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 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.
Question 2 of 5
A nurse assesses a client with a fungal urinary tract infection (UTI). Which assessments should the nurse complete?
Correct Answer: B,E
Rationale: Clients who are severely immunocompromised or who have diabetes mellitus are more prone to fungal UTIs. The nurse should assess for these factors by asking about medical history, current medical problems, and the current medication list.
Question 3 of 5
A nurse cares for clients with urinary incontinence. Which types of incontinence are correctly paired with their clinical manifestation?
Correct Answer: A,B,D
Rationale: Stress incontinence is a loss of urine with physical exertion, coughing, sneezing, or exercising. Urge incontinence presents with an abrupt and strong urge to void and usually has a large amount of urine released with each occurrence. Overflow incontinence occurs with bladder distention and results in a constant dribbling of urine.
Question 4 of 5
A 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?
Correct Answer: A,B,C
Rationale: The client should be taught to finish the prescribed antibiotic to ensure that he or she does not get a urinary tract infection. The client should drink at least 3 liters of fluid daily to dilute potential stone-forming crystals, prevent dehydration, and promote urine flow. After lithotripsy, the client should expect bruising that may take several weeks to resolve.
Question 5 of 5
A nurse teaches a female client who has stress incontinence. Which statements should the nurse include in this client's teaching?
Correct Answer: A,B,E
Rationale: The client should be taught that the muscles used to start and stop urination are pelvic muscles, and that pelvic muscles can be strengthened by contracting and relaxing them. The client should tighten pelvic muscles for a slow count of 10 and then relax the muscles for a slow count of 10 in various positions.