Dehydration may contribute to UTIs, calculi formation, and kidney failure. Large intake of foods, such as dairy products or foods high in proteins, may also lead to calculi formation. Because the patient is athletic, muscle strain is probably not the primary cause of his symptoms. Caffeine, alcohol, carbonated beverages, some artificial sweeteners, or spicy foods often aggravate urinary inflammatory diseases. The patient avoids sodas, so this would not be as great a concern. Up to one episode of nocturia is considered normal in younger adults, and up to two episodes are acceptable among adults ages 65 years or older. The nurse is teaching a group of licensed vocational nurses (LVNs) and licensed practical nurses (LPNs) about the pathogenesis of urinary infections. Which information pertaining to catheter-associated urinary tract infection (CAUTI) should the nurse include in the teaching? Bacteria inhabit the vagina. CAUTI are mostly caused by a descending infection. Colonic flora do not cause urinary infections. Bacteria inhabit the distal urethra in men and women. Escherichia coli is the common causative organism. Bacteria inhabit the vagina. Bacteria inhabit the distal urethra in men and women. Escherichia coli is the common causative organism. 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 Diuretics Oxybutynin Phenazopyridine Oxybutynin (Antimuscarinic agents such as oxybutynin are used to treat different types of urinary incontinence. These drugs may cause cognitive impairment in older adults. ) A patient complains that he is not able to pass urine completely. Even after voiding, the patient does not feel that the bladder is empty. Which tests can be done to assess the postvoid residual (PVR) in the patient? Portable noninvasive bladder ultrasound device Cystoscopy X-ray of the abdomen Intravenous pyelogram (IVP) Portable noninvasive bladder ultrasound device The parents of a 7-year-old child complain that their child frequently awakens from sleep because of the urge to void. What may be the likely causes? Diuretics Urethritis Diabetes insipidus Overactive bladder Urinary tract infection Trauma to the urinary tract Diuretics Overactive bladder Urinary tract infection What should the nurse teach a patient who has altered urinary elimination about maintaining a healthy bladder? "Drink ample fluids before bed time." "Drink three to four glasses of water daily." "Avoid drinking tea, coffee, or chocolate drinks." "Limit fluid intake if there is urinary incontinence." "Avoid drinking tea, coffee, or chocolate drinks." The nurse is caring for a patient who exhibits slow movements associated with Parkinson's disease. For which type of urinary incontinence should the nurse assess in this patient? Transient incontinence Functional incontinence Reflex urinary incontinence Overflow urinary incontinence Functional incontinence 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 Glucose Ketones Leukocytes Leukocytes A patient is experiencing difficulty in voiding. Which nursing interventions may help to stimulate the micturition reflex in the patient? Induce sound of running water. Stroke the outer aspect of the thigh. Pour cool water over patient's perineum. Stroke the outer aspect of the abdomen. Help the patient assume the normal position for voiding. Induce sound of running water. Help the patient assume the normal position for voiding. What is the normal pH range of urine? 2.6 to 4 3.6 to 5 4.6 to 8 4.6 to 9 4.6 to 8 A 55-year-old man is admitted to the hospital with urinary retention. Which interventions should the nurse perform to stimulate the micturition reflex? Help the patient to relax and void in a standing position. Tell the patient to run water while trying to void. Stroke the outer aspect of the thigh. Pour warm water over the patient's perineum. Obtain orders to catheterize the patient. Help the patient to relax and void in a standing position. Tell the patient to run water while trying to void. Pour warm water over the patient's perineum. 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 Encouraging the patient to perform pelvic muscle exercises Monitoring the postvoid residual volume according to the health care provider's direction Monitoring for autonomic dysreflexia A nurse instructs an elderly patient to restrict fluid intake 2 hours before bedtime. Which complication is the nurse trying to reduce? Nocturia Urinary retention Urinary tract infection Stress urinary incontinence Nocturia Which factor influencing urinary elimination in older adults does the nurse know to be true? Older adults have an increased bladder capacity. Older adults generally experience decreased bladder irritability. Older adults have an increased frequency of bladder contractions during bladder filling. Older adults have an increased ability to hold urine between the initial desire to void and an urgent need to void. Older adults have an increased frequency of bladder contractions during bladder filling. What size urinary catheter should the nurse use for a 7-year-old child? 