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Dehydration may contribute to UTIs, calculi formation, and kidney failure. Large intake of foods, such as dairy products or foods high in proteins, may also lead to calculi formation. Because the patient is athletic, muscle strain is probably not the primary cause of his symptoms. Caffeine, alcohol, carbonated beverages, some artificial sweeteners, or spicy foods often aggravate urinary inflammatory diseases. The patient avoids sodas, so this would not be as great a concern. Up to one episode of nocturia is considered normal in younger adults, and up to two episodes are acceptable among adults ages 65 years or older.

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Which instruction would the nurse provide after a client has cystoscopy?

The nurse should note of the following nursing care after cystoscopy: Monitor and record vital signs. An increase in pulse (tachycardia) and a decrease in blood pressure (hypotension) may indicate a sign of hemorrhage. Assess the patient's ability to void at least 24 hours after the procedure.

Which instructions would the nurse provide a client needing to collect a clean catch urine specimen?

Urinate a small amount into the toilet bowl, and then stop the flow of urine. Then collect a sample of urine into the clean or sterile cup, until it is half full. You may finish urinating into the toilet bowl.

Which intervention is most appropriate for a patient with functional urinary incontinence?

Intermittent catheterization is most appropriate for patients with detrusor hyperreflexia and functional obstruction. Many of these patients have detrusor-sphincter dyssynergia and are at risk for pyelonephritis and upper tract injury.

Which instructions would the nurse provide the patient scheduled for a renal CT scan?

When preparing the patient for a renal CT scan, the nurse should inform the patient that no dietary or activity restrictions are required. Also, no pain or discomfort should be felt during the test. The test does not require the patient to fast before the test or to restrict activities and rest.