Urinary Elimination

The nurse educator is presenting a lecture on clients at risk for developing urinary tract infections (UTIs). Which response made by the staff nurse would indicate to the educator a need for further teaching? "I will make sure to teach my clients with diabetes mellitus to control their glucose level to help prevent a UTI." "Due to the physiologic changes with aging, the elderly are at risk for developing a UTI." "Having sexual relationships does not put a woman at risk for developing a UTI." "A woman using an intrauterine device for contraceptive reason is at risk for developing a UTI."

"Having sexual relationships does not put a woman at risk for developing a UTI."

A client is diagnosed with frequent urinary tract infections. What would be an appropriate question for the nurse to ask the client? "How frequently do you urinate each day?" "How often do you have a bowel movement?" "Are you on any blood pressure medications?" "Are you on any type of special diet at home?"

"How frequently do you urinate each day?"

A woman informs the nurse that when she is experiencing stress it is difficult to void, and wonders why this happens. What is the nurse's best explanation?

"Stress causes the muscles to become tense."

The nurse is assessing a female client who states that she notices an involuntary loss of urine following a coughing episode. What would be the nurse's best reply? "You are experiencing transient incontinence. Have you been administered diuretics or IV fluids lately?" "You are experiencing stress incontinence. Do you know how to do Kegel exercises?" "You are experiencing total incontinence. Have you had any surgeries or trauma that may be causing this?" "You are experiencing reflex incontinence. Have you had a spinal cord injury in the past?"

"You are experiencing stress incontinence. Do you know how to do Kegel exercises?"

A client is preparing to give a clean-catch specimen. Which instruction will the nurse provide? Wait until the void is almost over to collect a specimen. Collect the entire urinary output. After the initial stream is initiated, collect the sample. Collect the first urine expelled

After the initial stream is initiated, collect the sample.

A client admitted to the hospital with chronic renal failure suddenly develops the following signs and symptoms: left arm arteriovenous (AV) fistula has weak thrill and bruit; BP 88/40 mm Hg; stated feels dizzy. Which action would the nurse implement first?

Change to supine position.

What is an advantage of using an external condom catheter for a male client who has frequent episodes of urinary incontinence? The client can apply it himself with minimal supervision. It collects urine into a drainage bag without the risk of infection associated with indwelling urinary catheters. A sterile urine specimen can be obtained from the drainage bag tubing. It can be left in place for a long period of time.

It collects urine into a drainage bag without the risk of infection associated with indwelling urinary catheters.

The nurse is attempting to insert a urinary catheter into a female client's bladder and realizes the catheter has been inserted into the vagina. Which action is most appropriate? Leave the catheter in place as a marker and attempt to insert a new sterile catheter directly above the misplaced catheter. Remove the catheter from the vagina and attempt to insert it into the bladder. Immediately remove the catheter from the vagina, contact the health care provider, and anticipate a prescription for prophylactic antibiotics. Ask the client to bear down until the catheter is expelled.

Leave the catheter in place as a marker and attempt to insert a new sterile catheter directly above the misplaced catheter.

An older adult client is experiencing urinary retention. What age-related physiologic change does the nurse discuss with the client that may be a contributing factor?

Older adults may have a decrease in contraction of the bladder.

The nurse is engaged in collecting a urine specimen for a routine urinalysis from a client with an indwelling catheter. What nursing action has the greatest impact on the accuracy of the testing results? Selecting this particular specimen port site nurse wearing gloves a syringe that holds at least 10 ml positioning the patient

Selecting this particular specimen port site

The nurse is caring for a client with weakness who is ambulatory but tires easily. Which method for urinary elimination does the nurse recommend? bedpan bedside commode regular bathroom fracture pan

bedside commode

Which symptom will have a great impact on the extracellular fluid for water conservation? burns wounds

burns

A client's BUN test results are significantly elevated. When reviewing the client's history, which finding is consistent with BUN elevation other than renal compromise? osteoporosis low protein diet dehydration

dehydration

The nurse measures a client's residual urine by catheterization after the client voids. Which condition would this test verify? urinary tract infection (UTI) urinary incontinence urinary retention urinary suppression

urinary retention