Nur 204 exam 5 test bank

A primary health-care provider orders a urine specimen for culture and sensitivity via a straight catheter for a patient. Which should the nurse do when collecting this urine specimen? a. Use a sterile specimen container. b. Collect urine from the catheter port. c. Inflate the balloon with sterile water. d. Have the patient void before collecting the specimen.

Use a sterile specimen container.

The nurse is caring for a patient who is recovering from septic shock. While in the ICU, the patient developed renal failure. The nurse recognizes which type of renal failure the patient most likely developed? a. Prerenal b. Renal c. Postrenal d. Mixed

prerenal

Which nursing actions should be implemented by a nurse to facilitate bladder continence for a male patient who is cognitively impaired? Select all that apply. a. _____Offer toileting reminders every 2 hours. b. _____Apply a condom catheter in the morning. c. _____Provide clothing that is easy to manipulate. d. _____Encourage avoidance of fluids between meals. e.. _____Explain the need to call for help with toileting every 4 hours.

-offer toileting reminders every 2 hours - provide clothing that is easy to manipulate

When a nurse assesses a patient, which clinical manifestations support the presence of urinary retention? Select all that apply. a. _____No cturia b. _____Hema turia c. _____Bladder contractions d. _____Suprapubic distention e. _____Frequent small voiding

-suprapubic distension - frequent small voiding

After administering the rectal suppository, it is most important for the nurse to document which information? a. 0900. Lubricant used when one bisacodyl suppository inserted. b. 0900. One suppository inserted because of constipation. c. 0900. One bisacodyl suppository administered per rectum for constipation, as prescribed. d. 0900. One laxative (bisacodyl) administered for constipation.

0900. One bisacodyl suppository administered per rectum for constipation, as prescribed.

How will the nurse accurately explain the amount of fluid to Janelle using household measurements? a. 3 cups. b. 6 cups. c. 1 quart. d. 1/2 gallon.

3 cups

The nurse is educating the patient on the use of relaxation therapy. Which statement by the patient indicates a need for further education? a. "I should relax my muscles from head to toe." b. "I visual the relaxed muscle." c. "I should do this three times a week." d. "I focus on muscles that are tense."

"I should do this three times a week."

How will the nurse explain to Janelle the action of the laxative? a. "The stool will be broken up so that it will be small enough to be expelled from your rectum." b. "Soften the stool, distend the rectum to expel the stool." c. "Increases the fluid volume in the colon, stimulating evacuation of stool." d. "You may experience abdominal cramping and may even have some diarrhea as the result of this medication."

"Soften the stool, distend the rectum to expel the stool."

The nurse is providing discharge education for a patient with restless leg syndrome. Which statement by the patient indicates a need for further instruction? a. "I should reduce my caffeine intake." b. "Maintaining a regular sleep pattern is a good idea." c. "Taking calcium supplements may be helpful." d. "Taking a walk regularly may provide some relief."

"Taking calcium supplements may be helpful."

While the nurse is completing the assessment, Janelle begins to cry and laments, "I just knew something would go wrong." How should the nurse respond? a. "This is a minor problem. We'll have you better very soon." b. "You have to expect that problems will occur after surgery." c. "Tell me what is making you feel so upset." d. "Why are you letting this upset you?"

"Tell me what is making you feel so upset."

The nurse is caring for a patient who will be undergoing upper GI series testing the next day. Which instruction will the nurse provide to the patient about the upcoming exam? a. "The back of your throat will be sprayed with numbing medicine." b. "You will need to have a clear liquid diet and take a laxative tonight." c. "You will be given a milky liquid to drink shortly before the test starts." d. "You should not take your dose of warfarin (Coumadin) tonight."

"You will be given a milky liquid to drink shortly before the test starts."

The nurse is caring for a patient who will undergo ultrasound testing of the bladder and kidneys the next morning. Which instruction will the nurse provide to the patient about the test? a. "A small IV will be inserted into your arm to inject the contrast dye." b. "You will need to drink lots of water but not use the toilet." c. "You should not have anything to eat or drink after midnight." d. "You will receive a cleansing enema before you have the test."

"You will need to drink lots of water but not use the toilet."

The nurse is providing discharge instructions to the parents of a toddler about sleeping habits. Which statement indicates further education is needed? a. "Sleep needs may change during growth spurts." b. "Children sleep 12 hours a day." c. "Toddlers will often resist going to bed." d. "The bedtime routine can vary."

"the bedtime routine can vary"

a client is scheduled for a kidney ultrasound. which instructions would be given by the nurse. select all that apply? a. "drink plenty of fluids" b. "eat foods rich in fiber" c. " do not urinate before the exam" d. "lie flat and perfectly still during the test" e. " a urinary catheter may be needed temporary for the test"

- "drink plenty of fluids" - "do not urinate before the exam" - "lie flat and perfectly still during the test"

Two adult siblings are caring for their ill mother, who requires 24-hour care. She needs assistance with feeding, bathing, and toileting. One of the siblings takes time to exercise after work, whereas the other goes directly to the mother's home before and after work each day. The nurse recognizes that people may react differently to the same stressors depending on which factors? (Select all that apply.) a. Individual coping skills b. Type of identified stressor c. Amount of perceived stress d. Personal appraisal of the stressor e. Hair color, gender, and skin type

- Individual coping skills -Type of identified stressor - Amount of perceived stress - Personal appraisal of the stressor

When administering a cleansing enema, which techniques should the nurse use? (Select all that apply.) a. Assist the patient to a left side-lying (Sims) position. b. Perform hand hygiene and apply sterile gloves. c. Add room-temperature solution to enema bag. d. Lubricate 2 to 4 cm (1 to 2 inches) of tip of rectal tube with lubricating jelly. e. Raise container, release clamps, and allow solution to flow to fill tubing. f. Hang solution bag 45 to 60 cm (18 to 21 inches) above anus and instill rapidly. g. Clamp tubing after solution is instilled

- assist the patient to a left side lying position - raise container, release clamps, and allow solution to flow to fill tubing - clamp tubing after solution is instilled

A nurse is caring for a patient with a condom catheter. Which nursing actions are important? Select all that apply. a. _____Providing perineal care every shift b. _____Avoiding kinks in the collection tubing c. _____Ensuring that the adhesive band is snug, not tight d. _____Retracting the foreskin before the catheter is applied e. _____Leaving one inch between the glans penis and drainage tubing

- avoiding kinks in the collection tubing - ensuring that the adhesive band is snug not tight - leaving one inch between the glans penis and drainage

The student nurse learns that during non-rapid eye movement (NREM) sleep, which activities occur? (Select all that apply.) a. Brain waves slow b. Slow rhythmic scanning eye movements c. Dreaming d. Drop in blood pressure e. Conservation of energy

- brain waves slow - drop in blood pressure - conservation of energy

Which should a nurse teach the patient to avoid to prevent urinary diuresis? Select all that apply. a. _____Narcotics b. _____Caffeine c. _____Activity d. _____Alchol e. _____Protein

- caffeine - alchol

The nurse recognizes which sleeping conditions are identified as dyssomnias? (Select all that apply.) a. Difficultly getting to sleep b. Nocturnal enuresis c. Inability staying asleep d. Being excessively sleepy e. Daytime sleepiness

- difficultly getting to sleep - inability staying asleep - being excessively sleepy

A nurse is caring for a female patient on bedrest who has a urinary retention catheter. Which should the nurse do? Select all that apply. a. _____Position the tubing through the side rail of the bed. b. _____Ensure the tubing is positioned over the leg. c. _____Label the tubing with the date of insertion. d. _____Irrigate the tubing to ensure its patency. e. _____Secure the tubing to the patient's leg.

- ensure the tubing is positioned over the leg - secure the tubing to the patients leg

which psychological change that occurs with aging causes stress incontinence select all that apply? a. estrogen deficiency b. prostatic enlargement c. decreased bladder capacity d. decreased sensory receptors e. unstable bladder contractions f. weakening of the urinary sphincter

- estrogen deficiency - weakening of the urinary sphincter

The nurse knows that when patients are experiencing stress, which physiologic changes can be seen in their signs and symptoms? (Select all that apply) a. Increase in heart rate b. Flaccid muscles c. Pupil dilation d. Decrease in blood pressure e. Increase in respiratory rate

- increase in heart rate - pupil dilation - increase in respiratory rate

The nurse identifies which factors that center on the childhood stress? (Select all that apply.) a. Marital conflict b. Family dissolution c. Moving to a new home d. Parental substance abuse e. Emotional abuse

- marital conflict - parental substance abuse - emotional abuse

When emptying a patient's catheter drainage bag, the nurse notes that the urine appears to be discolored. The nurse understands that what factors may change the color of urine? (Select all that apply.) a. Taking the urinary tract analgesic phenazopyridine (Pyridium) b. A diet that includes a large amount of beets or blackberries c. An enlarged prostate or kidney stones d. High concentrations of bilirubin secondary to liver disease e. Increased carbohydrate intake

- taking the urinary tract analgesic phenazopyridine(pyridium) - a diet that includes a large amount of beets or blackberries - an enlarged prostate or kidney stones - high concentrations of bilirubin to liver disease

The nurse conducting a sleep workshop in the community would identify which patients to be at risk for obstructive sleep apnea (OSA)? (Select all that apply.) a. Being obese b. Abnormal jaw structure c. Alcohol use d. Large neck e. Recent tonsillectomy

-Being obese -Abnormal jaw structure -Alcohol use -Large neck

The nurse will include which interventions to help improve sleep quality during hospitalization on all patients' care plans? (Select all that apply.) a. Maintaining sleep routines b. Minimizing disruptions c. Providing light snacks d. Using sleep medications e. Using relaxation measures

-Maintaining sleep routines -Minimizing disruptions -Providing light snacks - using relaxation measures

The nurse working with older adults wants to support healthy coping strategies. What actions by the nurse are most appropriate? (Select all that apply.) a. Installing boxing equipment in the recreation room b. Teach the adults methods to promote sleep c. Arrange for gentle yoga to be provided at the senior center d. Create activities designed to distract them from their losses e. Encourage the adults to eat frequent, healthy snacks

-Teach the adults methods to promote sleep -Arrange for gentle yoga to be provided at the senior center - encourage the adults to eat frequent healthy snacks

The nurse is educating the patient about alternative therapies. Which statement by the patient indicates a need for more information? a. Alternative therapies can include relaxation techniques. b. Alternative therapies are used in conjunction with medical therapies. c. Alternative therapies can be used when patients are experiencing stress. d. Some alternative therapists require certification.

