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Terms in this set (46)How would the nurse position a female patient for examining the genitalia for inflammation and infection related to urinary elimination problems? Supine Dorsal recumbent A nurse is assessing the severity of a patient's urinary elimination problem. Which question is most appropriate for the nurse to ask? "Does your urinary problem restrict you from doing your usual activities?" "How often are you awakened with the urge to void while you are sleeping?" The nurse is caring for a patient with urinary incontinence. Which action would the nurse perform to promote comfort for the patient? Select all that apply. Change dressings & linens when wet. Change dressings & linens when wet. A male patient returned from the operating room 6 hours ago with a cast on his right arm. He has not yet voided. Which action would be most beneficial in assisting the patient to void? Suggest that he stand at the bedside. Suggest that he stand at the bedside. The nurse receives a prescription to obtain a postvoid residual for a patient via catheterization. Which method to obtain this measurement is best? Intermittent catheterization Intermittent catheterization A nurse is assisting the health care provider assess a patient with altered urinary elimination. After assessing the patient, the health care provider suspects that the patient has an obstruction of the ureters. Which diagnostic test does the nurse expect the patient to undergo? Cystoscopy Axial computed tomography scan
Which statement by a student nurse regarding urinary incontinence requires correction? "Urinary incontinence is common in older adults." "Mixed incontinence is a combination of stress and functional incontinence." The patient is incontinent, and a condom catheter is placed. The nurse should take which action? Secure the condom with adhesive tape Assess the patient for skin irritation A 70-year-old woman complains about involuntary passage of urine. The leakage of urine occurs in small amounts and is more frequent when she coughs. The nursing assessment reveals that the patient is obese, has had 3 pregnancies, and has already gone through menopause. The nurse understands that the patient is at an increased risk of developing a urinary tract infection. Which nursing intervention can help prevent a urinary tract infection in the patient? Select all that apply. Emphasize reduced fluid intake. Emphasize wearing cotton underwear. The nurse is reviewing laboratory results for patient and notices the urine tested positive for ketones. Which underlying factor may lead to the presence of urinary ketone bodies? Select all that apply. Epilepsy Starvation An obese patient reports leaking urine while coughing. Which management strategy should be included in the patient's treatment plan? Select all that apply. Adequate fluid intake Kegel exercises A postoperative patient has difficulty voiding after surgery and is feeling "uncomfortable" in the lower abdomen. Which action would the nurse implement first? Encourage fluid intake. Turn on the bathroom faucet as the patient tries to void. A patient who is a smoker complains of involuntary passage of urine after a strong sense of urgency to void. Which nursing intervention would be helpful to this patient? Select all that apply. Crede method Smoking cessation A nurse is educating a patient who has altered urinary elimination on how to maintain a healthy bladder. Which statement by a patient indicates a need for further education? Select all that apply. "I'll drink 6-8 glasses of water a day." "I'll avoid drinking fluids 4 hours before bedtime to decrease nocturia." The nurse notices pus in the catheter of a patient who had an indwelling catheter inserted 4 days ago. Which nursing measure is appropriate for this patient? Irrigating the catheter with 10 mL of water Replacing the catheter with a new one While performing continuous bladder irrigation, a nurse assesses the patient's urine for color, amount, clarity, and the presence of mucus, blood clots, or sediment. What is the nurse looking for? Bladder spasms A need for increased irrigation rate to prevent bleeding A patient who presents with dribbling of urine is diagnosed with stress incontinence. Which datum would the nurse include in the assessment of this patient? Select all that apply. Height & weight Height & weight An older male patient states that he is having problems starting and stopping his stream of urine and he feels the urgency to void. The best way to assist this patient is to: Help him stand to void. Help him stand to void. Which symptom would the nurse anticipate in a patient with urge urinary incontinence? Select all that apply. Distended bladder on
palpation Leaks on the way to the bathroom Which patient would the nurse anticipate to require the use of a short or long-term urinary catheter? Select all that apply. A patient who
