LS1 Week 8 Chapter 55 Management of Pt With Urinary Disorders
In assessing the appropiateness of removing a suprapubic catheter, the nurse recognizes that the client's residual urine must be less than which amount on two separate occassions (morning and evening)? a. 100 mL b. 30 mL c 50 mL d. 400 mL
a. 100 mL
Which infromation is important when teaching a client how to perform self catherization? a. Catheterization should occur every 4 to 6 hours and before bedtime b. The catheter is rinsed with steril normal saline after being soaked in a cleaning solution c. Peroxide is recommended for cleaning the uriary catheter d. The nurse uses nonsteril technique in the hospital setting
a. Catheterization should occur every 4 to 6 hours and before bedtime
When caring for a client with an uncomplicated mild urinary tract infection (UTI), the nurse knows that recent studies have shown which drug to be a good choice for short course (e.g. 3-day) therapy? a. Levofloxacin b. Trimethoprim-sulfamethoxazole c. Ciprofloxacin d. Nitrofurantoin
a. Levofloxacin
An 82 year old client experiences urinary incontinence. Which factor should the nurse assess before beinning a bladder training program for this client? a. Physical and environmental conditions b. Smoking habits c. History of allergies d. Occupational history
a. Physical and environmental conditions
Which is the procedure of choice for men for men with recurrent or complicated UTIs? a. Transrectal ultrasonography b. IV urogram c. MRI d. CT
a. Transrectal ultrasonography
Bladder retraining following removal of an indwelling catheter begins with a. instructing the client to follow a 2 to 3 hour timed voiding schedule b. performing strainght catherterization after 4 hours c. encouraging the client to void immediately d. advising the cilent to avoid urinating for at least 6 hours
a. instructing the client to follow a 2 to 3 hour timed voiding schedule
Which term refers to inflammation of the renal pelvis? a. Interstitial nephritis b. Pyelonephritis c. Cystitis d. Urethritis
b. Pyelonephritits
A client with urinary retention needs to undergo a procedure to insert an indwelling catheter. Before catheter, the nurse would discuss with the phsysician information about a. administering cleansing enemas b. the type and size of the catheter to be used c. insertion of a nasogastric tube d. placement of IV and central venous lines
b. the type and size of the catheter
Which instruction would be included in a teaching plan for a client diagnosed with a urinary tract infection? a. Drink coffee or tea to increase diuresis b. Use tub baths as opposed to showers c. Drink liberal amount of fluids d. Void every 4 to 6 hours
c. Drink liberal amounts fluids
Which type of incontinency refers to the involuntry loss of urine due to extrinsic medical factors, particularly medications? a. Urge b. Reflex c. Iatrogenic d. Overflow
c. Iatrogenic
Which type of incontinency refers to the involuntary loss of urine due to extrinsic medical factors, particulary medications? a. Urgency b. Urinary retention c. Incontinence d. Incomplete bladder emptying
c. Incontinence
If an indwelling catheter is necessary, which nursing intervention should be implemented to prevent infection? a. use a sterile technique to disconnect the catheter from the tubing to obtain urine specimens b. Place the catheter bad on the client's abdomen when moving the client c. Perform meticulous perineal care daily with soap and water d. Use a clean technique during insertion
c. Perform meticulous perineal care daily with soap and water
Which medication may be ordered to relieve discomfort associated with a urinary tract infection? a. Nitrofurantoin b. Ciprofloxacin c. Phenazopyridine d. Levofloxacin
c. Phenazopyridine
Which characteristic is seen with a healthy stoma? a. Painful b. Dry in apperance c. Pink color d. No bleeding when cleansing the stoma
c. Pink color
Which type of incontinence refers to involuntary loss of urine through an intact urethra as a result of a sudden increase in intra-abdominal pressure? a. Overflow b. Reflex c. Stress d. Urge
c. Stress
Which risk factors predispose a client to the development of kidney stones? Select all that apply. a. hyperparathyroidism b. hypoparathyroidism c. immobilization d. gout
c. immobilization
The nurse is conductin a history and assessment related to a client's incontinence. Which element should the nurse include in the assessment before beginning a bladder training program? a. History of allergies b. Occupational history c. Smoking habits d. Mediatoin usage
d. Medication usage
Which type of medication may be used to inhibit bladder contraction in a client with incontinence? a. OTC decongestant b. Estrogen hormone c. Tricyclic antidepressants d. Anticholinergic agen
d. Anticholinergic agent
What is the most common presenting objective sx of a urinary tract infection in older adults, especially in those with dementia? a. Incontinence b. Back pain c. Hematuria d. Change in cognitive funcitioning
d. Change in cognitive functioning
Which is a reversible cause of urinary incontinence in the older adult? a. Age b. Increased fluid intake c. Decreased progesterone levels in menopausal women d. Constipation
d. Constipation
Which factor contributes to UTI in older adults? a. Low incidence of chronic illness b. Sporadic use of antimicrobial agents c. Active lifestyle d. Immunocompromise
d. Immunocompromise
A client undergoes surgery to remove a malignant tumor, followed by a urinary diversion procedure. Which postoperative procedure should the nurse perform? a. Show photographs and drawings of the placement of the stoma b. Suggest a visity to a local ostomy group c. Determine the client's ability to manage stoma care d. Maintain skin and stoma intergrity
d. Maintain skin and stoma integrity
The nurse who teaches a client about preventing recurrent urinary tract infections would include which statement? a. Take tube baths instead of showers b. Increase intake of coffee, tea, and colas c. Void every 5 hours during the day d. Void immediately after sexual intercoure
d. Void immediately after sexual intercourse