Alternative therapies are used in conjunction with medical therapies.

The nurse is caring for a patient who is taking narcotic pain medication after surgery. Which breakfast choices will help prevent constipation and promote return to regular bowel function? a. Raisin bran with skim milk, fresh fruit, and wheat toast. b. Pancakes with maple syrup, bacon, and coffee with cream. c. Omelet with cheddar cheese, green pepper, and onions. d. Bagel with cream cheese, and strawberry nonfat yogurt.

Raisin bran with skim milk, fresh fruit, and wheat toast.

What other questions should the nurse ask Janelle? a. "How often do you get out of bed and walk?" b. "Are you using your incentive spirometer regularly?" c. "When was your abdominal dressing last changed?" d. "Are you wearing your compression devices while in bed?"

"How often do you get out of bed and walk?"

The nurse is providing education to a patient around anger management strategies. Which statement indicates a need for further education by the patient? a. "Exercise can help me deal with the anger." b. "I can use humor." c. "I can punch things." d. "I can take a time-out."

"I can punch things"

The nurse is caring for a male patient who will be performing intermittent self-catheterization at home. Which actions by the patient indicate the need for additional teaching about this procedure? (Select all that apply.) a. Patency of the balloon is tested prior to insertion of the catheter. b. The catheter is inserted another 2 inches after urine is seen in the tubing. c. The catheter is carefully secured to the leg to prevent accidental removal. d. The foreskin is returned to its natural position after the catheter is removed. e. Catheterization is performed regularly before the bladder becomes distended. f. Water-soluble lubricant is generously applied along the length of the catheter.

- patency of the ballon is testing prior to insertion of the catheter - the catheter Is carefully secured to the leg to prevent accidental removal - water soluble lubricant is generously applied along the length of the catheter

To prevent constipation in an inactive patient, which early interventions should the nurse implement? (Select all that apply.) a. Stool softener administration b. Enema administration c. Increasing the fiber in the diet d. Increasing physical activity e. Increasing fluid intake

- stool softener administration - increasing the fiber in the diet - increasing physical activity - increase fluid intake

The nurse recognizes which changes in sleep patterns occur in the older adult? (Select all that apply.) a. Sleep increases to approximately 8 to 10 hours a night. b. The first stage of REM sleep is shorter. c. Stage 4 NREM is decreased. d. The use of medication may interfere with sleep. e. Older adults awaken more at night.

- the use of medication may interfere with sleep - older adults awaken more at night

Which statement by a patient would indicate the use of effective coping strategies? (Select all that apply.) a. "Each month, my wife and I attend a support group for parents of children with autism." b. "Talking with my spiritual adviser may challenge my thinking on how best to handle this situation." c. "I've invited my son to join me for drinks at the bar each night on his way home from work so we can spend more time together." d. "We are looking into joining the new health club facility in our neighborhood." e. "After working all day, I eat dinner in front of the television while my family sits at the kitchen table."

-"Each month, my wife and I attend a support group for parents of children with autism." - "Talking with my spiritual adviser may challenge my thinking on how best to handle this situation." - "We are looking into joining the new health club facility in our neighborhood."

What task can the nurse delegate to the UAP?Select all that apply a. Determine whether Janelle needs another enema. b. Give the vomiting client an antiemetic. c. Teach Janelle how to self-administer the enema. d. Assist the client with a bed bath and hygiene if required. e. Assist the client who vomited with mouth care after the RN administers an antiemetic.

-Assist the client with a bed bath and hygiene if required. -Assist the client who vomited with mouth care after the RN administers an antiemetic.

The nurse manager is concerned about nursing staff who are working the night shift. What interventions can the manager suggest to help the nurses overcome shift-related sleep disturbances? (Select all that apply.) a. Power nap before leaving for the first night shift. b. Get a minimum of 4 hours of sleep. c. Wear dark glasses when driving home from work. d. Seek exposure to bright light when waking. e. Maintain a regular sleeping schedule when working and on nights off.

-Power nap before leaving for the first night shift. -Wear dark glasses when driving home from work. -Seek exposure to bright light when waking. -Maintain a regular sleeping schedule when working and on nights off.

The nurse knows when the body responds to the release of hormones during "fight or flight," that response includes which physiological signs? (Select all that apply.) a. Decreased respiratory rate b. Slowing of the digestive process c. Glucose being mobilized from the liver d. Pupils dilating e. Smooth muscles in the bronchi constricting

-Slowing of the digestive process -Glucose being mobilized from the liver - Pupils dilating

The nurse is working with a new nursing assistant who is providing care to patients with urinary difficulties. Which actions by the nursing assistant indicate that additional teaching is required? (Select all that apply.) a. The length of the urinary catheter is cleaned up to the patient's perineum. b. A urine sample is obtained from the drainage bag immediately after catheter insertion. c. A fresh condom catheter is applied every other day following careful perineal care. d. Zinc oxide barrier cream is applied liberally to the perineal area for incontinent patients. e. The catheter drainage bag is disconnected in order to put pants on the patient .f. Clean technique is used to obtain a urine specimen for culture and sensitivity from the catheter.

-The length of the urinary catheter is cleaned up to the patient's perineum. -A fresh condom catheter is applied every other day following careful perineal care. -The catheter drainage bag is disconnected in order to put pants on the patient - Clean technique is used to obtain a urine specimen for culture and sensitivity from the catheter.

An elderly, tense patient is having trouble relaxing enough to sleep. Which measures should be implemented by the nurse to help promote sleep? (Select all that apply.) a. Give the patient a back rub. b. Take the patient for a brisk walk right before bedtime. c. Provide a warm, quiet environment. d. Encourage the patient to eat a large meal in the evening. e. Give the patient a diet cola. f. Play soft music during the 30 minutes before bedtime.

-give the patient a back rub - provide a warm quiet enviroment - play soft music during the 30 minutes before bedtime

The nurse is caring for an elderly patient whose dementia has become worse over the last 24 hours. The nurse suspects that the patient may have developed a urinary tract infection and obtains a urine sample. Which assessment findings prompt the nurse to contact the provider to obtain an order for urine culture and sensitivity testing? (Select all that apply.) a. Urinary dipstick testing is positive for nitrates. b. The urine appears cloudy with a foul odor. c. The urine is concentrated and dark amber in color. d. The urine smells faintly like sweet fruit. e. The patient is urinating more frequently than usual. f. The patient is normally continent but has been incontinent twice.

-urinary dipstick testing is positive for nitrates - the urine appears cloudy with foul odor - the patient is urinating more frequently than usual - the patient is normally continent but has been incontinent twice

The nurse is caring for a patient with benign prostatic hypertrophy who states that he feels a constant urge to urinate but cannot pass more than 30 to 60 mL of urine at a time. The nurse performs a bladder scan and finds that there are 1100 mL of urine in the patient's bladder. What is the priority nursing diagnosis for this patient? a. Anxiety r/t continual urge to urinate b. Reflex incontinence of urine r/t over-distention of the bladder c. Impaired urination r/t obstruction of urinary bladder outlet d. Impaired self-toileting r/t inability to pass urine into the toilet

Impaired urination r/t obstruction of urinary bladder outlet

The nurse identifies which goal to be appropriate for the nursing diagnosis of difficulty coping? a. The patient will report an ability to remember discharge instructions. b. The patient's family will understand how to access respite care services. c. The patient will discuss possible coping strategies during weekly counseling sessions. d. The patient will attend an online support group weekly.

The patient will discuss possible coping strategies during weekly counseling sessions.

The nurse is caring for a patient who is experiencing stress incontinence. The nurse identifies which goal to be the most important for this patient? a. The patient will carefully complete a voiding diary for the duration of 2 weeks. b. The patient will not experience involuntary urination during coughing or sneezing. c. The patient will be able to recognize and effectively manage perineal dermatitis. d. The patient will demonstrate how to appropriately use urinary incontinence products.

The patient will not experience involuntary urination during coughing or sneezing.

The nurse recognizes which goal to be appropriate for the nursing diagnosis of anxiety? a. The patient will attend a weekly support group. b. The patient will discuss possible coping strategies during weekly office visits. c. The patient will report increased ability to concentrate on care instructions before discharge. d. The patient's family will use respite care once a week for the next month.

