PrepU Ch37 Urinary Elimination

The nurse has an order to obtain a 24 hour urine specimen from a client. Which instruction would be accurate for collection of the specimen ?

"Discard your first urine and begin the collection after that."

The nurse is caring for a client with a prescription for a midstream urine specimen. The nurse would provide which Information to the client?

"Void a small amount, stop, and discard it."

A nurse is changing the stoma appliance on a patient's ileal conduit. Which nursing action is recommended procedure? select all that apply

-Gently remove the appliance, starting at the top and keeping the abdominal skin taut. -Apply a silicone-based adhesive remover by spraying or wiping as needed. -Make sure skin around stoma is thoroughly dry by patting it dry.

Which is the test that would provide an accurate measurement of the kidney's excretion of creatinine?

24-hour specimen

A client could experience increased urination when using which classification of medication?

Cholinergic agents; stimulates the detrusor muscle, which causes more frequent urination

the nurse has placed a urine collection bag on an infant. how often should the nurse check the bag to see if the infant has voided

Every 15 minutes

a nurse is caring for a client with an external condom catheter. which guideline should be implemented when applying and caring for this type of catheter?

Fasten the condom securely enough to prevent leakage without constricting blood flow.

The nurse is caring for a client with a history of renal insufficiency and type 2 diabetes. Which prescription, if noted in the client's chart would alert the nurse to discuss with the health care practitioner

Gentamicin 70 mg intramuscular (IM) every 8 hours

what is an advantage of using an external condom catheter for a male client who has frequent episodes of urinary incontinence?

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

the nurse is working with a client who requires continence training. which client teaching about pelvic floor muscle exercises will the nurse include?

Keep muscles contracted for at least 10 seconds.

Which urinary care teaching will the nurse provide to a young adult female client?

Refrain from douching unless ordered by a health care provider.

The nurse caring for an older adult male client is determining whether the client can use a urinal to void. Which aspects of the client's medical history may contraindicate the use of a urinal?

The client is acutely confused and has been diagnosed with delirium.

a nurse is preparing a discharge teaching plan for a client being sent home with a peritoneal dialysis catheter in place. which guideline should be included in the instructions

The client should avoid wearing tight clothes or belts near the site.

A nurse is caring for a client who has just undergone surgery to create an ileal conduit for urinary elimination via a stoma. Which fact about this procedure should the nurse mention to the client?

The client will have to wear an external appliance to collect urine.

The nurse has received an order to remove a client's indwelling urinary catheter. Which actions are appropriate when carrying out this order? Select all that apply.

The nurse may delegate this task to a licensed practical/vocational nurse (LPN/LVN). The nurse should remove the water from the balloon by withdrawing it with a syringe

The nurse is caring for a client with an indwelling urinary catheter secondary to neurogenic bladder. The nurse completes a prescription to obtain a urine specimen from the catheter. After reviewing the imagewhat is the most accurate narrative note the nurse would document to demonstrate the steps to obtain the urine specimen were performed appropriately

Verified prescription, cleansed access port with antiseptic swab, aspirated urine from access port into sterile specimen containertolerated procedure well.

a client with chronic kidney disease reports not being able to urinate for the past 24 hours. A bladder scan shows no urine in the bladder. how does the nurse document this data?

anuria

a women is reporting bladder urgency. it is most important to assess

caffeine intake

the nurse is preparing a client for a cystoscopy procedure. which intervention would be part of the preparation?

checking that the client has signed a consent form for the procedure

The nurse is caring for a client who reports burning upon urination, and an ongoing sense of needing to urinate. Which urine characteristics does the nurse anticipate?

cloudy, foul odor

A dient with a history of advanced liver disease comes to the emergency department (ED) with dehydrationWhite blood cell count shows elevation in bands and neutrophils. When preparing to catheterize the client, what color urine does the nurse anticipate will drain?

dark brown and cloudy

A urinalysis has been ordered for a client. When is the best time for the client to provide a urine sample?

first thing in the morning

a client reports that he is often unable to retain urine until he locates a toilet because his mobility is decreased. the nurse should recognize the characteristics of what type of incontinence

functional

A client in a long-term care facility becomes confused and disoriented at night and is incontinent during these periods of confusion due to the inability to find the commode. During the day the client does not experience confusion and is continent. What type of incontinence is this client experiencing during the nighttime hours?

functional incontinence

A nurse drains the bladder of a client by inserting a catheter for 5 minutes. What type of catheter would the nurse use in this instance?

intermittent urethral catheter

the nurse is attempting to insert a urinary catheter into a female clients bladder and realizes the catheter has been inserted into the vagina. which actuon is appropriate

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

A client is suspected of having a disease process affecting the functional unit of the kidneyWhich structure is most likely involved

nephron

A client with an emergently placed central venous catheter (CVto have emergent hemodialysis. Upon assessment of the the nurse visualizes redness, drainage, and odor to the area around the CVC. Palpation of the surrounding skin causes the client pain. Which intervention the priority?

notify the health care provider of the assessment findings

A client at a health care facility is being treated for cancer of the bladder. The physician uses a diversion to help the client with urinary elimination. What describes a urinary diversion

one or both ureters are surgically implanted elsewhere

a 70yo client who has four children and six grandchildren states she "wets" herself when she sneezes or laughs. she reports that sometimes this also occurs when rising from a sitting to standing position. which type of incontinence does the nurse anticipate?

stress

the nurse is caring for a client who has been experiencing nausea, vomiting, and diarrhea for 3 days. which urine characteristics does the nurse anticipate?

strongly aromatic, dark amber

The nurse into a 63 yearold client and encounters resistance What is the most cause of the resistance

the client has an enlarged prostate

the nurse is choosing a collection device to collect urine from a non-ambulatory male client. what would be the nurse's best choice

urinal