5 to 6 Fr 8 to 10 Fr 12 Fr 14 to 16 Fr 8 to 10 Fr Which measures should the nurse emphasize to prevent urinary infection in females? Proper hand washing Use of indwelling catheters Frequent sexual intercourse Wiping from front to back after voiding and defecation Adequate fluid intake Proper hand washing Wiping from front to back after voiding and defecation Adequate fluid intake An obese patient reports leaking urine while coughing. Which management strategies should be included in the patient's treatment plan? Adequate fluid intake Kegel exercises Heavy weight lifting Weight-control measures Caffeinated beverages Kegel exercises Weight-control measures A female patient reports that she is experiencing burning on urination, frequency, and urgency. The nurse notes that a clean-voided urine specimen is markedly cloudy. What is the probable cause of these symptoms and findings? Cystitis Hematuria Pyelonephritis Dysuria Cystitis The nurse, along with an nursing assistive person (NAP), is catheterizing a patient with a neurogenic bladder. What are the responsibilities of the NAP? Maintain the privacy of the patient. Provide perineal care. Assist in the positioning of the patient. Insert catheter into the urethral meatus. Inflate the balloon fully as per the manufacturer's direction. Maintain the privacy of the patient. Provide perineal care. Assist in the positioning of the patient. The nurse is reviewing the laboratory reports of a patient. The urine report shows the presence of large proteins in the urine. What is the most probable cause of proteinuria? Glomerular injury Infection of the urinary tract Excessive aspirin ingestion Starvation Glomerular injury A patient with a bladder disorder is advised to get a urinary diversion. The patient wishes to have the type of urinary diversion that allows normal voiding. Which type of urinary diversion suits the patient's requirement? Insertion of bilateral nephrostomy tubes Incontinent urinary diversion Orthotopic neobladder using an ileal pouch Radical cystectomy with an ileal conduit Orthotopic neobladder using an ileal pouch A patient with an indwelling catheter carries the collection bag at waist level when ambulating. The patient is at risk for what? Infection Retention Stagnant urine Reflux of urine Hypotension Infection Reflux of urine What suggestion does the nurse give to a patient who asks for advice on how to prevent urinary tract infections? "Drink enough water to pass pale yellow urine." "Avoid straining when voiding or moving the bowels." "Take enough time to empty the bladder completely." "Avoid or limit drinking beverages that contain caffeine." "Drink enough water to pass pale yellow urine." A nurse is assessing the severity of a patient's urinary elimination problem. Which question is most appropriate? "Does your urinary problem restrict you from doing your usual activities?" "Do you dribble urine before voiding, after voiding, or at other times?" "Have you been hospitalized or have you received a diagnosis of a new medical problem recently?" "How often are you awakened with the urge to void while you are sleeping?" "How often are you awakened with the urge to void while you are sleeping?" Which of a student nurse's statements regarding urinary incontinence requires correction? "Urinary incontinence is common in older adults." "Urge incontinence and stress incontinence are common forms of urinary incontinence." "Urinary incontinence is characterized by any involuntary loss of urine." "Mixed incontinence is a combination of stress and functional incontinence." "Mixed incontinence is a combination of stress and functional incontinence." The instructor asks a nursing student to name a type of continent urinary diversion that uses an ileal pouch to replace the bladder. Which answer given by student indicates adequate learning? Nephrostomy Ureterostomy Orthotopic neobladder Continent urinary reservoir Orthotopic neobladder A 70-year-old woman complains of 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. The nurse understands that the patient is at increased risk of developing urinary tract infection. Which nursing interventions are helpful to prevent a urinary tract infection in the patient? Emphasize reduced fluid intake. Emphasize wearing cotton underwear. Emphasize the need for continuous bladder catheterization. Promote complete emptying of bladder by double voiding. Emphasize the importance of perineal hygiene. Emphasize wearing cotton underwear. Promote complete emptying of bladder by double voiding. Emphasize the importance of perineal hygiene. A nurse is teaching a 55-kg patient about the promotion of normal micturition by maintaining optimal fluid intake. The nurse is aware that the patient has normal renal function and no heart disease or alterations that require fluid restriction. What is the approximate amount of fluid that the nurse should instruct the patient to drink per day? Record your answer in mL using a whole number. 