ADN 240

When providing client teaching about continous bladder irrigation prostate surgery, the nurse should tell the client:

"The purpose of the irrigation is to keep the bladder drainage clear and to prevent the formation of blood clots in the bladder."

You are the guest speaker at a women's club. Most of the women are over the age of 40 years. The women have asked you to speak on health promotion topics. In the area of urinary urgency, you instruct the women to:

Perform kegel exercises

A client is scheduled for an intravenous pyleogram (IVP). In preparation for the procedure, what should the nurse ask the client?

"Do you have any allergies?"

A client who is recovering from transurethral resection of the prostate (TURP) experiences urinary incontinence and has decreased the fluid intake because of the incontinence. What would be the nurse's best response to the client?

"Drink eight glasses of water a day and urinate every 2 hours."

Several of the patients on a geriatric subacute medicine uni tare experiencing urinary incontinence from differing causes. Which of the following statements suggests that the patient requires further teaching?

"I make sure to limit how much I drink so that I don't have to use the bathroom as much during the night."

A nurse is planning a group teaching session on the topic of UTI prevention. Which of the following statements, if made by a group member, would indicate understanding of the teaching?

"I should notify the physician if urinary urgency, burning, frequency, or difficulty urinating occurs."

A client is prescribed dutasteride (Avodart) as part of treatment for benign prostatic hyperplasia (BPH). When teaching the client about this drug, the nurse integrates knowledge of the drug's action. Which statement best reflects this?

"The drug interferes with testosterone, which causes the prostate to shrink in size."

The nurse is conducting discharge teaching for a patient who was admitted with a kidney stone. The nurse includes which of the following as a measure to prevent additional kidney stones?

Avoid drinking tea.

A client with benign prostatic hypertrophy (BPH) is being treated with terazosin 2 mg at bedtime. The nurse should monitor the client's:

BP

When a client is diagnosed with a UTI, the nurse anticipates that the client's urine will be

Cloudy with an offensive odor

A nurse is developing a plan of care for a patient experiencing urinary incontinence and identifies a nursing diagnosis of risk for infection related to urinary incontinence and inadequate bladder emptying. Which of the following would the nurse most likely include as an appropriate fluid to encourage?

Cranberry juice

A client with benign prostatic hypertrophy (BPH) has an elevated prostate-specific antigen (PSA) level. The nurse should:

Determine if the prostatic palpation was done before or after the blood sample was drawn.

The nurse is assessing a patient admitted with renal stones. During the admission assessment, what parameters would be priorities for the nurse to address? (SAP)

Dietary history Family history of renal stones Medication history

The nurse is assessing a client who has benign prostatic hypertrophy (BPH). The nurse should ask the client if he has:

Difficulty starting the urinary stream.

A patient with frequent urinary tract infections has returned to the ambulatory clinic with symptoms of another UTI. The nurse reviews measures to follow to promote health and decrease the risk of contracting a UTI. Which measure is appropriate for the patient to follow?

Drink two glasses of water before and after sexual intercourse.

Which of the following would not be included as a condition that can cause an elevated PSA level in the absence of prostate cancer?

Erectile dysfunction

Which intervention should the nurse suggest to help a client with multiple sclerosis avoid episodes or urinary incontinence?

Establish a regular voiding schedule

A client who visits a health care facility for a routine assessment complains to the nurse that he is unable to control his urinary elimination. This has resulted in him soiling his clothes and has lead to a lot of embarrassment. How should the nurse document the client's condition?

Incontinence

A patient has been successfully treated for kidney stones and is preparing for discharge. The nurse recognizes the risk of recurrence and has planned the patient's discharge education accordingly. What preventative measure should the nurse encourage the patient to adopt?

Increasing fluid intake

Which of the following is an advantage of using a condom catheter for a male patient who has frequent episodes of urinary incontinence?

It collects urine into a drainage bag without the risk of infection associated with indwelling urinary catheters.

A 54 y.o. machinist is being seen by a physician within the urology group where you practice nursing. He has been experiencing severe pain and hematuria and hardly able to ambulate into the physician's office. The physician orders diagnostic test to confirm his suspicion of kidney stones. What test would you expect the physician to order?

KUB

A client who's dehydrated has urinary incontinence and expiration in the perineal area. Which action would be a priority?

Keeping the perineal area clean and dry

A client at the health care facility has been diagnosed with total urinary incontinence. How could the nurse describe the condition of the client?

Loss of urine without any identifiable pattern or warning

A client states that urinary incontinence has become a problem and asks the nurse how to help control or alleviate this problem. Which statement by the nurse would be accurate?

Performing Kegel exercises can help with muscle strengthening.

A male patient, who is 82 years of age, suffers from urinary incontinence. Which of the following factors should the nurse assess before beginning a bladder training program for the patient?

Physical and environmental conditions

When caring for a client with a history of benign prostatic hypertrophy (BPH), what should the nurse do? (SAP)

Provide privacy and time for the client to void Monitor intake and output Ask the client if he has urinary retention Test the urine for hematuria

Which of the following is a factor that contributes to urinary incontinence in the older female adult?

Relaxed perineal muscle

Laboratory results for a patient on prolonged bedrest include a high level of urinary calcium. What risk does this pose for the patient?

Renal calculi (kidney stones)

Which of the following herbal remedies is used to treat symptoms of benign prostatic hypertrophy (BPH)?

Saw palmetto

A man with urinary incontinence tells the nurse he wears adult diapers for protection. What risks should the nurse discuss with this patient?

Skin breakdown and UTI

A patient with kidney stones is scheduled for extracorporeal shock wave lithotripsy (ESWL). What should the nurse include in the patient's post-procedure care?

Strain the patient's urine following the procedure.

A school health nurse is teaching a group of 7 y.o. girls about preventing urinary tract infections. What is the most appropriate information for the nurse to give the girls?

Teach the girls to wipe from front to back after going to the bathroom.

A client who had a transurethral resection of the prostate (TURP) 1 day earlier has a three-way foley catheter inserted for continuous bladder irrigation. Which of the following statements best explains why continuous irrigation is used after TURP?

To keep the catheter free from clot obstruction.

During a health history interview, a male patient tells the nurse that he does not feel that he completely empties his bladder when he voids. He has been diagnosed with an enlarged prostate. What is the name of this symptom?

Urinary retention

The nurse measures a patient's residual urine by catheterization after the patient voids. What condition would this test verify?

Urinary retention

A nurse is caring for a 73 y.o. patient with a urethral obstruction related to prostatic enlargement. When planning this patient's care, the nurse should be aware of the consequent risk of what complications?

Urinary tract infection

Which factor should be checked when evaluating the effectiveness of an alpha-adrenergic blocker given to a client with benign prostatic hyperplasia (BPH)?

Voiding pattern