ATI Chp 29 & 30 Urinary and bowel elimination

A nurse is reinforcing discharge teaching to a client who be performing intermittent self catheterization Which of the following statements should the nurse include in the teaching?

Advance the catheter 5cm( 2in) after urine begins to flow

A client who has an indwelling catheter reports a need to urinate. Which of the following actions should the nurse take?

Check to see whether the catheter is patent.

A nurse is teaching a client who reports stress urinary incontinence. Which of the following instructions should the nurse include?

Decrease or avoid caffeine Avoid drinking alcohol

A nurse is reinforcing teaching with a client who has a urinary tract infection. Which of the following risk factors should the nurse include in the teaching?

Diabetes Mellitus Rationale: diabetes mellitus is considered a risk factor for a UTI due to the increased amount of glucose present in the urine.

A nurse is reinforcing teaching with a client who reports constipation and wants to use an herbal supplement. The nurse should a identify that the client can use which of the following herbal supplements to treat constipation?

Flaxseed Rationale: Flaxseed provides soluble plant fiber and will mimic the action of a bulk forming a laxative to treat constipation. In addition flaxseed reduces total cholesterol and LDL cholesterol but has no effect on HDL cholesterol or triglycerides.

A nurse is reviewing factors that increase the risk of UTIs with a client who has recurrent UTIs. Which of the following should the nurse include?

Frequent sexual intercourse Location of the urethra closer to the anus Frequent catheterization

A nurse is preparing to initiate a bladder retraining program for a client who has incontinence. Which of the following actions should the nurse take?

Have the client record urination times Gradually increase urination intervals Remind the client to hold urine until the next scheduled urination time.

A nurse is assisting with the care of a client following a transurethral resection of the prostate (TURP) and has an indwelling urinary catheter. Which of the following actions should the nurse take?

Irrigate the catheter as prescribed Rationale: The nurse should irrigate the catheter to remove blood clots and maintain catheter patency

A nurse is reinforcing discharge instructions with a client who has a new prescription for Phenazopyridine hydrochloride. Which of the following statements should the nurse include in the instructions?

Phenazyopyridine hydrochloride works as a urinary tract analgesic. Rationale: The nurse should include in the clients instruction that the medication works as an anesthetic to relieve burning upon urination.

A nurse is reinforcing teaching with a client who has a new prescription for Phenazopyridine. The nurse should reinforce to the client to expect which of the following while taking this medication?

Reddish orange urine

A nurse in the clinic is collecting data from a client who has a cystitis. Which of the following findings should the nurse expect?

Suprapubic tenderness

A nurse is caring for a client who has paraplegia and is on an intermittent urinary catheterization program. Which of the following findings indicates to the nurse the need to catheterize the client?

Suprspubic discomfort

A nurse is reinforcing teaching with a client about the oliguric phase of acute kidney injury. Which of the following information should the nurse include in the teaching?

The clients urine output is less than 400 mL per 24 hours Rationale: the client who has a cure kidney injury will have urine output of 100 to 400 ml per 24 hrs

A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the following information should be included when explaining the procedure to the client?

The specimen cannot be contaminated with urine

A nurse in a providers office is collecting data from an older adult client who reports a sudden onset of urinary incontinence. The nurse should collect additional data to determine if the client has which of the following conditions?

Urinary tract infection

A nurse is preparing to administer a cleansing enema to an adult client and preparation for a diagnostic procedure. Which of the following steps should the nurse take?

Warm the enema solution prior to instillation Position client on the left side with the right leg flexed forward. Lubricate the rectal tube or nozzle

A nurse is reinforcing teaching about elimination with an adolescent who is paralyzed from the waist down following A spinal cord injury. Which of the following statements by the adolescent indicates a need for further teaching?

" I need to catheterize myself twice a day" Rationale: in most cases paralysis from the waist down affects bladder and bowel control. catheterization should be performed every 4 to 6 hrs and as needed. Infrequent emptying of the bladder can result in urinary tract infections.

A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram (IVP) Which of the following statements should the nurse include in the teaching?

