Nurs 3230 Quiz Questions

An 8-month-old infant is hospitalized with severe diarrhea. The nurse knows that the major problem associated with severe diarrhea in young or older patients is: a. Electrolyte and fluid loss b. Presence of excessive flatus c. Irritation of the perineal and rectal area d. Pain in the abdominal area

A

Several weeks after a stroke your male patient has urinary incontinence resulting from and impaired awareness of bladder fullness. Your bladder retraining program for this patient should include a. Assist patient to toilet or commode or urinal every 1 - 2 hours while awake b. Use an external "condom" catheter to protect the skin and avoid embarrassment c. Limit fluid intake to 1000ml daily to reduce urine volume d. Perform intermittent catheterization after every voiding to check for residual urine in bladder

A

There are many factors are assessed before teaching the client to learn insulin injection sites, but the most important factor for the nurse to assess first is the: a. Willingness of the client to want to learn the injection sites b. Financial resources available to the client for the equipment c. Previous knowledge level of the client d. Intelligence and developmental level of the individual client

A

Which of the following statements should the nurse use to instruct the nursing assistant caring for a patient with an indwelling urinary catheter? a. Empty the drainage bag at least every 8 hours b. Clean up the length of the catheter to the perineum c. Use clean technique to obtain a specimen for culture and sensitivity d. Place the drainage bag on the patient's lap while transporting the patient to testing

A

Your 85 year old male patient has a urinary tract infection. Which symptoms are you most likely to see first? a. Sudden confusion, disorientation b. Dysuria, frequency, urgency with urination c. Urinary incontinence d. Fever of 101 F

A

As a new grad you are working in a rehabilitation center specializing in clients that have had traumatic injuries. You know that sexual issues are common in your patient population. Choose all of the actions that would be likely to make it more comfortable for you to discuss sexual issues with your clients: a. Clarify your own values related to sexuality. b. Role play discussion of sexual concerns with another nurse. c. Use journaling about your work experiences in talking with clients about sexuality to reflect on your experiences. d. Wait until you feel less awkward in discussing sexual concerns before doing this on your own. e. Plan to attend a conference to increase your knowledge about sexuality.

A, B, C, E

A male patient has an indwelling catheter and has had some skin breakdown at the insertion point of the catheter. He tells his female nurse that he prefers to do his own perineal care because it is embarrassing. What is her best response? a. Okay, we have a male provider available to help you with your care tomorrow, it can wait until then. b. I can assist you to do your own care today, but I will still need to look at the area to assess the skin. How can we make that more comfortable for you? c. If you get a urine infection from that catheter I won't be responsible - that could be very dangerous! d. Don't worry, I won't look, I'll just clean you up really quickly.

B

You are assessing a cognitively impaired older adult and observe constant leaking of liquid stool from the rectum. Your initial action for this person is to a. Determine if the person has been eating sufficiently, especially fiber-rich foods b. Determine how long it has been since the person had a normal-size, formed stool c. Call the health care prescriber to get a prescription for an antidiarrheal medication d. Perform a digital examination of the rectum to determine the presence of stool

B

A 50-year-old male client is having a screening colonoscopy. The nurse instructs the client that: a. No metallic objects are allowed b. Swallowing of an opaque liquid is required c. Light sedation is normally used d. No special preparation is required

C

The highest incidence of urinary tract infections (UTI) is associated with: a. limiting fluid intake b. vaginal infections c. urinary catheterization d. infrequent voiding ("holding your urine")

C

What assessment finding do you expect from your patient who has both recent onset of urethral blockage due to his enlarged prostate, as well as decreased bladder muscle tone? a. A loss of the urge to void b. Pain and burning on urination c. A feeling of bladder pressure and voiding of small amounts d. Severe flank pain and hematuria

C

While undergoing a soapsuds enema, the client complains of abdominal cramping. The nurse should: a. Advance the enema tubing 2 to 3 inches b. Immediately stop the infusion c. Lower the height of the enema container d. Clamp the tubing

C

You are about to teach a freshman level high school health class about nutrition. What is the best instructional approach to ensure that the students meet the learning outcomes? a. Provide clear information using a lecture. b. Use simple words to promote understanding. c. Develop topics for discussion that require problem solving. d. Complete an extensive literature search focusing on adolescent eating disorders.