has chronic urinary retention A patient who needs accurate monitoring of urine output after a gynecological procedure A 55-year old man is admitted to the hospital with urinary retention. The health care provider prescribes catheterization for the patient. When setting up the supplies for catheterization would the nurse select for this patient? 8 Fr 14 Fr After assessing a patient with urinary incontinence, the health care provider confirms that the patient is at risk of a life-threatening condition that causes severe elevation of the blood pressure and pulse rate as well as diaphoresis. Which type of of urinary incontinence does this patient have? Transient incontinence Reflex urinary incontinence The nurse notes that the patient's indwelling catheter bag has been empty for 4 hours. Which action is priority? Irrigate the indwelling catheter. Check for kinks in the tubing. Which intervention is most appropriate for a patient with a functional urinary incontinence? Insert an indwelling
catheter. Provide normal fluid intake and establish a toilet schedule. A nurse is caring for a patient with an indwelling catheter. Which nursing action may increase the risk of a catheter-associated urinary tract infection? Collecting
specimens via a port in the tubing. Keeping the drainage bag above the level of the bladder. What should the nurse include in the plan of care for a patient with urge urinary incontinence? Helping the patient learn efficient
and safe toilet transfers Helping the patient strengthen the pelvic floor muscles and learn fluid and food modifications While caring for a female patient with altered urinary elimination, the nurse instructs the patient to assume a squatting position when voiding. Which rationale is the reason behind the recommendation? To prevent infections To promote complete bladder emptying A patient tells a nurse "I lose small amounts of urine while coughing, laughing, exercising, and walking but not at night while sleeping." Which response by the nurse is most appropriate? "You may require intermittent catheterization." "I'll teach you pelvic muscle exercises that you can perform regularly to address the problem." A nurse instructs an elderly patient to restrict fluid intake 2 hours before bedtime. Which complication is the nurse trying to reduce? Nocturia Nocturia A patient is being assessed for a possible urinary tract infection (UTI). Before sending a urinalysis specimen to the laboratory, the nurse collects a small amount of urine to perform a dipstick test. If the patient has a UTI, which component should be detected in the urine? Protein Leukocytes A nurse is caring for an elderly patient who is receiving treatment for urinary incontinence. After reviewing the patient's prescription, the nurse knows to observe the patient for cognitive impairment. Which medication is the patient most likely taking? Atropine Oxybutinin Which patient is most likely to exhibit symptoms such as dysuria, urgency, frequency, and nocturia? A patient with kidney failure A patient with a urinary tract infection How would the nurse position a female patient for examining the genitalia for inflammation and infection related to urinary elimination problems? Supine Dorsal recumbent The nurse is caring for a patient with urinary incontinence. Which action would the nurse perform to promote comfort for the patient? Select all that apply. Change dressings and linens when wet Change dressings and linens when wet A patient reports having the urge to void, but urine starts leaking before the patient reaches the bathroom. Which treatment strategy would be helpful for this patient? Select all that apply. Scheduled toileting Scheduled toileting The nurse is reviewing the laboratory report of a patient. The presence of which substance in the urine hints at the possibility of an abnormality? Protein, 6 mg/mL Glucose, 2+ Which instruction regarding bladder training would be included in the teaching plan for the family of a patient who is incontinent because of a stroke? "Use an indwelling catheter at night to prevent accidents." "Offer the patient the commode or urinal every 2 hours." The patient's urine specific gravity is 1.05. The urine tests positive for ketone bodies. Which condition is a possible cause? Select all that apply. Starvation Starvation A 70-year-old woman complains about involuntary passage of urine. The leakage of urine occurs in small amounts and is more frequent when she coughs. The nursing assessment reveals that the patient is obese, has had three pregnancies, and has already gone through menopause. Which nursing interventions would help this patient reduce incontinence? Advise the patient to suppress coughs. Teach the patient Kegel exercises. The patient states that she "loses urine" every time she laughs or coughs. The nurse teaches the patient measures to regain urinary control. Which statement by the patient indicates the need for further teaching? "I will perform my Kegel exercises every day." "I drink two glasses of wine with dinner."
