Management Of Clients With Urinary Disorders

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Question 1
Free
Multiple Choice

In a client with a history of frequent urinary tract infections (UTIs), the nurse would note the need for further teaching when the client says "I

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A

am on an oral contraceptive."

B

often take baths instead of showers."

C

use unscented tampons during my period."

D

use a water-soluble lubricant for intercourse."

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Question 2
Free
Multiple Choice

For a client with a history of recurrent UTIs who is prescribed an acid-ash diet, the nurse would advise the client to include

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A

alcohol.

B

carbonated beverages.

C

coffee.

D

cranberry juice.

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Question 3
Free
Multiple Choice

In caring for a client with interstitial cystitis, the nurse would focus significant nursing interventions on

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A

administering antibiotics.

B

providing emotional support.

C

teaching about an acid-ash diet.

D

teaching preventive measures.

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Question 4
Free
Multiple Choice

For a client experiencing urinary incontinence, in the initial plan of care the nurse would include

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A

encouraging the client to void frequently.

B

limiting fluid intake.

C

teaching Kegel exercises.

D

using adult diapers to prevent accidents.

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Question 5
Free
Multiple Choice

In teaching a client who requires a condom catheter for control of incontinence how to properly apply the system, the nurse stresses that part of the correct method for applying the device is to

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A

apply the condom close to the end of the penis.

B

attach the device with tape wrapped around the shaft of the penis.

C

fasten the sheath with elastic tape applied in a spiral manner.

D

retract the foreskin before application.

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Question 6
Multiple Choice

The nurse explains to a client who is receiving oxybutynin (Ditropan) for control of urinary incontinence that the drug's effect is

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A
decreasing bladder contractility.
B
increasing serotonin in the CNS, leading to bladder wall relaxation.
C
promoting relaxation of the bladder outlet.
D
reducing intra-abdominal pressure.
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Question 7
Multiple Choice

For a client experiencing urinary retention with overflow, the factor in the client's history that would prompt the nurse to question an order for a cholinergic medication is

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A
bladder outlet obstruction.
B
diabetes mellitus.
C
frequent UTIs.
D
multiple pregnancies.
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Question 8
Multiple Choice

A client with urinary incontinence is scheduled for surgery. The client states "This will fix my incontinence." The nurse should assess this client for the presence of

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A
an anatomic defect.
B
an infection.
C
pyelonephritis.
D
the presence of residual urine.
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Question 9
Multiple Choice

To determine if a client has an initial manifestation typically seen in clients with bladder neoplasm, the nurse would ask

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A
"Do you have pain when you urinate?"
B
"Do you produce larger amounts of urine than you have in the past?"
C
"Have you noticed any blood in your urine?"
D
"Have you noticed that you urinate more frequently than you used to?"
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Question 10
Multiple Choice

An enterostomal therapist would suggest that the location for a urinary stoma is the

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A
lower abdominal quadrants.
B
pubic area.
C
rib margins.
D
umbilical area.
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Question 11
Multiple Choice

When the nurse notes that the ureteral catheter is no longer draining urine, the most appropriate action would be to

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A
clamp the urethral catheter to promote drainage from the ureteral catheter.
B
do nothing, since this is a normal occurrence in the first 24 hours.
C
irrigate the ureteral catheter with 30 ml of sterile saline.
D
notify the physician immediately.
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Question 12
Multiple Choice

A client is being rehabilitated after surgery to create a Kock pouch. The nurse should include which information in the client's teaching plan?

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A
Care of a suprapubic catheter
B
Self-catheterization technique
C
Technique for applying a permanent pouch
D
Technique for irrigating a ureteral catheter
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Question 13
Multiple Choice

Noting that the client's stoma is red and moist 8 hours after urinary diversion surgery, the nurse would

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A
continue to make hourly assessments of the stoma.
B
notify the surgeon immediately.
C
remove the pouch and reapply it correctly.
D
remove the pouch to expose the stoma to air.
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Question 14
Multiple Choice

The nurse would realize that additional teaching is needed when the client with a ureteroileostomy says "I

Choose correct answer/s
A
am going shopping for new clothing that will better accommodate the pouch."
B
will change the pouch when it begins to leak."
C
won't drink too much so the amount of urine I make will be less."
D
am going to cut down on eating dairy products."
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Question 15
Multiple Choice

Nursing care for a client with urinary bladder calculi should include

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A
checking for abdominal distention.
B
collecting a 24-hour urine specimen for calcium.
C
encouraging fluid intake up to 4000 ml/day.
D
maintaining bed rest.
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Question 16
Multiple Choice

The nurse reinforces explanations that the procedure for lithotripsy involves

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A
capturing of stones via a scope.
B
dissolution of stones with medication.
C
fragmenting of stones by shock waves.
D
surgical removal of stones.
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Question 17
Multiple Choice

A client has an autonomous neurogenic bladder. The nurse plans care for this client understanding that the client

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A
cannot perceive bladder fullness or initiate or maintain urination.
B
feels no bladder-filling sensation but empties the bladder reflexively.
C
feels the sensation of the bladder filling but cannot initiate micturition.
D
has a temporary problem with initiating micturition.
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Question 18
Multiple Choice

During a bladder training program for a client with spinal cord injury using intermittent catheterization, the client suddenly complains of a throbbing headache. Noting that the client's blood pressure is elevated, the priority action by the nurse is to

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A
catheterize the client.
B
limit fluids for the remainder of the day.
C
notify the physician immediately.
D
place the client flat in bed.
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Question 19
Multiple Choice

A nurse working on a rehabilitation unit is caring for several clients with neurogenic bladder. The client who probably should not be a candidate for intermittent catheterization teaching is the

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A
15-year-old client who cannot understand sterile technique.
B
26-year-old paraplegic client.
C
26-year-old woman with an active sex life.
D
35-year-old man with an erratic work schedule.
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Question 20
Multiple Choice

The nurse teaching self-catheterization technique should include the importance of

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A
catheterizing every 3 to 4 hours.
B
drinking at least 500 ml of fluid before catheterization.
C
sterile technique.
D
using the Credé maneuver before catheterization.
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