Chapter 45 315 Part 3

Which treatment plan would the nurse anticipate teaching a patient who reports accidental urine loss, urgency, and increased nocturnal frequency; and the health care provider infers the condition is due to an overactive detrusor muscle? 1.Containment devices 2.Surgical sphincterotomy 3.Intermittent catheterization 4.Bladder neck support devices

1.Containment devices

For the patient with bilateral ureteral obstructions, which precautions would the nurse implement when implementing prescribed irrigations via a newly placed nephrostomy tube? Select all that apply. 1.Perform irrigations utilizing strict aseptic precautions. 2.Assess for patency and do not kink, compress, or clamp the catheter. 3.Instill a total of 15 mL of sterile solution at one time to irrigate tube. 4.Assess the patient for any complaints of excessive pain in the affected area. 5.Utilize sterile 4x4s to collect the excessive drainage expected around the catheter

1.Perform irrigations utilizing strict aseptic precautions. 2.Assess for patency and do not kink, compress, or clamp the catheter. 4.Assess the patient for any complaints of excessive pain in the affected area.

When teaching a patient about techniques to manage urinary incontinence, which instructions would the nurse to include? Select all that apply. 1.Practice timed voiding. 2.Drink a cup of coffee. 3.Perform pelvic floor muscle training. 4.Perform intermittent catheterization. 5.Use incontinence protective pads.

1.Practice timed voiding. 3.Perform pelvic floor muscle training. 5.Use incontinence protective pads.

Which nursing interventions would the nurse implement when providing postoperative care for a patient who experienced a nephrectomy secondary to a renal tumor? Select all that apply. 1.Record urine output. 2.Weigh the patient daily. 3.Monitor abdominal distention. 4.Instruct the patient to minimize coughing. 5.Allow oral intake immediately after operation. 6.Provide adequate pain relief through analgesics.

1.Record urine output. 2.Weigh the patient daily. 3.Monitor abdominal distention 6.Provide adequate pain relief through analgesics.

Which type of urinary incontinence would the nurse suspect when preparing a patient for a procedure to increase the closing pressure of the urethra and increase the periurethral electromyography activity? 1.Stress incontinence 2.Reflex incontinence 3.Overflow incontinence 4.Incontinence after trauma or surgery

1.Stress incontinence

When developing the plan of care for a patient with interstitial cystitis, which type of urinary incontinence (UI) would influence the nursing interventions? 1.Urge incontinence 2.Stress incontinence 3.Reflex incontinence 4.Overflow incontinence

1.Urge incontinence

When developing the plan of care for a patient with spondylosis, which type of urinary incontinence (UI) would influence the identification of appropriate nursing interventions? 1.Urge incontinence 2.Stress incontinence 3.Reflex incontinence 4.Overflow incontinence

1.Urge incontinence

The primary health care provider orders retropubic colposuspension for a patient diagnosed with urinary incontinence (UI). Which complications might the nurse anticipate in the patient? Select all that apply. 1.Infection 2.Urinary retention 3.Vaginal prolapse 4.Bladder perforation 5.Postoperative voiding dysfunction

1.Vaginal prolapse 5.Postoperative voiding dysfunction

Which complications would the nurse associate with the long-term use of indwelling catheters? Select all that apply. 1.Bowel injury 2.Bladder spasms 3.Fistula formation 4.Bladder perforation 5.Periurethral abscess

2.Bladder spasms 3.Fistula formation 5.Periurethral abscess

When asked to explain the potential cause of a patient's urge incontinence, which disorders would the nurse recall? Select all that apply. 1.Cystoscopy 2.Brain tumor 3.Carcinoma in situ 4.Neurogenic bladder 5.Diabetic neuropathy

2.Brain tumor 3.Carcinoma in situ

Which prescribed medications would the nurse associate with the treatment of a patient reporting a full-bladder feeling and frequently leaking small amounts of urine during the day and night since they had a hemorrhoidectomy? Select all that apply. 1.Diazepam 2.Finasteride 3.Oxybutynin 4.Bethanechol 5.Trospium chloride

2.Finasteride (Proscar) 4.Bethanechol (Urecholine)

When developing a patient's plan of care, which potential complications would the nurse associate with intermittent bladder catheterization? Select all that apply. 1.Infection 2.Urethritis 3.Urethral stricture 4.Creation of false passage 5.Secondary stone formation

2.Urethritis 3.Urethral stricture 4.Creation of false passage

When developing the plan of care for a patient with a bladder outlet obstruction, which common cause would the nurse associate with this disorder? 1.Overdistention 2.Diabetes mellitus 3.Enlarged prostate 4.Chronic alcoholism

3.Enlarged prostate

Which prescribed device would the nurse explain when providing care for a patient diagnosed with minor pelvic organ prolapse? 1.External collection devices 2.Penile compression devices 3.Intravaginal support devices 4.Intraurethral occlusive devices

3.Intravaginal support device

Which antiincontinence device would the nurse discuss with a patient experiencing minor pelvic organ prolapse? 1.External collection devices 2.Penile compression devices 3.Intravaginal support devices 4.Intraurethral occlusive devices

3.Intravaginal support devices

Which containment device would the nurse use when needing to direct a patient's urine into a drainage bag? 1.Pessary 2.Urethral plug 3.Penile sheath 4.Bladder neck support prostheses

3.Penile sheath

When prescribed an angiotensin-converting enzyme (ACE) inhibitor, which potential side effect would affect the patient's lower urinary tract function? 1.Polyuria 2.Bladder irritation 3.Urinary retention in males 4.Cough triggering stress urinary incontinence (UI)

4.Cough triggering stress urinary incontinence (UI)

