Which of the following nursing interventions is appropriate for managing urinary incontinence?

Encouraging fluid intake to increase urine output

Providing frequent reminders for the client to use the restroom

Encouraging the client to perform Kegel exercises regularly

Limiting the client's access to the restroom to promote bladder control

Answer and Explanation

The Correct Answer is C

Choice a reason: Encouraging fluid intake to increase urine output is not the most effective intervention for managing urinary incontinence. While adequate hydration is important, simply increasing fluid intake can exacerbate the symptoms of incontinence and lead to more frequent episodes of urine leakage.
Choice b reason: Providing frequent reminders for the client to use the restroom can be helpful in managing incontinence, especially in individuals who may have cognitive impairments or are forgetful. However, it is not the most effective intervention compared to exercises that strengthen the pelvic floor muscles.
Choice c reason: Encouraging the client to perform Kegel exercises regularly is the most appropriate intervention for managing urinary incontinence. Kegel exercises help strengthen the pelvic floor muscles, which support the bladder and urethra, and can improve bladder control. Regular practice of these exercises has been shown to reduce the symptoms of incontinence significantly.
Choice d reason: Limiting the client's access to the restroom to promote bladder control is not an appropriate intervention. This approach can increase the risk of urinary retention and lead to complications such as urinary tract infections. It is more important to promote regular voiding patterns and encourage the use of techniques that improve bladder control.

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Correct Answer is D

Explanation

Choice a reason: White rice is not a significant source of potassium. While it provides carbohydrates and some vitamins, it does not help to increase potassium levels, which is crucial for a client taking furosemide, a diuretic that can cause potassium depletion.
Choice b reason: Cheddar cheese, while nutritious, is also low in potassium. It provides calcium and protein but does not significantly contribute to increasing potassium levels. For clients needing to boost their potassium intake, other foods rich in potassium are more appropriate.
Choice c reason: Cabbage, although a healthy vegetable, is not high in potassium. It offers vitamins and fiber but does not provide the necessary potassium levels needed for someone with a low serum potassium level. Hence, it is not the best option for this client's dietary needs.
Choice d reason: Bananas are an excellent source of potassium and are recommended for clients with low potassium levels. Furosemide can deplete potassium, and bananas can help replenish this essential mineral. Including bananas in the client's daily diet is effective in maintaining appropriate potassium levels.

A. Maintain IV fluids and encourage oral fluids B. Promote assisted ambulation as tolerated C. Strain urinary output and observe for stones D. Administer prescribed narcotic medication

Correct Answer is C

Explanation

Choice a reason: Maintaining IV fluids and encouraging oral fluids is important for patients with renal colic to ensure hydration and facilitate the passage of kidney stones. However, it is not the most immediate action to take for managing the patient's current condition, which includes severe pain and hematuria.
Choice b reason: Promoting assisted ambulation as tolerated can help in the movement and passage of kidney stones. Nevertheless, it is not the priority action to take initially when the patient is experiencing severe pain and there is a need to identify the cause of the hematuria.
Choice c reason: Straining urinary output and observing for stones is the most appropriate initial action. This allows the nurse to collect any stones that pass, which can then be analyzed to determine their composition. Understanding the type of stone can help in planning further treatment and preventive measures. Identifying and collecting the stones is crucial for proper diagnosis and management of renal colic.
Choice d reason: Administering prescribed narcotic medication is essential for managing severe pain associated with renal colic. Pain management is a critical component of care. However, while it is necessary, it should be accompanied by straining the urine to detect any stones and understand the underlying cause of the symptoms.

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Which of the following nursing interventions is appropriate for managing urinary incontinence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who takes furosemide and has a serum potassium level of 3.1 mEq/L. Which of the following foods should the nurse instruct the client to include in his daily diet?

Correct Answer is D

Explanation

The nurse is providing care for a patient admitted with severe flank pain identified as renal colic. Urinalysis is positive for microscopic hematuria. Which action should the nurse take?

Correct Answer is C

Explanation

The nurse is collecting data on a patient admitted for symptoms of renal insufficiency. Which factor will cause the nurse to suspect prerenal injury?

Which of the following is a risk factor for urinary tract infections (UTIs)?

A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching?

A nurse is checking the laboratory tests for a client who has glomerulonephritis. The nurse should expect to find an increase in which of the following test results?

Which of the following is a common sign and symptom of a urinary tract infection (UTI)?

What is the purpose of a renal biopsy?

A nurse is reinforcing teaching with a client who has received treatment for kidney stones. The nurse should remind the client to increase the intake of which of the following?

Which of the following is a common cause of urinary incontinence?