Which method of assessment would best indicate whether a client ...

[wenmo]

Which method of assessment would best indicate whether a client has a urinary complication?
 
  1. Urine pH
  2. Calculation of output
  3. Urine-specific gravity
  4. Calculation of intake

Question 2

The client at three days postpartum has come to the maternity clinic with complaints of urinary urgency and dysuria. Which statement is most important for the nurse to make?
 
  1. Void into this sterile cup without touching the inside of the cup.
  2. Be sure to wipe from back to front after you have a bowel movement.
  3. Call the clinic if you develop nausea and vomiting or constipation.
  4. Decrease your fluid intake for a few days, but eat a lot of vegetables.

[LP]

Answer to Question 1

2
Rationale:
1. Urine pH and urine-specific gravity can be used to identify certain conditions, but would not be part of the initial assessment.
2. Calculation of output would provide a better assessment of complete emptying of the bladder, because overdistention can cause trauma to the bladder, displace the uterus, and cause infection.
3. Urine pH and urine-specific gravity can be used to identify certain conditions, but would not be part of the initial assessment.
4. Monitoring intake is an intervention that may help prevent urinary complications but calculating the intake itself would not indicate a complication.
.

Answer to Question 2

1
Rationale:
1. A clean-catch urine sample will need to be obtained for urinalysis to determine if the client has developed a urinary tract infection.
2. Clients should be taught to wipe from front to back after bowel movements in order to prevent contamination of the urethra and bladder with normal bowel flora.
3. A lower urinary tract infection can progress into pyelonephritis, the signs of which are fever and flank pain. Constipation is not associated with urinary tract infections.
4. Clients should increase their fluid intake but decrease their consumption of carbonated beverages. Cranberries, or cranberry juice, are helpful, as they acidify the urine. Vegetables do not help clear or prevent urinary tract infections.

[wenmo]

Great answer, keep it coming

[bdobbins]

TYSM