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Urinary Pattern - HESI Case Study Nursing. Notes, Questions Answers and Rationale.

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l Urinary Pattern - HESI Case Study Nursing. Urinary Pattern Meet the Client: Hunter Ellis Hunter Ellis, a 76-year-old African American male, is a resident in a long-term care facility. He ha s been unable to control the urge to void since experiencing a stroke 1 month ago. He is alert and oriented and has no verbal deficits since his stroke. Physiologic Integrity 1. Mr. Ellis states that prior to his stroke, he would get up five or six times during the night to empty his bladder but that he was able to control the urge long enough to make it to the bathroom. How should the nurse describe the urinary pattern that Mr. Ellis is describing? A. Dysuria B. Frequency C. Nocturia D. Diureses Rationale: This refers to frequently voiding at night. The incidence of nocturia increases greatly in the older male client who has an enlarged prostate, or who may possibly indicate an inability to concentrate urine because of poor blood flow to the kidneys. 2. Since Mr. Ellis now voids spontaneously without recognizing the need to void, how should the nurse document his current urinary pattern in the medical chart? A. Polyuria B. Incontinence C. Retention D. Oliguria Safe and Effective Care Environment 3. To help manage Mr. Ellis' incontinence, the nurse initiates a bladder training program. Which instruction should the nurse provide to the unlicensed assistive personnel (UAP) who will be helping care for Mr. Ellis? A. Restrict oral fluids to 1,000 ml daily in evenly divided amounts. B. Offer warm coffee, cocoa, or tea every 2 hours while awake. C. Limit client socialization until voiding patterns are established. D. Remind the client to void every 2 hours while awake. 4. After several weeks, the bladder training program is unsuccessful in stopping Mr. Ellis' incontinence. Mr. Ellis appears withdrawn and states that he is frustrated at the number of episodes that he is having.Which nursing diagnoses are appropriate for Mr. Ellis? A. Fluid volume deficit related to voiding patterns. B. Fluid volume excess related to altered urination. C. Risk for uremic syndrome related to unresolved incontinence. D. Risk for impaired skin integrity related to urinary incontinence. E. Ineffective coping related to inability to control urine leakage. 6. Following an episode of incontinence, the nurse washes the client's perineal area with mild soap and water and applies a water-repellent ointment to the skin. Mr. Ellis' wife is present and the nurse uses this opportunity to educate her about proper skin care to prevent

CLICK ON THE PRODUCT INFORMATION URL FOR MORE INFO ON NRINARY PATTERN STUDY GUIDE l Urinary Pattern - HESI Case Study Nursing. Urinary Pattern Meet the Client: Hunter Ellis Hunter Ellis, a 76-year-old African American male, is a resident in a lon
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