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Ch22 Assistingwith Urinary Elimination Test&A Chapter 22 - Test Name: Assisting With Urinary Elimination Date: 1. Which piece of equipment will the nursing assistant use to best assist a resident with a badly sprained ankle to urinate? A) A bedside commode B) A commode hat C) A fracture pan D) A bedpan 2. A male patient or resident uses a bedpan for A) urinating. B) bowel movements. C) both bowel movements and urinating. D) urinating when standing isn't possible. 3. Which piece of equipment will the nursing assistant use to help a patient who recently experienced a hip replacement with bowel elimination? A) A bedside commode B) A fracture pan C) A bedpan D) A urinal 4. Why is it most important to honor a person's request for assistance with elimination as quickly as possible? A) Failing to answer the call light promptly increases the person's risk of falling if he or she tries to get out of the bed alone. B) Failing to answer the call light promptly can lead to more work for the nursing assistant if the person soils himself or herself. C) Elimination is a basic physiological need that must be met. D) Many people find elimination to be very embarrassing. 5. Which of the following would the nursing assistant do to ensure privacy when assisting a person who needs assistance with elimination? A) Drawing the privacy curtain when the person is using a bedside commode. B) Draping the person with a bath blanket to expose only the perineum. C) Leaving the patient's room when the person is in the bathroom D) Encouraging the person to lock the bathroom door when toileting. Page 1 6. What factor in a health care setting is most likely to interfere psychologically with a person's normal elimination habits? A) The nursing assistant's inability to be available when the person needs toileting B) Cultural or religious beliefs that stress modesty when using a bedpan C) Embarrassment caused about needing help with elimination D) The person may be incontinent of urine or feces. 7. Before collecting a specimen of urine or feces, the nursing assistant must know A) what storage method is to be used. B) what blood type the person's is. C) whether gloves must be used. D) when the person last ate. 8. The doctor suspects that a resident has a urinary tract infection. It is most likely the nursing assistant will be asked to collect a A) stool specimen. B) routine urine specimen. C) midstream urine specimen. D) stool and a urine specimen. 9. How is a standard bedpan positioned? A) Like a regular toilet seat B) Underneath the toilet or commode seat C) With the narrow end pointed toward the head of the bed D) With the wide end pointed toward the foot of the bed 10. What will the nursing assistant do when preparing to assist a person with using a bedpan? A) Help wash the person's hands. B) Put the bed to its lowest position. C) Raise the head of the bed as tolerated. D) Hand the bedpan to the person so he or she can sit on it. 11. When it is necessary to measure a person's urine output and the person is using a regular toilet, what device is used to collect the urine? A) A urinal B) A graduate C) A commode hat D) A urine drainage bag Page 2 12. Where can a clean urinal be stored? A) It may be hung over the side rail. B) On top of the bedside table C) On the over-bed table D) In the bathroom 13. On visual inspection, normal urine should appear A) cloudy and yellow. B) clear and red-tinged. C) cloudy and red-tinged. D) clear and straw-colored. 14. Which of the following factors influences a person's urinary pattern? Select all that apply. A) The types of medications the person takes B) The person's lifelong elimination habits C) The amount of fluids the person drinks D) The person's gender E) The person's age 15. When a person voids 300 mL of urine over a 24-hour period, the term used to describe his or her urine output is A) oliguria. B) polyuria. C) diuresis. D) anuria. 16. Which of the following is a cause of temporary urinary incontinence? A) Decreased bladder muscle tone B) A bladder infection C) Dementia D) Paralysis 17. Which of the following helps to manage urinary incontinence? Select all that apply. A) Incontinence pads B) Frequent toileting C) Condom catheters D) Restricting fluids E) Bladder training Page 3 18. A urinary catheter may be used for an incontinent patient when A) it is convenient for the nursing staff. B) the person also has a urinary tract infection. C) incontinence may cause or worsen pressure ulcers. D) the bladder has been surgically removed for cancer. 19. Which statement about emptying a urine drainage bag is true? A) Report that the drainage bag needs emptying to the nurse. B) Unsecure the urine drainage bag from the bed frame before beginning the emptying process. C) Unclamp the emptying spout on the urine drainage bag and allow all of the urine to drain into a graduate that has been placed on a paper towel on the floor underneath the urine drainage bag. D) Disconnect the urine drainage bag from the catheter tubing, dispose of the urine in the toilet and the urine drainage bag in a facility-approved waste container, and attach a new urine drainage bag. 20. The primary purpose of providing catheter care is to prevent A) an unpleasant odor. B) the person's self-esteem from being harmed. C) urine from backflowing into the person's bladder. D) the development of a bladder or kidney infection. 21. Which of the following statements is true with regard to caring for a person with an indwelling catheter? A) There should be no slack left in the catheter tubing itself. B) The urine drainage bag should be attached to the side rail of the bed. C) A knot should be used to secure the catheter tubing to the person's body. D) The catheter tubing should be gently coiled and secured to the bed linens. 22. When providing catheter care, the catheter tubing is cleaned starting at the body and moving outward. How many inches of the catheter tubing should you clean? A) 1 inch B) 2 inches C) 4 inches D) 18 inches Page 4 23. Incontinence is NOT the result of a physical or nervous system problem; it is referred to as A) urge incontinence. B) stress incontinence. C) overflow incontinence. D) functional incontinence. 24. Reflex incontinence occurs because a person A) has weak muscle tone. B) is not able to make it to the bathroom in time. C) does not feel the urge to urinate, and the bladder empties itself. D) has a bladder infection, which results in a strong urge to void. 25. A condom catheter is secured to the penis with A) a plastic clip. B) a connection adapter. C) a tape applied in a spiral fashion. D) a tape applied in an overlapping, circular fashion. 26. Nocturia is defined as A) the need to urinate once or more during the night. B) urination that occurs more often than usual. C) the need to urinate immediately. D) painful or difficult urination. 27. A nursing assistant provides a person with privacy when he or she is urinating most importantly because A) it is a person's legal right. B) the nursing assistant needs to show respect. C) not doing so can interfere with the person's ability to urinate. D) it would be embarrassing for both if privacy wasn't provided. 28. The nursing assistant tells the nurse immediately when the resident reports that when he or she urinates he or she A) feels much better. B) notices a burning feeling. C) is embarrassed to ask for help. D) needs to have help cleaning himself or herself. Page 5 29. Which statement shows that the nursing assistant understands the importance of proper bedpan placement? A) Bed pans need to be cleaned imm ediately after they are used.? B) I always assist when a resident needs help getting on a bedpan .? C) Sitting on a bedpan can easily cause a bruise on the patient's buttocks.? D) Farming the bedpan before placing under the patient makes it more comfortable.? 30. What will the nursing assistant do when finding a clean urinal on the resident's bedside table? A) Place it in the bathroom B) Hang it on the bedside rail C) Ask the resident if he or she needs to urinate D) Encourage the resident to call when he or she needs the urinal Page 6 Chapter 22 - Test Assisting With Urinary Elimination Faculty Use Only Answer Key 1. A 2. B 3. B 4. A 5. A 6. C 7. A 8. C 9. A 10. C 11. C 12. A 13. D 14. A, B, C, E 15. A 16. B 17. A, B, C, E 18. C 19. C 20. D 21. D 22. C 23. D 24. C 25. C 26. A 27. C 28. B 29. C 30. B.
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