Nurse Urinary Elimination Quiz

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3. Surgery is the first line of therapy for urinary incontience

True

False

Noninvasive, low-risk vehavioural interventions are the first line of therapy. (p. 1507)

Explanation

Noninvasive, low-risk vehavioural interventions are the first line of therapy. (p. 1507)

4. The first voided urine of the day is usually ____ concentrated than other urine excreted during the day.

More

Less

Equally

None of the above

p. 1488

Explanation

p. 1488

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7. The basic structural and functional unit of the kidney is

Mitochondria

Neuron

Nephron

Ribosome

The correct answer is Nephron. The nephron is the basic structural and functional unit of the kidney. It is responsible for filtering waste materials from the blood and producing urine. Each kidney contains millions of nephrons, which consist of a glomerulus, tubules, and collecting ducts. The glomerulus filters blood, while the tubules reabsorb important substances and excrete waste products. The nephron plays a crucial role in maintaining the body's fluid balance and regulating blood pressure.

Explanation

The correct answer is Nephron. The nephron is the basic structural and functional unit of the kidney. It is responsible for filtering waste materials from the blood and producing urine. Each kidney contains millions of nephrons, which consist of a glomerulus, tubules, and collecting ducts. The glomerulus filters blood, while the tubules reabsorb important substances and excrete waste products. The nephron plays a crucial role in maintaining the body's fluid balance and regulating blood pressure.

8. A nurse can test urine for the presence of glucose, blood, protein, bilirubin, and bacteria.

True

False

p. 1497

Explanation

p. 1497

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16. Patients can be taught to insert and remove intermittent catheterse themselves

True

False

p. 1509

Explanation

p. 1509

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20. Diuretics are commonly used in the treatment of:

Low blood pressure

High blood pressure

Low blood sugar

High blood sugar

None of the above

p. 1490

Explanation

p. 1490

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24. Diuresis is also known as

Glycosuria

Pyuria

Anuria

Oliguria

Polyuria

p. 1491

Explanation

p. 1491

25. The involuntary losso fo urine that occurs soon after feeling an urgent need to void is called:

Mixed incontience

Stress incontinence

Over-flow incontience

Urge incontinence

None of the above

Urge incontinence refers to the involuntary loss of urine that occurs immediately after feeling a strong and sudden urge to urinate. This condition is often caused by an overactive bladder, where the bladder muscles contract too frequently or at inappropriate times, leading to the urgent need to void. The individual may not be able to reach the toilet in time, resulting in the involuntary loss of urine. This is different from stress incontinence, which is the leakage of urine during physical activities or exertion, and overflow incontinence, which is the inability to completely empty the bladder, leading to constant dribbling of urine. Mixed incontinence refers to a combination of both stress and urge incontinence.

Explanation

Urge incontinence refers to the involuntary loss of urine that occurs immediately after feeling a strong and sudden urge to urinate. This condition is often caused by an overactive bladder, where the bladder muscles contract too frequently or at inappropriate times, leading to the urgent need to void. The individual may not be able to reach the toilet in time, resulting in the involuntary loss of urine. This is different from stress incontinence, which is the leakage of urine during physical activities or exertion, and overflow incontinence, which is the inability to completely empty the bladder, leading to constant dribbling of urine. Mixed incontinence refers to a combination of both stress and urge incontinence.

26. Pee is also known as

Micturation

Urination

Voiding

All of the above

None of the above

p. 1488

Explanation

p. 1488

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28. What type of medication can lighten the color of urine to pale yellow?

Diuretics are medications that increase urine production and promote the excretion of water and electrolytes from the body. This increased urine output can dilute the urine, resulting in a lighter color, often pale yellow. Therefore, diuretics can lighten the color of urine to pale yellow.

Explanation

Diuretics are medications that increase urine production and promote the excretion of water and electrolytes from the body. This increased urine output can dilute the urine, resulting in a lighter color, often pale yellow. Therefore, diuretics can lighten the color of urine to pale yellow.