1650 What is the minimum value of urinary output per hour that is considered normal before a nurse should immediately assess for the signs of blood loss? Record your answer using a whole number. 30 The nurse understands that hypertension can be caused by an impaired renin-angiotensin mechanism. Which statements accurately describe the renin-angiotensin mechanism? Angiotensinogen is synthesized in the lungs. Renin is secreted by the juxtaglomerular apparatus. Angiotensin II causes peripheral vasoconstriction. Angiotensin II causes aldosterone secretion in the adrenal cortex. Converting enzyme in the liver converts angiotensin I to angiotensin II. Renin is secreted by the juxtaglomerular apparatus. Angiotensin II causes peripheral vasoconstriction. Angiotensin II causes aldosterone secretion in the adrenal What is the use of double-lumen catheters? Straight catheterization Intermittent catheterization Continuous bladder irrigation Urinary drainage and inflation of a balloon Urinary drainage and inflation of a balloon The nurse works in a renal care unit. Which patient would require a long-term indwelling catheter? A patient who underwent surgical repair of the bladder A patient with prostate enlargement A patient who needs assessment of residual urine volume A patient with terminal illness requiring frequent changes of the bed linen A patient with terminal illness requiring frequent changes of the bed linen What are common causes of dysuria? Trauma to the lower urinary tract Uncontrolled diabetes mellitus Inflammation of the prostate Urethritis Bladder outlet obstruction Trauma to the lower urinary tract Inflammation of the prostate Urethritis A nursing instructor asks a nursing student to explain the evaluation phase of a patient who underwent urinary catheterization due to compromised bladder function. Which statement if made by the student indicates a need for further education? "During the evaluation phase,the nurse reassesses the patient's urination pattern." "During the evaluation phase, the nurse asks the patient if expectations are being met." "During the evaluation phase, the nurse explains the procedure and the importance of the catheter to the patient." "During the evaluation phase, the nurse asks the patient about any permanent change in elimination." "During the evaluation phase, the nurse explains the procedure and the importance of the catheter to the patient." Patients with which type of urinary incontinence can be at risk for severe elevation of blood pressure, pulse rate and diaphoresis? Functional incontinence Stress urinary incontinence Reflex urinary incontinence Urge urinary incontinence Reflex urinary incontinence Under what conditions would a nurse instruct a patient to perform pelvic muscle exercises as directed by the health care provider? Cognitive impairment Urethral hypermobility Bladder outlet obstruction Increased abdominal pressure Incompetent urinary sphincter Incontinence due to medical conditions Urethral hypermobility Increased abdominal pressure Incompetent urinary sphincter The nurse is teaching a group of nursing students about kidney function. Which statements apply to kidney function? The kidneys produce several substances vital for maintenance of blood pressure. The kidneys produce several substances vital to bone mineralization. A nephron is a functional unit of the kidney and helps in urine formation. The kidneys filter waste products of metabolism and excrete them in the urine. The kidneys produce several substances vital to white blood cell (WBC) production. The kidneys produce several substances vital for maintenance of blood pressure. The kidneys produce several substances vital to bone mineralization. A nephron is a functional unit of the kidney and helps in urine formation. The kidneys filter waste products of metabolism and excrete them in the urine. Elimination changes that result from the inability of the bladder to empty properly may cause what? Incontinence Frequency Urgency Urinary retention Urinary tract infection Incontinence Frequency Urgency Urinary retention Urinary tract infection What is the cluster of capillaries in each nephron called? Urethra Trigone Detrusor Glomerulus Glomerulus Which action should the nurse avoid when applying a condom catheter to a patient? Preparing the tubing Shaving the pubic area of the patient Performing a teach back to the patient Clipping the hair at the base of the penile shaft Shaving the pubic area of the patient Which patients should the nurse anticipate to require the use of a short- or long-term urinary catheter? A patient who has chronic urinary retention A patient who has reflex urinary incontinence A patient who has stress urinary incontinence A patient who needs accurate monitoring of urine output after a gynecologic procedure A patient who is unable to completely empty the bladder due to a neurological condition A patient who needs accurate monitoring of urine output after a gynecologic procedure A patient who is unable to completely empty the bladder due to a neurological condition What is the correct amount space allowed between the tip of the penis and the end of the catheter while placing a condom catheter on a patient? 