Nokea
The nurse identifies the concepts of elimination and immunity for a female client diagnosing with a urinary tract infection. Which discharge instructions should the nurse provide the client? Select all that apply.
- A. Teach the client to wipe from front to back after voiding.
- B. Encourage the client to drink cranberry juice each morning.
- C. Inform the client that frequent episodes of incontinence are expected.
- D. Discuss the signs and symptoms of a recurrent infection.
- E. Have the client fill a container of water to sip until at least 2,000 mL is consumed.
- F. Request that the client sit in a tub of warm water twice a day for 25 minutes.
Correct Answer: A,B,D,E
Rationale: Wiping front to back prevents bacterial spread, cranberry juice may reduce UTI risk, discussing recurrent symptoms aids early detection, and 2,000 mL fluid intake flushes the bladder. Incontinence is not expected, and tub baths increase infection risk.
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If the client asks the nurse to outline the benefits of the cystoscopy procedure, which ones should the nurse list as possible, the nurse is a child with a apply.
- A. Involves visual examination of the internal structure of the kidney
- B. Helps identify the sources of hematuria, incontinence, and urine retention
- C. Allows for collection of tissue samples, cell washings, and urine samples
- D. Requires no sedation because it is painless
- E. Excess the nurse to visualize the internal structure
- F. Requires no surgical incision because the scope is introduced into the urethra
Correct Answer: B,C,F
Rationale: Cystoscopy identifies causes of urinary symptoms, allows sample collection, and is minimally invasive via the urethra.
Which statement by the client with an ileal conduit indicates a need for further teaching?
- A. I will change the pouch every 5 to 7 days.
- B. I will keep the skin around the stoma clean and dry.
- C. I will empty the pouch when it is one-third full.
- D. I will avoid drinking fluids to reduce urine output.
Correct Answer: D
Rationale: Avoiding fluids is incorrect, as adequate fluid intake is necessary to maintain urine flow and prevent complications.
It is most appropriate for the nurse to advise the client that taking this medication will have which effect on the urine?
- A. The urine will look cloudy.
- B. The urine will appear orange.
- C. The urine will become scant.
- D. The urine will have a strong odor.
Correct Answer: B
Rationale: Phenazopyridine (Pyridium) commonly causes the urine to turn orange, which is a harmless side effect that the client should be informed about.
Which assessment before and after peritoneal dialysis is most valuable in evaluating the outcome of treatment?
- A. Pulse rate
- B. Body weight
- C. A Abdominal girth
- D. Urine output
Correct Answer: B
Rationale: Body weight is the most valuable assessment, as weight loss after dialysis indicates effective removal of excess fluid.
When the nurse reviews the client's medical history, which finding most likely precipitated the present illness?
- A. A recent streptococcal throat infection
- B. A recent influenza infection
- C. A recent episode of gastroenteritis
- D. A recent urinary tract infection
Correct Answer: A
Rationale: A recent streptococcal throat infection is a common trigger for acute glomerulonephritis due to immune-mediated kidney damage.