patho chapter 27

The nursing instructor who is teaching about disorders of the lower urinary tract realizes a need for further instruction when one of the students makes which statement?

"Alterations in bladder function can only occur when there is incontinence."

The nursing instructor who is teaching about incontinence in older adults recognizes a need for further instruction when a student makes which statement?

"Frequency is not a major problem for the elderly."

A client has a postvoid residual (PVR) volume of 250 mL. Which information would the nurse tell the client?

"This value indicates you are having difficulty emptying your bladder."

The client has just been diagnosed with bladder cancer and asks the nurse what causes it. What would be the nurse's best response to the client?

"the cause is unknown"

When conducting an admission interview with a client with a history of urinary incontinence, the nurse will specifically ask whether the client is prescribed which classification of medications in order to determine a possible cause? Select all that apply.

-Diuretics -Hypnotics -Sedatives

A warehouse worker is experiencing trouble with incontinence, especially when lifting heavy objects. What intervention is most appropriate for this client's needs?

Administration of alpha-adrenergic agonist drugs as ordered

Which type of pharmacologic therapy does the nurse anticipate administering to a client for treatment of a spastic bladder in order to decrease bladder hyperactivity?

Anticholinergic medications

A client is concerned about the possibility of having bladder cancer after his brother was diagnosed with it 2 years ago. Which assessment data obtained by the nurse would indicate that the client should be screened for this disease?

Client reports that he occasionally has blood in his urine but has no pain with it.

The nursing instructor, while teaching about renal function and disorders, informs the students that the most frequent form of urinary tract cancer is:

bladder

The nurse is caring for a client with a sacral cord injury that resulted in loss of the perception of bladder fullness and loss of voluntary urination. When planning care for the client, the nurse should include which nursing interventions?

bladder retraining

A nurse is caring for a client in spinal shock. Which intervention is appropriate in relation to the client's urinary status?

Perform intermittent catheterization SUBMIT ANSWER

A 65-year-old female who smokes presents with increased urinary frequency, dysuria, and sporadic, painless hematuria. The client's follow-up will likely include:

cytoscopy

A client informs the nurse that she is afraid of developing bladder cancer because her mother had it. She asks the nurse what signs and symptoms are present with this cancer. What does the nurse tell the client is the most common sign of bladder cancer?

gross hematuria

A female client asks the nurse if there is any noninvasive treatment to help with the involuntary loss of urine that occurs when she coughs or sneezes. Which is the best response by the nurse?

kegel exercises

A client asks the nurse what the most common sign/symptom of bladder cancer is. Which is the best response by the nurse?

painless hematuria

When teaching a community education class about the seven warning signs of cancer, the nurse will note which is the most common sign of bladder cancer?

painless, bloody urine

A client who has a problem with incontinence loses a small amount of urine every time she coughs or sneezes. This type of incontinence is known as:

stress

A client is describing difficulty with urinating and informs the nurse that every time she coughs or laughs, she urinates and has begun to wear a thin pad. Which type of urinary incontinence is the client describing?

stress incontinence

Because they strengthen the pelvic floor muscles, Kegel exercises are most likely to help which urinary problem?

stress incontinence

The nurse understands that medications, although very beneficial to clients, can have harmful effects. When working with older adult clients the nurse should recognize that which outcome is a common result of potent, fast-acting diuretics?

urge incontinence