Nokea
A nurse teaches a client about self-catheterization in the home setting. Which statements should the nurse include in this client's teaching?
- A. Use a large human catheter for each catheterization.
- B. Use a large human catheter for each catheterization.
- C. Use lubricant on the tip of the catheter before insertion.
- D. Use lubricant on the tip of the catheter before insertion.
- E. Use lubricant on the tip of the catheter before insertion.
- F. Wash your hands with soap and water before and after catheterization.
- G. Use a clean catheter for each catheterization.
Correct Answer: C,F,G
Rationale: The nurse should teach the client to use lubricant on the tip of the catheter to ease insertion, wash hands with soap and water before and after catheterization to prevent infection, and use a clean catheter for each catheterization to maintain hygiene. Using a large catheter is not recommended as it may cause discomfort or injury.
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A nurse teaches a female client who has stress incontinence. Which statements should the nurse include in this client's teaching?
- A. When you start and stop your urine stream, you are using your pelvic muscles.
- B. Tighten your pelvic muscles for a slow count of 10 and then relax for a slow count of 10.
- C. Pelvic muscle exercises should only be performed sitting straight with your feet on the floor.
- D. After you have been using these exercises for a couple days, your control of urine will improve.
- E. Like any other muscle in your body, you can make your pelvic muscles stronger by contracting them.
Correct Answer: A,B,E
Rationale: The client should be taught that the muscles used to start and stop urination are pelvic muscles, and that pelvic muscles can be strengthened by contracting and relaxing them. The client should tighten pelvic muscles for a slow count of 10 and then relax the muscles for a slow count of 10 in various positions.
A nurse teaches a young female client who is prescribed amoxicillin (Amoxil) for a urinary tract infection. Which statement should the nurse include in this client's teaching?
- A. Use a second form of birth control while on this medication.
- B. You will experience increased menstrual bleeding while on this drug.
- C. You will experience increased menstrual bleeding while on this drug.
- D. Watch for blood in your urine while taking this medication.
Correct Answer: A
Rationale: The client should use a second form of birth control because penicillin seems to reduce the effectiveness of estrogen-containing contraceptives. She should not experience increased menstrual bleeding or blood in her urine while taking this drug.
A nurse assesses a client with a fungal urinary tract infection (UTI). Which assessments should the nurse complete?
- A. Palpate the kidney and bladder
- B. Perform a medical history and assess current medical problems
- C. Perform a bladder scan to assess post-void residual
- D. Inquire about recent travel to foreign countries
- E. Obtain a current list of medications
Correct Answer: B,E
Rationale: Clients who are severely immunocompromised or who have diabetes mellitus are more prone to fungal UTIs. The nurse should assess for these factors by asking about medical history, current medical problems, and the current medication list.
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?
- A. Are you drinking plenty of water?
- B. What medications are you taking?
- C. Have you tried laxatives or enemas?
- D. Has this type of thing ever happened before?
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.
A nurse plans care for clients with urinary incontinence. Which client is correctly paired with the appropriate intervention?
- A. A 24-year-old female post vaginal delivery: Habit training
- B. A 58-year-old postmenopausal client who is not taking estrogen therapy: Electrical stimulation
- C. A 64-year-old female with Alzheimer's-type senile dementia: Bladder training
- D. A 7-year-old female who has difficulty ambulating: Exercise therapy
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.