1.5 to 3 cm 2.5 to 5 cm 3.5 to 5 cm 4.5 to 6 cm 2.5 to 5 cm While caring for a female patient with altered urinary elimination, the nurse instructs the patient to assume a squatting position when voiding. What is the reason behind this recommendation? To prevent infections To promote normal micturition To promote complete bladder emptying To help relieve stress urinary incontinence To promote complete bladder emptying The nurse is reviewing the lab report of a patient. The presence of which substance in the urine hints at the possibility of an abnormality? Protein, 6 Glucose, ++ Red blood cells, 2 White blood cells, 4 Glucose, ++ Which method should the nurse use to collect a urine specimen of a patient who has an indwelling catheter? Collect 3 to 5 mL of the specimen from the drainage bag. Collect 6 to 8 mL of the specimen from the drainage bag. Clean the port with an alcohol swab, insert a sterile hub, and withdraw at least 3 to 5 mL of urine. Insert a sterile hub and withdraw at least 6 to 8 mL of urine. Clean the port with an alcohol swab, insert a sterile hub, and withdraw at least 3 to 5 mL of urine. A nursing instructor asks the nursing assistive person (NAP) to explain the skills of perineal care for a patient with an indwelling catheter. Which statement if made by the NAP indicates a need for further learning? "A female patient should be placed in dorsal recumbent position." "A catheter should be grasped with two fingers to stabilize it near the meatus." "A catheter should be cleaned using a vertical motion moving towards the meatus." "A waterproof pad should be placed under the patient while performing perineal care." "A catheter should be cleaned using a vertical motion moving towards the meatus." A patient complains of diminished urinary output. The nurse finds that the patient also has diminished fluid intake. What is the medical term for this condition? Dysuria Oliguria Polyuria Nocturia Oliguria The nurse assesses that the patient has a full bladder, and the patient states that he or she is having difficulty voiding. What should the nurse teach the patient to do? Use the double-voiding technique. Perform Kegel exercises. Use the Credé method. Keep a voiding diary. Use the Credé method. A patient has a delay in the start of the urinary stream when voiding. What is the least likely cause for this? Anxiety Urethral stricture Prostate enlargement Urinary tract infection Urinary tract infection The patient is incontinent, and a condom catheter is placed. Which action should the nurse take? Shave the pubic area prior to application. Ensure foreskin is in retracted position. Assess the patient for skin irritation. Use sterile technique for placement. Assess the patient for skin irritation. A nursing instructor asks a nursing student to elaborate on nursing interventions for a patient experiencing stress urinary incontinence related to a weakened pelvic musculature. Which statement if made by the student indicates a need for further learning? "I should instruct the patient to avoid tea and coffee." "I should teach the patient to take in adequate water and fluid." "I should advise the patient to perform pelvic muscle exercises." "I should encourage the patient to increase intraabdominal pressure." "I should encourage the patient to increase intraabdominal pressure." An older male patient states that he is having problems starting and stopping his stream of urine and feels the urgency to void. What is the best way to assist this patient? Help him stand to void. Place a condom catheter. Have him practice the Credé method. Initiate Kegel exercises. Initiate Kegel exercises. What characteristics are associated with urge urinary incontinence? Urgency Frequency Leakage of urine without awareness Diminished awareness of the urge to void Difficulty holding urine once the urge to void occurs Urgency Frequency Difficulty holding urine once the urge to void occurs Since removal of the patient's indwelling catheter, the patient has voided 50 to 100 mL every 2 to 3 hours. Which action should the nurse take first? Check for bladder distention. Encourage fluid intake. Obtain an order to recatheterize the patient. Document the amount of each voiding for 24 hours. Check for bladder distention. A diabetic patient's urine tests positive for glucose. What is the minimum level at which the nurse would expect the patient's blood glucose to be? 155 mg/100mL 165 mg/100mL 175 mg/100mL 185 mg/100mL 185 mg/100mL What is the minimum length of an intermittent catheter that should be inserted through the urethral meatus in a female patient? Record your answer using a whole number. 