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Author Question: A client has been admitted with incontinence. What should the nurse expect to assess in this client? ... (Read 79 times)

justinmsk

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A client has been admitted with incontinence. What should the nurse expect to assess in this client?
 
  1. Client is wearing cotton undergarments.
  2. Leakage of urine occurs when client laughs.
  3. Leakage of urine occurs when talking with the client.
  4. The skin of the client is clear without discoloration.

Question 2

A client's results from a urinalysis are as follows: pH 5.2, gross cloudiness, WBC 1015, glucose negative, specific gravity 1.012, and protein negative. How should the nurse interpret the results?
 
  1. Dehydration
  2. Diabetic ketoacidosis
  3. Trauma
  4. Urinary tract infection



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chevyboi1976

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Answer to Question 1

Correct Answer: 2
Rationale 1: A client with incontinence would wear some kind of undergarment pad. Cotton undergarments alone would not provide protection for catching the urine.
Rationale 2: Incontinence involves a small leakage of urine when a client laughs.
Rationale 3: Incontinence does not occur if a client just carries on a conversation.
Rationale 4: If the client has been experiencing incontinence, the nurse might expect to see the skin inflamed and irritated because urine is very irritating to the skin.

Answer to Question 2

Correct Answer: 4
Rationale 1: An elevated specific gravity is seen in dehydration.
Rationale 2: The glucose would be elevated in diabetic ketoacidosis.
Rationale 3: Blood would be present in trauma.
Rationale 4: The pH, glucose, specific gravity, and protein are all within normal limits. Urine is usually clear to slightly cloudy, and WBC count can be from 0 to 4. Therefore, the gross cloudiness and WBC count of 1015 are not normal, indicating a urinary tract infection.





 

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