Ch. 58 Urinary Conditions Flashcards
The nurse is performing catheter care. Which nursing action demonstrates proper aseptic technique?
A. Applying Betadine ointment to the perineal area after catheterization.
B. Irrigating the catheter daily.
C. Positioning the collection bag below the height of the bladder
D. Sending a urine specimen to the laboratory for testing
C. Positioning the collection bag below the height of the bladder
The nurse is instructing an older adult female client about interventions to decrease the risk for cystitis. Which client statement indicates that the teaching was effective?
A. “I must avoid drinking carbonated beverages.”
B. “I need to douche vaginally once a week.”
C. “I need to drink 2 ½ L of fluid every day.”
D. “I will not drink fluids after 8 p.m. each evening.”
C. “I need to drink 2 ½ L of fluid every day.”
The nurse is teaching a client about pelvic muscle exercises. What information does the nurse include?
A. “For the best effect, perform all of your exercises while you are seated on the toilet.”
B. “Limit your exercises to 5 minutes twice a day, or you may injure yourself.”
C. “Results should be visible to you within 72 hours.”
D. “You are exercising correct muscles if you can stop urine flow in midstream.”
D. “You are exercising correct muscles if you can stop urine flow in midstream.”
The nurse is teaching the importance of a low purine diet to a client admitted with urolithiasis consisting of uric acid. Which client statement indicates that teaching was effective?
A. “I am so relieved that I can continue eating my fried fish meals every week.”
B. “I will quit growing rhubarb in my garden since I’m not supposed to eat it anymore.”
C. “My wife will be happy to know that I can keep enjoying her liver and onions recipe.”
D. “I will no longer be able to have red wine with my dinner.”
D. “I will no longer be able to have red wine with my dinner.”
The nurse is teaching a client with a neurogenic bladder to use intermittent self-catheterization for bladder emptying. Which client statement indicates a need for further clarification?
A. “A small-lumen catheter will help prevent injury to my urethra.”
B. “I will use a new, sterile catheter each time I do the procedure.”
C. “My family members can be taught to help me if I need it.”
D. “Proper hand washing before I start the procedure is very important.”
B. “I will use a new, sterile catheter each time I do the procedure.”
The nurse is teaching a client who is scheduled for a neobladder and a Kock pouch. Which statement indicates a correct understanding of these procedures?
A. “If I restrict my oral intake of fluids, the adjustment will be easier.”
B. “I must go to the restroom more often because my urine will be excreted through my anus.”
C. “I need to wear loose-fitting pants so the urine can flow into my ostomy bag.”
D. “I will have to drain my pouch with a catheter.”
D. “I will have to drain my pouch with a catheter.”
Which nursing intervention or practice is effective in helping to prevent urinary tract infections (UTI) in hospitalized clients?
A. Encouraging fluid intake
B. Irrigating all catheters daily with sterile saline
C. Recommending that catheters be placed in all clients
D. Reevaluating the need for indwelling catheters.
D. Reevaluating the need for indwelling catheters.
The nurse educates a group of women who have had frequent urinary tract infections (UTI) about how to avoid recurrences. Which client statement shows understanding of the teaching?
A. “I need to be drinking at least 1.5 to 2.5 L of fluids every day.”
B. “It is a good idea for me to reduce germs by taking a tub hath daily.”
C. “Trying to get to the bathroom to urinate every 6 hours is important for me.”
D. “Urinating 100mL on a daily basis is a good amount for me.”
A. “I need to be drinking at least 1.5 to 2.5 L of fluids every day.”
An older adult woman confides to the nurse, “I am so embarrassed about buying adult diapers for myself.” How does the nurse respond?
A. “Don’t worry about it. You need them.”
B. “Shop at night, when stores are less crowded.”
C. “Tell everyone that they are for your husband.”
D. “That is though. What do you think might help?”
D. “That is though. What do you think might help?”
A male client being treated for bladder cancer has a live virus compound instilled into his bladder as a treatment. What instruction does the nurse provide for post procedure home care?
A. “After 12 hours, your toilet should be cleaned with a 10% solution of bleach.”
B. “Do not share your toilet with family members for the next 24 hours.”
C. “Please be sure to stand when you are urinating.”
D. “Underwear worn during the procedure and for 12 hours afterwards should be discarded.”
B. “Do not share your toilet with family members for the next 24 hours.”
Which client does the nurse manager on the medical unit assign to an experienced LPN/LVN?
A. A 42 year old with painless hematuria who needs an admission assessment
B. A 46 year old scheduled for cystectomy who needs help in selecting a stoma site
C. A 48 year old receiving intravesical chemotherapy for bladder cancer
D. A 55 year old with incontinence who has intermittent catheterization ordered.
D. A 55 year old with incontinence who has intermittent catheterization ordered.
A client is referred to a home health agency after being hospitalized with overflow incontinence and a urinary tract infection. Which nursing action can the home health RN delegate to the home health aid (assistive personnel)?
A. Assisting the client with developing a schedule for when to take prescribed antibiotics
B. Inserting a straight catheter as necessary if the client is unable to empty the bladder
C. Teaching the client how to use the Credé maneuver to empty the bladder more fully
D. Using a bladder scanner to check residual bladder volume after the client voids
D. Using a bladder scanner to check residual bladder volume after the client voids
A client who is admitted with urolithiasis reports “spasms of intense flank pain, nausea, and severe dizziness.” Which intervention does the nurse implement first?
A. Administer morphine sulfate as prescribed.
B. Begin an infusion of metoclopramide as prescribed.
C. Obtain a urine specimen for urinalysis as prescribed.
D. Infuse 0.9% normal saline at 100 mL/hr as prescribed.
A. Administer morphine sulfate as prescribed.
The nurse receives the change-of-shift report on four clients. Which client will the nurse assess first?
A. A 26 year old admitted 2 days ago with urosepsis with an oral temperature of 99.4 F.
B. A 28 year old with urolithiasis who has been receiving morphine sulfate and has not voided for 8 hours.
C. A 32 year old admitted with hematuria and possible bladder cancer who is scheduled for cystoscopy.
D. A 40 year old with noninfectious urethritis who is reporting “burning” and has estrogen cream prescribed.
B. A 28 year old with urolithiasis who has been receiving morphine sulfate and has not voided for 8 hours.
A client with cognitive impairment has urge incontinence. Which method for achieving continence does the nurse include in the client’s care plan?
A. Bladder training
B. Crede method
C. Habit training
D. Kegel exercises
C. Habit training
