Urinary elimination 204

which goal is the nurse trying to achieve w/ continuous bladder irrigations (CBI) of a client who has undergone a suprapubic prostatectomy for cancer of the prostate?

prevent the development of clots in the bladder

while collecting a clients urine sample, which condition would the nurse suspect if the sample has a strong odor of ammonia?

uti

Which info would the nurse provide about what the client can expect after surgery for. a transurethral resection of the prostate?

an indwelling catheter is required for at least a day

which action would the nurse take after identifying that a clients urinary output is less than 40 mL/h over the pasterm-10t 3 hrs?

assess breath sounds & obtain vital signs

which action by the nurse would be best when a client who has been admitted with pulmonary edema and received furosemide intravenously needs to void?

assist the client to a bedside commode

Which intervention would the nurse implement when providing care for an older adult male client who is immobile & incontinent of urine?

Reg offer the client a urinal

Which finding would the nurse expect in the urinalysis report of a client w/ diabetes insipidus?

specific gravity of urine 0.4

which instruction would the nurse provide a client needing to collect a clean catch urine specimen?

urinate a small amt, stop flow, and then fill one half of the specimen cup

which diagnostic procedure requires the clinic nurse to instruct a client to discard the morning first voided urine, then collect a fresh urine specimen & transport it to the lab w/in 1 hr of collection?

urine cytology

Client is scheduled for a kidney ultrasound, Which instructions would be given by the nurse?

-"drink plenty of fluids" -"do not urinate before the exam" -"lie flat & perfectly still during the test"

Which physiological change that occurs w/ aging causes stress incontinence?

-estrogen deficiency -weakening of the urinary sphincter

Which clinical manifestation would the nurse identify as an indicator suggesting a client has urinary retention and overflow after sustaining a cerebrovascular accident (CVA AKA brain attack)

-freq voiding -suprapubic distention

which nursing action during a focused urinary assessment would the nurse use to collect subjective client data?

-inquire abt painful urination -ask client abt changes in characteristics of urination

Which nursing intervention would help an older adult experiencing urinary incontinence?

-provide voiding opportunities -avoid indwelling catheterization -promote measures to prevent skin breakdown

Which intervention related to post CVA urinary incontinence would the nurse include in the clients plan of care?

Institute measures to prevent constipation

which purpose is served by a cystoscopy ordered for a client experiencing decreased & difficult urination?

To ascertain the presence of urethral wall abnormality.

Which prob is the nurse trying to prevent by encouraging a client w/ a spinal cord injury to increase oral fluid intake?

UTI

Which sign or symptom supports the nurses suspicion that a client has overflow incontinence?

constant dribbling of urine

Which catheter would the nurse use when a HCP has prescribed an indwelling urinary catheter for a client?

double lumen catheter

which response would the nurse give to a client who had a transurethral resection of the prostate (TURP) who experiences dribbling after removal of the indweling catheter?

increase your fluid intake and urinate at regular intervals

Which intervention would prevent urinary stasis and formation of renal calculi (kidney stones) in an immobile client?

increasing oral fluid intake to 2-3 L/Day

urinalysis report of a client reveals a pH of 6.0, turbidity/cloudiness, specific gravity of 1.020, 0.6 mg/dL of proteins. which condition can be inferred from the findings?

infection

Which evidence based nursing intervention links to reducing catheter associated urinary tract infections (CAUTIs) in clients requiring long term indwelling catheters?

perform catheter care twice. a day

which medication turns urine reddish orange in color?

phenazopyridine

which nursing intervention helps prevent complications associated w/ a shortened urethra revealed by a recent intravenous pyelogram?

providing thorough perineal care after each voiding -This is because shortened urethras put patients at an increased risk for bladder infections

Which intervention is most important in preventing hospital acquired catheter associated UTIS (CAUTIs)?

removing the catheter

Which response would the nurse provide to a client who asks about what to expect postoperatively before a transurethral resection of the prostate (TURP)?

there will be a urinary catheter and a continuous bladder irrigation

Which instruction would the nurse include in a health practices teaching plan fir a female client with a history of recurrent urinary tract infections?

wear cotton underwear or lingerie