C

Your 24 year old male patient had a Foley/indwelling catheter postoperatively after hand surgery yesterday, and you removed it at 0600 as ordered. At 0900 the patient has not urinated, and complains of lower abdominal discomfort. He is diaphoretic and restless with normal vital signs and pulse ox. Which of the following actions will you do first? a. Administer an opioid pain medication as ordered. b. Encourage him to urinate and remind him if he does not urinate you will have to insert a catheter. c. Assist him to a standing position to urinate, and turn on the bathroom faucet. d. Insert another urinary catheter to relieve bladder pressure.

C

Your patient has an ileostomy stoma. Which intervention is most important during stoma care? a. Wearing sterile non-latex gloves during care. b. Daily cleansing of the stoma with cool water c. Selecting an appliance with an appropriate sized stomal opening d. Providing an air freshener in the room

C

A 44-year-old male patient was placed on a daily low dose aspirin regimen by his health care prescriber following a recent diagnosis of hypertension and periodic atrial fibrillation. The patient is currently hospitalized with possible kidney stones. As the nurse is admitting the patient, he shares that he has been very tired. The nurse gathers additional data regarding his bowel habits. The patient says that he has recently had black, tarry stools. What test would provide the most relevant assessment data on this patient? a. Blood for electrolytes b. Stool for culture c. Glucometer reading for blood glucose d. Stool for guiac/occult blood

D

During advanced cardiac life support (ACLS) training, a nurse performs defibrillation using a mannequin. Which teaching strategy is being employed? a. One-to-one instruction b. Role modeling c. Computer-assisted instruction d. Simulation

D

During the initial postoperative assessment of a patient's stoma formed with a transverse colostomy, the nurse finds it to be red with moderate edema and a small amount of bleeding. The nurse should a. monitor the stoma every 30 minutes b. place an ice pack on the stoma to reduce swelling c. notify the surgeon about the stoma appearance d. document the stoma assessment

D

The health care provider orders a culture and sensitivity test on urine from your patient with an indwelling (Foley) catheter. What will you do to collect the specimen correctly? a. Inflate the catheter balloon with the specified amount of sterile water. b. Wipe the drain of the urine collection bag with alcohol and release the urine into a sterile specimen container. c. Instruct the patient about obtaining a clean catch specimen. d. Use a sterile syringe to collect the specimen from the catheter access port.

D

There are a variety of teaching methodologies that may be utilized to meet the client's needs. Which teaching method is best applied to a cognitive learning need? a. Modeling of behavior b. Demonstration of a procedure c. Discussion of feelings d. Computer-assisted instruction

D

While teaching the client about management of his heart disease, a nurse might use a strategy that is implemented to promote learning in the affective domain such as: a. Providing brochures both on current exercises and on nutrition guidelines b. Asking the client what he needs to know about the diagnosis c. Having the client return-demonstrate self-measurement of his own blood pressure d. Encouraging the client to personally discuss his feelings about his health status

D

You are concerned about your cardiovascular fitness, so you are eating more fruits and vegetables, and exercising regularly. What stage of behavioral change are you in? a. Precontemplation b. Contemplation c. Preparation d. Action

D

Your 32 year old female patient complains of leaking small amounts of urine when she laughs or coughs, ever since her last baby was born 2 years ago. Knowing the type of urinary incontinence her symptoms point to, what nursing intervention would you try first? a. Set up a bladder training schedule. b. Encourage her to drink more fluids daily. c. Teach her double voiding method. d. Correct Teach her pelvic floor or Kegel exercises.

D