A nurse is emptying a client's urinal when she notices the urine is dark amber, cloudy, and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following?

Urinary frequency

Urinary tract Infection

Urinary incontinence

Urinary retention

Answer and Explanation

The Correct Answer is B

A.   Urinary frequency refers to the need to urinate more often than usual. It does not typically cause changes in the color, clarity, or odor of urine. It may be associated with conditions like urinary tract infections (UTIs) or other urinary issues but does not directly cause dark amber, cloudy, or foul-smelling urine.
B.   A UTI is a common cause of changes in urine characteristics. Dark amber color can indicate concentrated urine due to dehydration or the presence of blood. Cloudiness suggests the presence of pus or bacteria, while an unpleasant odor can be due to bacterial growth. UTIs often cause these symptoms due to inflammation and infection of the urinary tract.
C.   Urinary incontinence refers to involuntary loss of urine. It does not typically cause changes in the appearance or odor of urine unless it leads to urine pooling and subsequent bacterial growth, which could potentially cause odor. However, incontinence itself is not a direct cause of dark amber, cloudy urine with an unpleasant odor.
D.   Urinary retention occurs when the bladder does not empty completely or at all. It can lead to concentrated urine (dark amber color) due to prolonged storage in the bladder. Cloudiness and an unpleasant odor can occur if there is bacterial growth in stagnant urine. Therefore, urinary retention can contribute to the observed urine characteristics.

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Correct Answer is A

Explanation

A. This statement demonstrates an understanding that consuming yogurt can potentially help reduce the odor associated with gas. Yogurt contains probiotics, which can promote digestive health and possibly reduce the intensity of gas odors. This is a reasonable approach for managing symptoms related to colostomy.
B. Carbonated beverages are not typically recommended for controlling odor related to a colostomy. In fact, carbonated drinks can sometimes increase gas production and may exacerbate gas-related symptoms. Therefore, this statement does not indicate an appropriate understanding of dietary management for a colostomy.
C. Pasta and other starchy foods like rice and bread are generally well-tolerated and can help thicken stool consistency, which may be beneficial for individuals with a colostomy. Therefore, eliminating pasta from the diet is not necessary and does not reflect an accurate understanding of dietary recommendations post-colostomy.
D. Distributing meals evenly throughout the day is generally recommended to promote balanced nutrition and manage digestion. There is no specific requirement that the largest meal must be in the evening. This statement does not directly relate to dietary management specific to colostomy care.

Correct Answer is ["25"]

Explanation

(Volume to be infused (mL) × Drop factor (gtt/mL)) / Time (min).

For the given scenario, the calculation would be: (100 mL × 15 gtt/mL) / 60 min, which equals 25 gtt/min.

Therefore, the nurse should set the manual IV infusion to deliver 25 drops per minute.

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A nurse is emptying a client's urinal when she notices the urine is dark amber, cloudy, and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client following the surgical placement of a colostomy. Which of the following statements by the client indicates an understanding of the dietary teaching?

Correct Answer is A

Explanation

A nurse is preparing to administer dextrose 5% in water (DSW) 100 mL to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)

Correct Answer is ["25"]

Explanation

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