prepu
An older adult client tells the nurse that they have trouble controlling their urine. The client states, "The urine starts dripping even before I feel like I have to go." The nurse interprets this as:
Relfex incontinence
the nurse would convey this statement to the parent of a 3-year-old male child who has not achieved urinary continence.
Male children may take longer for daytime continence than female children.
A nurse is caring for a patient with an enlarged prostate who has had an indwelling catheter for several weeks. A prescription for continuous bladder irrigation (CBI) is written after the patient developed hematuria post cystoscopy. The nurse teaches the patient the purpose of CBI is to prevent what situation?
Blood clots that could block the catheter
Red urine
anticoagulants
appears suddenly and is usually caused by an illness or temporary problem that is short-lived or treatable. It is usually caused by treatable factors, such as confusion secondary to acute illness or infection or as a result of medical treatment, such as the use of diuretics or intravenous fluid administration. When the underlying problem is resolved, the patient should regain continence
transient
the test that would provide an accurate measurement of the kidney's excretion of creatinine
24 hour specimen
The nurse has an order to obtain a 24-hour urine specimen from a client. The nurse would instruct the patient to do this when starting the specimen.
Discard your first urine and begin the collection after that.
A nurse is changing the stoma appliance on a patient’s ileal conduit. Which finding requires the nurse to follow up with the provider?
Stoma is a purple-black color.
diuretics
occurs because of weak pelvic floor muscles and/or a deficient urethral sphincter, causing an involuntary loss of urine related to an increase in intra-abdominal pressure. This commonly occurs during coughing, sneezing, laughing, lifting, changing position, or exercising.
Stress
A client reports to the nurse that after delivering an infant, they lose small amounts of urine each time they sneeze or laugh hard. The nurse anticipates this type of incontinence.
Stress
Catheterized clients should drain a minimum of how much an hour.
30 mL/hour
A nursing student hears in report that their patient is receiving a nephrotoxic medication. The student plans care to include what action?
Assessing for kidney damage
orange or orange/red
pyridium
a combination of stress incontinence and urgency incontinence and is marked by involuntary leakage associated with urgency as well as with exertion, effort, sneezing, and coughing
mixed
The nurse is assessing a client with an older arteriovenous (AV) graft for hemodialysis access in the left arm. The client reports significant pain to the distal left arm. Capillary refill in the left hand is greater than 4 seconds. The nurse should assess for this before contacting the health care provider.
Thrill and bruit.
The nurse is caring for a client who has been experiencing nausea, vomiting, and diarrhea for 3 days. The characteristics the nurse anticipates are
strongly aromatic, dark amber
What do you look for in a urine assessment?
Color, odor, turbidity, pH, specific gravity, constituents
green or blue/green
antidepressant amitriptyline or B-complex
hronic retention of urine, is the involuntary loss of urine associated with overdistention and overflow of the bladder. The signal to empty the bladder may be underactive or absent, the bladder fills, and dribbling occurs. It may be due to a secondary effect of some medications, neurologic conditions, diabetes, and obstruction or injury
overflow
A client with chronic kidney disease reports not being able to urinate for the past 24 hours. A bladder scan shows no urine in the bladder. The nurse document this data as this.
Anuria
A client reports frequently experiencing urine loss when moving from the wheelchair to bed. The nurse anticipates what kind of incontinence.
Functional
emptying of the bladder without the sensation of the need to void from damage to the nerves that normally signal the brain that the bladder is filling
relfex incontinence
brown/black
levodopa
urine loss caused by the inability to reach the toilet because of environmental barriers, physical limitations, loss of memory, or disorientation
functional