The patient will report increased ability to concentrate on care instructions before discharge

While performing an abdominal assessment on an unconscious patient, the nurse notes presence of an ostomy. The fecal output is liquid in consistency, with a pungent odor, and the stoma is located in the upper right quadrant of the abdomen. What type of ostomy does the patient have? a. Descending colostomy b. Ureterostomy c. Ileostomy d. Ascending colostomy

ascending colostomy

The nurse is caring for a patient who has not had a bowel movement for 2 days. Which is the priority nursing intervention for this patient? a. Obtain an order to administer a soap suds cleansing enema. b. Teach the patient how to use the Valsalva maneuver. c. Discontinue medications that can cause constipation. d. Assess the patient's usual pattern of bowel movements.

assess the patients usual pattern of bowel movement

The nurse is assessing a patient with an indwelling catheter and finds that the catheter is not draining and the patient's bladder is distended. What action should the nurse take next? a. Notify the primary care provider (PCP). b. Assess the tubing for kinks and ensure downward flow. c. Change the catheter as soon as possible. d. Aspirate the stagnant urine in the catheter for culture.

assess the tubing for kinks and ensure downward flow

What self-care measure is most important for the nurse to include in the teaching plan for a patient who will be discharged with a urostomy? a. Change the appliance before going to bed. b. Cut the wafer 1 inch larger than the stoma. c. Cleanse the peristomal skin with mild soap and water. d. Use firm pressure to attach the wafer to the skin.

cleanse the peristomal skin with mild soap and water

The nurse is caring for a patient who has just completed 2 weeks of IV antibiotics for a severe infection. The patient now has frequent loose watery stools and a low-grade temperature. What is the most likely cause of the patient's new symptoms? a. Clostridium difficile infection b. Paralytic ileus c. Fecal impaction d. Salmonella food poisoning

clostridium difficile infection

The nurse is caring for a patient who is recovering from diarrhea. The nurse teaches the patient about dietary recommendations as the digestive system recovers. Which menu selection by the patient indicates that additional teaching is needed? a. Applesauce b. Orange popsicle c. White toast d. Coffee with cream

coffee with cream

While performing the digital rectal exam, the nurse recognizes that the client may experience vagal nerve stimulation. This can result in which change in vital signs? a. Increased blood pressure b. Increased temperature c. Decreased respirations d. Decreased pulse rate

decrease pulse rate

Which clinical manifestation can a nurse expect when a postoperative patient experiences stress associated with surgery? a. Decreased urinary output b. Low specific gravity c. Reflex incontinence d. Urinary hesitancy

decreased urinary output

The nurse is caring for a patient who has diarrhea and identifies which priority nursing diagnosis for this patient? a. Lack of knowledge related to prescribed diet modifications. b. Impaired nutritional intake related to poor appetite. c. Diarrhea related to excessive loss of fluid through stool. d. Anxiety related to incontinence with loose stools and need for clothing change.

diarrhea related to excessive loss of fluid through stool

A nurse is performing a physical assessment on a newly admitted patient. Which problem identified by the nurse is often associated with urinary incontinence? a. Chronic pain b. Reduced fluid intake c. Disturbed self-esteem d. Insufficient knowledge

disturbed self esteem

The teaching plan for a patient with diarrhea should include which intervention? a. Drinking at least eight glasses of fluid each day b. Eating foods low in sodium and potassium c. Limiting the amount of soluble fiber in the diet d. Eliminating whole-wheat and whole-grain breads and cereal

drinking at least 8 glasses of fluid each day

Which task is inappropriate for the nurse to delegate to the unlicensed assistive personnel (UAP)? a. Providing oral care b. Evaluating sleep patterns c. Providing bedtime routines d. Documenting sleep hours

evaluate sleep patterns

The nurse is caring for a patient who is undergoing a major cardiac procedure. When the patient complains of a racing heart and nausea, the nurse recognizes these complaints as part of what hormone response? a. Sense of coherence b. Stress appraisal c. Fight or flight d. Sympathoadrenal response

fight or flight

The nurse is caring for a patient who had prostate surgery the previous day. The patient has had significantly decreased urine output over the last shift despite ample oral and IV fluid intake. The patient's urine from the indwelling catheter is cherry red with occasional small clots. What is the appropriate action of the nurse? a. Remove the urinary catheter and replace it with a new one. b. Gently irrigate the catheter using room-temperature sterile irrigation solution. c. Send a sample of the patient's urine to the laboratory for analysis. d. Call the provider and obtain an order for kidney and bladder ultrasound.

gently irrigate the catheter using room temperature sterile irrigation solution

A nurse must measure the intake and output (I&O) of a patient who has a urinary retention catheter. Which equipment is most appropriate to use to measure urine output from a urinary retention catheter accurately? 1. Urinal 2. Graduate 3. Large syringe 4. Urine collection bag

graduate

The nurse is caring for a patient who periodically has small streaks of fresh red blood in the stool. The patient denies abdominal pain or loss of appetite. The nurse identifies what to be the most likely cause of this patient's bleeding? a. Hemorrhoids b. Bleeding gastric ulcer c. Colon polyps d. Perforated colon

hemorrhoids

A patient is scheduled for an intravenous pyelogram (IVP). Which piece of data would be most important to know before the procedure is carried out? a. Urinalysis showing negative results on testing for sugar and acetone b. History of allergies c. History of a recent thyroid scan d. Frequency of urination

history of allergies

The nurse is assigned the care of a patient for whom a cleansing enema has been ordered. What information is most important for the nurse to know before administration of the enema? a. The proper way to position the patient b. Signs and symptoms of intolerance to the procedure c. Vital signs before the procedure d. History of surgery of the anus or rectum

history of surgery of the anus or rectum

The nurse auscultates for Janelle's bowel sounds and hears faint gurgling sounds after 3 minutes. Which assessment finding should the nurse document? a. Hypoactive bowel sounds. b. Normal bowel sounds. c. Paralytic ileus. d. Reduced peristalsis.

hypoactive bowel sounds

The nurse is caring for a patient who has an ileostomy. Which nursing diagnosis has the highest priority for the patient? a. Impaired skin integrity r/t localized skin irritation from liquid stool. b. Social isolation r/t potential leakage of stool from ostomy appliance. c. Lack of knowledge r/t care and maintenance of ostomy appliance. d. Disturbed body image r/t presence of stoma and altered elimination.

impaired skin integrity r/t localized skin irritation from liquid stool

Which nursing intervention is included for a patient experiencing diarrhea? a. Limiting fluid intake to 1000 mL/day b. Administering a cathartic suppository c. Increasing fiber in the diet d. Limiting exercise

increase fiber in diet

In the immediate postoperative period after open-heart surgery, a patient who is not a diabetic has elevated blood glucose levels. What physiologic stress response best describes the rationale for the patient's increased blood sugar? a. Release of epinephrine b. Secretion of CRH c. Circulation of endorphins d. Increase in corticosteroids

increase in corticosteroids

A patient returns from the surgical unit after a transurethral resection of the prostate gland. The nurse reviews the primary health-care provider's orders, obtains the patient's vital signs, and performs a focused patient assessment. Which is the best intervention by the nurse? a. Discontinue the continuous compression devices to the lower extremities. b. Notify the surgeon of the status of the patient's urinary drainage. c. Obtain the patient's temperature using a rectal thermometer. d. Increase the flow rate of the continuous bladder irrigation.

increase the flow rate of the continuous bladder irrigation

You are a nurse working in the college student health center. You receive a call that an athlete has just fallen and has been injured. You know that according to the general adaptation syndrome, the athlete will be exhibiting A. An increased appetite. B. An increased heart rate. C. A decrease in perspiration. D. A decrease in respiratory rate.

increased heart rate

The nurse is caring for a postoperative patient who underwent bowel resection surgery that morning. The nurse assesses the patient's abdomen and notes that there are hypoactive bowel sounds. The patient is resting quietly without nausea or vomiting. What is the appropriate action of the nurse? a. Keep the patient NPO and document the findings in the chart. b. Administer a laxative suppository to stimulate peristalsis. c. Insert a Salem sump nasogastric tube to low continuous suction. d. Notify the surgeon and prepare the patient to return to surgery.

keep the patient NPO and document the findings in the chart

The nurse is caring for a patient who recently underwent ileal conduit surgery. Which nursing diagnosis is the highest priority for this patient? a. Impaired sexual function related to changed body structure b. Social isolation related to potential for accidental leakage of urine c. Lack of knowledge related to care and maintenance of ostomy appliance d. Disturbed body image related to presence of stoma and appliance

lack of knowledge related to care and maintenance of ostomy appliance

The nurse is placing an indwelling catheter in a female patient. She inserts the catheter into the vagina. What is the next action for the nurse to implement? a. Collect a urine specimen and notify the PCP. b. Leave the catheter in place and insert a new catheter into the urethra. c. Remove the catheter from the vagina and place it into the urethra. d. Ask another nurse to attempt the catheterization of the patient.

leave the catheter in place and insert a new catheter into the urethra

An indwelling catheter is ordered for a postoperative patient who is unable to void. What is the primary concern of the nurse performing the procedure? a. Teaching deep-breathing techniques b. Maintaining strict aseptic technique c. Medicating the patient for pain before the procedure d. Positioning the patient for comfort during the procedure

maintaining strict aseptic technique

A 4-year-old pediatric patient resists going to sleep. To assist this patient, the best action to take would be: A. adding a daytime nap. B. allowing the child to sleep longer in the morning. C. maintaining the child's home sleep routine. D. offering the child a bedtime snack.

maintaining the child's home sleep routine.

