Deck 28: Urinary Function

Question 1

When assessing the client for urinary incontinence, which client symptom best supports the nursing diagnosis of overflow incontinence?

A)"I have small accidents ever since I developed a cystocele."
B)"It burns so badly after I urinate that I hold it as long as I can."
C)"I can't make it to the toilet when I feel the need to urinate."
D)"I dribble urine almost constantly."

Answer 1

"I have small accidents ever since I developed a cystocele."

Question 2

When assessing an older client for the possible cause of his acute urinary incontinence, the nurse demonstrates an understanding of exacerbating factors when doing which of the following? Select all that apply.

A)Asking when he had his last normal bowel movement
B)Monitoring his intake and output
C)Determining whether he has ever been screened for prostatic hypertrophy
D)Questioning him as to whether he awakens during the night to urinate
E)Measuring his abdominal girth

Answer 2

Asking when he had his last normal bowel movement
Determining whether he has ever been screened for prostatic hypertrophy
Questioning him as to whether he awakens during the night to urinate

Question 3

An older adult woman has a resistant strain of pneumonia.To best minimize her risk of developing acute renal failure, the nurse:

A)monitors the client's serum BUN levels via diagnostic laboratory work.
B)helps the client select low sodium foods from her daily menu.
C)offers the client a drink at least every 2 hours while she is awake.
D)measures and records the client's urinary output.

Answer 3

offers the client a drink at least every 2 hours while she is awake.

Question 4

When preparing educational information regarding benign prostatic hyperplasia (BPH) for a group of older male clients, the nurse includes which of the following? Select all that apply.

A)Eighty percent of males experience the symptoms by age 80.
B)Diabetes mellitus is a risk factor.
C)It is only as the prostate enlarges that symptoms occur.
D)The resulting urinary retention can cause urinary tract infections.
E)Symptoms are a result of urethral obstruction.

Question 5

An older client is admitted with possible chronic renal failure (CRF).The nurse notifies the attending physician with the results showing the client's:

A)increased calcium level.
B)increased red blood cells.
C)decreased BUN level.
D)decreased creatinine clearance level.

Question 6

The nurse is completing an admission assessment on an older client who has been diagnosed with benign prostate hyperplasia.The nurse's priority questioning focuses on:

A)family history of prostate disorders.
B)onset of symptoms.
C)psychosocial impact of the diagnosis.
D)typical urinary voiding patterns.

Question 7

When caring for older adults, the nurse expects to encounter the normal urinary age-related outcome of:

A)urinary incontinence.
B)low-grade bladder infection.
C)nocturia.
D)urinary residual volume.

Question 8

An 87-year-old client who does not have a history of urinary incontinence has suddenly become incontinent.In dealing with this problem, the nurse's first action should be to:

A)review his medication record for medications that may be causing urinary incontinence.
B)seek an order from the physician for an indwelling urinary catheter to prevent skin breakdown.
C)limit his fluid intake to reduce his feeling of having to void so often.
D)remind him every 2 hours that he needs to void and assist him to a bedside commode or toilet.

Question 9

An older adult client is hospitalized for surgery to treat injuries he received in an automobile accident.The nurse recognizes symptoms suggestive of an upper urinary tract infection when the client:

A)voids 100 mL of urine over a 3-hour period of time.
B)is not able to state where he is or what day it is.
C)has an elevated red blood cell ( RBC ) count.
D)reports burning when he urinates.

Question 10

An older cognitively impaired adult client is being prepared for discharge to be cared for by her daughter.The nurse knows that the continued success of the client's bladder training for urinary incontinence primarily rests upon the:

A)client's ability to follow instructions.
B)severity of the impairment of the client's urinary sphincter.
C)client's ability to sense the need to urinate.
D)daughter's ability to support the training.

Question 11

An older adult client reports "losing urine" when she bends over or gets out of a chair.In light of her symptoms, the nurse edits the client's care plan to include Altered urinary function, __________ incontinence.

A)overflow
B)urge
C)functional
D)stress

Question 12

An older adult client's urinary incontinence is being addressed by prompted voiding.The nurse instructs all ancillary staff to do which of the following? Select all that apply.

A)Provide only minimal fluids after 7 pm.
B)Keep the client on the toilet until voiding occurs.
C)Allow the client to void at times other than those scheduled.
D)Offer toileting during the night only when the client is awake.
E)Encourage the client to toilet himself.