Chapter 27 Patho
A 40-year-old mother of three reports incontinence. Her physician suggests Kegel exercises, because they strengthen the pelvic floor muscles. Kegel exercises are most likely to help which type of incontinence?
Stress incontinence Explanation: p. 664.
What is the most common gram-negative bladder infection found in hospitalized clients?
Catheter-induced infection Explanation:p. 668.
A patient has a postvoid residual (PVR) volume of 40 mL. Which of the following information would the nurse teach the patient?
"This is a normal value." Explanation: p. 660.
A patient has a postvoid residual (PVR) volume of 250 mL. Which of the following information would the nurse tell the patient?
"This value indicates you are having difficulty emptying your bladder."p. 660.
A nurse is assessing a patient with suspected urine retention. Which of the following assessments help to confirm this diagnosis? Select all that apply.
Bladder distension Hesitancy Straining when initiating urination Frequency Explanation: p. 660.
Which statements identify bladder function? Select all that apply.
Control of function involves the autonomic and somatic nervous systems. The sympathetic nervous system promotes bladder filling. The parasympathetic nervous system promotes emptying. Explanation: p. 657.
Urinary incontinence can be a problem with the elderly. One method of treatment is habit training, or bladder training. When using this treatment with an elderly person, how frequently should he or she be voiding?
Every 2 to 4 hours Explanation:p. 666.
A client reports that she frequently suffers from UTIs after engaging in sexual intercourse. Which would be the best information for the nurse to provide?
Increase fluid intake before intercourse Explanation:p. 669.
A patient with stress incontinence states, "every time I laugh or cough, I urinate on myself. Which of the following behavioral measures would be beneficial for the nurse to teach the patient?
Kegel exercises p.665
A 55-year-old man has made an appointment to see his family physician because he has been awakening three to four times nightly to void and often has a sudden need to void with little warning during the day. Which is the most likely diagnosis and possible underlying pathophysiologic problem?
Overactive bladder that may result from both neurogenic and myogenic sources. Explanation: p. 662.
The nurse should anticipate that a patient diagnosed with spastic bladder dysfunction may be prescribed which of the following medications that will help decrease detrusor muscle tone and increase bladder capacity? Select all that apply.
Oxybutynin (Ditropan), an antimuscarinic drug. Detrol LA (Tolterodine Tartrate), an antimuscarinic drug. Explanation:p. 664.
When teaching a community education class about the 7 warning signs of cancer, the nurse will note that the most common sign of bladder cancer is:
Painless bloody urine. Explanation:p. 672.
Which of the following patients should have a feeling of bladder fullness?
The patient with 200 mL of urine in their bladder Explanation: p.657.
When determining the treatment and management for incontinence, the physician considers which of the following? Select all that apply.
Type of incontinence Accompanying health problems Person's age Explanation: p. 665.
A patient is admitted with lower urinary tract obstruction and stasis. Which of the following is the primary intervention?
Urinary catheterization Explanation: p. 662.
A 65-year-old Caucasian female who smokes presents with increased urinary frequency, dysuria, and sporadic, painless hematuria. The client's follow-up will likely include:
cystoscopy. Explanation:p. 660.
