Urinary Elimination

A client reports burning on urination. Which question should the nurse ask to best obtain information about the client's dysuria?

"Can you tell me about the problems you are having with urination?"

A primary health-care provider prescribes furosemide 40 mg to be added to 50 mL of D5W to infuse at a rate of 3 mg/minute. Furosemide for IV infusion is 10 mg/mL. The nurse uses a secondary infusion set that has a drop factor of 10. How many drops per minute should the nurse administer?

40 gtt/min

A primary health-care provider prescribes 250 mL 0.9% sodium chloride to be administered over 30 minutes to challenge a client's kidneys to produce urine. The nurse obtains an electronic infusion device to administer the solution. At what rate should the nurse program the infusion device? Record you answer using a whole number.

500 mL/hr

A primary health-care provider prescribes a bladder ultrasound scan to be performed after a client voids to determine the amount of residual urine. The nurse explains the test to the client. Place the following steps in the order that they should be performed by the nurse.

6-Place the client in the supine position 4-Drape the client, exposing only the lower abdomen and suprapubic area. 3-Aim the scan head toward the client's coccyx and press the scan head button.

A client who had prostate surgery has a continuous bladder irrigation (CBI) in place. The nurse maintains the CBI at 200 mL/hour of GU irrigant as prescribed. The urine drainage bag was emptied several times during the course of the shift for a total of 3,200 mL. How many milliliters should the nurse calculate was urine at the end of the 12-hour shift? Record your answer using a whole number.

800mL

A nurse is caring for a group of clients with a variety of urinary problems. Which physical response identified by the nurse should cause the most concern?

Anuria

A nurse is caring for a client with a condom catheter. Which of the following is important to implement? Select all that apply.

Avoiding kinks in the collection tubing Providing perineal care at least once a day Confirming that the adhesive band is not too tight Leaving 1 inch between the glans penis and drainage tubing Ensure that the foreskin is over the glans penis before the catheter is applied (all 5 choices)

Which should a nurse teach the client to avoid that will help prevent urinary diuresis? Select all that apply.

Caffeine and alcohol

A client is experiencing bladder irritability. Which fluid should the nurse teach the client to include in the diet?

Cranberry juice

Which clinical manifestation can a nurse expect when a postoperative client experi- ences stress associated with surgery?

Decreased urinary output

A nurse is performing a physical assessment on a newly admitted client who is experiencing urinary incontinence. Which problem identified by the nurse is often associated with this problem?

Disturbed self-esteem

A nurse must obtain a urine specimen for a culture and sensitivity test from a client who has an indwelling urinary catheter. Place the following steps in the order in which they should be performed.

Drain the urine in the tubing into the draining bag. Clamp the drainage tubing below the specimen port for 15-30 minutes. Wash your hands and don clean gloves Swab the specimen port with an antiseptic and aspirate urine via a sterile syringe Transfer the urine to a sterile specimen cup and discard the syringe into a sharps container. Remove the clamp from the drainage tubing.

Which is an effective nursing intervention to prevent urinary tract infections?

Encourage client to drink several quarts of fluids per day

A client has a urinary retention catheter. Which is most important when the nurse cares for this client?

Ensuring that the catheter remains connected to the collection bag

Which information about a client is communicated when a nurse documents that the client has polyuria?

Excreting excess amounts of urine

A nurse must measure the intake and output (I&O) of a client who has a urinary reten- tion catheter. Which equipment is most appropriate to use to measure urine output from a urinary retention catheter accurately?

Graduate

A primary health-care provider discusses the need for a cystoscopy with a client. Which is most important for the nurse to do when caring for this client before the cystoscopy?

Have the client sign an informed consent form before the procedure.

A client returns from the surgical unit after a transurethral resection of the prostate gland. The nurse reviews the primary health-care provider's prescriptions, obtains the client's vital signs, and performs a focused client assessment. Which is the best intervention by the nurse?

Increase the flow rate of the continuous bladder irrigation

A nurse is caring for two clients. One client has reflex incontinence and the other has total incontinence. Which characteristic is common to both reflex incontinence and total incontinence?

Loss of urine without awareness of bladder fullness

An older adult with an indwelling urinary catheter is receiving 75 mL of 0.9% sodium chloride hourly. The client has had several hospital admissions in the last year for dehydration. The nurse is concerned about the client's renal function. What is the best intervention by the nurse to assess this client's renal functioning?

Monitor the client's urine output hourly.

Which should the nurse implement to facilitate bladder continence for a male client who is cognitively impaired? Select all that apply.

Offer toileting reminders every 2 hours Provide clothing that is easy to manipulate

Which clinical manifestation identified by the nurse commonly is associated with ex- cessive production of antidiuretic hormone (ADH)?

Oliguria

A nurse is caring for a debilitated female client with nocturia. Which nursing interven- tion is the priority when planning to meet this client's needs?

Positioning a bedside commode near the bed

A nurse identifies that the client has overflow incontinence. Which factor contributes to this clinical manifestation?

Prostate enlargement

A nurse reviews the results of a client's urinalysis. Which constituent found in urine indicates the presence of an abnormality that should be reported to the primary health-care provider?

Protein

A nurse must obtain a urine specimen from a client. Which nursing intervention is the greatest help to most people who need to void for a urine test?

Providing for privacy

A client has urinary incontinence. Which is the best nursing intervention for this client?

Providing skin care immediately after soiling

A nurse plans to clamp a client's urinary drainage system to obtain a urine specimen for a urine culture and sensitivity. Indicate with an X, on the figure below, where the nurse should clamp the catheter drainage system.

Right below the V portion of the catheter

A nurse is caring for a female client on bedrest who has a urinary retention catheter. Which should the nurse do? Select all that apply.

Secure the tubing to the client's leg. Ensure the tubing is positioned under the leg.

Which assessment is not related to monitoring both urine and stool?

Shape

When the nurse is planning nursing care, which factor in the client's history places the client at risk for stress incontinence? Select all that apply.

Six vaginal births Menopause Obesity

A nurse is assessing the urinary status of a client. Which sign indicates that additional nursing assessments are necessary?

Specific gravity of 1.035

A nurse is inserting an indwelling urinary catheter into a male client. The nurse feels firm resistance while inserting the urinary catheter through the penis. What should the nurse do?

Stop the procedure and notify the health-care provider about the resistance.

When a nurse assesses a client, which clinical manifestations support the presence of urinary retention? Select all that apply.

Suprapubic distention and frequent small voidings

A confused client is incontinent of urine and stool and smears the stool on the bed linens and bed rails. Which should be the initial client goal?

The client will be clean and dry continously

A nurse must measure the intake and output (I&O) of a client who has a urinary reten- tion catheter. Which equipment is most appropriate to use to measure urine output from a urinary retention catheter accurately?

Urinary Tract Infection

A client tells the nurse, "I have to urinate as soon as I get the urge to go." For which contributing factor to urinary urgency should the nurse implement a focused assessment?

Urinary tract infection

A primary health-care provider prescribes a urine specimen for culture and sensitivity via a straight catheter for a client. Which should the nurse do when collecting this urine specimen?

Use a sterile specimen container

A nurse must obtain a clean-catch urine specimen from one client and a urine speci- men via a straight catheterization from another. Which intervention is not performed for both when obtaining these specimens?

Wearing sterile gloves for the procedure

A client is admitted to the emergency department because of hypertension and oliguria. For which additional clinical manifestation associated with this cluster of information should the nurse assess the client?

Weight gain