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30. Catheter lumens are graded on a:

Credes (C) scale

French (F) scale

Kegel (K) scale

All of the above

None of the above

The correct answer is French (F) scale. The French scale is used to measure the diameter of catheter lumens. It is a system of measurement commonly used in medical settings to ensure the appropriate size of catheters for different procedures. The Credes scale and Kegel scale are not related to the measurement of catheter lumens, therefore they are not correct answers in this context.

Explanation

The correct answer is French (F) scale. The French scale is used to measure the diameter of catheter lumens. It is a system of measurement commonly used in medical settings to ensure the appropriate size of catheters for different procedures. The Credes scale and Kegel scale are not related to the measurement of catheter lumens, therefore they are not correct answers in this context.

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33. Weakening of which muscles is a common cause of urinary incontinence.

The weakening of pelvic floor muscles is a common cause of urinary incontinence. The pelvic floor muscles play a crucial role in supporting the bladder and controlling urine flow. When these muscles become weak, they are unable to properly support the bladder and control the release of urine, leading to urinary incontinence. Therefore, strengthening the pelvic floor muscles through exercises and treatments can help alleviate urinary incontinence symptoms.

Explanation

The weakening of pelvic floor muscles is a common cause of urinary incontinence. The pelvic floor muscles play a crucial role in supporting the bladder and controlling urine flow. When these muscles become weak, they are unable to properly support the bladder and control the release of urine, leading to urinary incontinence. Therefore, strengthening the pelvic floor muscles through exercises and treatments can help alleviate urinary incontinence symptoms.

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34. How many nephrons are in each kidney?

1,000

100,000

1 million

1 billion

None of the above

p. 1485

Explanation

p. 1485

35. Some causes of decreased muscles tone does not include which of the following:

Muscle atrophy

Exercise

Trauma

Foley catheter

Immobility

p. 1489

Explanation

p. 1489

36. With micturation, the pressure within the bladder is _____ to the the pressure with the bladder is filling.

Less than

Greater than

Equal to

None of the above

p. 1488

Explanation

p. 1488

37. Which of the following does not affect urination in older adults?

Medications

Decreased bladder contractility

Extent of ability in the kidneys

Motility problems

None of the above

p. 1489

Explanation

p. 1489

38. What is the most common organismal cause of urinary tract infections?

Staphylococcus aureus

Being sexually active

Diabetes mellitus

Escherichia coli

A and C

p. 1504

Explanation

p. 1504

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43. The presence of sugar in the urine is known as

Glycosuria refers to the presence of sugar in the urine. This condition occurs when the blood sugar levels are higher than normal, causing the kidneys to excrete excess glucose into the urine. It can be a sign of uncontrolled diabetes mellitus, where the body is unable to effectively regulate blood sugar levels. Glycosuria can also occur due to other factors such as kidney damage, hormonal disorders, or certain medications. Regular monitoring of blood sugar levels and proper management of diabetes are important to prevent complications associated with glycosuria.

Explanation

Glycosuria refers to the presence of sugar in the urine. This condition occurs when the blood sugar levels are higher than normal, causing the kidneys to excrete excess glucose into the urine. It can be a sign of uncontrolled diabetes mellitus, where the body is unable to effectively regulate blood sugar levels. Glycosuria can also occur due to other factors such as kidney damage, hormonal disorders, or certain medications. Regular monitoring of blood sugar levels and proper management of diabetes are important to prevent complications associated with glycosuria.

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45. Difficulty during urination is known as____; while scanty or diminshed amount urine is known as _____

Dysuria; Anuria

Anuria; Oliguria

Dysuria; Oliguria

Oliguria; Pyuria

Pyuria; Dysuria

p. 1491

Explanation

p. 1491

46. When assessing a patient's urine, check all of the following, but do not note:

Colour of urine

Odour of urine

Sugar in urine

Clarity of urine

Sediment in urine

p. 1492

Explanation

p. 1492

47. Obtaining a specimen for routine uralysis requires ____ technique

Medical aseptic technique

Sterile technique

Surgical technique

A routine uralysis does not require a sterile urine specimen (p. 1492)

Explanation

A routine uralysis does not require a sterile urine specimen (p. 1492)

48. Overflow incontience is:

Continuous and unpredicaable loss of urine, resulting from surger, physical malformation, or trauma.