The nurse identifies what physiological response occurs with the onset of darkness and in preparation for sleep? a. Cortisol levels peak b. Cortisol levels increase c. Core body temperature increases d. Melatonin levels increase

melatonin levels increase

The nurse is caring for a patient who has urinary retention resulting from benign prostatic hyperplasia (BPH). The patient requires catheterization in order to drain the urine from his bladder. Which action will the nurse take to facilitate this procedure? a. Obtain a Coudé catheter for insertion. b. Attach a leg bag to the catheter prior to insertion. c. Trim the pubic hair before cleaning the perineal area. d. Wait until the bladder is full to perform catheterization.

obtain a Code catheter for insertion

An elderly patient complains of difficulty sleeping after the death of his spouse of 56 years. What would be an appropriate nursing assessment for this patient? a. Assess the patient for possible use of sedatives .b. Obtain a health history regarding sleep hygiene. c. Assess the patient's weight over the past year. d. Request a sleep study to rule out sleep apnea.

obtain a health history regarding sleep hygiene

The nurse is caring for a postoperative patient whose urinary catheter was removed 8 hours previously. The patient has not been able to void since the catheter was removed and now reports suprapubic pain. What is the priority action of the nurse? a. Encourage oral fluid intake and administer a diuretic. b. Obtain a urine sample to test for culture and sensitivity. c. Calculate the patient's daily intake and output. d. Obtain an order to straight-catheterize the patient.

obtain an order to straight catheterize the patient

Which clinical manifestation identified by the nurse commonly is associated with excessive production of antidiuretic hormone (ADH)? 1. Diuresis 2. Oliguria 3. Retention 4. Incontinence

oliguria

Which short-term goal would be most appropriate for a patient with the nursing diagnosis Anxiety related to upcoming diagnostic tests, as evidenced by expressions of concern and pacing around the room? a. Patient will discuss specific aspects of concern. b. Nurse will administer prescribed antianxiety medication. c. Patient will understand diagnostic test procedures. d. Nurse will describe test procedures in detail to allay concerns.

patient will discuss specific aspects of concern

A nurse is working a night shift after several months of working day shift. What action does the nurse take to protect patient safety? a. Take a meal break at midnight. b. Plan critical tasks for early in the shift. c. Ask another nurse to administer all medications. d. Turn up lights on the unit to maintain alertness.

plan critical tasks for early in the shift

The nurse is caring for a patient with a neurological condition that causes constant severe thirst, drinking fluids continuously, and voiding 3 to 4 L of clear yellow urine daily. Which term will the nurse use in the record to describe this patient's urinary output? a. angina b. oliguria c. polyuria d. enuresis

polyuria

the nurse is caring for a patient with diabetes insipidus. the patient has constant severe thirst drinks fluids continuously and voids 3-4 mL of clear yellow daily. which term will the nurse use in the record to describe this patient urinary output? a. anuria b. oliguria c. polyuria d. enuresis

polyuria

A nurse is caring for a debilitated female patient with nocturia. Which nursing intervention is the priority when planning to meet this patient's needs? a. Encouraging the use of bladder training exercises b. Providing assistance with toileting every 4 hours c. Positioning a bedside commode near the bed d. Teaching the avoidance of fluids after 5 p.m.

positioning a bedside commode near the bed

The nurse is caring for a patient who has developed kidney failure. Which test finding leads the nurse to contact the nephrologist and arrange for emergency hemodialysis? a. Potassium level 6.8 mmol/L b. Serum creatinine level of 2.8 mg/dL c. Large amounts of protein in the urine d. 1500 mL of retained urine in the bladder

potassium level 6.8 mmol/L

which goal is the nurse trying to achieve with continuous bladder irrigation of a client who has undergone a suprapubic prostatectomy for cancer of the prostate? a. stimulate continuous formation of urine b. facilitate the measurement of urinary output c. prevent the development of clots in the bladder d. provide continuous pressure on the prostatic fossa

prevent the development of clots in the bladder

A nurse identifies that the patient has overflow incontinence. Which factor contributes to this clinical manifestation? a. Coughing b. Mobility deficits c. Prostate enlargement d. Urinary tract infection

prostate enlargement

A nurse reviews the results of a patient's urinalysis. Which constituent found in urine indicates the presence of an abnormality? a. Electrolytes b. Protein c. Water d. Urea

protein

The nurse is caring for a patient who will undergo colonoscopy testing. Which intervention will the nurse include in the patient's plan of care for the day before the test? a. Provide the patient with zinc oxide skin barrier cream for the perineal area. b. Obtain an order for a gentle laxative to be given once the test is completed. c. Carefully assess the patient's ability to swallow liquids through a straw. d. Check the patient for allergies to shellfish and iodine-based contrast dyes.

provide the patient with zinc oxide skin barrier cream for the perineal area

A nurse must obtain a urine specimen from a patient. Which nursing intervention is the greatest help to most people who need to void for a urine test? a. Exerting manual pressure on the abdomen b. Encouraging a backward rocking motion c. Running water in the sink d. Providing for privacy

providing for privacy

A 25-year-old female patient demands that her mother or father be present during all blood testing. Which defense mechanism could the nurse document as being used by this patient? a. Sublimation b. Repression c. Projection d. Regression

regression

which intervention would the nurse implement when providing care for an older adult male client who is immobile and incontinent of urine? a. restrict clients' fluid intake b. regularly offer the client a urinal c. apply incontinence pants d. insert an indwelling urinary catheter

regularly offer the client a urinal

When administering the rectal suppository, the nurse asks Janelle to take several slow, deep breaths. What is the rationale for this instruction? a. Distract Janelle from the suppository insertion. b. Relax the anal sphincter and reduce discomfort. c. Improve intestinal peristalsis and motility. d. Reduce spasms from any hemorrhoids.

relax the anal sphincter and reduce discomfort

Which intervention would be most appropriate for the nurse to include in the care plan for a patient who is experiencing constipation and increased heart and respiratory rates? a. Time management b. Decreased grain intake c. Relaxation therapy d. Regimented exercise

relaxation therapy

The nurse recognizes what function of the reticular activating system (RAS)? a. Records brain waves and other variables. b. Relays motor impulse to the thalamus. c. Influences patterns of biologic functioning. d. Is affected by the light-dark cycle.

relays motor impulse to the thalamus

Which intervention is most important in preventing hospital-acquired catheter-associated urinary tract infections (CAUTIS )? a. Removing the catheter b. Keeping the drainage bag off of the floor c. Washing hands before and after assessing the catheter d. Cleansing the urinary meatus with soap and water daily

removing the catheter

A 40-year-old patient complains of 4 days of frequent loose stools with abdominal cramping. What is the priority nursing diagnosis for this patient? a. Altered Skin Integrity b. Risk for Imbalanced Fluid Volume c. Acute Pain d. Self-Care Deficit: Toileting

risk for imbalanced fluid volume

The nurse is caring for a patient with an indwelling urinary catheter caused by severe prostate enlargement. Which is the priority nursing diagnosis for this patient? a. Risk for infection r/t indwelling urinary catheter b. Disturbed body image r/t presence of catheter c. Risk for contamination r/t potential leakage of urine on clothing d. Impaired urination r/t blockage of bladder outlet

risk for infection r/t indwelling urinary catheter

Which assessment is not related to monitoring both urine and stool? a. Constituents b. Urgency c. Shape d. Color

shape

Before administering the rectal suppository, how should the client be positioned? a. High Fowler's. b. Supine. c. Prone. d. Sim's.

sims

A patient comes into the emergency department complaining of chest pain. When discussing possible reasons why the chest pain has occurred, the nurse learns that the patient is depressed because of the loss of a job. This type of crisis can be classified as A. Maturational. B. Situational. C. Sociocultural. D. Posttraumatic.

situational

During rounds on the night shift, you note that a patient stops breathing for 1 to 2 minutes several times during the shift. This condition is known as: A. cataplexy. B. insomnia. C. narcolepsy. D. sleep apnea.

sleep apnea

The nurse knows that the teaching for a patient who was recently diagnosed with constipation has been effective if the patient's meal request specifies which food choice? a. Hot dog on a bun b. Grilled chicken c. Tuna sandwich on white bread d. Spinach salad with dressing

spinach salad with dressing

The nurse is caring for a patient with the nursing diagnosis of urge incontinence of urine related to urinary tract infection. Which statement is appropriate for the "as evidenced by" portion of the patient's diagnosis? a. Sudden leakage of urine when patient is unable to get to the toilet in time b. Continuous urine flow from the bladder regardless of attempts to use the toilet c. Leakage of urine from the bladder when the patient coughs, sneezes, or laughs d. Leakage of urine because the patient is unable to indicate need to use the toilet

sudden leakage or urine when patient is unable to get to the toilet in time

The nurse is providing discharge education for a patient with narcolepsy. Which statement by the patient indicates a need for further education? a. "Daytime naps are helpful." b. "Taking the medication will cure it." c. "High protein meals are helpful." d. "I need to avoid alcohol."

taking the medication will cure it

The nurse is caring for a patient who is prescribed diphenoxylate-atropine (Lomotil). Which assessment finding by the nurse indicates a need to contact the prescriber and question the order? a. The patient has skin breakdown from loose stools. b. The patient is constipated with last BM 3 days ago. c. The patient is on a low-fiber, gluten-free diet. d. The patient has painful bleeding hemorrhoids.

the patient is constipated with last BM 3 days ago

The nurse is caring for a patient who is to have a cleansing enema. Which assessment finding by the nurse indicates a need to contact the prescriber and question the order? a. The patient is recovering from a traumatic brain injury. b. The patient has not had a bowel movement for 3 days. c. The patient is to have a lower GI series the following morning. d. The patient had an upper GI series performed the previous day.

