PrepU Urinary Elimination

The experienced nurse is observing a new nurse who is preparing to catheterize a female client. Which statement by the new nurse requires immediate intervention by the experienced nurse? "The client will be placed in a reclining position with knees bent." "I will place a bath blanket over the client to provide privacy." "I will use clean gloves to handle the catheter and other equipment." "Washing hands before and after the procedure is important."

"I will use clean gloves to handle the catheter and other equipment."

Which is the test that would provide an accurate measurement of the kidney's excretion of creatinine? 24-hour specimen intermittent specimen random specimen clean-catch specimen

24-hour specimen

The client is preparing to obtain a clean-catch midstream urine specimen. List in order the steps needed to complete the diagnostic test. 1Submit collected specimen to the health care professional. 2Void a small amount into stool. 3Void into the provided collection device. 4Clean the area surrounding the urinary meatus with the provided cloth. 5Provide instruction to the client. 6Secure the lid on the specimen container.

5Provide instruction to the client. 4Clean the area surrounding the urinary meatus with the provided cloth. 2Void a small amount into stool. 3Void into the provided collection device. 6Secure the lid on the specimen container. 1Submit collected specimen to the health care professional.

A nurse is assessing a client who is complaining of difficulty urinating. Which assessment would be a priority? Asking the client when he or she had last urinated Palpating the bladder above the symphysis pubis Obtaining the bladder scanner to check the urine volume Determining any pain when palpating the lower abdomen

Asking the client when he or she had last urinated

The nurse is caring for a client who has a history of renal failure. What is an accurate step when caring for the client's hemodialysis access? Auscultate over the site with a stethoscope to listen for a bruit. Percuss the site to feel for a thrill or vibration. If a thrill is not palpable and/or a bruit is not detectable, assess for these signs in the other arm. Use the affected arm if an IV must be started to avoid impairment of both arms.

Auscultate over the site with a stethoscope to listen for a bruit.

The nurse is teaching an older adult female client who must provide a urine specimen. Which is the proper method to instruct the client to use to obtain a clean-catch urine specimen? Catch the urine while holding the labia apart, after cleansing. Fill the specimen cup. Catch the urine while holding the labia apart, then cleanse each side of the labia with prepared aseptic swabs. Catch the urine while holding the labia apart, after allowing the first urine to flow into the toilet. Catch the urine in the cup after cleansing the perineum.

Catch the urine while holding the labia apart, after allowing the first urine to flow into the toilet.

A female client is diagnosed with recurrent urinary tract infections (UTIs) and the nurse is providing education about preventative methods. What information is important for the nurse to give to the client to prevent another UTI? Select all that apply. Avoid clothing that is tight and restrictive on the lower half of the body. Wear underwear with a cotton crotch. Drink two 8-oz glasses (480 mL) of water before and after sexual intercourse and void immediately after intercourse. Dry the perineal area after urination or defecation from the back to the front. Take baths instead of showers.

Drink two 8-oz glasses (480 mL) of water before and after sexual intercourse and void immediately after intercourse. Wear underwear with a cotton crotch. Avoid clothing that is tight and restrictive on the lower half of the body.

A nurse is caring for a client with an external condom catheter. Which guideline should be implemented when applying and caring for this type of catheter? Wipe the penis thoroughly with an alcohol swab and dry thoroughly before application. Ensure the tip of the tubing is touching the tip of the client's penis. Fasten the condom securely enough to prevent leakage without constricting blood flow. Remove the catheter every 8 hours, or more often in humid weather.

Fasten the condom securely enough to prevent leakage without constricting blood flow.

The nurse completes the task of changing the dressing of a recent surgically inserted peritoneal dialysis catheter. The nurse has applied antibiotic ointment as prescribed, covered the site with 4 × 4 gauze, and labeled the dressing with the date, time of change, and initials of the nurse performing the task. Prior to leaving the client's bedside, the nurse should complete which task next? Secure the tubing of the peritoneal dialysis catheter to the client's abdomen. Ensure that the client's bed is in a locked position. Perform hand hygiene. Replace the linens under the client to decrease moisture.

Secure the tubing of the peritoneal dialysis catheter to the client's abdomen.

The nurse is caring for a client who has been experiencing difficulty voiding since her vaginal birth. The client voices concern to the nurse. What information should be provided to the client? A neurogenic bladder results from local anesthesia. The birth can cause perineal swelling. Catheterization is necessary for 1 week. A urinary tract infection results from the birth process.

The birth can cause perineal swelling.

The clinic nurse is collecting data from a female client with frequent, recurrent urinary tract infections who was discharged from the hospital. Which data collection would indicate to the nurse that the client is adhering to discharge instructions? The client drinks two glasses of water before and after sexual intercourse. Since the client is symptom-free, she no longer takes the prescribed antibiotics. The client soaks in the bathtub daily for perineal care. The client drinks eight 8-oz glasses of cranberry juice daily.

The client drinks two glasses of water before and after sexual intercourse.

The nurse is caring for a client with concerns of urinary incontinence. A review of the client's data collection reveals the client has a history of spinal surgery and states, "I urinate all the time and cannot predict when I will urinate." This data collection would suggest to the nurse that this client is experiencing which type of urinary incontinence? Stress incontinence Overflow incontinence Total incontinence Functional incontinence

Total incontinence

The nurse is choosing a collection device to collect urine from a nonambulatory male client? What would be the nurse's best choice? Large urine collection bag Specimen hat Urinal Bedpan

Urinal

A nurse is preparing to measure a client's urine output. Which interventions would be of highest priority? Noting the color and clarity of the urine Using an appropriate measuring container Measuring the urine container at eye level Wearing gloves when handling the urine

Wearing gloves when handling the urine

A woman is reporting bladder urgency. It is most important to assess: weight. vitamin supplements. exercise. caffeine intake.

caffeine intake

The nurse is caring for a client who reports burning upon urination, and an ongoing sense of needing to urinate. Which urine characteristics does the nurse anticipate? strongly aromatic, amber cloudy, foul odor clear, dark amber light yellow, clear

cloudy, foul odor

The nurse is caring for a client who has dark amber, strongly aromatic urine with nausea and vomiting. Which condition does the nurse anticipate? dehydration balanced fluids hypovolemia renal failure

dehydration

The nurse is reviewing the urinalysis of a client suspected of having a urinary tract infection. The potential diagnosis will be supported by the presence of: pus. calculi. protein. casts.

pus

A client reports to the nurse that after delivering a baby, she loses small amounts of urine each time she sneezes or laughs hard. Which type of incontinence does the nurse anticipate? stress reflex total urge

stress

A nurse is caring for a client who has an infant age 4 months. The client informs the nurse that she has been experiencing a sudden loss of urine whenever she laughs; this is causing embarrassment to her. Which type of urinary incontinence is this client experiencing? reflex incontinence stress incontinence functional incontinence urge incontinence

stress incontinence