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
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 2 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.
Question 3 of 5
A nurse plans care for clients with urinary incontinence. Which client is correctly paired with the appropriate intervention?
Correct Answer: B
Rationale: Exercise therapy and electrical stimulation are used for clients with stress incontinence related to childbirth or low levels of estrogen after menopause. Exercise therapy increases pelvic wall strength; it does not improve ambulation. Habit training is the type of bladder training that will be most effective for cognitively impaired clients.
Question 4 of 5
A nurse assesses a client who presents with renal calculi. Which question should the nurse ask?
Correct Answer: A
Rationale: There is a strong association between family history and stone formation and recurrence. Nephrolithiasis is associated with many genetic variations; therefore, the nurse should ask whether other family members have also had renal stones.
Question 5 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.