Ch 69: Care of Patients with Urinary Problems

The postmenopausal female client has had two episodes of bacterial urethritis in the last 6 months. She asks her nurse why this is happening to her now. Which is the nurse's best response?

Low estrogen levels can make the tissue more susceptible to infection.

How is urge incontinence different from stress incontinence?

Stress incontinence occurs because of weak pelvic floor muscles. Urge incontinence occurs because of abnormal bladder contractions

Which statement made by the client with stress incontinence indicates a need for clarification of nutrition therapy?

I will limit my total intake of fluids.

Which client will not be able to adhere to a bladder training for incontinence?

An older man who is confused.

The caretaker of a confused client with functional incontinence asks about having an in-dwelling catheter placed. Which is the nurse's best response?

Pads can be worn to prevent smells and leaks. Social services can help you obtain these supplies at a reasonable cost.

Which personal factor places the client at risk for bladder cancer?

A 50 pack-year cigarette smoking history

The client is a young woman who is being treated with amoxicillin (Amoxil) for a urinary tract infection. Which is the highest priority instruction for the nurse to give the client?

Use a second form of birth control while on the drug.

Which is an appropriate dietary choice for the client with uric acid renal calculi?

Mixed green salad, melba toast

Which is priority discharge teaching for a client who has undergone the removal of a renal calculus?

Drink at least 3L of fluid daily and monitor urine pH.