Question 1

A client who is hospitalized is wearing a condom catheter for urinary incontinence. Which of the following would be most appropriate to include in this client's plan of care?

Accepted Answer

Checking the condom catheter for kinks is important to ensure proper urinary drainage and prevent discomfort or skin breakdown. Changing the condom catheter every 24 hours is recommended to prevent urinary tract infections. Keeping the penis positioned upward may cause discomfort and is not necessary with a properly applied condom catheter. Emptying the drainage bag should be done on a regular basis, not just when it is completely full, to prevent backflow and infection.

Question 2

A female client who suffers from urethral strictures undergoes a dilation procedure. Following the procedure, she experiences a burning sensation while voiding. Which of the following instructions would be most helpful?

Accepted Answer

Warm sitz baths can help alleviate discomfort and burning sensations following surgical procedures on the genital area. It is not necessary to visit an ostomy support group or use moisture sealants, and while perineal cleansing is important for hygiene, it is not likely to address the client's specific concern of burning while voiding.

Question 3

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

Accepted Answer

C

Question 4

An older adult male client is participating in a bladder retraining program as part of the treatment for urinary incontinence. The nurse advises him to wear barrier garments such as liners and protective pants. Which suggestion would be most appropriate to help the client maintain skin integrity?

Accepted Answer

Exposing the affected area to air can help maintain skin integrity by allowing the skin to breathe and preventing moisture buildup. Avoiding the application of moisture sealant is also important because it can trap moisture against the skin and increase the risk of skin breakdown. Using scented sprays or perfumes and electric room deodorizers should be avoided because they can irritate the skin and cause further problems.

Question 5

A client is prescribed amitriptyline, an antidepressant for incontinence. The nurse understands that this drug is an effective treatment because it:

Accepted Answer

The answer of A client is prescribed amitriptyline, an antidepressant...

Question 6

A female client is undergoing a bladder training program as treatment for urinary incontinence. Which of the following techniques would be the most appropriate suggestion?

Accepted Answer

Bladder training typically involves gradually increasing the time between trips to the bathroom and strengthening pelvic floor muscles through exercises such as Kegels. Instilling DMSO in the bladder is a treatment for interstitial cystitis, not urinary incontinence. Using the services of a chronic pain center would not be necessary for incontinence. Warm sitz baths may provide temporary relief, but do not address the underlying issue of bladder control.

Question 7

A nurse has been asked to speak to a local women's group about preventing cystitis. Which of the following would the nurse include in the presentation?

Accepted Answer

The nurse would include the need to urinate after engaging in sexual intercourse as it can help prevent bacterial growth in the urinary tract and decrease the risk of developing cystitis. Wearing underwear made from synthetic material can actually increase the risk of cystitis by trapping moisture and allowing bacteria to grow. The suggestion to take tub baths instead of showers can also increase the risk of cystitis by allowing bacteria to enter the urinary tract. The recommended frequency of urination is based on individual needs and may vary, so it may not be included in the presentation.

Question 8

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?

Accepted Answer

The nurse should assess the client's manual dexterity and vision preoperatively because these factors will affect the client's ability to manage the urinary diversion appliance postoperatively.

Question 9

A nurse is reviewing the history and physical examination of a client with a suspected malignant tumor of the bladder. Which finding would the nurse identify as the most common initial symptom?

Accepted Answer

Painless hematuria is the most common initial symptom of bladder cancer. The other options are not typically seen as initial symptoms of bladder cancer.

Question 10

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

Accepted Answer

Eating enough fiber can prevent constipation which can put pressure on the bladder and worsen urinary incontinence. It is important to avoid scented powders as they can irritate the skin and urinary tract. Drinking coffee can actually worsen urinary incontinence by acting as a diuretic and increasing urine production. Limiting the number of times the client urinates is not recommended as it can lead to urinary tract infections and other complications.