the patient is recovering from a traumatic brain injury

The nurse is caring for a patient who is to undergo computed tomography (CT) of the kidneys and ureters. Which assessment finding by the nurse must be reported to the provider and radiologist before the patient has the procedure? a. The patient is allergic to bananas and latex. b. The patient thinks that she might be pregnant. c. The patient has a family history of bladder cancer. d. The patient currently has a urinary tract infection.

the patient thinks that she might be pregnant

The nurse is caring for an elderly patient with a history of arthritis, urinary incontinence and poor perineal hygiene practices. The patient has had four urinary tract infections in the past year. Which is the priority goal for the nursing diagnosis Impaired health maintenance for this patient? a. The patient will be provided with educational materials about risks of urosepsis. b. The patient will allow family members to assist with daily bathing and perineal care. c. The patient will discuss the possible consequences of frequent UTIs. d. Regular home care nursing visits and follow-up telephone contact will be arranged.

the patient will allow family members to assist with daily bathing and perineal care

The nurse is caring for a patient who is recovering after hip surgery. The patient requires assistance to use the bathroom because no weight bearing is allowed on the right leg. Which goal is most important for the nurse to include for the diagnosis impaired self-toileting? a. The patient will demonstrate safe transfer technique between wheelchair and toilet. b. The call light will be answered promptly when the patient needs to use the toilet. c. Toileting will be scheduled in the morning when the patient needs to defecate. d. Toilet paper and handwashing items will be kept within easy reach of the patient.

the patient will demonstrate safe transfer technique between wheelchair and toilet

A patient tells the nurse, "I have to urinate as soon as I get the urge to go." For which contributing factor to urinary urgency should the nurse implement a focused assessment? a. Anesthesia b.. Dehydration c. Full bladder d. Urinary tract infection

urinary tract infection

A patient's urine is cloudy, is amber, and has an unpleasant odor. Which problem may this information indicate that requires the nurse to make a focused assessment? a. Urinary retention b. Urinary tract infection c. Ketone bodies in the urine d. High urinary calcium level

urinary tract infection

A nurse who was hired to work in a sleep lab understands that the most common type of sleep apnea is caused by which factor? a. Airway collapse b. Lack of exercise c. Dietary factors d. Medication use

airway collapse

The nurse is caring for a patient who is constipated and has not had a bowel movement for 3 days. The nurse performs a rectal examination and finds hard dry stool in the rectum. What is the best option to help the patient have a bowel movement? a. Glass of warmed prune juice b. Loperamide (Imodium) c. Oral fiber supplement d. An oil retention enema

an oil retention enema

A patient has urinary incontinence. Which is the best nursing intervention for this patient? a. Providing skin care immediately after soiling b. Using a deodorant soap when providing skin care c. Drying the area well after providing perineal care d. Dusting the perineal area with a light film of cornstarch

Providing skin care immediately after soiling

While reviewing the result of an intravenous pyelogram, the nurse discovers that the client has a shortened urethra. Which nursing intervention helps prevent complications associated with this condition? a. Providing thorough perineal care after each voiding b. Encouraging the client to use the toilet or bedpan every 2 hours c. Responding quickly to the client's indication of the need to void d. Applying voiding stimulants to the perineum

Providing thorough perineal care after each voiding

A patient has sleep deprivation. What finding by the nurse best indicates goal achievement? a. Remains asleep for 6 to 7 hours consistently for 1 week b. Falls asleep within 15 minutes of going to bed c. Reports an ability to concentrate on tasks d. Verbalizes understanding of medication instructions

Remains asleep for 6 to 7 hours consistently for 1 week

A patient is experiencing bladder irritability. Which fluid should the nurse teach the patient to include in the diet? 1. Beer 2. Coffee 3. Orange juice 4. Cranberry juice

cranberry juice

A nurse is assessing the urinary status of a patient. Which sign indicates that additional nursing assessments are necessary? a. Aromatic odor b. Pale yellow urine c. Output of 50 mL hourly d. Specific gravity of 1.035

specific cavity of 1.035

which problem is the nurse trying to prevent by encouraging a client with a spinal cord injury to increase oral fluid intake? a. dehydration b. skin breakdown c. electrolyte imbalnces d. urinary tract imfection

urinary tract infection

The nurse is caring for a patient with a new diagnosis of diabetes type 2. Which statement indicates a negative coping response? a. "I will look up information on the Internet about diabetes. b. "I will join a support group." c. "I will only focus on learning to manage my medication first." d. "I will make changes slowly so I can adapt to each change."

" I will only focus on learning to manage my medication first"

A female patient has had frequent urinary tract infections. Which statement by the patient indicates that the nurse's teaching on prevention has been effective? a. "I will limit my fluid intake to 40 ounces per day." b. "I will use bubble bath when bathing." c. "I will wait to wear my tight jeans until after my urine is clear." d. "I will wipe from the front to back after voiding."

" I will wipe from the front to back after voiding"

A patient is reporting burning on urination. Which question should the nurse ask to best obtain information about the patient's dysuria? a. "Can you tell me about the problems you have been having with urination?" b. "How would you describe your experience with incontinence?" c. "What are your usual bowel habits?" d. "What color is your urine?"

"Can you tell me about the problems you have been having with urination?"

A patient is scheduled for a colonoscopy. After preprocedure teaching by the nurse, the patient demonstrates understanding when he makes which statement? a. "I can have coffee the morning of the procedure." b. "I should drink a red sports drink the day before to stay hydrated." c. "I should drink clear liquids for 2 days before the procedure." d. "I will be able to drive home immediately after the procedure."

"I should drink clear liquids for 2 days before the procedure."

The nurse is providing discharge instructions to a patient who has had sleep alterations. Which statement by the patient indicates further education is needed? a. "I should avoid drinking caffeine too close to bedtime." b. "I should not eat anything too close to bedtime." c. "I should exercise regularly to help with sleeping." d. "I can gain weight if I don't sleep enough."

"I should not eat anything too close to bedtime."

When receiving the verbal prescription over the telephone, the nurse repeats the prescription back to the HCP, who sounds angry and shouts, "Are you questioning my prescription?" Which approach by the nurse is the best response to the angry HCP? a. "Make sure you sign this verbal prescription within 24 hours." b. "I want to ensure that I transcribe this prescription correctly to avoid error." c. "You should be glad I want to ensure the accuracy of this prescription." d. "I have the responsibility to question any prescriptions I do not feel are correct."

"I want to ensure that I transcribe this prescription correctly to avoid error."

The nurse is working with a patient who has been advised to take two 20-minute naps during the day for fatigue. After a week, the patient states the naps have not helped. What response by the nurse is best? a. "Maybe that is too much sleep for you during the day." b. "Why don't you try one 40-minute nap instead?" c. "Let's explore some sleeping medications for you to try." d. "It often takes a few weeks for napping to help."

"It often takes a few weeks for napping to help."

The nurse is caring for a patient who is to complete a 24-hour urine collection to measure creatinine clearance. Which tasks related to this test may be delegated to the nursing assistant? (Select all that apply.) a. Teaching the patient about sterile specimen collection b. Keeping the urine collection container cool on ice c. Dumping the urine from the patient's first void d. Restricting the patient's oral fluid intake during the test e. Transporting the specimen to the laboratory for testing f. Reminding the patient not to put toilet paper in the urine

- keeping the urine collection container cool on ice - dumping the urine from the patients first void - transporting the specimen to the lab for testing - reminding the patient not to put toilet paper in the urine

Which is the most important action for the nurse to perform when assessing bowel sounds?Select all that apply a. Ask the client if she has lost or gained any weight. b. Listen for up to 5 minutes when auscultating for bowel sounds. c. Perform a rectal exam. d. Inspect the client's abdomen while she is in a semi-Fowler's position. e. Begin auscultation in the right lower quadrant.

- listen for up to 5 minutes when ausculating for bowel sounds - begin auscultation in the right lower quadrant

The nurse knows that during rapid eye movement (REM) sleep, which activities occur? (Select all that apply.) a. Muscle relaxation b. Increase in cerebral blood flow c. Slow rhythmic scanning eye movements d. Steroid release e. Slowing of brain waves

- muscle relaxation - increase in cerebral blood flow - steroid release

The nurse recognizes which personality factors that have been shown to buffer the impact of stress? (Select all that apply.) a. Resilience b. Sense of coherence c. Gender d. Hardiness e. Coping style

- resilience - sense of coherence - hardiness

The nurse is providing community education on sudden infant death syndrome (SIDS). What information does the nurse include? (Select all that apply.) a. SIDS is the second most common cause of death among babies (6 to 12 months). b. The etiology remains largely unknown. c. The most modifiable risk factor is sleeping supine. d. Risk factors include being exposed to cigarette smoke. e. It is defined as sudden unexpected death.

- the etiology remains largely unknown - risk factors include being exposed to cigarette smoke - it is defined as sudden unexpected death

The nurse manager of the unit is implementing a program to assist the nursing staff in managing compassion fatigue. Which interventions will be the most successful? (Select all that apply.) a. Support group that nurses can participate in that meets on the unit. b. Exercise competitions to encourage nurse to exercise and log their time. c. Organized break times so nurses can get off the unit for breaks and lunches. d. Quiet area on the unit where the nurses can go during break. e. Activities that emphasize workplace appreciation.

-Support group that nurses can participate in that meets on the unit. -Exercise competitions to encourage nurse to exercise and log their time. -Organized break times so nurses can get off the unit for breaks and lunches. -Quiet area on the unit where the nurses can go during break. -Activities that emphasize workplace appreciation.

