1
Hesi Case study Urinary Questions
and Answers (100% Correct
Answers) Already Graded A+
1. Mr. Ellis states that prior to his stroke, he would get up five
or six times during the night to empty his bladder but that he
© 2026 Assignment
was able to control the urge long enough to make it to the
bathroom. How should the nurse describe the urinary pattern
that Mr. Ellis is describing? Ans: • Nocturia.
Guru01 - Stuvia
Expert
This specifically refers to voiding frequently at night. The
incidence of nocturia increases greatly in the older male client
who has an enlarged prostate. It may also indicate an inability
to concentrate urine because of poor blood flow to the
kidneys.
Since Mr. Ellis now voids spontaneously without recognizing
the need to void, how should the nurse document his current
urinary pattern in the medical chart Ans: Incontinence.
Incontinence is the involuntary loss of urine. In the case of
this client, it may be the result of neurologic impairment
secondary to the stroke
To help manage Mr. Ellis' incontinence, the nurse initiates a
bladder training program, Which instruction should the nurse
provide to the unlicensed assistive personnel (UAP) who will be
helping care for Mr. Ellis? Ans: O Remind the client to void
every 2 hours while awake and to call for assistance to the
bathroom.
, 2
Correct A toileting schedule is an effective means to retrain
the bladder. Bladder training should start with voiding every 2
hours in the daytime and every 4 hours at night and then be
adapted to the individual needs. The call bell should be near
the client so that he can ring the bell for assistance to prevent
the risk of falling.
After several weeks, the bladder training program is
unsuccessful in stopping Mr. Ellis' incontinence. Mr. Ellis
appears withdrawn and states that he is frustrated at the
number of episodes that he is having. Ans: Risk for impaired
© 2026 Assignment
skin integrity related to urinary incontinence.
Guru01 - Stuvia
Correct The skin of the client with urinary incontinence is
Expert
frequently exposed to urine, which is irritating to the skin and
places the client at risk for impaired skin integrity. The nurse
understands that a Braden Scale assessment should be
completed on this client and that every effort should be made
to prevent the development of pressure ulcers.
Ineffective coping related to inability to control urine leakage.
Correct Mr. Ellis' withdrawn behavior and statements of
frustration are evidence that he may be having a difficult time
dealing with his incontinence.
5. Following an episode of incontinence, the nurse washes the
client's perineal area with mild soap and water and applies a
water-repellent ointment to the skin. Mr. Ellis' wife is present
and the nurse uses this opportunity to educate her about
proper skin care to prevent breakdown. Which of the following
statements made by Mrs. Ellis indicates that teaching has been
effective? Ans: "Washing the area with mild soap and water
followed by ointment can help to protect my husband's skin."
Hesi Case study Urinary Questions
and Answers (100% Correct
Answers) Already Graded A+
1. Mr. Ellis states that prior to his stroke, he would get up five
or six times during the night to empty his bladder but that he
© 2026 Assignment
was able to control the urge long enough to make it to the
bathroom. How should the nurse describe the urinary pattern
that Mr. Ellis is describing? Ans: • Nocturia.
Guru01 - Stuvia
Expert
This specifically refers to voiding frequently at night. The
incidence of nocturia increases greatly in the older male client
who has an enlarged prostate. It may also indicate an inability
to concentrate urine because of poor blood flow to the
kidneys.
Since Mr. Ellis now voids spontaneously without recognizing
the need to void, how should the nurse document his current
urinary pattern in the medical chart Ans: Incontinence.
Incontinence is the involuntary loss of urine. In the case of
this client, it may be the result of neurologic impairment
secondary to the stroke
To help manage Mr. Ellis' incontinence, the nurse initiates a
bladder training program, Which instruction should the nurse
provide to the unlicensed assistive personnel (UAP) who will be
helping care for Mr. Ellis? Ans: O Remind the client to void
every 2 hours while awake and to call for assistance to the
bathroom.
, 2
Correct A toileting schedule is an effective means to retrain
the bladder. Bladder training should start with voiding every 2
hours in the daytime and every 4 hours at night and then be
adapted to the individual needs. The call bell should be near
the client so that he can ring the bell for assistance to prevent
the risk of falling.
After several weeks, the bladder training program is
unsuccessful in stopping Mr. Ellis' incontinence. Mr. Ellis
appears withdrawn and states that he is frustrated at the
number of episodes that he is having. Ans: Risk for impaired
© 2026 Assignment
skin integrity related to urinary incontinence.
Guru01 - Stuvia
Correct The skin of the client with urinary incontinence is
Expert
frequently exposed to urine, which is irritating to the skin and
places the client at risk for impaired skin integrity. The nurse
understands that a Braden Scale assessment should be
completed on this client and that every effort should be made
to prevent the development of pressure ulcers.
Ineffective coping related to inability to control urine leakage.
Correct Mr. Ellis' withdrawn behavior and statements of
frustration are evidence that he may be having a difficult time
dealing with his incontinence.
5. Following an episode of incontinence, the nurse washes the
client's perineal area with mild soap and water and applies a
water-repellent ointment to the skin. Mr. Ellis' wife is present
and the nurse uses this opportunity to educate her about
proper skin care to prevent breakdown. Which of the following
statements made by Mrs. Ellis indicates that teaching has been
effective? Ans: "Washing the area with mild soap and water
followed by ointment can help to protect my husband's skin."
