Six hours after removing a postoperative client's indwelling urinary catheter, the client has not voided. What action should the practical nurse take? A- Ask the client if they are uncomfortable. B- Reinsert the indwelling urinary catheter. C- Obtain order to increase intravenous infusion rate. D- Complete a bladder scan.
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32-Six hours after removing a postoperative client's indwelling urinary catheter, the client has not voided. What action should the practical nurse take?
A- Ask the client if they are uncomfortable.
B- Reinsert the indwelling urinary catheter.
C- Obtain order to increase intravenous infusion rate.
D- Complete a bladder scan.
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- The nurse is caring for an older adult who is receiv- ing oxybutynin (Ditropan) to reduce the occurrence of bladder spasms related to a UTI. For which side effect should the nurse assess the patient? 1. Diaphoresis 2. Palpitations 3. Gastric irritation 4. Orange-colored urineA 70-year-old client is seen in the emergency department with an urinary tract infection. The provider orderssulfamethoxazole /trimethoprim. Which medication should the nurse alert the provider about, if given with the medication combo sulfamethoxazole /trimethoprim?The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The client received general anesthesia for the procedure and has opioid pain medications prescribed. The client’s vital signs are Temp 97.2°F, HR 105, RR 24 and BP 110/50. The client has had only 30 mL urine output since arriving to the postoperative area. The client is arousable and slow to respond to commands, but has become slightly restless, shifting in the bed frequently. The client states that they “hurt” and asks for something to drink. The last dose of IV pain medication was given to the client just before leaving the surgical suite. Discuss three key pieces of assessment data and why you feel they are important. Discuss nursing interventions you would implement in caring for this client.
- Patient C: An 18 y/o healthy female presents for a routine physical examination. Patient has great difficulty producing a very small volume of urine despite not having urinated since early morning. During discussion with physician it is revealed that she has had only 2 cups of coffee and a donut to eat all day 1) What are the abnormal findings? 2) What is your diagnosis? 3)What suggestions might you have for this patient? 4) Why does the body form concentrated urine? and where in the kidney does urine concentration occur? 5) Why is an extended water fast a bad idea?An 85-year-old male patient with a history of multiple strokes and requiring the use of an indwelling urinary catheter is discharged from the hospital to a long-term care facility after being treated for urosepsis. What are some interventions the nurse can implement to prevent recurrence of the problem?CASE: URINARY TRACT INFECTION A 27-year-old woman comes in with a prescription for nitrofurantoin tablets 50 mg q.d.s. for three days and requests to speak with the pharmacist. She explains that her doctor tested her urine with a "colored strip" and diagnosed her with a urinary tract infection (UTI). She is experiencing significant discomfort when urinating due to a burning/stinging sensation, and her doctor has advised her to purchase Effercitrate over the counter. A friend suggested she also buy cranberry juice. 6. Aside from nitrofurantoin, list and describe other antibiotics used to treat urinary tract infections. 7. What lifestyle advice can be offered to patients with cystitis? 8. The following are some UTI myths; discuss whether they are true or not. a. UTIs are spread through sexual partners.b. A UTI can be avoided by drinking cranberry juice.c. UTIs can be avoided by wiping from front to back, avoiding tight clothing, and urinating after intercourse.d. A high salt diet…
- A 42-year-old patient admitted with acute kidney injury due to dehydration has oliguria, anemia, and a potassium level of 6.0 meq/L. Which of the prescribed actions should the nurse do first? a. Give sodium polystyrene sulfonate (Kayexalate) b. Administer epoetin alfa (Epogen, Procrit) subcutaneous c. Insert a urinary retention catheter to monitor I&O d. Order a type & cross for a possible blood transfusionA. Terminology Write the term defined below in the answer column. 1. Inflammation of the kidney (general). 2. Albumin in the urine. 3. A measure of the concentration of solutes in urine. 4. Erythrocytes in the urine. 5. Inflammation of the urinary bladder. 6. Most abundant inorganic compound in urine. 7. Leukocytes or pus components in the urine. 8. pH range of normal urine. 9. Hemoglobin in the urine. 10. More than a trace of glucose in the urine. 11. Ketones in the urine. 12. Inflammation of the kidney involving glomeruli. 13. Accumulations of materials hardened in tubules. 14. Most abundant nitrogenous waste. 15. Excessive urine production. 16. Bile pigment in the urine. 17. Inflammation of the urethra. 18. Kidney stones. 19. Little or no urine production. 20. Most abundant inorganic solute in urine. B. Clinical Significance Select the name of the possible clinical condition from the list below that is indicated by the urinalysis results. Write your answer in the answer column.…A patient with end-stage renal disease is admitted with orders for hemodialysis. Which actions should the nurse take to prepare the client for hemodialysis? Select all that apply. 1 .Administer subcutaneous heparin to decrease clotting during dialysis 2. Administer the client's morning doses of carvedilol and lisinopril 3. Check the client's medical records to determine the last post-dialysis weight 4. Obtain a set of client vital signs and the client's current weight 5. Palpate the fistula in the client's arm for a thrill and auscultate for a bruit
- A client who had a bladder tumor recently underwent surgery for removal of the urinary bladder with creation of an ileal conduit. An appliance is fitted over the surgical stoma.a. The nurse would monitor the client for which possible complications? b. What measures should the nurse include when providing postoperative care for this client?Warm sitz bath is prescribed three or four times a day after hemorrhoidectomy. Implementation should be delayed until at least 12 hours postoperatively to avoid inducing: a.Constipation b.Hemorrhage c.Rectal spasm d.Urinary retentionJ.D. is a 64-year-old man who presents to the family practice complaining of increased urination at night. The patient has a past medical history of hypertension, hyperlipidemia, and coronary artery disease (CAD). Vital signs are T 97.5, P 85, R 16, and BP 120/60. What subjective information should the nurse obtain? The nurse is performing the physical examination of the patient’s genitals. What are the major structures of the male genitalia? The nurse needs to assess the patient for a hernia. What is the proper procedure for this assessment?