The nurse assesses that the patient has a full bladder, and the patient states that he/she is having difficulty voiding. Which instruction would the nurse provide the patient? Use the double voiding technique. Use the Crede method. A nurse is caring for a patient with a spinal cord injury who reports an absence of awareness of bladder filling and the urge to void. A family member adds that the patient also sometimes has leakage of urine without awareness. Which nursing intervention is most important for the patient? Placing an indwelling catheter. Monitoring for autonomic dysreflexia. A nurse is caring for a patient who is receiving treatment for a urinary elimination problem. After a few days of taking the prescribed medications, the patient reports a dry mouth, constipation, and blurred vision. Which medication is the most likely cause of the patient's symptoms? Atropine Fesoterodine A patient who has undergone urological surgery is prescribed urinary catheterization. Which diameter of catheter does the nurse anticipate will be used for this patient? 5 to 6 Fr Greater than 16 Fr A nurse is caring for an elderly patient who has recently started taking an antimuscarinic medication to treat urinary incontinence. Which nursing intervention is most important in the situation? Teaching pelvic muscle exercises Assessing the patient for mental status changes A registered nurse is educating nursing students about the factors that influence urination. Which statement by a student nurse indicates a need for further education? "Patients with anxiety and stress may have increased frequency of voiding." "Patients with pathological conditions such as arthritis and dementia may experience either bladder overactivity or deficient bladder emptying." Sets with similar termsChapter 45.343 terms brooke_fries EAQ Chapter 65: Module 188 terms dcetin19 Sets found in the same folderAdaptive Quiz Urinary Elimination and the Nursing…18 terms dovesalome Ch 46 Urinary Elimination and Nursing Process67 terms wangotango Chapter 46: Urinary Elimination (Nursing Skills Re…19 terms annasan143 Ch 45 Urinary Elimination66 terms bluelikeasky Other sets by this creatorPearson TB - Spinal Cord Injury11 terms sarah_reav Module 19.121 terms sarah_reav Nclex Questions for Shock - Critical Care32 terms sarah_reav Life-Threatening Dysrythmias6 terms sarah_reav Other Quizlet setsThe Roaring Twenties & the Great Depression259 terms mrose78 BIOL 3030 Final Exam: Chapter 26, Evolution of Pri…31 terms jllawsoPLUS Chapter 241 terms kylepanlilio
Related questionsQUESTION reinforcing teaching for client/family receiving tx for a spinal cord injury w/ a halo fixation device. Whats an appropriate statement ? 9 answers QUESTION The patient has a UO of 22 ml/HR, tenting, and dry mucous membranes. What would you recommend to the doctor for treatment? 2 answers QUESTION The nurse is assessing a patient newly diagnosed with type 2 diabetes. Which symptom reported by the patient correlates with the diagnosis? 4 answers QUESTION When a patient recently diagnosed with type 1 diabetes mellitus inquires about the ability to continue playing competitive tennis with this diagnosis, which response would the nurse use? 5 answers What are some nursing interventions for urinary incontinence?Interventions. Pelvic muscle exercises (also known as Kegel exercises) work the muscles used to stop urination, which can help prevent stress incontinence. ... . Timed voiding can be used to help a patient regain control of the bladder. ... . Lifestyle changes can help with incontinence.. What intervention is most appropriate for a patient with functional urinary incontinence?The most typical treatment for functional incontinence involves improving the patient's functional status, modifying transient causes for the incontinence (e.g., fecal impaction), and reducing environmental barriers to toileting or providing sufficient toileting assistance to avoid incontinence episodes.
Which type of incontinence is most likely to be associated with a urinary tract infection?Urge incontinence is most common in older people. It can sometimes be a sign of a urinary tract infection (UTI). It can also happen in some neurological conditions, such as multiple sclerosis and spinal cord injuries. Overflow incontinence happens when your bladder doesn't empty all the way.
Which term describes leakage of urine despite voluntary control of urination?Stress urinary incontinence (SUI) is defined as involuntary urine leakage associated with specific activities (e.g., sneezing and coughing.
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