chronic conditions- week 3

after a transurethral vaporization of the prostate, the client returns to the unit with an indwelling urinary catheter and a continuous bladder irrigation. the client reports the need to urinate. what would the nurse do first?

assess that the tubing is attached to the collection bag is patent

a primary health care provider prescribed an indwelling urinary catheter for a client. which catheter would the nurse use to implement this prescription?

c

which characteristic of urine changes in the presence of a UTI?

clarity

which urine characteristic is consistent with a urinary tract infection?

cloudy due to cellular debris, WBC, bacteria, & pus

which urine characteristic is consistent with hematuria?

dark, smoky appearance

which action would the nurse include when developing a postprocedure plan of care for a client with continuous bladder irrigations after a transurethral vaporization of the prostate?

deduct the amount of instilled irritant from the total output

a client is admitted to the hospital with a tentative diagnosis of urinary retention related to benign prostatic hyperplasia. the primary HCP notes a secondary diagnosis of delirium related to urosepsis & prescribes the insertion of an indwelling urinary catheter. which nursing action is most important at this time?

determine whether any unsafe behavior patterns exist

what does an increase in ketones in the urine indicate?

diabetes mellitus, starvation, or dehydration

which urine characteristic is consistent with excessive bilirubin?

yellow-brown to dark color

family members received discharge instructions for an older adult male recovering from a urinary tract infection. which statement indicates family understanding of age-related changes and required care?

"I provide privacy & standby assistance to help him void"

a client has a prescription for nitrofurantoin 50 mg orally every evening to manage recurrent UTIs. which instruction would the nurse give to the client?

"increase your intake of fluids"

which client statement indicates understanding of content taught about removing his or her three-way indwelling catheter and continuous bladder irrigation (CBI)?

"I probably will experience some burning on urination"

which instruction would the nurse include in a health practices teaching plan for a female client with a history of recurrent UTIs?

"wear cotton underwear or lingerie"

during an 8-hour shift, a client has a 6 oz (180 mL) cup of tea & 360 mL of water. the client vomits 100 mL, and the instilled IV fluids equaled the urinary output. which is the client's fluid balance at the end of this 8-hour period that the nurse must document on the client's I&O record?

440 mL

how often should the nurse empty a urinary catheter collection bag?

once a shift, unless the bag is full & needs emptying sooner

after a prostatectomy, the client reported the urinary catheter tubing pulled too tightly on the leg. the nurse observed the excessively taut indwelling catheter tubing and properly taped tubing to the thigh. which action would the nurse implement?

explain the tubing traction assists to control bleeding; traction pulls the balloon tight against the prostatic fossa, which promotes hemostasis. the nurse must ensure maintenance of tension until the HCP determines there is no risk of bleeding

a client, transferred to the postanesthesia care unit after a transurethral resection of the prostate (TURP), has an intravenous (IV) line and a urinary retention catheter. during the immediate postoperative period, for which potentially critical complication would the nurse monitor?

hemorrhage, common because of venous oozing & bleeding from many small arteries in the area

a client admitted with urinary retention has an indwelling urinary catheter prescribed. which action would the nurse implement to prevent the client from developing a UTI?

maintain the prescribed hydration to flush the bladder & prevent urinary stasis and possible infection

after a transurethral prostatectomy (TURP), a client returns to the postanesthesia care unit with a three-way indwelling catheter and a continuous bladder irrigation. which nursing action would the nurse monitor during the initial recovery phase?

monitor for bright red blood in the urinary drainage bag, this can indicate hemorrhage

which urine characteristic is consistent with concentrated urine?

orange-amber color; can also be caused by phenazopyridine or foods such as beets

what is a symptom of a urinary calculus?

pain radiating to the external genetalia

which intervention is most beneficial in preventing a catheter-associated urinary tract infection in a postoperative client?

removing the catheter within 24 hours if the patient does not need it

a postoperative client has 180 mL of urine in the urinary drainage bag from the past 8 hours. for which condition would the nurse monitor?

renal failure; the urine output should not be less than 30 mL/hr, this indicates renal failure or hypovolemia

a client has undergone pelvic surgery, and the nurse removes the catheter in a week according to instructions. in the follow-up within several hours, which finding in the client indicates a need for reinsertion of catheter?

retention

which information would the nurse include when teaching about why women are more susceptible to UTIs than men?

the length of the urethra

the nurse prepares a male client with a history of recurrent urinary tract infections for discharge after a ureterolithotomy. which clinical manifestations of a UTI would the nurse teach this client to recognize?

urgency or frequency of urination, burning on urination, fever