5 cm A nurse is caring for a patient with an indwelling catheter. Which nursing action may increase the risk for a catheter-associated urinary tract infection? Collecting specimens via a port in the tubing Keeping the drainage bag above the level of the bladder Allowing the patient to wear a leg bag while ambulating Monitoring the drainage system to prevent backflow of urine Keeping the drainage bag above the level of the bladder What nursing intervention should the nurse provide to a patient who has wet skin due to urinary incontinence and is at risk for impaired skin integrity? Encouraging the patient to lose weight Advising the patient to maintain adequate hydration Using pictures to teach the patient about pelvic anatomy Teaching the patient to apply a moisture barrier product as needed Teaching the patient to apply a moisture barrier product as needed 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 he stand at the bedside. Stay with the patient. Give him the urinal to use in bed. Tell him that, if he doesn't urinate, he will be catheterized. Suggest he stand at the bedside. Which type of urinary incontinence is managed with timed voiding and double voiding? Transient incontinence Urge incontinence Stress urinary incontinence Overflow urinary incontinence Overflow urinary incontinence (Urinary incontinence associated with chronic retention of urine, also known as overflow urinary incontinence in its mild form, is managed by timed voiding and double voiding. Transient incontinence is managed by identifying reversible causes. Urge incontinence can be managed by avoiding stimulants including caffeine, artificial sweeteners, and alcohol. Stress urinary incontinence is managed by instructing the patient to do pelvic muscle exercises as directed by the health care provider.) During which phase of the nursing process does the nurse consult other health care professionals to adopt the best nursing intervention for a patient diagnosed with nutritional disturbances? Planning Evaluation Assessment Implementation Planning What is the cause of functional incontinence? Fecal impaction Acute confusion Sensory impairment Excessive urine output Sensory impairment A nurse cares for a patient who has an indwelling catheter. Which action is the nurse least likely to perform? Emptying the drainage bag when it is full Maintaining a closed urinary drainage system Preventing urine backflow from the tubing and bag into the bladder Performing routine perineal hygiene of the patient after each bowel movement Emptying the drainage bag when it is full What are the causes of transient incontinence? Depression Fecal impaction Sensory impairment Cognitive impairments Excessive urine output Depression Fecal impaction Excessive urine output A nurse reviews a patient's urinary examination report. The presence of which component in the urine leads the nurse to suspect glomerular injury? Glucose Creatinine Large proteins Major electrolyte Large proteins A patient has bladder overactivity. What does the nurse expect to be the most likely cause? Spinal cord injury Anesthetic agents Prostatic enlargement Chronic pain syndromes Spinal cord injury A nurse is educating a patient who has altered urinary elimination on how to maintain a healthy bladder. Which of the patient's statements indicate a need for further education? "I'll drink six to eight glasses of water a day." "I'll avoid drinking beverages that contain caffeine." "I'll avoid drinking fluids 4 hours before bedtime to decrease nocturia." "I'll immediately tell my doctor if I experience pain when voiding." "After each voiding and bowel movement, I'll cleanse my perineum from back to front." "I'll avoid drinking fluids 4 hours before bedtime to decrease nocturia." "After each voiding and bowel movement, I'll cleanse my perineum from back to front." To minimize nocturia, what should the nurse teach the patient to do? Perform perineal hygiene after urinating. Set up a toileting schedule. Double void. Limit fluids before bedtime. Limit fluids before bedtime. The nurse notes that the patient's indwelling catheter bag has been empty for 4 hours. What is the priority action? Irrigate the indwelling catheter. Check for kinks in the tubing. Notify the health care provider. Assess the patient's intake. Check for kinks in the tubing. A patient reports a strong urge to urinate when hearing running water and leaks small amounts of urine on the way to the bathroom. Which type of urinary incontinence does the nurse suspect in this patient? Stress urinary incontinence Reflex urinary incontinence Urge urinary incontinence Overflow urinary incontinence Urge urinary incontinence What nursing intervention is the nurse least likely to provide to a patient diagnosed with stress urinary incontinence related to a weakened pelvic musculature? Encouraging the patient to lose weight Reinforcing teaching related to type 2 diabetes Advising the patient to maintain adequate