A nurse assesses a client with a fungal urinary tract infection (UTI). Which assessments should the nurse complete? (Select all that apply.)
a. Palpate the kidneys and bladder.
b. Assess the medical history and current medical problems.
c. Perform a bladder scan to assess post-void residual.
d. Inquire about recent travel to foreign countries.
e. Obtain a current list of medications.
Question 2A nurse cares for clients with urinary incontinence. Which types of incontinence are correctly paired with their clinical manifestation? (Select all that apply.)
a. Stress incontinence - Urine loss with physical exertion
b. Urge incontinence - Large amount of urine with each occurrence
c. Functional incontinence - Urine loss results from abnormal detrusor contractions
d. Overflow incontinence - Constant dribbling of urine
e. Reflex incontinence - Leakage of urine without lower urinary tract disorder
Question 3A nurse teaches a client with a history of calcium phosphate urinary stones. Which statements should the nurse include in this client's dietary teaching? (Select all that apply.)
a. Limit your intake of food high in animal protein.
b. Read food labels to help minimize your sodium intake.
c. Avoid spinach, black tea, and rhubarb.
d. Drink white wine or beer instead of red wine.
e. Reduce your intake of milk and other dairy products.
Question 4A nurse teaches a client about self-care after experiencing a urinary calculus treated by lithotripsy. Which statements should the nurse include in this client's discharge teaching? (Select all that apply.)
a. Finish the prescribed antibiotic even if you are feeling better.
b. Drink at least 3 liters of fluid each day.
c. The bruising on your back may take several weeks to resolve.
d. Report any blood present in your urine.
e. It is normal to experience pain and difficulty urinating.
Question 5A nurse assesses a male client who is recovering from a urologic procedure. Which assessment finding indicates an obstruction of urine flow?
a. Severe pain
b. Overflow incontinence
c. Hypotension
d. Blood-tinged urine
Question 6A nurse assesses a client who has had two episodes of bacterial cystitis in the last 6 months. Which questions should the nurse ask? (Select all that apply.)
a. How much water do you drink every day?
b. Do you take estrogen replacement therapy?
c. Does anyone in your family have a history of cystitis?
d. Are you on steroids or other immune-suppressing drugs?
e. Do you drink grapefruit juice or orange juice daily?
Question 7A nurse cares for a client with urinary incontinence. The client states, I am so embarrassed. My bladder leaks like a young child's bladder. How should the nurse respond?
a. I understand how you feel. I would be mortified.
b. Incontinence pads will minimize leaks in public.
c. I can teach you strategies to help control your incontinence.
d. More women experience incontinence than you might think.
Question 8A nurse provides phone triage to a pregnant client. The client states, I am experiencing a burning pain when I urinate. How should the nurse respond?
a. This means labor will start soon. Prepare to go to the hospital.
b. You probably have a urinary tract infection. Drink more cranberry juice.
c. Make an appointment with your provider to have your infection treated.
d. Your pelvic wall is weakening. Pelvic muscle exercises should help.
Question 9A nurse teaches a client about self-catheterization in the home setting. Which statements should the nurse include in this client's teaching? (Select all that apply.)
a. Wash your hands before and after self-catheterization.
b. Use a large-lumen catheter for each catheterization.
c. Use lubricant on the tip of the catheter before insertion.
d. Self-catheterize at least twice a day or every 12 hours.
e. Use sterile gloves and sterile technique for the procedure.
f.
Maintain a specific schedule for catheterization.
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