The client's urine is cloudy, amber, and has an unpleasant odor. The nurse should make the inference that the client may have:
functional incontinence.
a urinary tract infection.
ketone bodies in the urine.
nocturia.
The Correct Answer is B
A. Functional incontinence: Functional incontinence occurs when a person has difficulty reaching the toilet due to physical or cognitive impairments. Cloudy, amber urine with an unpleasant odor is not indicative of functional incontinence.
B. Urinary tract infection (UTI): Cloudy, amber urine with an unpleasant odor is a common symptom of a UTI. UTIs often cause changes in urine color, odor, and clarity due to the presence of bacteria and inflammatory cells in the urine.
C. Ketone bodies in the urine: Ketones in the urine can occur in conditions such as uncontrolled diabetes or during periods of fasting. However, cloudy, amber urine with an unpleasant odor is more indicative of a UTI rather than the presence of ketones.
D. Nocturia: Nocturia refers to waking up during the night to urinate. While it may be associated with certain urinary conditions, it does not directly correlate with the appearance and odor of the urine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A. Quickly resuming the client's normal food intake: This is not recommended, as the client's gastrointestinal system needs time to recover from food poisoning. Resuming normal food intake too quickly may exacerbate symptoms or prolong recovery. It's essential to give the gastrointestinal system time to heal and gradually reintroduce foods as tolerated.
Answer: B. Requesting a prescription for an antidiarrheal drug from the provider.
C. Encouraging easily digestible foods when the diarrhea stops.
Rationale:
When caring for a client with profuse diarrhea from food poisoning, the nurse's interventions should focus on managing symptoms, preventing dehydration, and promoting recovery. Options B and C are appropriate nursing interventions for this scenario:
B. Requesting a prescription for an antidiarrheal drug from the provider: Antidiarrheal medications such as loperamide (Imodium) may be prescribed to help control diarrhea and reduce fluid loss. These medications work by slowing down bowel motility and can provide symptomatic relief, particularly for clients with profuse diarrhea from food poisoning. However, the use of antidiarrheal drugs should be guided by a healthcare provider's prescription to ensure appropriate dosing and monitoring, especially considering individual client factors and potential contraindications.
C. Encouraging easily digestible foods when the diarrhea stops: This is the correct option. Once the diarrhea subsides, it is appropriate to encourage the client to gradually reintroduce easily digestible foods. These foods are gentle on the digestive system and help prevent further irritation or upset. Examples of easily digestible foods include bananas, rice, applesauce, toast (BRAT diet), boiled potatoes, boiled chicken, and clear broths.
D. Limiting the client's fluid intake to about 1000 mL/day: Fluid intake should be encouraged rather than limited, especially in cases of profuse diarrhea. Diarrhea can lead to significant fluid loss and dehydration, so it's crucial to ensure adequate hydration. The client should be encouraged to drink clear fluids such as water, electrolyte solutions, and herbal teas to replace lost fluids and electrolytes.
Correct Answer is A
Explanation
A. Urinary leakage around the catheter: Securing the indwelling urinary catheter to the thigh helps prevent urinary leakage around the catheter site. Catheter movement or dislodgement can lead to leakage of urine around the catheter, which can cause skin irritation, increase the risk of urinary tract infections (UTIs), and compromise hygiene. Securing the catheter to the thigh helps maintain its position and prevents movement that could contribute to leakage.
B. Fecal matter from entering your bladder: While securing the catheter can help maintain proper positioning and prevent movement, its primary purpose is not to prevent fecal matter from entering the bladder. Indwelling urinary catheters are inserted into the bladder through the urethra, and proper catheter placement and hygiene practices are essential for preventing contamination of the urinary tract with fecal matter.
C. Injury to your urethra: Securing the catheter to the thigh does not directly prevent injury to the urethra. Proper insertion technique and appropriate catheter size selection are more critical for preventing urethral injury during catheterization. Securing the catheter primarily aims to maintain its position and prevent movement that could potentially cause discomfort or complications.
D. The catheter from slipping out of your bladder: While securing the catheter can help prevent inadvertent dislodgement, its primary purpose is not to prevent the catheter from slipping out of the bladder. Proper catheter securement techniques, including securing it to the thigh or using catheter stabilization devices, help maintain the catheter's position and minimize movement, reducing the risk of accidental removal.
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