PreLectureQuizWeek5

A nurse is caring for a client whose urinary retention has not responded to conservative treatment. After educating about intermittent self-catheterization (ISC) at home, which statement indicates the education is effective? Select all that apply.

"Assuming a sitting position for self-catheterization is most effective." "I will advance the catheter into the urethra only until urine flow is established." "Self-catheterizing is done on average three to four times daily." "I will lubricate the catheter prior to insertion to reduce tissue trauma."

Which statement by the client who is performing self-catheterization indicates a need for further teaching?

"I will need a sterile catheter kit each time I self-catheterize."

The nurse is caring for several older clients. For which client would the nurse be especially alert for signs and symptoms of pyelonephritis?

A client with urinary obstruction

The nurse has implemented a bladder retraining program for an older adult client. The nurse places the client on a timed voiding schedule and performs an ultrasonic bladder scan after each void. The nurse notes that the client typically has approximately 50 mL of urine remaining in the bladder after voiding. What would be the nurse's best response to this finding?

Avoid further interventions at this time, as this is a normal finding.

The nurse is collaborating with the wound-ostomy-continence (WOC) nurse to teach a client how to manage a new ileal conduit in the home setting. To prevent leakage or skin breakdown, the nurse should encourage which of the following practices?

Avoid using moisturizing soaps and body washes when cleaning the peristomal area.

The nurse is to check residual urine amounts for a client experiencing urinary retention. Which of the following would be most important?

Catheterize the client immediately after the client voids.

The nurse is educating a client who will be performing self-catheterization at home. What information provided by the nurse will help reduce the incidence of infection?

Clean the catheter with antibacterial soap, thoroughly rinse and dry before reinsertion.

A client is admitted to a hospital with a diagnosis of spastic, neurogenic bladder. The nurse is aware that the pathophysiology of this condition is primarily due to which of the following occurrences?

Client's inability to exert motor control

A client who is diagnosed with a malignant tumor in their bladder is advised to undergo cystectomy followed by a urinary diversion procedure. Which of the following would be most important for the nurse to assess preoperatively?

Client's manual dexterity and vision

The nurse is caring for an older client whose chart reveals that the client has a reversible cause of urinary incontinence. The nurse creates a plan of care for which condition?

Constipation

A client has a flaccid bladder secondary to a spinal cord injury. The nurse recognizes this client's high risk for urinary retention and should implement what intervention in the client's plan of care?

Double voiding

The nurse is caring for a client with an indwelling urinary catheter. Which nursing action(s) will assist in the prevention of a urinary tract infection? Select all that apply.

Empty the drainage bag at least every 8 hours. Always clamp the drainage tube if collection bag is raised above the bladder.

A client is undergoing diagnostic testing for a suspected urinary obstruction. The nurse should know that incomplete emptying of the bladder due to bladder outlet obstruction can cause what issue?

Hydronephrosis

Which metabolic defects are associated with stone formation?

Hyperparathyroidism

The nurse on a urology unit is working with a client who has been diagnosed with calcium oxalate renal calculi. When planning this client's health education, what nutritional guidelines should the nurse provide?

Restrict protein intake as prescribed.

Which nursing diagnosis is appropriate for a client with renal calculi?

Risk for infection

A client diagnosed with kidney stones is scheduled for extracorporeal shock wave lithotripsy (ESWL). Which will the nurse include in the client's postprocedure care? Select all that apply.

Strain the client's urine following the procedure. Monitor pain levels closely.

The nurse is assessing the client's ileal conduit stoma in the clinic. Which assessment finding would be of greatest concern to the nurse?

The stoma is dusky red.

A client is prescribed amitriptyline (an antidepressant) for incontinence. The nurse understands that this drug is an effective treatment because it:

increases bladder neck resistance.

The nurse is caring for a client who is prescribed an anticholinergic for urge incontinence. The nurse understands that this drug is an effective treatment for which reason(s)? Select all that apply.

increases relaxation of the detrusor muscle decreases involuntary bladder contractions increases how much urine the bladder can hold