Ch 35

The nurse is evaluating client risk for the development of overactive bladder/urge incontinence and determines that which client is at highest risk for this condition?

A client with diabetes

A client who has just been diagnosed with a spastic bladder ask the nurse what that means. What would be the nurses best response?

"It is a problem with storing urine"

Bladder cancer client asks the nurse, "what did the doctor mean by intravesicular chemotherapy? Am I going to lose all my hair and have to do treatments over months and months?" The best response would be

"This is when they put the chemotherapy directly into the bladder to kill any cancer cells"

For a normal adult, the client will sense fullness of the bladder and the bladder contains what amount of urine?

400 to 500 mL

State the client who is at the greatest risk for developing bladder cancer

A 65-year-old white male with a history of bladder stones

Where would a lesion be located for someone who is experiencing Spastic bladder dysfunction

Above the level of the sacral micturition reflexes

Which of the following accurately describes the etiology of stress incontinence?

An increase in intra-abdominal pressure which results in involuntary urination

A client who suffers from spastic bladder has been catheterized to promote bladder emptying. Which of the following medications should the nurse plan on the physician ordering to also treat this problem?

Anticholinergic medication

Which of the following describes an appropriate nursing intervention for a patient with a neurogenic bladder that involves applying hand pressure to the suprapubic area?

Crede maneuver

The nurse is conducting preoperative teaching for a patient with bladder cancer who is scheduled to undergo surgical creation of an alternative bladder reservoir. The nurse determines that the patient is understanding the preoperative teaching when the patient identifies the surgical treatment as which of the following?

Cystectomy

Which physiologic change in the elderly population contributes to urinary incontinence?

Decline in detrusor muscle function

Client diagnosed with urinary obstruction exhibits a week, small urinary stream and hesitancy. The client most likely is experiencing

Decompensation

Why are diabetic patients more prone to urge incontinence?

Diabetes may cause disorder of the detrussor muscle structure

Which reserve urinary structure helps to stop micturition when it is occurring and maintains continence under high bladder pressure?

External sphincter

A client with a neurogenic bladder has a lesion at the level of sacral reflexes/peripheral nerves that innervate the bladder. The nurse anticipates the client will experience which type of bladder dysfunction?

Flaccid bladder dysfunction

Signs of urinary decompensation

Hesitancy, frequency, need to strain to urinate, a weak, small stream, and termination of the stream before the bladder is completely empty

When conducting an admission interview with a client with a history of urinary incontinence, the nurse will specifically ask whether the client is prescribed which classification of medications in order to determine a possible cause? Select all that apply

Hypnotics, sedatives, diuretics

A nurse is caring for a patient admitted for chemo therapy due to bladder cancer. Which route with the nurse anticipate that the chemo therapy will be administered when the goal is to minimize the systemic side effects?

Intravesical

A female client asked the nurse if there are any non-invasive treatments to help with the involuntary loss of year and that occurs when she coughs or sneezes. Which is the best response by the nurse?

Kegel exercises

The nurse is conducting a community health education program on urinary retention and urinary incontinence. The nurse determines that the participants are understanding the education when they state the most common cause of urinary retention is the following?

Prostate enlargement

An older adult states that he awakens at least three times each night to avoid. When assessing the client, which potential causative factors of the nurse prioritize?

The client takes his prescribe beta blocker and diuretic each evening at bedtime

cystectomy

The creation of a urinary diversion to collect the urine, and is usually created from the ileum

The client who has just been diagnosed with bladder cancer asks the nurse which treatment he will have to undergo. Which of the following would be the nurses best response to this question?

The methods used depend on the grade of the tumor and the lesions invasiveness

Which of the following nursing interventions would be most appropriate for the nurse to include on the plan of care of a patient experiencing functional urinary incontinence?

Toileting the patient every 2 to 4 hours