Which mediation would the nurse associate with treatment of a patient's voiding dysfunction by increasing the bladder's storage capacity? 1.Tamsulosin (Flomax) 2.Finasteride (Proscar) 3.Imipramine (Tofranil) 4.Mirabegron (Myrbetriq)

4.Mirabegron (Myrbetriq)

When providing preprocedural instructions for a patient requiring anesthesia, which type of incontinence might the patient experience postoperatively? 1. Urge incontinence 2. Stress incontinence 3. Reflex incontinence 4. Overflow Incontinence

4.Overflow incontinence

For the patient who received a surgical intervention for involuntary passage of urine, which surgical procedure did the patient have when the nurse identified a bladder perforation postoperatively? 1.Urinary diversion surgery 2.Laparoscopic nephrectomy 3.Retropubic colposuspension 4.Pubovaginal sling placement

4.Pubovaginal sling placement

When providing care for a patient with urinary incontinence (UI), which rationale supports the nursing intervention of inserting a urethral plug into the patient's urethra? 1.To support the bladder neck 2.To direct urine into the drainage bag 3.To prevent leakage through the urethra 4.To mechanically obstruct urine leakage

4.To mechanically obstruct urine leakage

When providing postoperative care for a patient recovering from pelvic surgery, the nurse would monitor for the development of which potential complications? Select all that apply. a. Paralytic ileus b. Thrombophlebitis c. Periurethral abscess d. Small bowel obstruction e. Secondary stone formation

A.Paralytic ileus B.Thrombophlebitis D.Small bowel obstruction

Which disorder would the nurse associate with a patient's inability to urinate, lower abdominal pain, and a postvoid residual (PVR) volume of 150mL of urine?

Deficient detrusor contraction strength

Which predisposing factor would the nurse associate with the development of small renal calculi trapped within a patient's ureter?

Hyperoxaluria

Which precipitating factor is a common cause of pyelonephritis in patients admitted to medical unit from a long term care facility ?

Hypertension

Which risk factor would the nurse associate with the patient's development of urinary tract calculi?

Large intake of dietary proteins

When a patient's clinical manifestations include hematuria, red blood cell casts, and proteinuria, which underlying cause would the nurse associate with this patient? Select all that apply.

Systemic lupus erythematosus (SLE) Acute poststreptococcal glomerulonephritis (APSGN)

Which medication would the nurse correlate with the treatment of a patient's frequent urine leakage of small amounts throughout the day and night, as well as a palpable and distended bladder upon assessment?

Tamsulosin (Flomax)

Which diagnosis would the nurse associate with a patient's clinical manifestations of hematuria, progressive uremia, and sensorineural deafness? a. Alport syndrome b. Nephrotic syndrome c. Goodpasture syndrome d. Polycystic kidney disease (PKD)

a.Alport syndrome

For the patient scheduled for insertion of a suprapubic catheter, which disorder would the nurse associate with this intervention? a. Bladder cancer b. Spinal cord injury c. Neurologic disease d. Bladder outlet obstruction

a.Bladder cancer

Which term would the nurse use to explain a patient's complaints of urinary incontinence while coughing or sneezing to the patient and their caregiver? a. Stress incontinence b. Reflex incontinence c. Trauma incontinence d. Overflow incontinence

a.Stress incontinence

Which medications would the nurse associate with treatment of a patient's urethral sphincter resistance to urinary outflow? Select all that apply. a. Terazosin b. Doxazosin c. Finasteride d. Mirabegron e. Propantheline

a.Terazosin (Hytrin) b.Doxazosin (Cardura)

Which interventions would the nurse implement when providing care for a patient with a ureteral catheter? Select all that apply. a. Verify placement and patency of the catheter frequently. b. Instruct the patient to tolerate intermittent pelvic pain. c. Check drainage amounts and characteristics every one to two hours. d. Clamp the ureteral catheter to avoid urine leakage during ambulation. e. Routinely irrigate the closed drainage system with 30 mL of sterile water every shift.

a.Verify placement and patency of the catheter frequently. c.Check drainage amounts and characteristics every one to two hours.

When a patient asks about the procedure to insert their supra-pubic catheter, which response will the nurse use? a. Insertion occurs through your external meatus into the affected urethra b. Catheter insertion is through a small incision in your abdominal wall c. The catheter is inserted by threading the catheter up the urethra through the bladder, and to the ureters d. The catheter threads through a small flank incision directly into the kidney pelvis.

b. Catheter insertion is through a small incision in your abdominal wall.

When assessing the cognitive-perceptual pattern during a health history interview, which questions would the nurse ask the patient diagnosed with renal calculi? Select all that apply. a. "Do you experience urinary frequency?" b. "Do you experience pain in your genitalia?" c. "Do you have a family history of renal calculi?" d. "Do you experience colicky pain in your abdomen?" e. "Do you take purine-rich foods like sardines or sweet bread?"

b."Do you experience pain in your genitalia?" d."Do you experience colicky pain in your abdomen?"

To avoid further complications, which dietary restrictions would the nurse teach a patient with uric acid stones? Select all that apply. a. Avoid cheese. b. Avoid herring. c. Avoid spinach. d. Avoid sardines. e. Avoid dried fruits.

b.Avoid herring d.Avoid sardines

When providing discharge instructions for a patient with a β-hemolytic streptococcal infection, which potential complication would the nurse teach the patient regarding adherence to the aggressive treatment plan? a. Pneumonia b. Glomerulonephritis c. Fibrosis of the lungs d. Pheochromocytoma

b.Glomerulonephritis

For the patient at risk for ureter obstruction from edema while recovering from a lithotripsy procedure, which urinary drainage catheter would the nurse expect to identify and assess? a. Urethral catheter b. Ureteral catheter c. Suprapubic catheter d. Nephrostomy catheter

b.Ureteral catheter