Patients with Urinary Disorders

Are fruit juice, ginger ale and milk counter towards the daily fluid goal?

Yes

A client undergoes extracorporeal shock wave lithotripsy. Before discharge, the nurse should provide which instruction?

"Increase your fluid intake to 2 to 3 L per day."

A client is admitted with nephrolithiasis. What symptoms does the nurse expect the client to experience? Select all that apply.

-Difficulty starting a urine stream -Suprapubic pain -Elevated temperature Hematuria

In assessing the appropriateness of removing a suprapubic catheter, the nurse recognizes that the client's residual urine must be less than which amount?

100 mL

A client comes to the emergency department complaining of severe pain in the right flank, nausea, and vomiting. The physician tentatively diagnoses right ureterolithiasis (renal calculi). When planning this client's care, the nurse should assign the highest priority to which nursing diagnosis? Impaired urinary elimination, Acute pain, Risk for infection, risk for impaired nutrition

Acute pain

Which type of medication may be used to inhibit bladder contraction in a client with incontinence?

Anticholinergic agent

A client is frustrated and embarrassed by urinary incontinence. Which measure should the nurse include in a bladder retraining program?

Assessing present voiding patterns

The nurse working with a client after an ileal conduit notices that the pouching system is leaking small amounts of urine. What is the appropriate nursing intervention? Secure the area or patch the leak with tape or barrier paste, change the pouch and wafer, wipe the area and monitor, empty the pouch and monitor

Change the wafer and pouch.

Name three urinary irritants:

Coffee, tea, alcohol

Identify a cause of a calcium renal stone:

Excessive intake of Vitamin D, hypercalcemia, Hyperparathyroidism, excessive milk and alkali, renal tubular acidosis,

Patients with urolithiasis need to be encouraged to:

Increase their fluid intake so that they can excrete 2.5-4 Liters every day

A nurse who is taking care of a patient with a spinal cord injury documents the frequency of reflex incontinence. The nurse understands that this is most likely due to:

Loss of motor control of the detrusor muscle

A client with bladder cancer had his bladder removed and an ileal conduit created for urine diversion. While changing this client's pouch, the nurse observes that the area around the stoma is red, weeping, and painful. What should the nurse conclude?

The pouch faceplate doesn't fit the stoma.

A client comes to the clinic for a follow-up visit. During the interview, the client states, "Sometimes when I have to urinate I can't control it, and do not reach the bathroom in time." The nurse suspects that the client is experiencing which type of incontinence?

Urge

A group of students are reviewing information about disorders of the bladder and urethra. The students demonstrate understanding of the material when they identify which of the following as a voiding dysfunction?

Urinary Retention

Which of the following is the most common site of a nosocomial infection?

Urinary Tract

A client comes to the emergency department complaining of a sudden onset of sharp, severe flank pain. During the physical examination, the client indicates that the pain, which comes in waves, travels to the suprapubic region. He states, "I can even feel the pain at the tip of my penis." Which of the following would the nurse suspect?

Urinary calculi

Which type of incontinence is the involuntary loss of urine through an intact urethra as a result of coughing?

Stress

A client has a suspected bladder tumor. What is the most common first symptom of a malignant tumor of the bladder?

Painless hematuria

A patient with a UTI is having burning and pain when urinating. What urinary analgesic is prescribed for relief of these symptoms?

Pyridium

An older adult client is being evaluated for suspected pyelonephritis and is ordered kidney, ureter, and bladder (KUB) x-ray. The nurse understands the significance of this order is related to which rationale?

Detects calculi, cysts, or tumors

Which instruction would be included in a teaching plan for a client diagnosed with a urinary tract infection? Void every 4-6 hours, drink liberal amounts of fluid, increase exercise, take baths instead of showering

Drink liberal amount of fluids