The involuntary loss of urine that occurs soon after feeling an urgency to void

Urine loss caused by the inability to reach the toilet

Experiencing emptying of the bladder without the sensation of the need to void

The involunary loss of urine associated with overdistension of the bladder

p. 1507

Explanation

p. 1507

49. Which of the following is synonymous with a 24-hour output of less than 50 mL of urine?

Renal failure

Kidney shutdown

Anuria

All of the above

None of the above

The term "a 24-hour output of less than 50 mL of urine" refers to a medical condition called anuria, which is the inability to produce urine. Renal failure and kidney shutdown are both conditions that can lead to anuria. Therefore, all of the options provided (renal failure, kidney shutdown, and anuria) are synonymous with a 24-hour output of less than 50 mL of urine.

Explanation

The term "a 24-hour output of less than 50 mL of urine" refers to a medical condition called anuria, which is the inability to produce urine. Renal failure and kidney shutdown are both conditions that can lead to anuria. Therefore, all of the options provided (renal failure, kidney shutdown, and anuria) are synonymous with a 24-hour output of less than 50 mL of urine.

50. The technique that requires a sampe obtained by catheterizing the patient's bladder or by use of an foley catheter is a:

Sterile specimen

Routine uralysis specimen

Clean-catch specimen

Midstream specimen

Catheter specimen

A sterile specimen is obtained by catheterizing the patient's bladder or using a foley catheter. This technique ensures that the sample is free from any contamination and is suitable for laboratory testing. It is commonly used when a clean-catch specimen cannot be obtained or when there is a need for a more accurate and reliable result.

Explanation

A sterile specimen is obtained by catheterizing the patient's bladder or using a foley catheter. This technique ensures that the sample is free from any contamination and is suitable for laboratory testing. It is commonly used when a clean-catch specimen cannot be obtained or when there is a need for a more accurate and reliable result.

51. _____ is a delay or difficulty in initiating voiding.

Hesitancy refers to a delay or difficulty in initiating the process of voiding, which means starting to urinate. It can be characterized by a hesitation or pause before urine flow begins. Hesitency, on the other hand, is not a recognized term and does not have any specific meaning related to voiding or urination. Therefore, the correct answer is hesitancy.

Explanation

Hesitancy refers to a delay or difficulty in initiating the process of voiding, which means starting to urinate. It can be characterized by a hesitation or pause before urine flow begins. Hesitency, on the other hand, is not a recognized term and does not have any specific meaning related to voiding or urination. Therefore, the correct answer is hesitancy.

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53. The surgical creation of an alternate route for excretion of urine is called

Urinary diversion refers to the surgical procedure that is performed to create an alternative pathway for the excretion of urine. This procedure is typically done when the normal urinary system is not functioning properly or has been damaged. It involves redirecting the flow of urine from the bladder to a new opening in the body, such as a stoma or an external pouch. Urinary diversion can be necessary in cases of bladder cancer, birth defects, or other conditions that affect the normal urinary system.

Explanation

Urinary diversion refers to the surgical procedure that is performed to create an alternative pathway for the excretion of urine. This procedure is typically done when the normal urinary system is not functioning properly or has been damaged. It involves redirecting the flow of urine from the bladder to a new opening in the body, such as a stoma or an external pouch. Urinary diversion can be necessary in cases of bladder cancer, birth defects, or other conditions that affect the normal urinary system.

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54. The higher the number on the urometer the lower the urine concentration and specific gravity.

