Chapter 45.3

The nurse is caring for a patient with a ureteral catheter. Which intervention of the nurse needs correction?

Instructing the patient to tolerate pelvic pain

While caring for a patient with urinary incontinence (UI), the nurse attaches a urethral plug to the patient's urethra. What is the rationale behind this intervention?

To provide mechanical obstruction to prevent urine leakage

The nurse is providing instructions about pelvic floor muscle exercises to a patient with stress incontinence. Which statement made by the patient indicates the need for further teaching?

"I am doing it right when I release the muscle to urinate."

Which statement made by the student nurse regarding the management of patients with an indwelling urinary catheter indicates a need for additional teaching by the registered nurse?

"If the bag is not reused immediately, wash it with soap and water."

The nurse is teaching a patient how to manage urinary incontinence (UI). Which instruction would be beneficial to the patient?

"Perform light exercises to prevent constipation."

A patient has been catheterized with an indwelling urinary catheter. What nursing action should the nurse perform for catheter care?

Anchor the catheter using a securement device.

A patient is on tolterodine therapy for urge incontinence. On a follow-up visit, the nurse finds that the patient has taken an overdose of the medication. Which complications does the nurse suspect in the patient? Select all that apply.

Diaphoresis Blurred vision GastrointestinaI cramping

A patient with interstitial cystitis complains of burning pain in the bladder. Which medications does the nurse expect to be beneficial to the patient? Select all that apply.

Diltiazem Verapamil Imipramine

A patient is diagnosed with overflow incontinence. Which medication is beneficial to enhance bladder contraction in the patient?

Bethanechol

Which nursing intervention helps to prevent urethral reflux and hydronephrosis in patients with reflex incontinence?

Bladder decompression

Which complications are associated with the long-term use of indwelling catheters? Select all that apply.

Bladder spasms Fistula formation Periurethral abscess

What are the causes of urge incontinence? Select all that apply.

Brain tumor Carcinoma in situ

Which instruction should the nurse provide when teaching a patient to exercise the pelvic floor?

Contract muscles around rectum

What is the effect of angiotensin-converting enzyme (ACE) inhibitors on lower urinary tract function?

Cough triggering stress urinary incontinence (UI)

The nurse suspects stoma stenosis in a patient who underwent urinary diversion surgery. What surgical procedure did the patient undergo?

Cutaneous ureterostomy

Which nursing intervention should the nurse include in immediate postoperative management of urinary diversion?

Inserting a nasogastric tube

Which condition occurs due to neurologic diseases affecting the 2, 3, and 4 sacral segments?

Deficient detrusor contraction

A patient who is unable to urinate reports pain in the lower abdomen. The postvoid residual (PVR) volume of the patient is 150 mL. What reason does the nurse suspect to be the cause of this finding in the patient?

Deficient detrusor contraction strength

Which antiincontinence device helps to relieve minor pelvic organ prolapse?

Intravaginal support devices

Eight months after the delivery of her first child, a 31-year-old woman has sought care because of occasional incontinence that she experiences when sneezing or laughing. Which measure should the nurse first recommend in an attempt to resolve the woman's incontinence?

Kegel exercises

Which medication increases the bladder's storage capacity in a patient with voiding dysfunction?

Mirabegron

The nurse is caring for a patient who has undergone placement of a nephrostomy tube. Which actions should the nurse perform during the postoperative period? Select all that apply.

Observe color and consistency of urine. Measure urine output at least every one or two hours. Measure the drainage from the catheters and on the dressing.

Which type of incontinence might occur in a patient after receiving anesthesia?

Overflow incontinence

While caring for a patient with a suprapubic catheter, the nurse observes urine leakage. Which medication does the nurse expect to be beneficial to the patient?

Oxybutynin

What are the potential complications of pelvic surgery? Select all that apply. `

Paralytic ileus Thrombophlebitis Small bowel obstruction

Which containment device directs urine into a drainage bag?

Penile sheath

When teaching a patient about techniques to manage urinary incontinence, which instructions are most important for the nurse to include? Select all that apply.

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

While caring for a postoperative patient with urinary diversion surgery, the nurse observes mucus shreds in the drainage bag. What would be the appropriate nursing intervention in this condition?

Record it as a normal observation

The patient complains of incontinence of urine while coughing or sneezing during the physical assessment. The nurse explains to the patient that this is defined as what?

Stress incontinence

A patient reports frequent leakage of small amounts of urine throughout the day and night. On assessing the patient, the nurse finds the bladder is palpable and distended. Which medication does the nurse expect to be beneficial to the patient?

Terazosin

The nurse identifies urethral sphincter resistance to urinary outflow in a patient. Which medications does the nurse anticipate to be beneficial for the patient? Select all that apply.

Terazosin Doxazosin

While caring for a patient with suprapubic catheterization, the nurse administers an opium suppository. Which outcome in the patient indicates effective treatment?

The patient will not experience bladder spasms.

A patient with voiding dysfunction is prescribed verapamil. Which outcome in the patient indicates effective treatment?

The patient will not have burning pain in the bladder.

A patient with urinary incontinence (UI) is on tamsulosin therapy. Which patient outcome indicates effective therapy?

The patient will not have leakage of small amounts of urine during the day and night.

The nurse is reviewing the medical reports of patients with urinary incontinence (UI). Which patient is suspected to have overflow incontinence?

The patient with a herniated disc

How is a suprapubic catheter inserted?

Through a small incision in the abdominal wall

What is the role of a registered nurse during catheterization?

To choose the appropriate type and size of catheter

Which condition utilizes suprapubic catheterization?

Urethral surgery

What are the complications of intermittent bladder catheterization? Select all that apply.

Urethritis Urethral stricture Creation of false passage

Which type of urinary incontinence (UI) is associated with spondylosis?

Urge incontinence

Which type of urinary incontinence (UI) is caused by interstitial cystitis?

Urge incontinence

An obese female patient is diagnosed with stress incontinence. What instructions should the nurse include when teaching self-care to this patient? Select all that apply.

Use urethral inserts. Reduce excess weight. Practice Kegel exercises.

A patient has undergone a retropubic colposuspension surgical technique for involuntary urine passage due to increased abdominal pressure. Which complication should the nurse suspect for this patient?

Vaginal prolapse