Author Question: A client informs the nurse that he frequently experiences stress incontinence. Which intervention ... (Read 109 times)

melly21297 · **on:** Jun 25, 2018

A client informs the nurse that he frequently experiences stress incontinence. Which intervention should the nurse plan for this client?

1. Provide client with absorbent pads or panty liners.
2. Have a bedside commode readily available to the client.
3. Catheterize the client every shift for residual urine.
4. Toilet the client every 2 hours.

Question 2

An adult client with acute glomerulonephritis is experiencing fatigue, anorexia, and blood pressure of 140/94. What should the nurse identify as the initial goal for this client's treatment?

1. To reduce the hypertension
2. Urinary output of at least 3000 mL daily
3. Providing a 5000-calorie daily diet
4. Energy conservation and bed rest during the acute phase

Animal_Goddess · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 1

1. Stress incontinence involves the loss of small amounts of urine when intra-abdominal pressure increases, as with sneezing or coughing. The pads help to keep undergarments dry.
2. A bedside commode would help with urge incontinence.
3. Catheterization for residual urine would help with functional incontinence.
4. Toileting every 2 hours would help with overflow incontinence.

Answer to Question 2

Answer: 4

1. If present, hypertension should be controlled, but the blood pressure elevation is not severe.
2. A urine output of 3 liters per day is not realistic.
3. The client does not need a 5000-calorie diet.
4. Preservation of renal function is a primary goal; bed rest lowers metabolic demands on the body and conserves energy reserves.