Which statement provides the best documentation describing the outcome from the suppository administration? a. 1100. Client reports that the suppository was not helpful in relieving constipation. b. 1100. Client produced six, ¼ inch, hard pellets of brown stool following suppository administration. c. 1100. Client will need additional treatment to resolve problem of constipation. d. 1100. Suppository administration produced only a small amount of feces.

1100. Client produced six, ¼ inch, hard pellets of brown stool following suppository administration.

A primary health-care provider orders a bladder ultrasound scan be performed after a patient voids to determine the amount of residual urine. The nurse explains the test to the patient. Place the following steps in the order that they should be performed by the nurse. 1. Clean the patient's abdomen to remove the gel and clean the scan head with isopropyl alcohol. 2. Put 5 mL of conducting gel on the patient's symphysis pubis and place the scan head on the gel. 3. Aim the scan head toward the patient's coccyx and press the scan head button. 4. Drape the patient exposing only the lower abdomen and suprapubic area. 5. Obtain the bladder volume and repeat the measurement several times. 6. Place the patient in the supine position.

6 4 2 3 5 1

Which response by the nurse accurately describes a barium swallow? a. Barium is inserted into the rectum and a series of x-rays are taken. b. A barium liquid is swallowed and a series of x-rays are taken. c. A scope is inserted into the mouth, down the throat, and into the stomach. d. A flexible scope is inserted into the anus that visualizes the rectum and colon.

A barium liquid is swallowed and a series of x-rays are taken.

At a routine clinic visit, an athlete training for a major sports event reports difficulty sleeping that is affecting the training schedule. What would be the best recommendation by the nurse for this patient? a. Increase the use of electrolyte-enriched drinks to increase stamina. b. Obtain a short-term prescription for sleeping medications. c. Plan to arise later in the morning to accommodate sleep changes. d. Avoid vigorous exercise for at least 2 hours before bedtime.

Avoid vigorous exercise for at least 2 hours before bedtime.

The UAP obtains sterile gloves and lubricant for the nurse and offers to perform the procedure since the nurse is busy. Which action is the most important for the nurse to implement? a. Tell the UAP to perform the procedure using the lubricant, but advise her that the use of sterile gloves is not necessary. b. Perform the procedure using the supplies obtained by the UAP. c. Commend the UAP for her willingness to help and ask her to leave the supplies for the HCP, who must perform the procedure. d. Ask the UAP to assist with client positioning while the nurse performs the procedure, while teaching the UAP about the correct supplies needed.

Ask the UAP to assist with client positioning while the nurse performs the procedure, while teaching the UAP about the correct supplies needed.

The nurse is providing discharge instructions for a patient with multiple sclerosis. Which discharge instruction is aimed at preventing a future exacerbation? a. Engage in some form of exercise as tolerated. b. Avoid highly stressful situations. c. Check your skin regularly for pressure sores. d. Eat a diet with lots of fiber.

Avoid highly stressful situations.

The nurse knows which goal to be appropriate for the nursing diagnosis of caregiver stress? a. The patient will report an ability to focus on discharge instructions. b. The caregiver will attend a coping skills class on a weekly basis. c. Caregiver will use respite care for the family loved one once a week for the next month. d. The patient will discuss strategies for coping with relationship violence within 24 hours.

Caregiver will use respite care for the family loved one once a week for the next month.

The nurse is caring for a patient who will be having a colonoscopy the following morning. Which items must be removed from the patient's dinner tray since they are not allowed prior to the test? (Select all that apply.) a. Cherry-flavored gelatin b. Cream of chicken soup c. Glass of apple juice d. Coffee with cream and sugar e. Lemon-flavored Italian ice f. Can of ginger ale

Cherry-flavored gelatin Cream of chicken soup Coffee with cream and sugar

The nurse wants to help a hospitalized patient get more sleep. What intervention will be most helpful? a. Allow the patient to take several hour-long naps during the day shift. b. Administer sleeping medication if the patient can't go to sleep after an hour. c. Place a "do not disturb" sign on the door for the duration of the night shift. d. Cluster cares so the patient gets at least 90 minutes of uninterrupted sleep at night.

Cluster cares so the patient gets at least 90 minutes of uninterrupted sleep at night.

Which is an effective nursing intervention to prevent urinary tract infections? a. Teach female patients to wipe from the back to the front after urinating. b. Advise patients to report burning on urination to health-care providers. c. Instruct patients to use bath powder to absorb perineal perspiration. d. Encourage patients to drink several quarts of fluid daily.

Encourage patients to drink several quarts of fluid daily.

The nurse determines that Janelle's inadequate fluid intake, decreased mobility, and opioid use are significant factors in the development of her constipation. Which nursing diagnosis should the nurse include in Janelle's plan of care? a. Risk for constipation and lack of fluid intake. b. Inadequate fluid intake, resulting in constipation. c. Constipation related to surgery and anesthesia. d. Constipation as manifested by decreased bowel sounds.

Constipation related to surgery and anesthesia.

When the nurse measures the patient's blood glucose levels after an acute myocardial infarction (MI), the nurse knows this action is based on which rationale? a. Damaged muscle tissue releases glucose. b. Corticosteroids increase glucose. c. Myocardial infarctions are often seen in diabetics. d. All patients should have their blood glucose checked

Corticosteroids increase glucose.

A patient has a urinary retention catheter. Which is most important when the nurse cares for this patient? a. Applying an antimicrobial agent to the urinary meatus 2 times a day b. Ensuring that the catheter remains connected to the collection bag c. Wearing sterile gloves when accessing the specimen port d. Increasing fluid intake to 3,000 mL a day

Ensuring that the catheter remains connected to the collection bag

A mother brings her toddler for a well-child checkup and mentions that she is having a lot of trouble getting the child to go to bed. Which intervention can the nurse teach the mother to help her toddler establish good sleep habits? a. Establish and maintain a consistent bedtime routine. b. Put the child to bed immediately after the evening meal. c. Allow the child to stay up as long as desired to increase sleepiness. d. Allow the child to sleep with the parents until the child is older.

Establish and maintain a consistent bedtime routine.

Janelle responds, "I did everything my HCP told me to do. The surgery must have caused this. They must have made a mistake." Which explanation by the nurse is accurate? a. Refer the client to the surgeon to answer any questions about the surgical outcome. b. Advise the client that an abdominal hysterectomy should not cause decreased peristalsis, so an error must have occurred during surgery. c. Offer the client emotional support as she copes with this adverse outcome of surgery. d. Explain to the client the multiple factors that can decrease peristalsis postoperatively, even when the desired surgical outcome is achieved.

Explain to the client the multiple factors that can decrease peristalsis postoperatively, even when the desired surgical outcome is achieved.

A primary health-care provider discusses the need for a cystoscopy with a patient. Which is most important for the nurse to do when caring for this patient before the procedure? a. Monitor the patient's I&O. b. Assess the patient's urine routinely. c. Encourage the patient to increase the intake of oral fluids. d. Have the patient sign an informed consent form before the procedure.

Have the patient sign an informed consent form before the procedure.

The nurse is caring for a patient who is to have testing for fecal occult blood. What step will the nurse perform during this testing? a. Keep the patient on a clear liquid diet for 72 hours. b. Put the sample container on ice and send to the lab immediately after collection. c. Inform the patient that several stool samples will be needed. d. Use a sterile container when collecting the stool samples.

Inform the patient that several stool samples will be needed.

Which sequence should the nurse perform the abdominal assessment? a. Auscultation, inspection, percussion, palpation. b. Inspection, palpation, auscultation, percussion. c. Inspection, auscultation, percussion, palpation. d. Auscultation, percussion, inspection, palpation.

Inspection, auscultation, percussion, palpation.

A nurse is inserting an indwelling urinary catheter into a male patient. The nurse feels firm resistance while inserting the urinary catheter through the penis. What should the nurse do? a. Lower the penis until it is parallel to the length of the body. b. Inflate the balloon of the catheter with 10 mL of normal saline. c. Interrupt the procedure and notify the primary health-care provider. d. Use a twisting motion and firmly advance the catheter 2 inches farther into the penis.

Interrupt the procedure and notify the primary health-care provider.

When the nurse is explaining cataplexy to the patient, which description should be included? a. It is an uncontrolled desire to sleep. b. It is falling asleep for several minutes. c. It is loss of voluntary muscle tone. d. It is a sleep cycle that begins with NREM.

It is loss of voluntary muscle tone.

A nurse is caring for two patients. One patient has reflex incontinence and the other has total incontinence. Which characteristic is common to both reflex incontinence and total incontinence? a. Urination following an increase in intra-abdominal pressure b. Loss of urine without awareness of bladder fullness c. Retention of urine with overflow incontinence d. Strong, sudden desire to void

Loss of urine without awareness of bladder fullness

An older adult with an indwelling urinary catheter is receiving 75 mL of 0.9% sodium chloride hourly. The patient has had several hospital admissions in the last year for dehydration. The nurse is concerned about the patient's renal function. What is the best intervention by the nurse to assess this patient's renal functioning? a. Inspect the patient's dependent areas for signs of edema. b. Calculate the patient's intake and output every shift. c. Monitor the patient's urine output hourly. d. Obtain the patient's weight daily.

Monitor the patient's urine output hourly.

Which postoperative medication is most likely to contribute to constipation? a. Morphine sulfate, an opioid analgesic. b. Ibuprofen, a non-opioid analgesic .c. Promethazine, an antiemetic. d. Cefazolin, an antibiotic.

Morphine sulfate, an opioid analgesic.

