module 4

which catheter would the nurse use when a primary health care provider has prescribed an indwelling urinary catheter for a client?

C

which nursing action during a focused urinary assessment would the nurse use to collect subjective client data? a. inquire about painful urination b. ask the client about changes in characteristics of urination c. assess the levels of blood urea nitrogen and creatinine d. palpate abdomen for bladder distention or masses e. inspect the urinary meatus for inflammation or discharhe

a. inquire about painful urination b. ask the client about changes in characteristics of urination

which evidence based nursing intervention links to reducing CAUTIS in clients requiring long-term indwelling catheters? a. perform catheter care twice a day b. replace the catheter on a routine basis c. administer cranberry tablets 3x a day d. administer prophylactic antibiotics twice a day for the duration of catheter placement

a. perform catheter care twice daily

Which intervention would the nurse implement when providing care for an older adult male client who is immobile and incontinent of urine? a. restrict the client's fluid intake b. regularly offer the client a urinal c. apply incontinence pants d. insert an indwelling catheter

b. regularly offering the urinal is the first step. retraining the bladder includes a routine pattern of attempts to void, which may increase bladder tone and produce a conditioned response. restricting fluid intake can resuly in dehydration and uti in older client. the pants does not address the cause of incontinence, promotes skin breakdown and lowers client's self esteem. Indwelling catheter is a no bc you need an order and increases risk of cauti

which genitourinary factor contributes to urinary incontinence in older adult clients and needs to be considered by the nurse when planning the care for these clients? a. sensory deprivation b. urinary tract infection c. frequent use of diuretics d. inaccessibility of a bathroom

b. urinary tract infection

which clinical manifestation would the nurse identify as an indicator suggesting a client has urinary retention and overflow after sustaining a cerebrovascular accident? SATA a. edema b. polyuria c. frequent voiding d. suprapubic distention e. continual incontinence

c. frequent voiding d. suprapubic distention

Which information would the nurse consider when planning care for the postoperative client who has newly constructed conduit diversion (ileal conduit)? a. peristalsis of the small intestine segment assists with urine flow b. stool continuously oozes from the newly created ileal conduit c. ileal diversion conduits may provide urinary continence d. absorption of nutrients diminishes within the small intestines

c. ileal diversion conduits may provide urinary continence

which intervention is most beneficial in preventing a CAUTI in a postoperative client? a. pouring warm water over the perineum b. ensuring the patency of the catheter c. removing the catheter within 24 hours d. cleaning the catheter insertion site

c. removing the catheter within 24 hours

which condition would the nurse suspect in a client who complains of nocturia, bladder pain, urinary frequency, urgency, and dribbling at the end of urination with a digital rectal examination report indicating smooth, firm, and enlarged prostate tissue surrounding the urethra? a. prostatitis b. paraphimosis c. prostate cancer d. benign prostatic hyperplasia (BPH)

d. BPH

which problem is the nurse trying to prevent by encouraging a client with a spinal cord injury to increase oral fluid intake? a. dehydration b. skin breakdown c. electrolyte imbalances d. urinary tract infections

d. urinary tract infections clients in the early stages of spinal cord damage experience atonic bladder; the characteristics include the absence of muscle tone, an enlarged capacity, no feeling of discomfort or distention, and overflow with a large residual. This leads to urinary stasis and infection