Chapter 59, Caring for Clients with Disorders of the Bladder and Urethra

Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim

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Chapter 59, Caring for Clients with Disorders of the Bladder and Urethra

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. The following catheterization procedures are used to treat clients with urinary retention. Which of the following procedures carries the greatest risk?
  A) Suprapubic cystostomy tube
  B) Permanent drainage with a urethral catheter
  C) Clean intermittent catheterization
  D) Credé voiding procedure
  Ans:  B

Difficulty:  Moderate

 

2. A female client is undergoing a bladder training program as treatment for urinary incontinence. Which of the following most appropriate techniques may be suggested to the client in the training program?
  A) Perform Kegel exercises.
  B) Instill dimethyl sulfoxide (DMSO) in the bladder.
  C) Use the services of a chronic pain center.
  D) Take warm sitz baths.
  Ans:  A

Difficulty:  Moderate

 

3. A client undergoes an indwelling catheter procedure as part of the treatment for acute urinary retention. Which of the following should the nurse always ensure during the procedure?
  A) Check for signs of peritonitis.
  B) Check the color and cloudiness of the urine.
  C) Check proper anchoring of the tube.
  D) Check the stoma for bleeding or cyanosis.
  Ans:  C

Difficulty:  Moderate

 

4. An elderly male client undergoes a bladder retraining program as part of the treatment for urinary incontinence. The nurse advises him to wear barrier garments such as liners and protective pants. Which of the following suggestions should the nurse offer to the client to maintain skin integrity?
  A) Avoid the application of moisture sealant.
  B) Expose the affected area to air.
  C) Use scented sprays or perfumes.
  D) Avoid using an electric room deodorizer.
  Ans:  C

Difficulty:  Moderate

 

5. A male client is very anxious about the ineffective sexual pattern that he faces after a urinary diversion procedure. What can the nurse suggest to relieve his anxiety?
  A) Tactfully ask the client questions about sexual patterns.
  B) Discourage him from sharing his feelings with his partner.
  C) Suggest Kegel exercises to ease painful intercourse.
  D) Discuss alternatives to sexual intercourse.
  Ans:  D

Difficulty:  Easy

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