A nurse provides phone triage to a pregnant client. The client ...

[APUS57]

A nurse provides phone triage to a pregnant client. The client states, I am experiencing a burning pain when I urinate. How should the nurse respond?
 
  a. This means labor will start soon. Prepare to go to the hospital.
  b. You probably have a urinary tract infection. Drink more cranberry juice.
  c. Make an appointment with your provider to have your infection treated.
  d. Your pelvic wall is weakening. Pelvic muscle exercises should help.

Question 2

A nurse teaches a client about self-catheterization in the home setting. Which statements should the nurse include in this client's teaching? (Select all that apply.)
 
  a. Wash your hands before and after self-catheterization.
  b. Use a large-lumen catheter for each catheterization.
  c. Use lubricant on the tip of the catheter before insertion.
  d. Self-catheterize at least twice a day or every 12 hours.
  e. Use sterile gloves and sterile technique for the procedure.
  f.
  Maintain a specific schedule for catheterization.

[joshbk44]

Answer to Question 1

ANS: C
Pregnant clients with a urinary tract infection require prompt and aggressive treatment because cystitis can lead to acute pyelonephritis during pregnancy. The nurse should encourage the client to make an appointment and have the infection treated. Burning pain when urinating does not indicate the start of labor or weakening of pelvic muscles.

Answer to Question 2

ANS: A, C, F
The key points in self-catheterization include washing hands, using lubricants, and maintaining a regular schedule to avoid distention and retention of urine that leads to bacterial growth. A smaller rather than a larger lumen catheter is preferred. The client needs to catheterize more often than every 12 hours. Self-catheterization in the home is a clean procedure.

[APUS57]

Excellent

[mcabuhat]

TYSM