A 60-year-old male patient with benign prostatic hyperplasia (BPH) is experiencing urinary frequency and urgency. The nurse is teaching him bladder training techniques. Which behavior by the patient indicates understanding of bladder training?
Explanation: In bladder training, patients gradually increase the time between voiding to regain control over their bladder and reduce urinary urgency.
A 45-year-old patient is receiving bladder training to manage urinary incontinence. Which statement by the patient indicates the need for further education?
Explanation: Rushing to the bathroom when feeling the urge is counterproductive to bladder training. Patients should work on gradually increasing the time between voiding.
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A 55-year-old postmenopausal female patient is undergoing bladder training for urge incontinence. Which intervention should the nurse prioritize?
Explanation: For urge incontinence, timed voiding is a crucial component of bladder training to regain control over the bladder’s urgency.
A 50-year-old male patient with a history of diabetes is experiencing overflow incontinence. The nurse is discussing bladder training strategies. Which approach should the nurse emphasize?
Explanation: Scheduling regular voiding times is important for patients with overflow incontinence to prevent overdistention of the bladder and reduce incontinence episodes.
A 70-year-old female patient presents with urinary incontinence, which has significantly impacted her quality of life. The nurse is discussing bladder training as a potential intervention. What is the primary goal of bladder training?
Explanation: The primary goal of bladder training is to increase the time between urination, allowing the patient to regain control over their bladder and reduce episodes of incontinence.
A 45-year-old patient is receiving bladder training to manage urinary incontinence. Which statement by the patient indicates the need for further education?
Explanation: Rushing to the bathroom when feeling the urge is counterproductive to bladder training. Patients should work on gradually increasing the time between voiding.
A 55-year-old postmenopausal female patient is undergoing bladder training for urge incontinence. Which intervention should the nurse prioritize?
Explanation: For urge incontinence, timed voiding is a crucial component of bladder training to regain control over the bladder’s urgency.
A 50-year-old male patient with a history of spinal cord injury is receiving bladder training. Which nursing assessment is essential for monitoring the effectiveness of bladder training in this patient?
Explanation: Measurement of post-void residual urine is crucial in patients with spinal cord injuries to assess the effectiveness of bladder training and ensure complete bladder emptying.
A 65-year-old patient with congestive heart failure (CHF) is prescribed a diuretic medication. What is the primary goal of diuretic therapy in this patient?
Explanation: The primary goal of diuretic therapy in a patient with CHF is to promote urine output, reduce fluid retention, and alleviate symptoms of congestion.
A 50-year-old patient with hypertension is prescribed a loop diuretic. Which electrolyte imbalance should the nurse closely monitor in this patient?
Explanation: Loop diuretics can lead to hyponatremia, making it essential for the nurse to closely monitor the patient’s sodium levels.
A 30-year-old patient with kidney stones is prescribed a thiazide diuretic. What should the nurse include in the patient’s education regarding thiazide diuretic use?
Explanation: Thiazide diuretics can increase the risk of kidney stones, so patients are often advised to increase their dietary calcium intake to reduce stone formation.
A 40-year-old patient with cirrhosis is prescribed a potassium-sparing diuretic. What should the nurse include in the patient’s care plan regarding potassium-sparing diuretic use?
Explanation: Potassium-sparing diuretics can lead to hyperkalemia, so it’s crucial for the nurse to monitor the patient for signs of elevated potassium levels.
A 55-year-old patient with renal dysfunction is prescribed a diuretic to manage fluid overload. Which assessment finding indicates a positive response to diuretic therapy?
Explanation: A positive response to diuretic therapy in a patient with fluid overload is evidenced by reduced edema and improved lung sounds due to decreased fluid accumulation.
A 45-year-old patient with diabetes insipidus is prescribed vasopressin (desmopressin). Which condition is vasopressin primarily used to treat, and how does it work?
Explanation: Vasopressin (desmopressin) is primarily used to treat diabetes insipidus by reducing urine output and preventing excessive fluid loss.
A 35-year-old patient with bleeding esophageal varices is prescribed vasopressin. What is the mechanism of action of vasopressin in this situation?
Explanation: Vasopressin constricts blood vessels, reducing blood flow to bleeding esophageal varices and helping to control bleeding.
A 55-year-old patient with septic shock is receiving vasopressin as a second-line agent to manage hypotension. How does vasopressin differ from other vasopressors like norepinephrine?
Explanation: Vasopressin has a longer duration of action compared to norepinephrine, making it suitable for refractory hypotension in septic shock.
A 60-year-old patient with central diabetes insipidus is prescribed vasopressin nasal spray. What is the advantage of using this route of administration?
Explanation: Vasopressin nasal spray provides a rapid onset of action, making it effective for managing the symptoms of central diabetes insipidus quickly.