Question

Mrs. Dribble, 88 years old, early stages of Alzheimer's disease presents to your unit from long term care facility. She has a strong odor of urine, wear undergarments, and she reports of not able to hold her urine sometime. What diagnostic tests would be completed to determine her medical diagnosis? select all that apply
a. Urinalysis
b. Urine Culture
c. Hemacult
d. Potassium level
e. Creatinine and Blood Utea Nitrogen BUN
2 what medical diagnosis does the nurse suspect in the question #1
a. Relflex urinary incontinence
b. Function Urinary incontinence
c. Stress Urinary incontinence
d. Urge urinary incontinence
3. You are caring for female hospice client who is inconsistent of urine abs us confined to bed. The doctor vas ordered a Foley catheter to be inserted. You have informed the client of procedure, draped the client for privacy and positioned the client in the appropriate position. Properly identify the steps I order to insert the Foley catheter.
1. Apply sterile gloves
2. Cleanse the labia using 4 cotton swabs from to top to bottom, discarding the swap/cotton balls following each swipe.
3. Insert foley catheter until urine begin to flow
4. Open sterile lubricant and lubricate foley catheter tip.
5. Open the catheter tray while maintain aseptic technique.
Following the insertion, insert the catheter 1 more inch, inflate the ballon, tape the catheter to the inner aspect of the thigh. Attach the bad to the bed frame below the level of the bladder. Cleanse the client's perineal area, document the procedure.
steps:
a. 5,2,4,1,3
b. 1,5,2,4,3
c. 5, 4,1,3,2
d. 1,5,3,4,2
e. 5,1,4,2,3

Answer 1

1)a,b and e.

where a-urinalysis commonly done for UTI,kidney disease and diabetes.

where b- urine culture for to know the patient have urinary tract infection.

e-creatinine and blood urea nitrogen done for to know the patient have kidney disease

2)b.function urinary incontinence.

• reason-in Alzheimer's disease ,the brain gets affected and the patient have dementia,the signal from the brain to the bladder changed,finally the patient have function urinary incontinence.

3)b.1,5,2,4,3.

1.Apply sterile gloves.

5.open catheter tray while maintain aseptic technique.

2.cleans the labia using 2 cotton swab from the top to bottom,discarding the swap/cotton balls following each swipe.

4.open sterile lubricant and lubricate Foley catheter tip.

3.insert Foley catheter until urine begin to flow.