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NUR 310 EXAM 2 PREP Complete Answers
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NUR 310 EXAM 2 PREP Complete Answers
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NUR 310 EXAM 2 PREP CompleteAnswers
A nurse is caring for an older adult client at his home. The client has had a condom
catheter applied. Which describes a condom catheter? - Answer-a flexible sheath that is
rolled around the penis
A client has a cerebrovascular accident and is incontinent of bowel and bladder.
Incontinence of urine in this client is related to a: - Answer-neurogenic bladder.
What is an advantage of using an external condom catheter for a male client who has
frequent episodes of urinary incontinence? - Answer-It collects urine into a drainage bag
without the risk of infection associated with indwelling urinary catheters.
The nurse is caring for a client with a prescription for a midstream urine specimen. The
nurse would provide which information to the client? - Answer-"Void a small amount,
stop, and discard it."
A client is diagnosed with frequent urinary tract infections. What would be an
appropriate question for the nurse to ask the client? - Answer-"How frequently do you
urinate each day?"
An older adult client is experiencing urinary retention. What age-related physiologic
change does the nurse discuss with the client that may be a contributing factor? -
Answer-Older adults may have a decrease in contraction of the bladder.
The nurse measures a client's residual urine by catheterization after the client voids.
Which condition would this test verify? - Answer-urinary retention
Which catheter would the nurse use to drain a client's bladder for short periods (5 to 10
minutes)? - Answer-straight catheter
A client is preparing to give a clean-catch specimen. Which instruction will the nurse
provide? - Answer-After the initial stream is initiated, collect the sample.
The nurse is caring for a client with weakness who is ambulatory but tires easily. Which
method for urinary elimination does the nurse recommend? - Answer-bedside commode
A client reports to the nurse that after delivering a baby, she loses small amounts of
urine each time she sneezes or laughs hard. Which type of incontinence does the nurse
anticipate? - Answer-stress
,The health care provider has ordered a 24-hour urine specimen collection for a client.
Which nursing action is appropriate? Select all that apply. - Answer--Discard first urine
just before starting the test, then collect urine thereafter.
-Ask the client to void for the last time at exactly the 24-hour mark.
A 70-year-old client who has four children and six grandchildren states that she "wets"
herself when she sneezes or laughs. She reports that sometimes this also occurs when
rising from a sitting to standing position. Which type of incontinence does the nurse
anticipate? - Answer-stress
A 70-year-old client confides to the nurse that she is "terribly embarrassed" that she has
developed urinary incontinence over the past year. Which nursing response supports
the client's self-esteem? - Answer-"Let's explore structuring activities and toileting
breaks."
A client with a history of advanced liver disease comes to the emergency department
(ED) with dehydration. White blood cell count shows elevation in bands and neutrophils.
When preparing to catheterize the client, what color urine does the nurse anticipate will
drain? - Answer-dark brown, cloudy
The nurse is caring for a client with an indwelling urinary catheter secondary to
neurogenic bladder. The nurse completes a prescription to obtain a urine specimen
from the catheter. After reviewing the image, what is the most accurate narrative note
the nurse would document to demonstrate the steps to obtain the urine specimen were
performed appropriately? - Answer-Verified prescription, cleansed access port with
antiseptic swab, aspirated urine from access port into sterile specimen container, client
tolerated procedure well.
A nurse will use a bladder scanner to assess a client with urinary frequency. How
should the nurse best prepare the client for this procedure? - Answer-Position the client
in a supine position.
A nurse who is right-handed is inserting a woman's indwelling urinary catheter. The
nurse will use cotton balls and antiseptic solution to cleanse the woman's meatus and
perineum. Which of the nurse's actions is most appropriate? - Answer-Use her left hand
to spread the woman's labia and keep them spread until the catheter is inserted.
The health care provider notifies a client of a diagnosis of glycosuria. Which additional
assessment information will the nurse obtain from the client next? - Answer-Blood sugar
A sterile urine specimen for culture and sensitivity has been prescribed for a client who
has an indwelling urinary catheter. How should the nurse obtain this specimen? -
Answer-Withdraw several milliliters of urine from the port on the collection tubing, using
aseptic technique.
, A nurse is caring for a client who has an infant age 4 months. The client informs the
nurse that she has been experiencing a sudden loss of urine whenever she laughs; this
is causing embarrassment to her. Which type of urinary incontinence is this client
experiencing? - Answer-stress incontinence
A client at a health care facility is being treated for cancer of the bladder. The physician
uses a urinary diversion to help the client with urinary elimination. What describes a
urinary diversion? - Answer-one or both of the ureters are surgically implanted
elsewhere
The nurse is caring for a client who has been experiencing difficulty voiding since her
vaginal birth. The client voices concern to the nurse. What information should be
provided to the client? - Answer-The birth can cause perineal swelling.
A nurse drains the bladder of a client by inserting a catheter for 5 minutes. What type of
catheter would the nurse use in this instance? - Answer-intermittent urethral catheter
The nurse is choosing a collection device to collect urine from a nonambulatory male
client? What would be the nurse's best choice? - Answer-Urinal
Which is the test that would provide an accurate measurement of the kidney's excretion
of creatinine? - Answer-24-hour specimen
An older adult female client tells the nurse, "Whenever I sneeze or cough, I urinate a
little bit. It's very embarrassing." The nurse interprets the client's statement as indicating
which type of incontinence? - Answer-Stress
The nurse is caring for a client who reports burning upon urination, and an ongoing
sense of needing to urinate. Which urine characteristics does the nurse anticipate? -
Answer-cloudy, foul odor
The nurse is caring for a client who has been experiencing nausea, vomiting, and
diarrhea for 3 days. Which urine characteristics does the nurse anticipate? - Answer-
strongly aromatic, dark amber
An older adult client informs the nurse that they are experiencing urinary incontinence.
The client has no other health problems, and states, "I don't want anybody to know
about this problem." How will the nurse promote the client's self-esteem? - Answer-
Discuss the use of protective undergarments to avoid embarrassment from
incontinence.
The nurse is caring for a client who has dark amber, strongly aromatic urine with
nausea and vomiting. Which condition does the nurse anticipate? - Answer-dehydration
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