Urinary Elimination Geri Questions
A client has a nursing diagnosis of Functional Incontinence related to hip osteoarthritis. Which nursing action will be included in the plan of care?
Assist the client to the bathroom every 2 hours Functional incontinence occurs when the patient is unable to get to the bathroom because of problems with immobility or other factors unrelated to bladder function, so assisting the client to the bathroom is likely to be helpful.
The most common presenting objective symptoms of a urinary tract infection in older adults, especially in those with dementia, include? a. Hematuria b. Change in cognitive functioning c. Back pain d. Incontinence
B The most common objective finding is a change in cognitive functioning, especially in those with dementia, because these patients usually exhibit even more profound cognitive changes with the onset of a UTI. Incontinence, hematuria, and back pain are not the most common presenting objective symptoms.
Which of the following is a factor contributing to UTI in older adults? a. Low incidence of chronic illness b. Sporadic use of antimicrobial agents c. Immunocompromise d. Active lifestyle
C
After teaching a group of students about the types of urinary incontinence and possible causes, the instructor determines that the student have understood the material when they identify which of the following as a cause of stress incontinence? a. Obstruction due to fecal impaction or enlarged prostate b. Bladder irritation related to urinary tract infections c. Increased urine production due to metabolic conditions d. Decreased pelvic muscle tone due to multiple pregnancies
D
An assessment is completed by the nurse and a nursing diagnosis for the oriented adult female client is identified as "Stress incontinence related to decreased pelvic muscle tone". An appropriate nursing intervention based on this diagnosis is to: A) Apply adult diapers B) Catheterize the client C) Initiate a bladder emptying program D) Teach Kegel exercises
D
Functional incontinence
Functional incontinence is a form of urinary incontinence in which a person is usually aware of the need to urinate, but for one or more physical or mental reasons they are unable to get to a bathroom
Causes of renal calculi
Genetics, dehydration, Eating a diet that's high in protein, sodium and sugar, obesity, Digestive diseases and surgery.
A client is diagnosed with a superficial bladder cancer. The nurse plans to teach the client about:
Intravesical chemotherapy For superficial bladder tumors, the most common treatment is intravesical instillation of chemotherapy, or BCG. Partial cystectomy and ilial conduit surgery are used for most extensive bladder cancers. Radiation therapy is rarely used for bladder cancer.
Neurogenic incontinence
Neurogenic bladder is impaired bladder function resulting from damage to the nerves that govern the urinary tract.
Overflow incontinence
Overflow incontinence is a form of urinary incontinence, characterized by the involuntary release of urine from an overfull urinary bladder, often in the absence of any urge to urinate.
Symptoms of advanced bladder cancer
Swollen legs. Pain in your bones. Pain in your tummy (abdomen) Lumps in your abdomen or neck. Yellowing of the skin or whites of the eyes (jaundice)
Treatment for renal calculi
drink water, pain meds, alpha blocker, sound waves to break up stones, surgery.
A client who has bladder cancer is receiving intravesical chemotherapy. The nurse will monitor the client for:
dysuria Intravesical chemotherapy does not have systemic effects, so hair loss, nausea, and anorexia are not expected adverse effects. Painful urination caused by irritation of the bladder wall is an expected adverse effect.