hydration Instructing the patient to avoid caffeine and other bladder irritants Reinforcing teaching related to type 2 diabetes What should the nurse do during the planning phase of the nursing process when caring for a patient who has altered urinary elimination? Inspect the character of the patient's urine. Reinforce adherence to good hygiene practices. Gather relevant laboratory and diagnostic test data. Have the patient and family demonstrate self-care skills Reinforce adherence to good hygiene practices. A nurse asks a nursing student to name the contents of the intermittent catheterization kit. What answer if given by the student indicates the need for further teaching? Drapes Lubricant Single-lumen catheter Double-lumen catheter Double-lumen catheter Which statement is true regarding the use of a bladder scanner to measure residual bladder volume? The patient is placed in dorsal recumbent position. The scan measurement should be within 20 minutes of voiding. Women who have had a hysterectomy should be designated as male. Ultrasound gel is applied to the midline abdomen about 2.5 to 4 cm below the symphysis pubis. Women who have had a hysterectomy should be designated as male. 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 Irrigating the catheter with antiseptic solution Milking the catheter from proximal end to distal end Replacing the catheter with a new one Which measurement lies in the normal range for the length of an adult female urethra? 2 cm 4 cm 15 cm 19 cm 4 cm A patient is diagnosed with stress urinary incontinence related to a weakened pelvic musculature. What teaching is the nurse least likely to provide to the patient? Use written and verbal instructions. Teach the patient pelvic muscle exercises. Instruct the patient to maintain adequate fluid intake. Teach the patient to avoid caffeine and other bladder irritants. Use written and verbal instructions. The nurse is caring for a patient with urinary incontinence. Which actions should the nurse perform to promote comfort for the patient? Change dressings and linens when wet. Limit fluid intake. Use absorbent pads. Increase coffee intake. Catheterize the patient with orders from the health care provider. Change dressings and linens when wet. Use absorbent pads. Catheterize the patient with orders from the health care provider. A student nurse is learning about the structure and function of the urinary system. Which statement if made by the student nurse indicates effective knowledge about the ureters? "A kidney stone can result in hydroureter." "The distensible body of the ureters is called the detrusor." "Urine enters the urinary bladder through the ureter in a steady flow." "Compression of the upper part of the ureters prevents backflow of urine during micturition." "A kidney stone can result in hydroureter." A patient's urinary report suggests microscopic hematuria. What is the most likely cause for this? Tumors Infection Urinary tract calculi Trauma to urinary tract Trauma to urinary tract What skill is the nurse least likely to perform during the physical assessment of a patient with urinary elimination problems? Palpating the lower abdomen to assess for bladder fullness Percussing the costovertebral angle to assess for tenderness Auscultating the kidney to detect the presence of a renal artery bruit Positioning the female patient into a supine position to examine the genitalia Positioning the female patient into a supine position to examine the genitalia An older adult female reported urinary incontinence to the nurse. The patient is postmenopausal, overweight, and has a history of three vaginal births. She also has type 2 diabetes, which is being managed with medication and an appropriate diet. What should the nurse teach this patient? "You should lose weight." "You should perform heavy exercise." "You should avoid heavy lifting." "You should perform pelvic muscle exercises." "You should drink less water." "You should lose weight." "You should avoid heavy lifting." "You should perform pelvic muscle exercises." Which symptoms should the nurse anticipate in a patient with urge urinary incontinence? Distended bladder on palpation Leaks on the way to the bathroom Leaks without awareness Strong urge or leaks upon hearing water running Loss of a small volume of urine while coughing or laughing Leaks on the way to the bathroom Strong urge or leaks upon hearing water running Which is a cause of transient urinary incontinence? Idiopathic Fecal impaction Cognitive impairment Overactive bladder caused by neurological problems Fecal impaction The nurse understands that urinary tract infections (UTIs) in women are eight times more common than in men. What are the reasons for this? Urination is infrequent. The urethra is shorter than it is in males. The urethra lies closer to the anus than it does in males. Failure to wipe from front to back after voiding or defecating. Lack of antibacterial substances in vaginal