Urinary Elimination

The nurse calculates urinary output for a client admitted with dehydration and determines the client's output is 800 mL/day. Which nursing intervention is most appropriate for the nurse to perform first? notify the healthcare provider document the finding as normal assess the urine color and clarity insert an indwelling urinary catheter

assess the urine color and clarity

What clinical manifestations might a nurse expect to see if a client has impaired renal function? select all high blood pressure altered mental status increased urine production fluid retention decreased heart rate

high blood pressure altered mental status fluid retention

Which are urinary symptoms that may occur as a result of the aging process? select all. leakage of urine decreased frequency of urination decreased volume of urine nocturnal frequency of urine bladder infections

leakage of urine nocturnal frequency of urine bladder infections

what should the nurse include in the post-procedure care for a client who underwent a cystoscopy? select all monitor intake and output assess color and clarity of urine provide only clear liquids obtain vital signs every 8 hours instruct about the use of contrast dye

monitor intake and output assess color and clarity of urine

Which factors place female clients at higher risk for UTI? select all pregnancy menopause sexual activity prostate enlargement longer urethral length

pregnancy menopause sexual activity

What should the nurse include in the teaching for a client with an ileal conduit urinary diversion? select all ensure the collection device fits snugly against skin empty the ostomy bag frequently apply lotion to the area if skin is excoriated catheterize the reservoir several times a day performing Crede's maneuver to empty the bladder

ensure the collection device fits snugly against skin empty the ostomy bag frequently

A client reports severe pain in the pubic area and the nurse determines the client has acute urinary retention. The client reports never experiencing this before. Which new medication may be the cause? lisinopril ibuprofen fexofenadine metoprolol

fexofenadine

which is an advantage of intermittent catheterization over indwelling catheters? convenience to the client decreased risk of infection can be removed immediately and client can void normally convenient for the nurse

can be removed immediately and client can void normally

the nurse just finished inserting an indwelling urinary catheter into a client and is sitting down to document the procedure. which information should the nurse include in the medical record? select all catheter size provision of privacy date and time of insertion projected date of removal amount of saline in balloon color, clarity, and amount of urine return

catheter size date and time of insertion amount of saline in balloon color clarity and amount of urine return

The nurse is providing discharge teaching for a client who will be taking a loop diuretic. What should the nurse include in the teaching? select all. change positions slowly stay out of direct sunlight report any muscle weakness notify the health-care provider of any rash signs and symptoms of high potassium levels

change positions slowly report any muscle weakness notify the healthcare provider of any rash

a urine specimen is obtained by a client cleaning the exterior meatus, then beginning to void, then collecting the urine sample midstream. which type of specimen does this describe? freshly voided specimen clean-catch specimen sterile urine specimen 24-hour specimen

clean catch specimen

Which structures are contained within a nephron? collecting duct bowman's capsule ureters renal cortex filtrating tubules

collecting duct bowman's capsule filtrating tubules

which physiological factors can place an 83 year old client at risk for acute kidney injury? select all decline in glomerular function loss of urinary sphincter control arteriosclerotic blood vessel changes decreased abdominal muscle control consumption of large quantities of caffeine

decline in glomerular function arteriosclerotic blood vessel changes

A nurse is inserting an indwelling catheter into a client. She begins to inflate the balloon, she feels resistance, and the client complains of discomfort. Which action should the nurse take? remove the catheter and discard it notify the physician and document that the client refused a catheter deflate the balloon and advance the catheter about an inch before attempting again leave the catheter in place without inflating the balloon

deflate the balloon and advance the catheter about an inch before attempting again

which interventions should the nurse instruct the client to perform to decrease the incidence of urinary incontinence? select all that apply eliminate caffeine from the diet limit the intake of fluids stop smoking lose weight increase the use of artificial sweetners

eliminate caffeine from the diet stop smoking lose weight

What anatomical feature makes women more prone to UTI than men? increased width of the pelvic bones proximity of the urethra to the vagina and anus larger bladder decreased length of the ureters

proximity of the urethra to the vagina and anus

The nurse is preparing to remove an indwelling urinary catheter from a client who underwent a prostatectomy a week ago. Which size syringe would be most appropriate for the nurse to use to deflate the retention balloon? 3 mL 5 mL 10 mL 30 mL

30 mL

Which describe the glomerular filtration rate? the amount of filtrate formed by the kidneys per minute the volume of blood that passes through the kidneys in each cardiac cycle the amount of waste removed by the kidney each minute the amount of urine that collects in the bladder per minute

the amount of filtrate formed by the kidneys per minute

Which ion controls acid-base balance? sodium oxygen hydrogen potassium

hydrogen

the nurse is caring for a client with acute kidney injury and reviews the medical record for new orders. which order given by the health-care provider should the nurse question cystoscopy cystometry renal biopsy intravenous pyelogram

intravenous pyelogram

Which are urinary symptoms that may occur as a result of the aging process? select all leakage of urine decreased frequency of urination decreased volume of urine nocturnal frequency of urine bladder infections

leakage of urine nocturnal frequency of urine bladder infections

which are goals of nursing care for a client with an indwelling urinary catheter? select all prevent infection maintain skin integrity prevent the client from ambulating keep the catheter in as long as possible maintain the free flow of urine

prevent infection maintain skin integrity maintain the free flow of urine

Which actions occur to blood as it moves through the peritubular capillaries? select all removes ammonia from the blood hydrogen ions secreted to help maintain normal blood pH antidiuretic hormone produced aldosterone secreted removes creatine from the blood

removes ammonia from blood hydrogen ions secreted to help maintain normal blood pH removes creatine from the blood

Which function of the kidney are considered secondary functions? select all acid base balance renin production water reabsorption vit. D activation erythropoietin secretion

renin production vit. D activation erythropoietin secretion

the home health nurse just removed an indwelling urinary catheter from a client per the health care provider's order. which instructions should the nurse provide the client? select all that apply report any pain or burning upon urination increase oral fluid intake to promote urine production contact the healthcare provider if unable to urinate 8 hours after catheter removal notify the health-care provider after the first void with color and amount of urine discard the first urine sample after removing the catheter and then collect the urine in a jug for the next 24 hours

report any pain or burning upon urination increase oral fluid intake to promote urine production contact the healthcare provider if unable to urinate 8 hours after catheter removal

when inserting an indwelling catheter which level of asepsis is used? medical asepsis disinfection surgical asepsis low level asepsis

surgical asepsis

the parents of a 2 year old child voice concern to the nurse that they are not able to toilet train the child yet. which factors should the nurse explain to the parents that affect toilet training? select all the child must be able to sense the urge to void the child must be able to remove his or her clothes the child must be able to voice the need to urinate the child must be able to completely wipe from front to back the child must be able to balance himself or herself on the toilet

the child must be able to sense the urge to void the child must be able to remove his or her clothes the child must be able to voice the need to urinate

the nurse is discussing ways to treat functional incontinence with a group of older adults in a senior citizens center. which intervention would be most appropriate for the nurse to include in the presentation? timed voiding kegel exercises straight catheterization pharmacological treatment

timed voiding

the nurse is educating unlicensed NAP about recording output for a client. What fluids should the nurse include in the output for accuracy? select all urine emesis diarrhea nasal drainage intravenous fluids nasogastric drainage

urine emesis diarrhea nasogastric drainage