A nurse plans care for an older adult client. Which interventions ...

[big1devin]

A nurse plans care for an older adult client. Which interventions should the nurse include in this client's plan of care to promote kidney health? (Select all that apply.)
 
  a. Ensure adequate fluid intake.
  b. Leave the bathroom light on at night.
  c. Encourage use of the toilet every 6 hours.
  d. Delegate bladder training instructions to the unlicensed assistive personnel (UAP).
  e. Provide thorough perineal care after each voiding.
  f.
  Assess for urinary retention and urinary tract infection.

Question 2

A nurse reviews a client's laboratory results. Which results from the client's urinalysis should the nurse identify as normal? (Select all that apply.)
 
  a. pH: 6
  b. Specific gravity: 1.015
  c. Protein: 1.2 mg/dL
  d. Glucose: negative
  e. Nitrate: small
  f.
  Leukocyte esterase: positive

[johnharpe]

Answer to Question 1

ANS: A, B, E, F
The nurse should ensure that the client receives adequate fluid intake and has adequate lighting to ambulate safely to the bathroom at night, encourage the client to use the toilet every 2 hours, provide thorough perineal care after each voiding, and assess for urinary retention and urinary tract infections. The nurse should not delegate any teaching to the UAP, including bladder training instructions. The UAP may participate in bladder training activities, including encouraging and assisting the client to the bathroom at specific times.

Answer to Question 2

ANS: A, B, D
The pH, specific gravity, and glucose are all within normal ranges. The other values are abnormal.

[big1devin]

Thank you

[johnharpe]

Happy to help you