrhea.

Question 4 of 5

You have just inserted an indwelling catheter in a 56-year-old male patient with urinary retention due to an enlarged prostate. You notice that the drainage bag is filling quickly, with 750 mL of urine almost immediately draining into it. Which of these actions will you take?

Correct Answer: C

Rationale: Rapid drainage is normal in urinary retention, and no action is needed if the patient is tolerating it without symptoms like pain or hematuria.

Question 5 of 5

The kidneys filter waste products from cellular metabolism out of the blood and excrete it in the urine. Which of the following are the three most important waste products to be filtered?

Correct Answer: C

Rationale: Urea, creatinine, and uric acid are the primary waste products filtered by the kidneys from the blood.

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