Urinary Urgency and Privacy in Healthcare Settings
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Questions and Answers

What factor can affect urinary and bowel patterns in a hospitalized client?

  • Number of hospital visitors
  • Privacy and comfort during elimination (correct)
  • Type of hospital bed
  • Color of hospital curtains

Why might a client need to use bedside commodes, bedpans, or handheld urinals while hospitalized?

  • Desire for extra comfort
  • Preference for using these devices
  • Lack of availability of regular toilets in hospitals
  • Inability to easily move to the bathroom (correct)

Why might hospitals not allow clients enough time to completely finish urinating or defecating?

  • To encourage fast elimination
  • Routine nursing interventions (correct)
  • To save water in hospitals
  • To prepare for scheduled tests like CT or MRI

What is the primary purpose of diuretics as mentioned in the text?

<p>Increase urine production (A)</p> Signup and view all the answers

Why are diuretics used in the treatment of conditions such as heart failure and edema?

<p>To increase urine output (B)</p> Signup and view all the answers

What role does understanding a client's medication list play in relation to elimination patterns?

<p>Identifying medications that affect urinary or bowel elimination (B)</p> Signup and view all the answers

What is the first-line medical treatment for a severe case of dehydration?

<p>Intravenous (IV) fluids (D)</p> Signup and view all the answers

Which condition can develop if a urinary tract infection (UTI) is left untreated for too long?

<p>Kidney infection (B)</p> Signup and view all the answers

What are common manifestations of a urinary tract infection (UTI)?

<p>Burning or painful urination and urgency to urinate (A)</p> Signup and view all the answers

What is the most common way to treat a urinary tract infection (UTI)?

<p>Antibiotics (C)</p> Signup and view all the answers

Who is more likely to develop a urinary tract infection (UTI)?

<p>Adult females (B)</p> Signup and view all the answers

What increases the risk of developing kidney stones?

<p>Obesity (D)</p> Signup and view all the answers

What are manifestations of kidney stones?

<p>Sharp back pain and blood in urine (C)</p> Signup and view all the answers

What is the primary intervention for kidney stones based on?

<p>Location and size of the stone (A)</p> Signup and view all the answers

Which group is more likely to develop kidney stones?

<p>Adult males (D)</p> Signup and view all the answers

What can happen if a large kidney stone becomes stuck in the urinary tract?

<p>Severe pain and bleeding (A)</p> Signup and view all the answers

Which category of diuretics includes medications like Amiloride and Spironolactone?

<p>Potassium-sparing diuretics (D)</p> Signup and view all the answers

What can antibiotics do to gastric motility?

<p>Speed it up (C)</p> Signup and view all the answers

Which physiological condition is most commonly associated with excessive vomiting, diarrhea, sweating, urinating, or inadequate fluid intake?

<p>Dehydration (A)</p> Signup and view all the answers

What is the primary purpose of loop diuretics like Furosemide and Bumetanide?

<p>Increase urine production (C)</p> Signup and view all the answers

Which class of medications is used primarily to treat elevated blood pressure?

<p>Diuretics (D)</p> Signup and view all the answers

Which of the following is a symptom of dehydration?

<p>Dark-colored urine (B)</p> Signup and view all the answers

What external factors can affect motility through the GI tract according to the text?

<p><strong>Diuretics</strong> (A)</p> Signup and view all the answers

Torsemide and Furosemide belong to which category of diuretics?

<p><strong>Loop diuretics</strong> (A)</p> Signup and view all the answers

Cry without tears in infants is a symptom related to which physiological condition?

<p><strong>Dehydration</strong> (D)</p> Signup and view all the answers

Triamterene is classified under which category of diuretics?

<p><strong>Potassium-sparing diuretics</strong> (D)</p> Signup and view all the answers

What is a primary risk factor for developing benign prostatic hyperplasia (BPH)?

<p>Increased proportion of estrogen (A)</p> Signup and view all the answers

Which condition can cause manifestations such as diarrhea with blood or pus, fatigue, and anemia?

<p>Ulcerative colitis (C)</p> Signup and view all the answers

What is a potential factor contributing to benign prostatic hyperplasia (BPH) aside from hormonal changes?

<p>High cholesterol levels (A)</p> Signup and view all the answers

What is the primary function of the kidneys in the body?

<p>Filtering blood and removing waste (B)</p> Signup and view all the answers

What interventions can be used to help kidney function in cases of severe kidney failure?

<p>Hemodialysis or peritoneal dialysis (A)</p> Signup and view all the answers

Which condition can lead to urinary urgency, weak urinary stream, and possible UTIs if left untreated?

