The nurse is working in a long-term care facility. As clients are assessed, the nurse notes that one client is confused and incontinent, which is new behavior for the client. The nurse should further assess the client, suspecting:
1. the client has had a stroke.
2. the client's oxygen level is decreased.
3. the client has cystitis.
4. the client has kidney stones.
Question 2A client is voiding 50-100 mL of urine every few hours and reports urgency with voiding. The nurse considers this as an abnormal finding based on the understanding that:
1. it is normal to void at least 600-700 mL with each bladder emptying.
2. urgency is always a sign of a bladder infection.
3. it is abnormal to urinate every few hours.
4. the urge to void occurs at 300-500 mL in the bladder.
Question 3An older female client who is in the office for an annual assessment tells the nurse of experiencing incontinence. The client asks if this is a normal result of the aging process. The best response by the nurse is:
1. Yes, urinary incontinence is a normal part of aging.
2. No, the problem develops for women due to decreased progesterone.
3. Yes, over time, the muscles cause the bladder to prolapse.
4. No, but the decrease of estrogen can lead to dysuria.
Question 4Following an intravenous pyelogram (IVP), nursing responsibilities will include:
1. informing the client that a warm, flushed feeling can occur at the IV site.
2. explaining that urine can be pink-tinged for 24 hours.
3. keeping the client NPO for 4 hours.
4. checking the injection site for redness and warmth.
Question 5When conducting a focused assessment on a client's urinary system what should the nurse plan to inspect?
1. The urine
2. Skin color
3. The kidneys
4. Urinary meatus
5. Periorbital region
Quick Reply