Question 11

A client is suspected of having interstitial cystitis. Which diagnostic test would the nurse anticipate as being used to confirm the diagnosis?

Accepted Answer

The answer of A client is suspected of having interstitial...

Question 12

The nurse is to check residual urine amounts for a client experiencing urinary retention. Which of the following would be most important?

Accepted Answer

Catheterizing the client immediately after the client voids is the most accurate method to check for residual urine, as it measures the amount of urine left in the bladder after voiding.

Question 13

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?

Accepted Answer

Permanent drainage with a urethral catheter carries the greatest risk due to the potential for infection, urethral trauma, and complications associated with long-term catheter use.

Question 14

A group of students are reviewing information about disorders of the bladder and urethra. The students demonstrate understanding of the material when they identify which of the following as a voiding dysfunction?

Accepted Answer

Urinary retention is a voiding dysfunction, which means there is difficulty in completely emptying the bladder. Cystitis is an inflammation of the bladder, bladder stones are solid masses in the bladder, and urethral stricture is a narrowing of the urethra, which can cause difficulty in urination, but they are not specifically categorized as voiding dysfunctions.

Question 15

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

Accepted Answer

Transitional cell carcinoma is the most common type of bladder tumor, accounting for about 90% of cases. Squamous cell carcinoma and adenocarcinoma are less common, and papillary carcinoma is a subtype of transitional cell carcinoma.

Question 16

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?

Accepted Answer

Cigarette smoking is a known risk factor for developing bladder cancer, as tobacco smoke contains numerous carcinogens that can damage cells in the bladder lining. While untreated gonorrhea and other sexually transmitted diseases can increase the risk of certain types of cancer, they are not associated with bladder cancer specifically. Bladder inflammation can also increase the risk of bladder cancer, but to a lesser extent than smoking. Therefore, option C is the best answer.

Question 17

A client is suspected of having an outflow obstruction. Which of the following would the nurse expect the client to report?

Accepted Answer

Straining to empty bladder is a common symptom of outflow obstruction. A forceful stream may indicate a normal or increased rate of urine flow, while urgency and dysuria are common symptoms of urinary tract infections or inflammation but not specifically related to outflow obstruction.

Question 18

A male client is very anxious about the ineffective sexuality pattern that he faces after a urinary diversion procedure. Which of the following would be most appropriate to help reduce the client's anxiety?

Accepted Answer

Discussing alternatives to sexual intercourse may help reduce the client's anxiety by providing him with other options and easing the pressure to perform sexually. It is important to respect the client's feelings and not push him into discussing sexual patterns if he is uncomfortable. Discouraging him from sharing his feelings with his partner may further isolate the client and worsen his anxiety. Kegel exercises may not address the client's concerns about ineffective sexuality patterns after a urinary diversion procedure.

Question 19

Examination of a client's bladder stones reveal that they are primarily composed of uric acid. The nurse would expect to provide the client with which type of diet?

Accepted Answer

Uric acid stones are primarily composed of purines, so a low purine diet is recommended to reduce the production of uric acid. A low oxalate diet is recommended to prevent calcium oxalate stones. A high protein diet can actually increase the production of uric acid. A high sodium diet can increase the risk of formation of all types of stones.

Question 20

A client comes to the clinic for a follow-up visit. During the interview, the client states, "Sometimes when I have to urinate I can't control it, and do not reach the bathroom in time." The nurse suspects that the client is experiencing which type of incontinence?

Accepted Answer

The client's symptoms of not being able to control urination when they need to may indicate urge incontinence, which is characterized by a sudden urge to urinate that is difficult to control. Stress incontinence involves leakage of urine during activities that increase abdominal pressure, such as coughing or sneezing, while overflow incontinence is characterized by leakage due to an overfilled bladder that is unable to empty completely. Functional incontinence involves the inability to reach a bathroom in time due to physical or mental limitations, such as mobility issues or dementia.

Quiz 59: Caring Forclients With Disorders of the Bladder and Urethra