Adult Nursing Case Study: Stroke (CVA/Brain Attack), Urinary
Incontinence, Bladder Training, Condom Catheter Management,
Indwelling Foley Catheter Insertion, Catheter Irrigation, Urinary Tract
Infection (UTI) Prevention, Hematuria Management, Dysphagia
Medication Administration, Nursing Assessment, Skin Integrity,
Restraint Use, Postoperative Care, Fluid Balance, Medication Safety,
Drug Half-Life Considerations, Elderly Patient Care, UAP Delegation,
Patient Education, Therapeutic Communication, Pain Management,
Catheter Complications, Bladder Assessment, Nursing Diagnosis,
Urinalysis Interpretation, Infection Control, IV Therapy, Patient Safety,
Documentation Standards, Objective Data Recording, Fall Risk, and
Long-Term Care Management Exam Questions Verified and Provided
with Complete A+ Graded Rationales Latest Updated 2026
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.
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?
A. Dysuria
B. Frequency
,C. Nocturia
D. Diureses
C. Nocturia
This refers to frequently voiding at night. The incidence of nocturia increases greatly in the older
adult.
2. Since Clyde now voids spontaneously without recognizing the need to void, how should the
nurse describe his current urinary pattern?
A. Polyuria
B. Incontinence
C. Retention
D. Oliguria
B. Incontinence
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.
The nurse initiate a bladder training program for Clyde.
3. Which instruction should the nurse provide the unlicensed assistive personnel (UAP) who will
be helping care for Clyde?
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.
, D. Remind the client to void every 2 hours while awake.
A toileting schedule is an effective means to retrain the bladder. Bladder training should start
with voiding every 2 hours in the daytime and every 4 hours at night then be adapted to the
individual needs.
The bladder-training program proves unsuccessful, and Clyde's incontinence continues.
4. When establishing Clyde's plan of care, the nurse include which nursing diagnosis?
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.
D. Risk for impaired skin integrity related to urinary incontinence.
The skin of the client with urinary incontinence is frequently exposed to urine, which is irritating
to the skin and places the client at risk for impaired skin integrity.
Following an incontinent episode, the nurse observes that the UAP washed the client's perineal
area with mild soap and water and applies a water-repellant ointment to the skin exposed to
urine.
5. What action should the nurse implement?
A. Commend the UAP for the good care being provided to the client.
B. Advise the UAP to avoid the use of any soap around the perineal area.
Incontinence, Bladder Training, Condom Catheter Management,
Indwelling Foley Catheter Insertion, Catheter Irrigation, Urinary Tract
Infection (UTI) Prevention, Hematuria Management, Dysphagia
Medication Administration, Nursing Assessment, Skin Integrity,
Restraint Use, Postoperative Care, Fluid Balance, Medication Safety,
Drug Half-Life Considerations, Elderly Patient Care, UAP Delegation,
Patient Education, Therapeutic Communication, Pain Management,
Catheter Complications, Bladder Assessment, Nursing Diagnosis,
Urinalysis Interpretation, Infection Control, IV Therapy, Patient Safety,
Documentation Standards, Objective Data Recording, Fall Risk, and
Long-Term Care Management Exam Questions Verified and Provided
with Complete A+ Graded Rationales Latest Updated 2026
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.
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?
A. Dysuria
B. Frequency
,C. Nocturia
D. Diureses
C. Nocturia
This refers to frequently voiding at night. The incidence of nocturia increases greatly in the older
adult.
2. Since Clyde now voids spontaneously without recognizing the need to void, how should the
nurse describe his current urinary pattern?
A. Polyuria
B. Incontinence
C. Retention
D. Oliguria
B. Incontinence
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.
The nurse initiate a bladder training program for Clyde.
3. Which instruction should the nurse provide the unlicensed assistive personnel (UAP) who will
be helping care for Clyde?
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.
, D. Remind the client to void every 2 hours while awake.
A toileting schedule is an effective means to retrain the bladder. Bladder training should start
with voiding every 2 hours in the daytime and every 4 hours at night then be adapted to the
individual needs.
The bladder-training program proves unsuccessful, and Clyde's incontinence continues.
4. When establishing Clyde's plan of care, the nurse include which nursing diagnosis?
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.
D. Risk for impaired skin integrity related to urinary incontinence.
The skin of the client with urinary incontinence is frequently exposed to urine, which is irritating
to the skin and places the client at risk for impaired skin integrity.
Following an incontinent episode, the nurse observes that the UAP washed the client's perineal
area with mild soap and water and applies a water-repellant ointment to the skin exposed to
urine.
5. What action should the nurse implement?
A. Commend the UAP for the good care being provided to the client.
B. Advise the UAP to avoid the use of any soap around the perineal area.
