HPA EXAM2

As the nurse comes from the morning report, she is instructed to use a bladder scanner on a client following a client's attempt at urination. The client is able to void 300 mL. The client denies any pain on urination. The nurse scans 250 mL of remaining urine in the bladder. Which entry is most correct when documenting the intervention? a. Bladder scanning resulted in 250 mL b. Client voided 300 mL without dysuria c. The client voided 300 mL with 250 mL residual volume d. The client voided 550 mL of urine for the daylight shift

c. Client voided 300 mL with 250 mL residual volume

A nurse is planning a group teaching session on the topic of urinary tract infection (UTI) prevention. Which point should the nurse include? a. Limit fluid intake to reduce the need to urinate. b. Take medication ordered for a UTI until the symptoms subside. c. Notify the physician if urinary urgency, burning, frequency, or difficulty occurs. d. Wear only nylon underwear to reduce the chance of irritation.

c. Notify the physician if urinary urgency, burning, frequency, or difficulty occurs.

A female client is undergoing a bladder training program as a treatment for urinary incontinence. Which technique would be the most appropriate for the nurse to suggest? a. Reducing fluid intake b. Attempting to hold the urine for five minutes until the sensation is felt c. Performing Kegel exercises d. Taking warm sitz baths

c. Performing Kegel exercises

A client with urinary retention needs to undergo a procedure to insert an indwelling catheter. Before catheterization, the nurse would discuss with the physician information about: a. insertion of a nasogastric tube. b. administering cleansing enemas. c. the type and size of the catheter to be used. d. placement of IV and central venous pressure lines.

c. the type and size of the catheter to be used.

The American Dietetic Association recommends that for all levels of caloric intake, the percentage of calories from carbohydrates should not exceed __________>

60%

T/F: Regular Insulin is a rapidly acting insulin that has a duration of 4-6 hours

FALSE

T/F: Type 1 Diabetes, which affects approxiamately 95% of people with the disease, is characterized by insulin resistance and impaired insulin resistance.

FALSE

basic definition of diabetes

having a high blood glucose level

T/F: Proliferative retinopathy, a diabetic microvascular disease, represents the greatest threat to vision; it is characterized by the proliferation of new blood vessels growing from the retina into the vitreous.

TRUE

The nurse is teaching a client with recurrent urinary tract infections (UTIs) ways to decrease the risk for additional UTIs. The nurse includes which information? a. Void immediately after sexual intercourse. b. Void every 5 hours during the day. c. Take tub baths instead of showers. d. Increase intake of coffee, tea, and colas.

a. Void immediately after sexual intercourse.

The three main clinical features of diabetic ketoacidosis are hyperglycemia, dehydration with electrolyte loss, and _______________.

acidosis

Which client is at the highest risk for developing a hospital-acquired infection? a. A client who's taking prednisone (Deltasone) b. A client with an indwelling urinary catheter c. A client with a laceration to the left-hand d. A client with Crohn's disease

b. A client with an indwelling urinary catheter

Nursing management of the client with a urinary tract infection should include: a. Administering morphine sulfate b. Discouraging caffeine intake c. Instructing the client to limit fluid intake d. Teaching the client to douche daily

b. Discouraging caffeine intake

A patient informs the nurse that every time she sneezes or coughs, she urinates in her pants. What type of incontinence does the nurse recognize the patient is experiencing? a. Urge incontinence b. Stress incontinence c. Functional incontinence d. Iatrogenic incontinence

b. Stress incontinence

When a client with an indwelling urinary catheter wants to walk to the hospital lobby to visit with family members, the nurse teaches him how to do this without compromising the catheter. Which client action indicates an accurate understanding of this information? a. The client loops the drainage tubing below its point of entry into the drainage bag. b. The client keeps the drainage bag below the bladder at all times. c. The client clamps the catheter drainage tubing while visiting with the family. d. The client sets the drainage bag on the floor while sitting down.

b. The client keeps the drainage bag below the bladder at all times.

The nurse is caring for a patient with dementia in the long-term care facility when the patient has a change in cognitive function. What should the nurse suspect this patient may be experiencing? a. An aneurysm b. Fecal impaction c. A stroke d. A UTI

d. A UTI

A client is treated for renal calculi and suspected hydronephrosis. Therefore, the nurse should maintain a record of the kidney's function. Which measure can the nurse take to help achieve the objective? a. Palpate for a thrill over the vascular access b. Note the nail beds and mobility of the fingers c. Inspect the skin over the fistula or graft for signs of infection d. Monitor the patient's intake and output

d. Monitor the patient's intake and output

A client who has a history of neurogenic bladder uses a permanent, indwelling catheter to facilitate urine elimination. What can this client consume to decrease the likelihood of bladder infection? a. increased protein b. prune juice c. red meat d. cranberry juice

d. cranberry juice

The ______ phenomenon is an example of morning hyperglycemia that is charaterized by a relatively normal blood glucose level until approximately 3:00AM when blood glucose levels begin to rise

dawn

The main goal of diabetes treatment is to normalize insulin activity & blood glucose to reduce the development of vascular and ____________ complications.

neuropathic

Classical clinical manifestations of diabetes include polyuria, polydispsia, and ______________.

polyphasia