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Ch 46 Urinary Elimination and Nursing Process Flashcards _ (ALL CHAPTERS, complete questions and
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Ch 46 Urinary Elimination and Nursing Process Flashcards _ (ALL CHAPTERS, complete questions and
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7/22/24, 10:54 AM 1/5 Ch 46 Urinary Elimination and Nursing Process Jeremiah Terms in this set (67) Which patient is most likely to exhibit symptoms such as dysuria, urgency, frequency, and nocturia? A patient with a urinary tract infection A patient with kidney failure may experience oliguria Patients receiving diuretic therapy and those with uncontrolled diabetes mellitus may exhibit polyuria. Which intervention is most appropriate for a patient with functional urinary incontinence? Provide normal fluid intake and establish a toilet schedule. . A toileting schedule based on the patient's elimination patterns can help reduce episodes of incontinence. Catheters are used as a last choice, because of the potential for infection and body self-image issues. A patient is being assessed for a possible urinary tract infection (UTI). Before sending a urinalysis specimen to the laboratory, the nurse collects a small amount of urine to perform a dipstick test. If the patient has a UTI, which component should be detected in the urine? Leukocytes What should the nurse include in the plan of care for a patient with urge urinary continence? Helping the patient strengthen the pelvic floor muscles and learn fluid and food modifications While caring for a patient with urge urinary continence, the nurse should help the patient strengthen the pelvic floor muscles, learn techniques to inhibit the urinary urge, and learn fluid and food modifications to help the patient learn efficient and safe toilet transfers. responsibility of an occupational therapist 7/22/24, 10:54 AM 2/5 should help the patient obtain assistive devices for the home that are covered by insurance. social worker Which intervention is most appropriate for a patient with functional urinary incontinence? Provide normal fluid intake and establish a toilet schedule. A nurse is caring for a patient with an indwelling catheter. Which nursing action may increase the risk for a catheter - associated urinary tract infection? Keeping the drainage bag above the level of the bladder Which patient is most likely to exhibit symptoms such as dysuria, urgency, frequency, and nocturia? A patient with a urinary tract infection A patient with kidney failure may experience oliguria. may exhibit polyuria. Patients receiving diuretic therapy and those with uncontrolled diabetes mellitus A nurse instructs an elderly patient to restrict fluid intake 2 hours before bedtime. Which complication is the nurse trying to reduce? Nocturia To manage stress urinary incontinence, the nurse should teach the patient pelvic muscle exercises. What instructions regarding bladder training should be included in the teaching plan for the family of a patient who is incontinent because of a stroke? "Offer the patient the commode or urinal every 2 hours." To begin a bladder -training program, the nurse should teach the family to offer the patient the commode, bedpan, or urinal every 2 hours. Making this offer frequently enough prevents accidents and establishes a routine A nurse is assessing the SEVERITY of a patient's urinary elimination problem. Which question is most appropriate? "How often are you awakened with the urge to void while you are sleeping?" To assess the EFFECTS of the patient's urinary elimination problem, the nurse may ask whether the urinary problem interferes with the patient's usual activities. To assess SIGNS and SYMPTOMS, the nurse may ask whether the patient dribbles urine before voiding, after voiding, or at other times. To determine any PREDISPOSING FACTORS, the nurse may ask whether the patient recently has been hospitalized or received a diagnosis of a new medical problem. The nurse receives a prescription to obtain a post-void residual for a patient via catheterization. What is the best way to obtain this measurement? Intermittent catheterization Intermittent catheterization is used when evaluating the residual urine following urination. The investigation requires measurement of urine remaining in the bladder after voiding. Intermittent catheterization prevents the risk of infection. Long-term catheterization is done in patients with urinary retention. It may also be done for patients with recurrent episodes of urinary infections, skin breakdown, and terminal illness. Short-term catheterization is required for obstructive conditions, surgical repair of bladder and urethra, prevention of urethral obstruction, and bladder irrigation.The benefits of buying summaries with Stuvia:
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