The nurse identifies which sequence to be the usual progression of sleep? a. NREM 1-3 then REM, then back through NREM 1 and 2 b. REM then NREM 1-4, then back through NREM 2 and 3 c. NREM 1-3 then back through NREM 2 then REM d. REM then NREM 1-4 then back through NREM 3

NREM 1-3 then back through NREM 2 then REM

The nurse has been assigned the same patients for the past 4 days. Two of the patients demand a great deal of attention, and the nurse feels anxious and angry about being given this assignment again. What action would demonstrate the most effective way for the nurse to cope with the patient care assignment? a. Share complaints about the assignment with the nurse manager. b. Prioritize the patients' needs, and identify a specific time period for care for each patient. c. Talk with the patients, and explain that they cannot expect so much personal attention. d. Trade assignments with another nurse who is unaware of the concerns regarding the patient assignment.

Prioritize the patients' needs, and identify a specific time period for care for each patient.

A patient suffers from sleep pattern disturbance. To promote adequate sleep, what is the most important nursing intervention? A. Administering a sleep aid B. Synchronizing the medication, treatment, and vital signs schedule C. Encouraging the patient to exercise immediately before sleep D. Discussing with the patient the benefits of beginning a long-term nighttime medication regimen

Synchronizing the medication, treatment, and vital signs schedule

The preceptor is watching a nursing student care for a male patient who requires a condom catheter. Which action by the nursing student indicates that the procedure is performed correctly? a. Sterile gloves are donned before touching the catheter. b. Adhesive tape is applied securely around the base of the penis. c. Water-soluble lubricant is applied to the end of the catheter. d. The foreskin is returned to its natural position before the catheter is applied.

The foreskin is returned to its natural position before the catheter is applied

The nurse is caring for a patient who is recovering from bowel surgery. Which assessment finding best indicates that the bowel is starting to resume function and the patient will be able to resume oral intake soon? a. The patient has bowel sounds × 4 quadrants and is passing gas. b. The patient has no nausea, and abdominal pain is minimal .c. The patient feels hungry for chicken soup and hot tea. d. The patient's nasogastric tube was discontinued the previous day.

The patient has bowel sounds × 4 quadrants and is passing gas.

The nurse teaches the patient what information about polysomnograpy? a. This is the recording of brain waves and other physiologic variables. b. This test is the relay of motor impulse to the thalamus. c. This test influences the patterns of biologic and behavioral functioning. d. This is the recording of seizure activity when the brain is awake.

This is the recording of brain waves and other physiologic variables.

The nurse is caring for a patient who has had a severe stroke and requires assistance to use the toilet. Which goal is the highest priority for this patient? a. The patient will remain continent with no perineal skin breakdown. b. The patient will state satisfaction with use of gait belt for toilet transfers. c. The patient will regain ability to pull up clothing after using the toilet. d. The patient will have privacy once properly positioned on the toilet.

a patient will remain continent with no perineal skin breakdown

The nurse is caring for a patient who had a colonoscopy earlier that day. The patient states that he still feels very bloated after the procedure. What is the best action of the nurse? a. Assist the patient to ambulate in the hall. b. Insert a rectal tube to remove retained flatus. c. Administer an enema to stimulate peristalsis. d. Encourage oral intake of fluids and high-fiber foods.

assist the patient to ambulate in the hall

Which assessment is most important for the nurse to perform? a. Auscultate bowel sounds. b. Measure abdominal girth. c. Observe incisional staples. d. Measure blood pressure.

auscultate bowel sounds

The nurse is caring for a patient with a history of dementia who is incontinent of stool because of the inability to communicate the need to defecate. What is the priority action of the nurse? a. Administer a daily laxative and take the patient to the toilet afterward. b. Digitally remove stool from the patient's rectum every other day. c. Insert a rectal tube to facilitate drainage of soft or liquid stool. d. Begin a prompted toileting program to facilitate bowel continence.

begin a prompted toileting program to facilitate bowel continence

The nurse is caring for a patient who reports an urgent need to urinate but is unable to pass more than a few drops of urine in the toilet. Which is the priority assessment to be performed by the nurse? a. Bladder scan to determine the amount of urine in the bladder. b. Auscultation to assess circulation through the right and left renal arteries. c. Bimanual palpation to assess for possible enlargement of the kidneys. d. Calculate the patient's intake and output to check for fluid volume deficit.

bladder scan to determine the amount of urine in the bladder

The nurse is caring for a patient who has just had an intravenous pyelography (IVP) completed. Which assessment is the nurse's highest priority after the patient returns from the test? a. Calculate the patient's intake and output. b. Monitor for discoloration of the patient's urine. c. Assess for possible iodine or shellfish allergies. d. Inquire if the patient has burning or pain with urination.

calculate the patients intake and output

The nurse is caring for an incontinent male patient who has a deep decubitus ulcer on his sacrum. Which intervention will best manage the patient's urinary incontinence and facilitate healing of the ulcer? a. Use of disposable absorbable incontinence briefs b. Daily application of perineal barrier cream containing zinc oxide c. Careful perineal care and application of a condom catheter d. Insertion of a single-lumen straight urinary catheter

careful perineal care and application of a condom catheter

The nurse knows that when coordination between multiple health care disciplines is needed, which role should be utilized? a. Pastoral care b. Case manager c. Social worker d. Dietitian

case worker

The nurse is caring for an immobile patient who has abdominal pain and frequent small, liquid stools. The patient vomited his breakfast and is still nauseated. Which action by the nurse is the highest priority? a. Provide oral care after each episode of emesis .b. Apply a skin barrier to the patient's perineal area. c. Check the patient for a fecal impaction. d. Administer antiemetic medication with a sip of water.

check patient for a fecal infection

A patient with an indwelling catheter reports a need to void. What is the priority intervention for the nurse to perform? a. Check to see if the catheter is patent. b. Reassure the patient that it is not possible to void while catheterized. c. Catheterize the patient again with a larger-gauge catheter. d. Notify the primary care provider (PCP).

check to see if the catheter is patent

A patient complains of not being able to sleep while in the hospital. What action would be a priority for the nurse to implement? a. Administer a sleeping medication with the evening meal. b. Restrict visitors for the patient in the evening .c. Decrease noise around the patient during the night. d. Offer a hot drink of regular tea at bedtime.

decrease noise around the patient during the night

A patient is newly diagnosed with diabetes and requires insulin injections. He requests information about classes offered by the diabetes educator. Which type of coping technique is this patient using? a. Emotion-focused b. Problem-focused c. Avoidance d. Denial

problem focused

The nurse is caring for a patient with the nursing diagnosis of Urge urinary incontinencerelated to urinary tract infection. Which statement is appropriate for the "as evidenced by"portion of the patient's diagnosis? a. Sudden leakage of urine when patient is unable to get to the toilet in time. b. Continuous urine flow from the bladder regardless of attempts to use the toilet c. Leakage of urine from the bladder when the patient coughs, sneezes, or laughs d. Leakage of urine because the patient is unable to indicate need to use the toilet

sudden leakage of urine when patient is unable to get to the toilet in time

The nurse is assessing the patient's use of coping skills in response to stressful situations. The nurse identifies which question to be the most useful? a. "Have you been evaluated for stress?" b. "Do you have someone you can go to for help when you are stressed?" c. "How have you managed stressful situations in the past?" d. "Does stress cause you to experience muscle tension or headaches?"

"How have you managed stressful situations in the past?"

The nurse is performing an assessment of the patient's sleep patterns. Which question by the nurse will elicit the best response? a. "Do you feel rested when you awaken?" b. "What is your normal eating pattern?" c. "Do you awaken during the night?" d. "Do you drink beverages with caffeine?"

"Do you awaken during the night?"

The nurse is seeing a patient during a follow-up visit after discharge in which the patient had a nursing diagnosis of difficulty coping. Which statement by the patient would be a cause for concern? a. "I am sleeping better most nights." b. "I feel less anxious." c. "I do not need to do the relaxation exercises anymore." d. "I am continuing my exercises every day."

"I do not need to do the relaxation exercises anymore."

The nurse is assessing level of stress in a patient from another culture. Which question is the most appropriate in helping the nurse understand the impact of the patient's belief system? a. "Do you engage in prayer to help you during times of stress?" b. "Do you go to church or other form of organized worship?" c. "Do you have certain beliefs that are helpful during times of stress?" d. "Do you want spiritual counseling while you are here?"

"Do you have certain beliefs that are helpful during times of stress?"

The nurse is educating a patient about taking measures to help avoid disruption to the circadian rhythm. Which statement by the patient indicates a need for further education? a. "I know the circadian rhythm influences biologic functions." b. "I know the circadian rhythm exists only in humans." c. "I know the sleep-wake circadian rhythm is impacted by the light-dark cycle." d. "The most familiar circadian rhythm is the day-night 24-hour cycle."

"I know the circadian rhythm exists only in humans."

Janelle tells the nurse, "I hate hospitals because nobody ever tells you what's happening, and you end up with all these things going wrong." Which response by the nurse will encourage continued verbalization by the client? a. "All of the nurses are very busy here, and they are doing the best job they can." b. "You should write down your questions so you can get some answers." c. "I will be happy to tell you everything that's happening, so nothing else will go wrong." d. "It sounds as if you have had another experience that did not go well."

"It sounds as if you have had another experience that did not go well."

The nurse is teaching a patient about the difference between mild anxiety and moderate anxiety. Which statement by the patient indicates a need for further education? a. "Mild anxiety can help me remember things." b. "Moderate anxiety will narrow my focus." c. "Mild anxiety will help me be creative." d. "Moderate anxiety will increase my perception."

