A nurse is assisting in developing a plan of care for a client in a long-term skilled facility who has urinary incontinence. The interventions include bladder training and timed voiding. Which of the following statements by the client best indicates the interventions have impacted their quality of life?
"I don't worry so much about peeing myself and feel more confident going out of my room."
"I don't have to bother the staff as much to clean me up."
"I don't go through so many pads so it saves me money on my bill every month."
"I take an extra set of clothes with me whenever I go out."
The Correct Answer is A
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
No explanation
Correct Answer is A
Explanation
A. White blood cells (WBC) of 10:A WBC count of 10 is higher than the typical reference range (usually 0–5 WBCs per high-power field). An elevated WBC count suggests infection or inflammation, and this should be reported for further assessment.
B. Occasional casts:Occasional casts in the urine can be normal, especially hyaline casts, which may appear after exercise or mild dehydration. However, a high number of casts, or specific types like red or white cell casts, may indicate renal disease and would require follow-up.
C. pH of 5.0:A urine pH of 5.0 is within the normal acidic range (typically 4.5 to 8.0) and does not require reporting unless there are other abnormal findings or specific concerns about acidosis or alkalosis.
D. Dark amber color. Dark amber urine can indicate dehydration but is not an unusual finding by itself. Hydration can typically correct this, so it does not need immediate reporting unless accompanied by other concerning symptoms (e.g., jaundice, which might suggest bilirubinuria).
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