A nurse assesses a client who presents with renal calculi. Which question should the nurse ask?
a. Do any of your family members have this problem?
b. Do you drink any cranberry juice?
c. Do you urinate after sexual intercourse?
d. Do you experience burning with urination?
Question 2An emergency department nurse assesses a client with a history of urinary incontinence who presents with extreme dry mouth, constipation, and an inability to void. Which question should the nurse ask first?
a. Are you drinking plenty of water?
b. What medications are you taking?
c. Have you tried laxatives or enemas?
d. Has this type of thing ever happened before?
Question 3A nurse teaches a client who is starting urinary bladder training. Which statement should the nurse include in this client's teaching?
a. Use the toilet when you first feel the urge, rather than at specific intervals.
b. Try to consciously hold your urine until the scheduled toileting time.
c. Initially try to use the toilet at least every half hour for the first 24 hours.
d. The toileting interval can be increased once you have been continent for a week.
Question 4A nurse teaches a client with functional urinary incontinence. Which statement should the nurse include in this client's teaching?
a. You must clean around your catheter daily with soap and water.
b. Wash the vaginal weights with a 10 bleach solution after each use.
c. Operations to repair your bladder are available, and you can consider these.
d. Buy slacks with elastic waistbands that are easy to pull down.
Question 5A nurse plans care for clients with urinary incontinence. Which client is correctly paired with the appropriate intervention?
a. A 29-year-old client after a difficult vaginal delivery - Habit training
b. A 58-year-old postmenopausal client who is not taking estrogen therapy - Electrical stimulation
c. A 64-year-old female with Alzheimer's-type senile dementia - Bladder training
d. A 77-year-old female who has difficulty ambulating - Exercise therapy
Question 6A nurse assesses a client with bladder cancer who is recovering from a complete cystectomy with ileal conduit. Which assessment finding should alert the nurse to urgently contact the health care provider?
a. The ileostomy is draining blood-tinged urine.
b. There is serous sanguineous drainage present on the surgical dressing.
c. The ileostomy stoma is pale and cyanotic in appearance.
d. Oxygen saturations are 92 on room air.