True

False

p. 1499

Explanation

p. 1499

55. What type of catheter is used for continuous drainage through the urethra?

Indwelling urethral catheter

Retention catheter

Foley catheter

All of the above

None of the above

p. 1509

Explanation

p. 1509

56. An indwelling catheter is usually preferred over suprapubic catheters for long-term continous drainage.

True

False

This is false because suprapubic catheters are often preferred over indwelling urethral catheters for long-term urinary drainage, because suprapubic catheteres are associated with decreased risk of contamination with organisms from fecal material, elimination of damage to the urethra, a higher rate of patient satisfaction, and a lower risk of catheter-associated urinary tract infection.

Explanation

This is false because suprapubic catheters are often preferred over indwelling urethral catheters for long-term urinary drainage, because suprapubic catheteres are associated with decreased risk of contamination with organisms from fecal material, elimination of damage to the urethra, a higher rate of patient satisfaction, and a lower risk of catheter-associated urinary tract infection.

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58. Normally, the kidneys _____ be palpated, generally requring ______ palpation.

Can't; electronic

Can; light

Can; superficial

Can; deep

Can; electronic

p. 1491

Explanation

p. 1491

59. A _____ _____ is a cutaneous urinary diversion. It involves a surgical resection of the small intestine, with transplantation of the ureters to the isolated segment of small bowel. This separated section of th esmall intestine is then brought to the This diversion requires external appliances to collect the urine.

An ileal conduit is a surgical procedure that involves removing a section of the small intestine and using it as a conduit for urine. The ureters are transplanted into this isolated segment of small bowel. This diverted section of the small intestine, known as the ileal conduit, is then brought to the surface of the abdomen. External appliances are needed to collect and manage the urine that flows through the conduit.

Explanation

An ileal conduit is a surgical procedure that involves removing a section of the small intestine and using it as a conduit for urine. The ureters are transplanted into this isolated segment of small bowel. This diverted section of the small intestine, known as the ileal conduit, is then brought to the surface of the abdomen. External appliances are needed to collect and manage the urine that flows through the conduit.

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60. Proteinuria is:

An indication of kidney disease

Defined by the presence of proteinin urine

Marked by the presence of sugar in urine

B and C

A and B

p. 1491

Explanation

p. 1491

61. If a stoma is dark or purple-blue it suggests:

Anemia

Ischemia

Compromised circulation

A and C

B and C

p. 1517

Explanation

p. 1517

62. Any involuntary loss of urine is known as

Urinary incontinence refers to the involuntary loss of urine, which can occur due to various reasons such as weak bladder muscles, urinary tract infections, hormonal changes, or nerve damage. It is a common condition that can affect people of all ages and genders. Symptoms may range from occasional leakage to complete loss of bladder control. Treatment options include lifestyle changes, pelvic floor exercises, medications, or surgery, depending on the underlying cause and severity of the condition.

Explanation

Urinary incontinence refers to the involuntary loss of urine, which can occur due to various reasons such as weak bladder muscles, urinary tract infections, hormonal changes, or nerve damage. It is a common condition that can affect people of all ages and genders. Symptoms may range from occasional leakage to complete loss of bladder control. Treatment options include lifestyle changes, pelvic floor exercises, medications, or surgery, depending on the underlying cause and severity of the condition.

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64. Continuous and unpredicaable loss of urine, resulting from surger, physical malformation, or trauma is known as what type of incontience?

Total incontinence refers to the continuous and unpredictable loss of urine that can occur as a result of surgery, physical malformation, or trauma. This type of incontinence is characterized by the complete inability to control urination, leading to a constant leakage of urine. It is different from other types of incontinence, such as stress or urge incontinence, which involve the loss of urine during specific activities or due to a sudden urge to urinate.

Explanation

Total incontinence refers to the continuous and unpredictable loss of urine that can occur as a result of surgery, physical malformation, or trauma. This type of incontinence is characterized by the complete inability to control urination, leading to a constant leakage of urine. It is different from other types of incontinence, such as stress or urge incontinence, which involve the loss of urine during specific activities or due to a sudden urge to urinate.

