Genitourinary Disorders

A nurse is attending a seminar at the local senior center. The nurse knows the presenter has a good understanding of genitourinary changes in the elderly when the client makes which of the following statements?

"You Should leave a light on in the bathroom at night"

Which of the responsibilities related to the care of a client with a Foley catheter are appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)? Select all that apply.

-Empty drainage bag, and record output at specified times. -Apply catheter-securing device to the client's leg. -Provide Foley catheter and perineal care each shift. -Ensure the urine drainage bag is below the level of the bladder at all times.

What should the nurse do to prevent catheter associated urinary tract infection (CAUTI)? Select all that apply.

-Provide perineal care several times a day. -Monitor the temperature as an indicator of the infection. -Encourage the client to drink 3,000 mL of fluids a day.

The nurse is completing an intake and output record for a client who is receiving continuous bladder irrigation after transurethral resection of the prostate. How many milliliters of urine should the nurse record as output for her shift if the client received 1,800 ml of normal saline irrigating solution and the output in the urine drainage bag is 2,400 ml? Record your answer using a whole number.

600

A triple-lumen indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. In addition to balloon inflation, the functions of the three lumens include:

Continuous inflow and outflow of irrigation solution.

A client is receiving peritoneal dialysis. While the dialysis solution is dwelling the client's abdomen, the nurse should:

Observe respiratory status.

A nurse is discharging a client diagnosed with a urinary tract infection. Which information should the nurse include in the discharge teaching? Select all that apply.

Take all antibiotics as prescribed Avoid coffee, tea, and alcohol

The unlicensed assistive personnel (UAP) reports to the nurse that the client with an abdominal hysterectomy who returned from the recovery room 1 hour earlier has saturated the blue pad with bright red blood. What should the nurse do?

Ask the UAP to obtain vital signs while the nurse calls the surgeon.

A nulliparous client says that she and her husband plan to use a diaphragm with spermicide to prevent conception. Which should the nurse include as the action of spermicides when teaching the client?

Destruction of spermatozoa before they enter the cervix

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

Assessing present voiding patterns

A nurse is assessing a client when she returns from same-day surgery for a dilatation and curettage. The nurse checks preoperative vital signs at 0830 to compare them with the current vital signs at 2230 (see chart). What should the nurse do first?

Cover the client with warmed blankets.

To treat a urinary tract infection, a client is ordered trimethoprim-sulfamethoxazole. The nurse should teach the client that trimethoprim-sulfamethoxazole is most likely to cause which adverse effect?

Diarrhea

Which nursing action is most appropriate for a client who has urge incontinence?

Have the client urinate on a timed schedule.

Which statement describing urinary incontinence in an elderly client is true?

Urinary incontinence isn't a disease.