Basic Nursing Skills Urinary & Bowel Elimination 2

Question 1

What is the priority nursing action when caring for a patient with an indwelling urinary catheter to prevent infection?

Accepted Answer

Maintain a closed drainage system

Answer

Irrigate the catheter every shift

Answer

Keep the drainage bag above bladder level

Answer

Change the catheter every 24 hours

Question 2

Dark, tarry (melena) stools are most commonly associated with:

Accepted Answer

Upper gastrointestinal bleeding

Answer

Lower gastrointestinal bleeding

Answer

Normal bowel function

Answer

Excess dietary fiber intake

Question 3

The normal range for urine specific gravity is:

Accepted Answer

1.005–1.030

Answer

1.000–1.005

Answer

1.030–1.050

Answer

0.990–1.000

Question 4

When collecting a clean-catch midstream urine specimen from a female patient, the nurse should instruct the patient to:

Accepted Answer

Cleanse the urethral area front to back, then collect midstream urine

Answer

Collect all urine from the beginning of urination

Answer

Collect the last portion of the urine stream

Answer

Void directly into the specimen cup without preparation

Question 5

Which assessment finding is most consistent with urinary retention?

Accepted Answer

Bladder distension with inability to void

Answer

Frequent urination of small amounts

Answer

Urine output of 60 mL/hour

Answer

Dilute urine with specific gravity of 1.002

Question 6

The correct position for administering a tap water enema is:

Accepted Answer

Left Sims' position

Answer

Supine with arms at sides

Answer

Right lateral position

Answer

Dorsal recumbent position

Question 7

A patient suddenly reports a strong urge to defecate. The nurse's first action should be to:

Accepted Answer

Assist the patient to the commode or bathroom promptly

Answer

Administer a PRN laxative as ordered

Answer

Apply a brief for incontinence management

Answer

Document the report and continue current care