NUR 109 - Adaptive Quizzing Unit 3

Which point is important for the nurse to include when teaching students about abdominal assessment?

The aorta can be felt using deep palpation in the upper abdomen near the midline

Which action would the nurse take during the planning phase of the nursing process when caring for a patient who has altered urinary elimination?

reinforce adherence to good hygiene practices

When the patient's urine smells of ammonia, which condition would the nurse assess for?

renal failure urinary tract infection

which intervention would the nurse implement when providing care to a patient at risk of skin breakdown because of urinary incontinence?

reposition the patient off at risk areas often, apply a moisture barrier ointment, cleanse the perineal area with a no rinse cleaner

Which hospital acquired condition would cause the hospital to receive reduced or no funding from the Centers for Medicare and Medicaid Services?

surgical site infections, Clostridium difficile infections, CAUTI

the nurse understands that urinary tract infections in women are 8 times more common than in men. Why is this?

the urethra is shorter in females than in males, the urethra lies closer to the anus in females, failure to wipe from front to back after voiding or defecating, lack of antibacterial substances in vaginal secretions

A patient's urinary report suggest microscopic hematuria. Which condition is most likely the cause for this?

trauma to urinary tract

Which statement by the nurse would make the patient pay more attention to the care being provided?

you should make sure that you are getting the right treatment from the right health care professional

Which statement made by the nurse indicates a correct understanding of physical examination positioning?

"While assessing a patient's heart, I'll ask the patient to assume the lateral recumbent position."

The nurse provides an older patient with education related to skin care. Which patient statement indicates the need for further teaching?

I should use hot water for bathing

microscopic hematuria

blood not visualized but measured on urinalysis

A patient who has chronic kidney condition is diagnosed with anemia. Which physiological function in this patient is likely to be impaired?

bone marrow maturation red blood cell production

Which nursing action is an example of following precautions to eliminate reservoirs of infection?

change soiled dressings, emptying urinary drainage bags every 4 hours, instructing the patient to maintain adequate fluid intake

Which action by a nursing student indicates a need for correction regarding the patient's care?

discuss the patient's case on social media, educating the patient about the preanesthesia in the public hospital hall

Which factor may influence how well a patient with diabetes adheres to a self care and drug regimen?

education socioeconomic status motivation level

Which precaution is necessary to help prevent health care-associated infections?

ensure a closed urinary catheter drainage system, change the IV access site if inflamed, use aseptic technique when suctioning the airway

The nurse has many roles to perform. Which activity is included in the direct caregiving role?

implements postoperative exercises for. patient who recently had surgery, provides measures that restore a patient's emotional, spiritual, and social wellbeing, assist the patient in meeting therapeutic goals with minimal financial cost, time, and energy

The registered nurse is teaching a preoperative patient about physical functional capacity. How is this beneficial for the patient?

improves the patient's ability and willingness to ambulate after surgery

Elimination changes that result from the inability of the bladder to empty properly may cause which condition?

incontinence frequency urgency urinary retention urinary tract infection

Which urinary elimination change is often observed as the period of immobility continues for a patient?

increased risk of renal calculi increased urinary concentration increased risk of urinary tract infections

the nurse provides education to a patient about making dietary choices to promote health and obesity. The nurse includes which recommendation?

intake of fruits and veggies, intake of low fat dairy, controlling sodium intake, intake of grains, controlling alcohol intake

Why does an indwelling urinary catheter present a risk of urinary tract infection?

it obstructs the normal flushing action of urine flow

The nurse provides education for a patient's family member about bathing techniques. The family member asks, "why do I need to use long strokes on the extremities, moving from distal to proximal areas?" Which explanation does the nurse give?

it promotes venous return

The nurse is designing a teaching plan for a patient to prevent UTIs. When planning the teaching, which factor would the nurse keep in mind?

it should cater to the needs of the patient, teaching should be problem based, provide only necessary information, it should prompt the learner to engage in activities that lead to a desired change

A patient complains of lower abdominal pain, which is a dull ache and does not radiate. The patient expresses that he might be suffering from a heart attack. How would the nurse act in this situation?

look at the situation objectively, use criteria to educate the patient, support the findings and conclusion

What is the major preventative action that a nurse should know to inhibit catheter associated infections?

maintain a closed urinary drainage system, keep urinary drainage bags below the level of the bladder, prevent urine backflow from the tubing and bag into the bladder

A patient diagnosed with CAD has deficient knowledge related to illness and its implications. Which teaching is a priority for the patient?

medication and intervention for chest pain

The patient is to have an intravenous pyelography. Which action applies to this procedure?

note any allergies, encourage fluids after the procedure

The nurse performs an abdominal assessment of a patient. Which finding is likely to indicate that the patient has an intestinal obstruction?

observable peristalsis, high pitched and hyperactive bowel sounds

Which disorder is caused by increased secretion of antidiuretic hormone?

oliguria

the instructor asks a nursing student to name a type of continent urinary diversion that uses an ileal pouch to replace the bladder. Which answer by the student indicates adequate learning?

orthotopic neobladder

Which factor would the nurse consider before setting a goal that the patient will self-administer insulin injections?

patient's ability to meet the goal patients cognitive function availability of the patient's support network to assist

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

provide normal fluid intake and establish a toilet schedule