"Moderate anxiety will increase my perception."

The nurse is providing discharge instructions for the patient with sleep pattern disturbances. Which statement by the patient indicates a need for further education? a. "It is a good idea to have a bedtime routine." b. "My bedtime routine can include watching TV in bed until I fall asleep." c. "I will keep my regular sleep pattern on the weekend." d. "If I can't fall asleep, I will get out of bed and do something relaxing."

"My bedtime routine can include watching TV in bed until I fall asleep."

To determine the presence of a fecal impaction, the nurse prepares Janelle for which prescribed procedure?Select all that apply a. Insertion of a rectal tube. b. Enema administration. c. Radiographic examination. d. Digital rectal examination. e. Sigmoidoscopy.

- radiographic examination - digital rectal examination

The nurse is caring for a postoperative patient who had a colostomy placed 2 days ago. The appliance needs to be changed for the first time. Which ostomy care actions can the nurse delegate to the nursing assistant? (Select all that apply.) a. Gently cleaning the stoma with warm water and a washcloth b. Assessing the stoma and incision for signs of infection or ischemia c. Obtaining needed supplies from the clean utility room d. Teaching the patient how to care for the ostomy after discharge e. Determining which type of ostomy appliance to use f. Application of skin protectant to the area surrounding the stoma

-Gently cleaning the stoma with warm water and a washcloth -Obtaining needed supplies from the clean utility room -Application of skin protectant to the area surrounding the stoma

The nurse manager of a busy oncology unit is concerned about compassion fatigue among the nursing staff. Which signs and symptoms would alert the nurse to this problem? (Select all that apply.) a. Nurses become very emotionally upset without an apparent cause. b. Nurses start to avoid caring for certain patients. c. Nurses start to call in sick more often. d. Nurses begin working more overtime. e. Nurses have difficulty showing empathy for patients.

-Nurses become very emotionally upset without an apparent cause. -Nurses start to avoid caring for certain patients. -Nurses start to call in sick more often. - nurses have difficult showing empathy for patients

What actions should the nurse take to relieve the abdominal cramping?Select all that apply a. Raise the head of the bed b. Slow the rate of the infusion c. Assess the client's vital signs d. Stop the enema and assist Janelle to the bathroom e. Roll the clamp to stop the enema until cramping subsides

-Slow the rate of the infusion -Roll the clamp to stop the enema until cramping subsides

When using a stress assessment tool with a patient from another culture, what factor(s) must the nurse take into consideration? (Select all that apply.) a. Specific methods of managing stress are revealed in using stress assessment tools. b. Stress assessment tools should be used only for persons living in North America. c. Stress assessment tools may not be appropriate for all people of all ages. d. Resistance resources become evident when stress assessment tools are analyzed. e. Adaptations may need to be made to the assessment tool based on circumstances.

-Stress assessment tools may not be appropriate for all people of all ages. - Adaptations may need to be made to the assessment tool based on circumstances.

The nurse is admitting a patient to the general medical-surgical unit. What should the nurse assess as part of a routine sleep assessment? (Select all that apply.) a. Usual sleeping and waking times b. Bedtime routines c. Sleeping environment preferences d. Medications used for sleep e. Any current life events

-Usual sleeping and waking times -Bedtime routines -Sleeping environment preferences -Medications used for sleep -Any current life events

which clinical manifestation would the nurse identify as an indicator suggesting a client has urinary retention and overflow after sustaining a cerebrovascular accident select all that apply a. edema b. polyuria c. frequent voiding d. suprapubic distension e. continual incontinence

-frequent voiding -suprapubic distension

Which information about a patient is communicated when a nurse documents that the patient has polyuria? a. Excreting excessive amounts of urine b. Experiencing pain on urination c. Retaining urine in the bladder d. Passing blood in the urine

excreting excessive amounts of urine

Which nursing instruction is correct when a urine specimen is collected for culture and sensitivity testing from a patient without a urinary catheter? a. Tell the patient to void and pour the urine into a labeled specimen container. b. Ask the patient to void first into the toilet, stop midstream, and finish voiding into the sterile specimen container. c. Instruct the patient to discard the first void and collect the next void for the specimen. d. Have the patient keep all voided urine for 24 hours in a chilled, opaque collection container.

Ask the patient to void first into the toilet, stop midstream, and finish voiding into the sterile specimen container.

The nurse is performing a physical assessment of patient who is undergoing a bone marrow biopsy. What finding by the nurse indicates the patient is experiencing stress? a. Blood pressure of 120/84 b. Temperature of 99.5 °F (37.5 °C) c. Heart rate of 110 beats/min d. Respiratory rate of 10 breaths/min

Heart rate of 110 beats/min

The nurse is caring for a patient on a medical-surgical inpatient unit when the patient tells the nurse he is very sad and is considering suicide. What is the first thing the nurse should do? a. Notify the health care provider. b. Make a referral to psychiatric services. c. Implement one-on-one observations. d. Document in the electronic medical record.

Implement one-on-one observations.

A male patient is told that he may have colon cancer. Which response by the patient best indicates that his initial appraisal of the situation is primarily a challenge to be met? a. Requesting information on various treatment options b. Demanding to see another physician immediately c. Storming out of the gastroenterologist's office d. Yelling at the nurse who is scheduling his colonoscopy

Requesting information on various treatment options

The nurse is caring for a patient who has urinary frequency. Which nursing diagnosis is the highest priority for this patient? a. Impaired urination r/t occasional incontinence b. Anxiety r/t living alone at home with nocturia c. Risk for infection r/t urine contact with perineal area skin d. Risk for fall-related injury r/t hurried trips to the bathroom during the day and night

Risk for fall-related injury r/t hurried trips to the bathroom during the day and night

The nurse is caring for a patient with a history of type 1 diabetes. Which assessment finding indicates to the nurse that the patient may not be compliant with the diabetic treatment regimen? a. The patient is always thirsty and frequently voids very large amounts of urine. b. The patient's urine is very concentrated with a dark amber color. c. The patient complains of throbbing flank pain and burning with urination. d. The patient has urinary hesitancy and difficulty initiating a stream of urine.

The patient is always thirsty and frequently voids very large amounts of urine

A student nurse is working with a preceptor to administer an enema to the patient. Which action by the student prompts intervention and redirection by the preceptor? a. Water-soluble lubricant is applied to the end of the enema tubing. b. The enema tubing is primed with solution that has been warmed. c. The patient is positioned comfortably in the modified left lateral recumbent position. d. The patient's bedpan is put at the bedside in preparation for use.

The patient is positioned comfortably in the modified left lateral recumbent position.

A confused patient is incontinent of urine and stool and smears the stool on the bed linens and bed rails. Which should be the initial patient goal? a. The patient will be clean and dry continuously. b. The patient will become continent within a week. c. The patient will stop soiling the environment immediately. d. The patient will call for the bedpan whenever the urge to eliminate occurs.

The patient will be clean and dry continuously.

What impact does this fluid intake have on Janelle's bowel patterns?- a. This inadequate fluid intake has contributed to her constipation. b. This sufficient amount of fluid intake has not affected her bowel patterns. c. This large amount of fluid intake has helped keep her feces soft. d. Intravenous fluids have little or no impact on intestinal contents and bowel patterns.

This inadequate fluid intake has contributed to her constipation.

A nurse is caring for a group of patients with a variety of urinary problems. Which patient's physical response should cause the most concern? a. Anuria b. Dysuria c. Diuresis d. Enuresis

anuria

The nurse administers the first dose of docusate sodium. This medication primarily alters which aspect of a client's bowel movement? a. Color. b. Amount. c. Frequency. d. Consistency.

consistency

The nurse knows the one theory explaining the variation in response to stress among individuals is identified by which term? a. Stress appraisal b. Sense of coherence c. Allostasis d. Homeostasis

sense of coherence

The nurse is caring for a patient who is to undergo computed tomography (CT) of the kidneysand ureters. Which assessment finding by the nurse must be reported to the physician andradiologist before the patient has the procedure? a. The patient is allergic to bananas and latex. b. The patient thinks that she might be pregnant. c. The patient has a family history of bladder cancer. d. The patient currently has a urinary tract infection.

the patient thinks that she might be pregnant

The nurse is caring for a seriously ill patient whose laboratory results show a serum creatinine level of 3.5 mg/dL and a serum BUN of 35 mg/dL. Which conclusion can the nurse draw from these test results? a. The patient is severely dehydrated. b. The patient's kidneys have been damaged. c. The patient has a urinary tract infection. d. The patient has developed a renal calculus.

the patients kidneys have been damaged

A nurse must obtain a clean-catch urine specimen from one patient and a urine specimen via a straight catheterization from another. Which intervention is not performed for both when obtaining these specimens? a. Cleanse around the urinary meatus with antiseptic swabs. b. Send the specimen to the laboratory immediately. c. Use a sterile cup for the collected urine. d. Wear sterile gloves.

wear sterile gloves

A patient is admitted to the emergency department because of hypertension and oliguria. For which additional clinical manifestation associated with this cluster of information should the nurse assess the patient? a. Thirst b. Retention c. Weight gain d. Urinary hesitancy

weight gain

A patient is being discharged from the hospital with a new ileostomy. The patient expresses concern about caring for the ostomy. Before hospital discharge, it is most important for the nurse to coordinate with which member of the health care team? a. Home care nurse b. Wound ostomy continence nurse c. Registered dietitian d. Primary care provider

wound ostomy continence nurse