Author Question: Which of the following nursing interventions is most specific for a client being monitored for ... (Read 38 times)

kellyjaisingh · **on:** Jul 23, 2018

Which of the following nursing interventions is most specific for a client being monitored for possible urinary retention?

1. Measuring urine output with each urination
2. Monitoring the color and clarity of urine with each voiding
3. Collecting a urine sample for a culture and sensitivity test
4. Asking the cognizant client to report each time he or she urinates

Question 2

The nurse is discussing signs and symptoms of both upper and lower urinary tract infections with a client who has a history of both. Which of the following statements by the client reflects the best understanding of the differing symptomatology?

1. When I get cloudy urine, I figure I have an infection.
2. Burning when I urinate is usually the first symptom I notice.
3. I have a big problem when I feel like I have the flu but with back pain too.
4. When I see blood in my urine, I know I need to call my health care provider.

epscape · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 4
With retention the client may void small amounts of urine 2 or 3 times an hour with no real relief of discomfort or may continually dribble urine. Be aware of the volume and frequency of voiding to assess this condition in the client. The alert, oriented client can be asked to notify the nurse each time micturition occurs. The remaining options are more generalized or specific for a urinary tract infection.

Answer to Question 2

ANS: 3
Clients with lower UTIs have pain or burning during urination (dysuria) as urine flows over in-flamed tissues. Fever, chills, nausea, vomiting, and malaise develop as the infection worsens. An irritated bladder (cystitis) causes a frequent and urgent sensation of the need to void. Irritation to bladder and urethral mucosa results in blood-tinged urine (hematuria). The urine appears concen-trated and cloudy because of the presence of WBCs or bacteria. If infection spreads to the upper urinary tract (kidneyspyelonephrit is, a serious renal condition), flank pain, tenderness, fever, and chills are common. The remaining options identify general symptoms that are not condition specific.