PATHO PrepU 35
transient incontinence
?? is caused by medications such as long-acting sedatives and hypnotics, psychotropic medications, and diuretics such as furosemide. It can also be caused by rectal distension, fecal impaction, and acute cystitis or polyuria.
functional incontinence
?? is the type that causes problems for a person attempting to use the toilet when feeling the need to urinate. This may be a problem for the older adult who cannot reach the toilet due to problems with immobility and failing vision.
Painless hematuria
A client asks the nurse what the most common sign/symptom of bladder cancer is. Which is the best response by the nurse?
"This value indicates you are having difficulty emptying your bladder."
A client has a postvoid residual (PVR) volume of 250 mL. Which information would the nurse tell the client?
Urinary catheterization
A client is admitted with lower urinary tract obstruction and stasis. Which action is the primaryintervention?
Intravesical
A nurse is caring for a client admitted for chemotherapy due to bladder cancer. Which route would the nurse anticipate that the chemotherapy will be administered when the goal is to minimize systemic side effects?
Administration of alpha-adrenergic agonist drugs as ordered
A warehouse worker is experiencing trouble with incontinence, especially when lifting heavy objects. What intervention is most appropriate for this client's needs?
"Your prognosis is excellent, and you are likely to have a full recovery."
An adult client is diagnosed with a low-grade bladder tumor and undergoes a cystectomy with resection of the pelvic lymph nodes and the prostate and seminal vesicles. Which response by the health care provider is the most plausible when asked about prognosis?
The anticholinergic effects of the medication are impairing normal bladder function.
An older adult client with an upper respiratory infection for several weeks has presented with urinary retention. The client reports taking nonprescription cold medications over and above the suggested dose. Which medication most likely is contributing to this urinary retention?
The client takes his prescribed beta-blocker and diuretic each evening at bedtime.
An older adult states that he awakens at least three times each night to void. When assessing the client, what potential causative factor should the nurse prioritize?
Dry mouth and constipation are common.
An older adult with urge incontinence and overactive bladder begins medication treatment with oxybutynin. Which side effects would the nurse include in the education? ANTIHISTIMINE
Enlargement of prostate gland
An older male comes to the clinic with the chief report of having difficulty voiding. The physician diagnoses him with a lower urinary tract obstruction and stasis. What should the nurse suspect to be the most frequent cause of this client's problem?
A trauma client whose bladder ultrasound reveals 1140 mL of urine
In which client would the nurse recognize the symptoms of a lesion in the micturition center of the sacral cord?
stress
Kegal exercises help with what incontinence ?
Urge 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?
The cause is unknown
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?
"Alterations in bladder function can only occur when there is incontinence."
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? WHAT IS WRONG
Bladder
The nursing instructor, while teaching about renal function and disorders, informs the students that the most frequent form of urinary tract cancer is:
Every 2 to 4 hours
When doing bladder training, how often should the person train their body to void?
Incontinence
Which assessment indicates to the nurse that a client may have a spastic bladder dysfunction?
Anticholinergic medications
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?
Detrusor muscle
While studying about the process of urination, the nursing student learns that which muscle is known as the "muscle of micturition"?
Measurement of postvoid residual (PVR) by ultrasound
A nurse suspects a client may be experiencing flaccid bladder dysfunction based on 24-hour intake and output. Which diagnostic method is most likely to confirm or rule out whether the client is retaining urine?
Client reports that he occasionally has blood in his urine but has no pain with it.
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?
Stress incontinence
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?
Urge incontinence
A client tells the nurse that he is experiencing involuntary loss of urine associated with a strong desire to void (urgency). The nurse would recognize this as:
