Author Question: The nurse is assessing the renal system of an older client. During the gathering of subjective data, ... (Read 39 times)

dmcintosh · **on:** Jun 25, 2018

The nurse is assessing the renal system of an older client. During the gathering of subjective data, the nurse should expect to note:

1. a decrease of urine output.
2. a decreased thirst.
3. well-hydrated skin.
4. a decrease in potassium excretion.

Question 2

The nurse begins the focused assessment of the urinary system by collecting a clean-catch urine specimen. The nurse should:

1. catheterize the client to get a urine sample.
2. have the client catch the urine at the beginning of flow.
3. have the female client cleanse the perineum from back to front.
4. have the client start the flow and then place the container in the stream.

sokh · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 2

1. The client will report a decreased concentration of urine due to a decrease in the ability of the kidney to concentrate urine.
2. The older client's thirst mechanism can cause dehydration.
3. Well-hydrated skin is an objective observation.
4. Decreases in potassium excretion are obtained by laboratory studies and are not subjective data.

Answer to Question 2

Answer: 4

1. A clean catch is not obtained by catheterization; a sterile sample is.
2. The client is instructed to retrieve the sample after the flow has started.
3. The female client is taught to clean from front to back to avoid contamination from the anal area.
4. The client starts the flow and then collects the sample.