" after the procedure you will be encouraged to drink plenty of fluids " Rationale: The nurse should encourage fluid intake after the procedure to promote elimination of the dye

A nurse is reinforcing teaching about a high fiber diet with a client who has constipation. Which of the following statements indicates the client understands the best choice for a high fiber diet?

" my breakfast choice is 1/2 cup of bran cereal"

A nurse in a providers office is reinforcing teaching with a client who is to undergo a cystoscope. Which of the following information should the nurse include in the teaching?

" you can take a warm sitz bath after the procedure" Rationale: following the procedure the client might have avoiding discomfort. A mild and analgesic and warm sitz bath can help alleviate pain.

A nurse is caring for a client who is pregnant and reports constipation. Which of the following recommendations should the nurse make?

Increased fiber and fluid in the diet

A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asked the nurse "what is the purpose of this test" which of the following responses should the nurse give?

"This test will inform your provider how your kidneys are functioning in "

A nurse is caring for a client who has impaired renal function. The nurse should notify the provider if the clients hourly urine output falls below what amount?

30 ml Rationale: The nurse should report a urinary output that is less than 30 mL an hour to the provider. This indicates a fluid in balance, a decreased circulating fluid volume, and possibly in adequate renal perfusion.

A nurse is assisting with the plan Of care for a client who has a three-way urethral catheter connected to continuous bladder irrigation following a suprapubic and transurethral resection of the prostate. Which intervention should the nurse include in the plan of care?

Adjust the flow rate of the irrigation fluid so that the urine is light pink. Rationale: The purpose of the three-way catheter with irrigation is to promote hemostasis and urinary drainage. The nurse should adjust the flow rate so that their urine is pink tinged

While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following actions should the nurse take?

Clamp the enema tubing

A nurse is caring for a client who has a prescription for a 24 hour urine collection. Which of the following actions should the nurse take?

Discard the first avoiding

A nurse is assessing a client who has had diarrhea for four days. Which of the following findings should the nurse expect?

Hypotension Elevated temperature Poor skin turgor

A nurse is assisting in planning care for a client who has cystitis. Which of the following interventions should be included in the plan of care?

Instruct the client to avoid drinking caffeinated beverages. Rationale: caffeinated beverages should be avoided by clients who have cystitis as they can irritate the mucosa of the bladder resulting in painful spasms.

A nurse is reinforcing teaching with a client who has constipation about a high fiber diet. Which of the following foods should be included as sources of fiber?

Kidney beans Strawberries Whole wheat toast

A nurse is reviewing the urinalysis results Of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider?

Microscopic hematuria Rationale: hematuria indicates the presence of blood in the urine, which is a finding associated with UTI. The nurse should report this finding to the provider so the client can receive appropriate treatment.

A nurse is caring for a client who is in the oliguric phase of azure kidney injury. Which of the following actions should the nurse take?

Monitor intake and output hourly Rationale: The nurse should closely monitor the client for signs of fluid imbalance. This includes hourly monitoring of intake and output, along with daily weights. If there are sudden changes, or the urinary output is less than 30 mL per hour the provider must be notified immediately

A nurse is caring for an older adult client who has confusion and weakness. The client has a HCT of 53%, a BUN of 25 mg /DL, And a urine specific gravity of 1.232. Which of the following actions should the nurse contribute to the clients plan of care?

Monitor the clients intake and output. Weigh the client daily Instruct the client to sit on the side of the bed for a few minutes Check the clients orientation to person, place or time regularly

A nurse is providing dietary teaching for a client who reports constipation. Which of the following foods should the nurse recommend?

One medium apple with skin

A nurse is reinforcing teaching to a client who is scheduled for an intravenous pyelogram. Which of the following should the nurse include in the teaching?

Take a laxative the evening before the procedure Rationale: stool or gas in the bowel may make it difficult to visualize the renal system durning am intravenous pyelogram, so typically the bowel is cleaned the day before.

A nurse is reinforcing teaching with a client who has received treatment for kidney stones. The nurse should remind the client to increase intake of which of the following?

Water Rationale: Clients who are prone to kidney stones should drink 3 to 4 L of fluid with most of it water, through the course of each day. This helps keep your in dilute to prevent the concentration and precipitation of substances that form and kidney stones.