NUR2356 MDC 1 Exam 1

Complications of urinary elimination - UTIs UTI patient education - wipe front to back - pee before and after sex - cleanse beneath foreskin - provide catheter care regularly (nurses) A client who has an indwelling catheter reports a need to urinate. Which of the following actions should the nurse take? A. Check to see whether the catheter is patent B. Reassure the client that it is not possible for them to urinate. C. Recatheterize the bladder with a larger-gauge catheter. D. Collect a urine specimen for analysis. A nurse is preparing to initiate a bladder-retraining program for a client who has incontinence. Which of the following actions should the nurse take? (Select all that apply.) A. Restrict the client's intake of fluids during the daytime. B. Have the client record urination times. C. Gradually increase the urination intervals. D. Remind the client to hold urine until the next scheduled urination time. E. Provide a sterile container for urine A nurse is reviewing factors that increase the risk of urinary tract infections (UTIs) with a client who has recurrent UTIs. Which of the following factors should the nurse include? (Select all that apply.) A. Frequent sexual intercourse B. Lowering of testosterone levels C. Wiping from front to back to clean the perineum D. Location of the urethra closer to the anus E. Frequent catheterization A nurse is teaching a client who reports stress urinary incontinence. Which of the following instructions should the nurse include? (Select all that apply.) A. Limit total daily fluid intake. B. Decrease or avoid caffeine. C. Take calcium supplements. D. Avoid drinking alcohol. E. Use the Credé maneuver When you see indications of skin breakdown, what is your next action? - Elevate and use corrective devices (pillows, foot boots, trochanter rolls, splints, wedge pillows) What does PQRST stand for? Palliative/Provoking Quality Region/Radiation Severity Timing What are some nonverbal signs of pain? - grimacing - moaning - flinching - guarding - decreased attention span - restlessness, pacing What do vital signs look like during acute pain? - BP increased - Pulse increased - RR increased Before nurses give a pain medication, what should they assess? - drug interactions - allergies - vital signs - side effects What are common side effects to pain medications? - low BP - low HR - sedation - respiratory depression - orthostatic hypotension - urinary retention - nausea/vomiting - constipation After administering pain medication, what is the follow up? - reevaluate pain level - if given orally, follow up q 1 hour - if given IV, follow up q 15 min - check vital signs! What are the complications related to pain management?