ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 66 : Care of Patients with Urinary Problems Questions
Question 1 of 5
A nurse assesses a male client who is recovering from a urologic procedure. Which assessment finding indicates an obstruction of urine flow?
Correct Answer: B
Rationale: The most common manifestation of urethral stricture after a urologic procedure is obstruction of urine flow, leading to overflow incontinence with the involuntary loss of urine when the bladder is distended.
Question 2 of 5
A 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?
Correct Answer: C
Rationale: The nurse should accept and acknowledge the client's concerns and assist the client to learn techniques that will help control urinary incontinence.
Question 3 of 5
A 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?
Correct Answer: C
Rationale: Pregnant clients with a urinary tract infection require prompt and aggressive treatment because cystitis can lead to acute pyelonephritis during pregnancy. The nurse should encourage the client to make an appointment and have the infection treated.
Question 4 of 5
A nurse assesses a client who has had two episodes of bacterial cystitis in the last 6 months. Which questions should the nurse ask?
Correct Answer: A,B,D
Rationale: Fluid intake, estrogen levels, and immune suppression all can increase the chance of recurrent cystitis. Family history is usually insignificant, and cranberry juice, not grapefruit or orange juice, has been found to increase the acidity and reduce the risk for bacterial cystitis.
Question 5 of 5
A nurse teaches a client about self-catheterization in the home setting. Which statements should the nurse include in this client's teaching?
Correct Answer: C,F,G
Rationale: The nurse should teach the client to use lubricant on the tip of the catheter to ease insertion, wash hands with soap and water before and after catheterization to prevent infection, and use a clean catheter for each catheterization to maintain hygiene. Using a large catheter is not recommended as it may cause discomfort or injury.