ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 59 : Caring for Clients With Disorders of the Bladder and Urethra Questions
Question 1 of 5
The nurse is caring for a client with chronic bladder infections and inflammation. The physician has ruled out several medical diagnoses and is considering interstitial cystitis. The nurse is most correct to anticipate which diagnostic test to confirm the disorder?
Correct Answer: C
Rationale: A bladder biopsy of the bladder mucosa reveals an inflammatory process with scarring and hemorrhagic areas and confirms the diagnosis. A cystoscopy reveals an inflamed bladder, bladder mucosa with pinpoint hemorrhages and a bladder capacity smaller than normal. A voiding cystourethogram demonstrates a small bladder capacity. A potassium sensitivity test reveals pain from the potassium instilled and is used in suggesting the presence of bladder inflammation and irritation.
Question 2 of 5
The nurse is encouraging the client with recurrent urinary tract infections to increase fluid intake to 8 large glasses of fluids daily. Which beverage would the nurse discourage for this client?
Correct Answer: A
Rationale: The nurse would discourage drinking coffee. Coffee, tea, alcohol, and colas are urinary tract irritants. Fruit juice, milk, and ginger ale are appropriate for drinking and counted toward the daily fluid total.
Question 3 of 5
The nurse is caring for a client who is following a treatment plan to decrease urinary tract infections. What indicates the need to change the treatment plan?
Correct Answer: C
Rationale: If the client exhibits continued symptoms, the treatment plan is ineffective and the plan needs to be revised. Having a history of antibiotic therapy indicates the need to establish a treatment plan. Having improved hygiene indicates that the client is following the treatment plan. Having diluted urine indicates that the client has increased fluids which are a plan of typical treatment plans.
Question 4 of 5
The nurse is caring for several clients on a urinary medical unit. Which client is at an increased risk for bladder stones?
Correct Answer: B
Rationale: The client who is immobile or who is paraplegic may also tend to form bladder stones. Clients with incomplete urinary elimination, urinary stasis, or concentrated urine are at higher risk for stone formation. There is not as strong correlation between infections, difficulty ambulating, and surgery.
Question 5 of 5
The nurse observes a client's uric acid level of 9.3 mg/dL. When teaching the client about ways to decrease the uric acid level, which diet would the nurse suggest?
Correct Answer: B
Rationale: The nurse would suggest a low-purine diet. Foods to avoid are anchovies, animal organs, and sardines. The other options do not lower the uric acid levels.