<p>Benign prostatic hyperplasia (BPH) (D)</p> Signup and view all the answers

What can clients with kidney failure do to improve their lives during treatment according to the text?

<p>Take medications as prescribed, consistent treatment, eat a nutritious diet, maintain physical activity (B)</p> Signup and view all the answers

Which condition can manifest as abdominal pain, bloating, mucus in the stool, and incomplete bowel emptying?

<p>Irritable bowel syndrome (IBS) (D)</p> Signup and view all the answers

What can be done if medications alone are unsuccessful at keeping a client with ulcerative colitis in remission?

<p>Surgery to remove the entire colon may be necessary (A)</p> Signup and view all the answers

What is the noncancerous condition that causes constriction to the urethra in males as they age?

<p>Benign prostatic hyperplasia (BPH) (D)</p> Signup and view all the answers

What is the primary purpose of a ureteral stent?

<p>To keep the ureter open for urine passage (B)</p> Signup and view all the answers

In what scenario might a urinary diversion be necessary?

<p>When there is damage to the urinary tract from an injury (D)</p> Signup and view all the answers

What does a temporary form of urinary diversion entail?

<p>Urinary catheterization (C)</p> Signup and view all the answers

When might a client need a nephrostomy tube?

<p>To allow passage of urine when the ureter is blocked (D)</p> Signup and view all the answers

What distinguishes an ileal conduit from a neobladder as a permanent urinary diversion?

<p>Ileal conduit is for temporary use only (D)</p> Signup and view all the answers

What is the difference between urinary catheterization and ureteral stents in terms of purpose?

<p>To keep the ureter open for urine passage (D)</p> Signup and view all the answers

What is the purpose of colostomy irrigation as described in the text?

<p>To prevent passage of stool at other times (B)</p> Signup and view all the answers

Which diversion connects the ileum to the anus to allow body waste to pass directly through during a bowel movement?

<p>Kock Pouch (A)</p> Signup and view all the answers

What type of complication might clients with fecal diversion face, according to the text?

<p>Skin irritation (C)</p> Signup and view all the answers

Which medical professional typically assists clients with maintaining skin integrity around stoma sites?

<p>Wound, ostomy, and continence (WOC) nurse (C)</p> Signup and view all the answers

What is the function of a J-Pouch as described in the text?

<p>To collect body waste and eliminate it directly through the anus (A)</p> Signup and view all the answers

Which type of diversion uses a part of the colon to form a stoma through the abdominal wall?

<p>Sigmoid colostomy (C)</p> Signup and view all the answers

What is the purpose of a Kock Pouch according to the text?

<p>To create an internal reservoir for body waste (B)</p> Signup and view all the answers

What is one common complication that clients with fecal diversion may experience?

<p>Diarrhea (A)</p> Signup and view all the answers

Which surgical diversion involves the formation of an internal pouch using the ileum?

<p>Ileostomy (A)</p> Signup and view all the answers

What is one role of a Wound, Ostomy, and Continence (WOC) nurse as mentioned in the text?

<p>Assist with skin integrity around stoma sites (B)</p> Signup and view all the answers

What is the primary difference between an ileal conduit and a cutaneous ureterostomy?

<p>The attachment of the ureters (A)</p> Signup and view all the answers

In a continent urinary diversion, what distinguishes a neobladder from a continent cutaneous reservoir?

<p>The placement in the pelvis (D)</p> Signup and view all the answers

Why might a client with a neobladder need to use a catheter?

<p>To empty the reservoir completely (A)</p> Signup and view all the answers

What differentiates a cystostomy from urinary catheterization?

<p>The placement of the catheter (B)</p> Signup and view all the answers

What is a key reason for performing a cystostomy rather than urinary catheterization?

<p>To overcome urinary retention (D)</p> Signup and view all the answers

What distinguishes a colostomy from an ileostomy in terms of placement?

<p>Location in the abdomen (B)</p> Signup and view all the answers

Why might a client need a J-pouch instead of a traditional colostomy or ileostomy?

<p>To maintain continence without a permanent stoma (D)</p> Signup and view all the answers

What distinguishes a Kock pouch from other fecal diversions like ileostomy or colostomy?

<p>Presence of a valve for fecal control (C)</p> Signup and view all the answers

'What might be a potential complication of fecal diversions similar to UTIs in urinary diversions?' Which option best aligns with this statement?

<p>Peritonitis (D)</p> Signup and view all the answers

What factor determines whether an ileostomy is temporary or permanent in nature?

<p>Disease necessitating diversion (D)</p> Signup and view all the answers

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