The client reports, prior to the stroke, getting up five or six times to urinate nightly but controlled the urge long enough to make it to the bathroom. How should the nurse document the urinary pattern that the client is describing?
A. Dysuria.
B. Frequency.
C. Nocturia.
D. Diuresis.C Correc...
NURS624 Case Study: Urinary Patterns questions
with correct answers
The client reports, prior to the stroke, getting up five or six times to
urinate nightly but controlled the urge long enough to make it to the
bathroom. How should the nurse document the urinary pattern that the
client is describing?
A. Dysuria.
B. Frequency.
C. Nocturia.
D. Diuresis.C Correct Answer-C
This specifically refers to voiding frequently at night. The incidence of
nocturia increases greatly in the older male client who has an enlarged
prostate. It may also indicate an inability to concentrate urine because of
poor blood flow to the kidneys.
Since the client now voids spontaneously without recognizing the need
to void, how should the nurse document the client's current urinary
pattern in the medical chart?
A. Polyuria.
B. Incontinence.
C. Retention.
D. Oliguria. Correct Answer-B
,Incontinence is the involuntary loss of urine. In the case of this client, it
may be the result of neurologic impairment secondary to the stroke.
To help manage the client's incontinence, the nurse initiates a bladder
training program. Which instruction should the nurse provide to the
unlicensed assistive personnel (UAP) who will be helping care for the
client?
A. Restrict oral fluids to 1,000 mL daily in evenly divided amounts.
B. Offer warm coffee, cocoa, or tea every 2 hours while awake.
C. Limit client socialization until voiding patterns are established.
D. Remind the client to void every 2 hours while awake and to call for
assistance to the bathroom. Correct Answer-D
A toileting schedule is an effective means to retrain the bladder. Bladder
training should start with voiding every 2 hours in the daytime and every
4 hours at night and then be adapted to the individual needs. The call
bell should be near the client so that he can ring the bell for assistance to
prevent the risk of falling.
After several weeks, the bladder training program is unsuccessful in
stopping the client's incontinence. The client appears withdrawn and
states that they are frustrated at the number of episodes that continue to
occur. Which interventions should the nurse include in the client's plan
of care? (Select all that apply. One, some, or all options may be correct.)
, A. Provide time to think and reflect.
B. Assign sitters to visit during the day.
C. Report signs of insomnia due to anxiety.
D. Ignore negative attitude toward recovery.
E. Discuss possible coping strategies. Correct Answer-C, E
(C) Reports of fatigue, lack of sleep, and anxiety are signs of inability to
cope.
(E) Coping skills are needed to deal with stressors that threaten physical
and mental well-being.
Following an episode of incontinence, the nurse washes the client's
perineal area with mild soap and water and applies a water-repellent
ointment to the skin. The client's spouse is present and the nurse uses
this opportunity to educate them about proper skin care to prevent
breakdown. Which statement by the client's spouse indicates that
teaching provided was effective?
A. Wash area with mild soap and water followed by ointment.
B. Use of soap of choice around his buttocks or groin is safe.
C. Lotions and ointments may increase the risk of skin breakdown.
D. Massage any reddened areas to promote circulation. Correct Answer-
A
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