secretions. The urethra is shorter than it is in males. The urethra lies closer to the anus than it does in males. Failure to wipe from front to back after voiding or defecating. Lack of antibacterial substances in vaginal secretions. What are the major preventive actions that a nurse should know in order to inhibit catheter-associated infections? Maintain a closed urinary drainage system. Evacuate the drainage bag when it gets full. Use dependent loops for urinary drainage tubing. Keep urinary drainage bags below the level of the bladder. Prevent urine backflow from the tubing and bag into the bladder. Maintain a closed urinary drainage system. Keep urinary drainage bags below the level of the bladder. Prevent urine backflow from the tubing and bag into the bladder. A nurse is assisting the primary health care provider in assessing a patient with altered urinary elimination. After assessing the patient, the primary 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 Abdominal roentgenogram Ultrasound of the urinary bladder Axial computed tomographic scan Axial computed tomographic scan What nursing skills should the nurse adopt to prevent a catheter-associated urinary tract infection (UTI)? Secure the indwelling catheters. Empty the drainage bag when full. Maintain a closed urinary drainage system. Use dependent loops in the urinary drainage tubing. Keep the urinary drainage bag above the level of the bladder. Secure the indwelling catheters. Maintain a closed urinary drainage system. A patient complains of urinary alterations along with pain and discomfort at the time of voiding. What is the exact terminology that the nurse should know for this condition? Dysuria Oliguria Urgency Polyuria Dysuria The nurse is caring for a patient who sustained a spinal cord injury. The patient has urinary incontinence. Which aspects of care should the nurse include when teaching the patient to perform self-catheterization? The structures of the urinary tract The technique of catheterization The importance of adequate fluid intake The frequency of self-catheterization The technique of applying a condom catheter The structures of the urinary tract The technique of catheterization The importance of adequate fluid intake The frequency of self-catheterization A postoperative patient has difficulty voiding after surgery and is feeling "uncomfortable" in the lower abdomen. Which action should the nurse implement first? Encourage fluid intake. Administer pain medication. Catheterize the patient. Turn on the bathroom faucet as the patient tries to void. Turn on the bathroom faucet as the patient tries to void. A patient is scheduled for a cystoscopy. What instructions should the nurse give to this patient about cystoscopy? The patient should limit the intake of fluids before the test. Urine output will increase after the test. The patient may have difficulty in voiding after the test. Urine will be straw colored after the test. The patient may have difficulty in voiding after the test. A patient experiencing urinary incontinence is admitted to the hospital. How can the nurse help the patient manage incontinence? Provide a low set chairs. Place the bed closer to the toilet. Provide information about continence care. Keep the beds raised well above the floor. Provide clothes that can be easily opened. Place the bed closer to the toilet. Provide information about continence care. Provide clothes that can be easily opened. An older adult presents with urinary frequency due to cystitis. Which nursing instructions would be helpful to this patient? Advise intake of cranberry juice. Encourage the use of indwelling catheters. Encourage patient to increase fluid intake. Restrict fluid intake. Discourage intake of coffee, tea, cola, and alcohol. Advise intake of cranberry juice. Encourage patient to increase fluid intake. Discourage intake of coffee, tea, cola, and alcohol. A primary health care provider instructs the nurse to insert an indwelling urinary catheter in a client for 3 weeks. What type of catheter is the best choice for this client to prevent infection and promote comfort? Latex catheter Silicon catheter Teflon catheter Plastic catheter Latex catheter Which term describes leakage of urine despite voluntary control of urination? Urgency Dribbling Hesitancy Incontinence Dribbling The patient is to have an intravenous pyelogram (IVP). Which action applies to this procedure? Note any allergies. Monitor intake and output. Provide for perineal hygiene. Assess vital signs. Encourage fluids after the procedure. Note any allergies. Encourage fluids after the procedure. 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 joined Weight Watchers." "I drink two glasses of wine with dinner." "I have tried urinating every 3 hours." "I drink two glasses of wine with dinner." |
Which instruction would the nurse give to the client having a residual urine test Quizlet
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