Fundamentals of Nursing

Nursing

Quiz 48 :

Urinary Elimination

Quiz 48 :

Urinary Elimination

Question Type
search
arrow
Which of the following behaviours indicates that the client on a bladder training program has met the expected outcomes? Select all that apply. 1) Voids each time there is an urge. 2) Practices slow, deep breathing until the urge decreases. 3) Uses adult diapers, for "just in case." 4) Drinks citrus juices and carbonated beverages. 5) Performs pelvic muscle exercises.
Free
Multiple Choice
Answer:

Answer:

At the end of a health program, clients are supposed to be able to inhibit the urge to void sensations, in case they experience premature urge. Clients using adult diapers do not indicate that the program has been successful. It shows that the client is still not able to control the urge of urination and any involuntary leakage of urine is taking place.
Clients drinking citrus juices must be unaware of the fact that citric acid causes irritation in the bladder. Drinking carbonated beverages also increases the risk of incontinence and dieresis. Hence, clients should avoid these drinks.
Hence, the options 1, 3 and 4 are incorrect.
In order to decrease the frequent urges of urination, it is advised to practice slow, deep breathing. It is also primarily advised to clients to perform pelvic muscle exercises. They are beneficial in improving the bladder control.
Hence, the correct answers are options
img and
img .

Tags
Choose question tag
close menu
arrow
Incontinence can lead to client decisions to limit social interactions. What would be an appropriate response if Mr. Baker states that he will just stay home until he has his surgery?
Free
Essay
Answer:

Answer:

Urinary incontinence is involuntary leakage of urine. It is normal only in infants as they do not have proper developed bladder. It is embarrassing for people to accept this condition in public. Therefore, a nurse should be aware of client's hesitancy about such health conditions.
In the given case if the client wishes to stay home till he undergo the surgery a nurse should motivate him to keep socializing. This will test his health and the nursing plan in the day to day life.
If he will stay at the home his confidence could not be increased about his improvement. A nurse can suggest him the use of external urinary draining device. The application of condom or any external catheter linked to a urinary drainage system may be used for incontinent men.
Methods of applying the condom vary according to the manufacturer's design. Nurses need to know when clients require for such external device. In many cases, clients require condom appliance during the nights.
The urinary drainage bag should be properly maintained. During nights, it should be placed in such that the client movements during sleep do not affect its fitting.

Tags
Choose question tag
close menu
arrow
The nurse recognizes that urinary elimination changes may occur even in healthy older adults because of which of the following? 1) The bladder distends and its capacity increases. 2) Older adults ignore the need to void. 3) Urine becomes more concentrated. 4) The amount of urine retained after voiding increases.
Free
Multiple Choice
Answer:

Answer:

With age, significant changes occur in the urinary bladder. In healthy older adults, the bladder capacity increases with age, and the ability to completely empty the bladder gets diminished.
Older adults may have difficulty in getting to the toilet at the time of the urge of urination, but they do not ignore the urge to urinate. With age, the ability to produce concentrated urine by the kidney gets diminished.
The kidney functioning gets reduced with age, which can be due to several reasons such as a decrease in the number of nephrons which are the functional unit of the kidney and are primarily involved in filtering of urine.
Hence, the options 1, 2 and 3 are incorrect.
In healthy older adults, even though the capacity of the bladder increases, still the bladder muscle tone and its contractibility get diminished. This results in increasing the retention of the urine in the bladder after voiding. This also increases the risk of encountering bacterial infection
Hence, the correct answer is the option
img .

Tags
Choose question tag
close menu
arrow
Considering Mr. Baker's history and assessment data, what other physical conditions could explain his symptoms?
Essay
Answer:
Tags
Choose question tag
close menu
arrow
Which focus is the nurse most likely to teach for a client with a flaccid bladder? 1) Habit training: Attempt voiding at specific time periods 2) Bladder training: Delay voiding according to a prescheduled timetable. 3) Crede's maneuver: Apply gentle manual pressure to the lower abdomen. 4) Kegel exercises: Contract the pelvic muscles.
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
It does not appear that other alternatives have been considered. Why might this be so?
Essay
Answer:
Tags
Choose question tag
close menu
arrow
The nurse will need to assess the client's performance of clean intermittent self-catheterization (CISC) for a client with which" urinary diversion? 1) Ileal conduit 2) Kock pouch 3) Neobladder 4) Vesicostomy
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
During shift report, the nurse learns that an older female client is unable to maintain continence after she senses the urge to void and becomes incontinent on the way to the bathroom. Which nursing diagnosis is most appropriate? 1) Stress Urinary Incontinence 2) Reflex Urinary Incontinence 3) Functional Urinary Incontinence 4) Urge Urinary Incontinence
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
Which action represents the appropriate nursing management of a client wearing a condom catheter? 1) Ensure that the tip of the penis fits snugly against the end of the condom. 2) Check the penis for adequate circulation 30 minutes after applying. 3) Change the condom every 8 hours. 4) Tape the collecting tubing to the lower abdomen.
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
During assessment of the client with urinary incontinence, the nurse is most likely to assess for which of the following? Select all that apply. 1) Perineal skin irritation 2) Fluid intake of less than 1,500 midday 3) History of antihistamine intake 4) History of frequent urinary tract infections 5) A focal impaction
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
The primary care provider has recommended surgery. What assumptions will the nurse need to validate in helping prepare Mr. and Mrs. Baker for this surgery?
Essay
Answer:
Tags
Choose question tag
close menu
arrow
The catheter slips into the vagina during a straight catheterization of a female client. The nurse does which action? 1) Leaves the catheter in place and gets a new sterile catheter. 2) Leaves the catheter in place and asks another nurse to attempt the procedure. 3) Removes the catheter and redirects it to the urinary meatus. 4) Removes the catheter, wipes it with a sterile gauze, and redirects it to the urinary meatus.
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
A female client has a urinary tract infection (UTI). Which teaching points by the nurse would be helpful to the client? Select all that apply. 1) Limit fluids to avoid the burning sensation on urination. 2) Review symptoms of UTI with the client. 3) Wipe the perineal area from back to front. 4) Wear cotton underclothes. 5) Take baths rather than showers.
Multiple Choice
Answer:
Tags
Choose question tag
close menu
arrow
Which statement indicates a need for further teaching of the home care client with a long-term indwelling catheter? 1) "I will keep the collecting bag below the level of the bladder at all times." 2) "Intake of cranberry juice may help decrease the risk of infection." 3) "Soaking in a warm tub bath may ease the irritation associated with the catheter." 4) "I should use clean technique when emptying the collecting bag."
Multiple Choice
Answer:
Tags
Choose question tag
close menu