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66. A continent ___ is a surgical alternative that uses a section of the intestine to create an internal reservoire that holds urine. It uses an external stoma that must b e catheterized at regular intervals to drain the urine that has collected in the reservoir.

p. 1516

Explanation

p. 1516

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68. Which of the following is used as a manual bladder compression technique?

Kegel's maneuver

Crede's maneuver

Gravity's maneuver

All of the above

None of the above

p. 1503

Explanation

p. 1503

69. _____ is the amount of urine rematining in the bladder immediately after voiding, which can be measured by catheterization or use of portable ultrasound device.

Postvoid residual (PVR) refers to the amount of urine that remains in the bladder immediately after urination. It can be measured through methods such as catheterization or the use of a portable ultrasound device. PVR is an important indicator of bladder function and can help diagnose conditions such as urinary retention or incomplete bladder emptying.

Explanation

Postvoid residual (PVR) refers to the amount of urine that remains in the bladder immediately after urination. It can be measured through methods such as catheterization or the use of a portable ultrasound device. PVR is an important indicator of bladder function and can help diagnose conditions such as urinary retention or incomplete bladder emptying.

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70. Voiding is largely a(n) voluntary/involuntary reflex?

Voluntary

Instinctive

Involuntary

None of the above

Voiding refers to the process of emptying the bladder. It is largely an involuntary reflex, meaning that it occurs automatically without conscious control. The body has a complex system of nerves and muscles that work together to initiate and control the voiding reflex. This reflex is triggered when the bladder becomes full, sending signals to the brain to initiate the contraction of the bladder muscles and relax the muscles of the urinary sphincter, allowing urine to be expelled from the body. Therefore, the correct answer is "involuntary".

Explanation

Voiding refers to the process of emptying the bladder. It is largely an involuntary reflex, meaning that it occurs automatically without conscious control. The body has a complex system of nerves and muscles that work together to initiate and control the voiding reflex. This reflex is triggered when the bladder becomes full, sending signals to the brain to initiate the contraction of the bladder muscles and relax the muscles of the urinary sphincter, allowing urine to be expelled from the body. Therefore, the correct answer is "involuntary".

71. A culture and sensitivity (C&S) is considered positive if it shows at least 10,000 organisms per mL of urine.

True

False

A C&S would be considered positive if it showed at least 100,000 organisms per mL

Explanation

A C&S would be considered positive if it showed at least 100,000 organisms per mL

72. When micturation is initiated the ______ contracts, the _____ relaxes, and urine enters the posterior urethra. The muscles of the perineum and the _______ relax, the ______ contracts slightly, the _____ lowers, and micturation occurs.

Internal sphincter, detrusor muscle, external sphincter, abdominal muscles, diaphragm

Detrusor muscle, external sphincter, internal sphincter, abdominal muscles, diaphragm

Internal sphincter, detrusor muscle, external sphincter, diaphragm, abdominal muscles

Detrusor muscle, diaphragm, internal sphincter, abdominal muscles, external sphincter

Detrusor muscle, internal sphincter, external sphincter, abdominal muscles, diaphragm

p. 1488

Explanation

p. 1488

73. One should apply lubricant to a catheter before inserting it into a male patient.

True

False

Applying lubricant to the catheter before inserting it in a male patient is no longer recommended. Currently, the recommendation is to gently insert the tip of a syringe prefilled with lubricant into the male urethra before inserting the catheter. (p. 1513 - 1514)

Explanation

Applying lubricant to the catheter before inserting it in a male patient is no longer recommended. Currently, the recommendation is to gently insert the tip of a syringe prefilled with lubricant into the male urethra before inserting the catheter. (p. 1513 - 1514)

74. In a Mitrofanoff procedure the bladder neck is closed and one end of the _____ is brought to the skin surface and is used as a stoma; the other end is tunneled into the bladder.

Appendix

Ileum

Stomach

Large intestine

None of the above

p. 1516

Explanation

p. 1516

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