PU Renal 55 (5+)

the type and size of the catheter to be used.

A client with urinary retention needs to undergo a procedure to insert an indwelling catheter. Before catheterization, the nurse would discuss with the physician information about

Periurethral bulking

is the placement of small amounts of collagen in urethral walls to aid the closing pressure.

Transitional cell carcinoma

When describing the types of bladder tumors that may occur, which type would the nurse identify as most common?

Crashes, falls, and assaults

Which of the following accounts for the majority of ureteral injuries?

Strain the urine carefully for stone fragments.

Which of the following nursing actions is most important in caring for the client following lithotripsy?

Client with a history of cigarette smoking

After teaching a group of students about malignant bladder tumors, the instructor determines that the teaching was successful when the students identify which of the following clients as having the greatest risk for developing a malignant bladder tumor?

Physical and environmental conditions

An 82-year-old client experiences urinary incontinence. Which factor should the nurse assess before beginning a bladder training program for this client?

Application of an ostomy pouch

An ileal conduit is created for a client after a radical cystectomy. Which of the following would the nurse expect to include in the client's plan of care?

empty

Before catheterization, the nurse should inquire about the type and size of the catheter to be used and if the catheter should be removed or retained in place after the bladder is

UT irritants

Coffee, tea, alcohol, and colas are urinary tract irritants. Fruit juice, milk, and ginger ale are appropriate for drinking and countered toward the daily fluid total.

100 ml

In assessing the appropriateness of removing a suprapubic catheter, the nurse recognizes that the client's residual urine must be less than which amount?

Parkinson disease.

Incontinence is noted in clients diagnosed with

high in purine

Organ meats, shellfish, anchovies, asparagus, and mushrooms are foods

stress

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?

"I should limit my intake of meat and fish."

The nurse is giving discharge instructions to the client with uric acid renal calculi. Which statement by the client indicates the client understands the prescribed diet?

incontinence

Which type of voiding dysfunction is seen in clients diagnosed with Parkinson disease?

diabetes mellitus.

Urgency is associated with an overactive bladder. Incomplete bladder emptying is associated with

spinal cord injury.

Urinary retention is associated with

Co-trimoxazole (Bactrim, Septra)

is a trimethoprim-sulfamethoxazole combination medication.

Ciprofloxacin (Cipro)

is a fluoroquinolone used to treat UTIs.

The pouch faceplate doesn't fit the stoma.

A client with bladder cancer had his bladder removed and an ileal conduit created for urine diversion. While changing this client's pouch, the nurse observes that the area around the stoma is red, weeping, and painful. What should the nurse conclude?

"Make sure to eat enough fiber to prevent constipation."

A client with urinary incontinence asks the nurse for suggestions about managing this condition. Which suggestion would be most appropriate?

Implantation of an artificial sphincter

that can be inflated to prevent urine loss and deflated to allow urination is one type of surgery done to improve urinary control.

To help control odor,

the client should use pouches with carbon filters or other odor barriers or add a few drops of liquid deodorizer or diluted white vinegar to the pouch. Foods such as cranberry juice, yogurt or buttermilk may help to decrease odor while foods such as asparagus, cheese, and eggs may impart an odor to the urine.

cipro

A patient has been diagnosed with a UTI and is prescribed an antibiotic. What first-line fluoroquinolone antibacterial agent for UTIs has been found to be significantly effective?

Relieve the pain.

A woman comes to her health care provider's office with signs and symptoms of kidney stones. Which of the following should be the primary medical management goal?

Permanent drainage with a urethral catheter

The following catheterization procedures are used to treat clients with urinary retention. Which procedure would the nurse identify as carrying the greatest risk to the client?

Away from skin folds

The nurse is assisting in the preoperative planning for stoma placement in a client scheduled for urinary diversion surgery. Where should the nurse plan for the stoma to be located?

hypoparathyroidism

The nurse recognizes that which risk factor does NOT predispose a client to the development of kidney stones?

Eat plenty of cheese and eggs.

Which of the following would be least appropriate to suggest to a client with a urinary diversion to control odor?

"I need to hold the position for at least 15 seconds."

A client is learning how to perform Kegel exercises. Which statement by the client indicates a need for additional teaching?

Catheterization should occur every 4 to 6 hours and before bedtime.

The nurse is teaching a client how to perform self-catheterization. Which direction should the nurse include?

Hyperparathyroidism

Which metabolic defects are associated with stone formation?

Periurethral bulking

injection is a gynecological procedure and medical treatment used to treat involuntary leakage of urine: urinary incontinence in women. Injectional materials are used to control stress incontinence. Bulking agents are injected into the mucosa surrounding the bladder neck and proximal urethra

Bladder augmentation

is a procedure that increases storage capacity of the bladder.

Anterior repair

is a procedure that increases support to the bladder by tightening the vaginal wall under the urethra.

Nitrofurantoin (Macrodantin, Furadantin)

is an anti-infective urinary tract medication.

The most common route of infection

is transurethral, in which bacteria colonize the periurethral area and enter the bladder by means of the urethra.

low purine diet

prescribed for the client with uric acid renal calculi.

Nonsteroidal anti-inflammatory drugs (NSAIDs)

such as ketorolac (Toradol) are effective in treating renal stone pain because they provide specific pain relief. They also inhibit the synthesis of prostaglandin E, reducing swelling and facilitating passage of the stone.

placement of small amounts of collagen in urethral walls to aid the closing pressure.

A client is going to have a surgical procedure called a periurethral bulking to improve urinary control. Periurethral bulking is:

milk

A client with a history of chronic cystitis comes to an outpatient clinic with signs and symptoms of this disorder. To prevent cystitis from recurring, the nurse recommends maintaining an acid-ash diet to acidify the urine, thereby decreasing the rate of bacterial multiplication. On an acid-ash diet, the client must restrict which beverage?

type and size of the catheter to be used

A client with urinary retention needs to undergo a procedure to insert an indwelling catheter. What should the nurse discuss with the health care provider before catheterization?

Client's manual dexterity and vision

A female client who is diagnosed with a malignant tumor in her bladder is advised to undergo cystectomy followed by a urinary diversion procedure. Which of the following would be most important for the nurse to assess preoperatively?

Instruct the use of warm sitz baths.

A female client who suffers from urethral strictures undergoes a dilation procedure and experiences a burning sensation while voiding. Which nursing instruction would be most helpful?

Empty the collection bag at least every 8 hours to reduce bacterial growth. Suspend the drainage bag off the floor. Wash the perineal area with soap and water at least twice daily

A major goal when caring for a catheterized patient is to prevent infection. Select all the nursing actions that apply.

By ascending infection (transurethral)

A nurse is conducting a health history on a patient who is seeing her health care provider for symptoms consistent with a UTI. The nurse understands that the most common route of infection is which of the following?

Loss of motor control of the detrusor muscle.

A nurse who is taking care of a patient with a spinal cord injury documents the frequency of reflex incontinence. The nurse understands that this is most likely due to:

Ketoralac (Toradol)

The nurse is caring for a patient with severe pain related to ureteral colic. What medication can the nurse administer with a physician's order that will inhibit the synthesis of prostaglandin E, thereby reducing swelling and facilitating passage of the stone?

coffee in the AM

The nurse is encouraging the client with recurrent urinary tract infections to increase his fluid intake to 8 large glasses of fluids daily. The client states he frequently drinks water and all of the following. Which of the following would the nurse discourage for this client?