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 is caring for a client who is scheduled to undergo a surgical procedure for a urinary diversion (ileal conduit). Which statement by the nurse would be most helpful?
Correct Answer: D
Rationale: The goal for the client who is scheduled to undergo a procedure such as an ileal conduit is to have a positive self-image and a positive attitude about his or her body. Discussing the procedure candidly with someone who has undergone the same procedure will foster such feelings, especially when the client has an opportunity to ask questions and voice concerns to someone with first-hand knowledge.
Question 2 of 5
A nurse teaches a young female client who is prescribed amoxicillin (Amoxil) for a urinary tract infection. Which statement should the nurse include in this client's teaching?
Correct Answer: A
Rationale: The client should use a second form of birth control because penicillin seems to reduce the effectiveness of estrogen-containing contraceptives. She should not experience increased menstrual bleeding or blood in her urine while taking this drug.
Question 3 of 5
A nurse teaches a client with functional urinary incontinence. Which statement should the nurse include in this client's teaching?
Correct Answer: E
Rationale: Functional urinary incontinence occurs as the result of problems not related to the client's bladder, such as trouble accessing a toilet. One goal is that the client be able to manage his or her clothing independently. Elastic waistband slacks that are easy to pull down can help the client get on the toilet in time to void. The other instructions do not relate to functional urinary incontinence.
Question 4 of 5
An 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?
Correct Answer: B
Rationale: Some types of incontinence are treated with anticholinergic medications such as propantheline (Pro-Banthine). Anticholinergic side effects include dry mouth, constipation, and urinary retention. The nurse needs to assess the client's medication list to determine whether the client is taking an anticholinergic medication.
Question 5 of 5
A nurse teaches a client who is starting urinary bladder training. Which statement should the nurse include in this client's teaching?
Correct Answer: B
Rationale: The client should try to hold the urine consciously until the next scheduled toileting time.
Toileting should occur at specific intervals during the training. The toileting interval should be no less than every hour.