Urinary Catheter Irrigation.
Meet the Client: Clyde Hunter
Clyde Hunter, a 72-year-old African-American male, is a resident of a long-term care facility. He has been unable to control the urge to void since experiencing a stroke, formerly called cerebrovascular accident
(CVA), 1 month ago. The term brain attack is also used to describe a stroke.
Instructions: While taking this case study, all questions must be answered correctly before you will be able to proceed to the next page. For all incorrect answers, select a new response and click the Next button. When all questions have been answered correctly, clicking the Next button will display the next page.
• Urinary Patterns
Prior to his stroke, Clyde often awakened 5 or 6 times during the night to void but was able to control the urge long enough to make it to the bathroom.
• 1.
How should the nurse describe the pre-stroke urinary pattern?
•
Dysuria.
This refers to pain or burning with urination.
•
Frequency.
This refers to voiding at more frequent intervals than normal, but it does not specifically refer to voiding during the night.
•
Nocturia. Correct
This refers to voiding frequently at night. The incidence of nocturia increases greatly in the older adult.
•
Diuresis.
This refers to increased urination as would occur when a client is taking diuretic medications, but it does not specifically refer to voiding during the night.
• 2.
Since Clyde now voids spontaneously without recognizing the need to void, how should the nurse describe his current urinary pattern?
•
Polyuria.
This refers to voiding large amounts of urine.
•
Incontinence. Correct
Incontinence is the involuntary loss of urine. In the case of this client, it may be the result of neurologic impairment secondary to the stroke.
•
Retention.
This refers to the inability to empty the bladder completely.
•
Oliguria.
This refers to decreased urinary output.
• Care of the Incontinent Client
The nurse
Clyde Hunter, a 72-year-old African-American male, is a resident of a long-term care facility. He has been unable to control the urge to void since experiencing a stroke, formerly called cerebrovascular accident
(CVA), 1 month ago. The term brain attack is also used to describe a stroke.
Instructions: While taking this case study, all questions must be answered correctly before you will be able to proceed to the next page. For all incorrect answers, select a new response and click the Next button. When all questions have been answered correctly, clicking the Next button will display the next page.
• Urinary Patterns
Prior to his stroke, Clyde often awakened 5 or 6 times during the night to void but was able to control the urge long enough to make it to the bathroom.
• 1.
How should the nurse describe the pre-stroke urinary pattern?
•
Dysuria.
This refers to pain or burning with urination.
•
Frequency.
This refers to voiding at more frequent intervals than normal, but it does not specifically refer to voiding during the night.
•
Nocturia. Correct
This refers to voiding frequently at night. The incidence of nocturia increases greatly in the older adult.
•
Diuresis.
This refers to increased urination as would occur when a client is taking diuretic medications, but it does not specifically refer to voiding during the night.
• 2.
Since Clyde now voids spontaneously without recognizing the need to void, how should the nurse describe his current urinary pattern?
•
Polyuria.
This refers to voiding large amounts of urine.
•
Incontinence. Correct
Incontinence is the involuntary loss of urine. In the case of this client, it may be the result of neurologic impairment secondary to the stroke.
•
Retention.
This refers to the inability to empty the bladder completely.
•
Oliguria.
This refers to decreased urinary output.
• Care of the Incontinent Client
The nurse