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Urinary Catheter Irrigation.

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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

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