Elimination Quiz
A nurse is performing discharge teaching about ostomy care while at home for a client who has a newly placed ileostomy. Which of the following instructions should the nurse include in the teaching?
"Empty your ostomy pouch when it becomes half full."
A nurse is teaching a parent of an infant who has a colostomy. Which of the following statements by the parent indicates an understanding of the teaching?
"I need to apply paste to the back of the wafer on my child's appliance."
A nurse is teaching a healthy older adult client who has chronic constipation about establishing a bowel-retraining program. Which of the following statements should the nurse include in the teaching?
"Increase the fiber content of your diet."
A nurse is providing teaching to a client who has chronic constipation and a new prescription for psyllium. Which of the following instructions should the nurse provide?
"Mix this medication with water and follow with an additional glass of liquid."
A nurse is providing teaching to an older adult client who has constipation. Which of the following statements should the nurse include in the teaching?
"Sit on the toilet 30 min after eating a meal."
A nurse is teaching a female client who has pyelonephritis about the disorder. Which of the following pieces of information should the nurse include to help the client prevent a recurrence?
"Wipe from front to back after defecation."
A nurse is caring for a client who is at 26 weeks gestation and reports constipation. Which of the following responses by the nurse is appropriate?
"You should walk for at least 30 min every day."
A nurse is providing teaching about foods high in fiber to the guardian of a child who has chronic constipation. Which of the following foods should the nurse recommend?
1/2 cup cooked pinto beans
A nurse is preparing to administer magnesium hydroxide 1.5 oz PO to a client who has constipation. How many mL should the nurse administer?
45
A nurse is obtaining a guaiac test from a client. This test is performed to detect which of the following?
Blood in stool
A nurse is planning care for a 3-month old infant who has an ileostomy. Which of the following interventions should the nurse include in the plan?
Check the bag for stool every 4 hours
A nurse is caring for a postoperative client who has an indwelling urinary catheter for gravity drainage. The nurse notes no urine output in the past 2 hr. Which of the following actions should the nurse take first?
Check to determine if the catheter tubing is kinked
A nurse is collecting a urine specimen for culture and sensitivity for a client who has a urinary tract infection. The client has an indwelling urinary catheter in place. Which of the following actions should the nurse take?
Clamp the tubing below the collection port
A nurse is providing teaching about proper care to a client who has a new colostomy. Which of the following pieces of information should the nurse include in the teaching?
Cleanse the skin around the stoma with warm water.
A nurse is providing teaching to a client who has constipation. Which of the following instructions should the nurse include?
Eat yogurt with live cultures
A nurse is demonstrating colostomy care to a client who has a new colostomy. Which of the following actions should the nurse teach the client to perform? (Select all that apply.)
Empty the bag when it is one-third to one-half full Cut the skin barrier opening a little larger than the ostomy Wash the peristomal skin with mild soap and water
A nurse in an emergency department is assessing a client who reports diarrhea and decreased urination for 4 days. Which of the following actions should the nurse take to assess the client's skin turgor?
Grasp a skin fold on the chest under the clavicle, release it, and note whether it springs back
A nurse is assessing a client who was brough to the emergency department following a motor-vehicle crash. Which of the following findings is a manifestation of bladder trauma?
Hematuria
A nurse is planning care for a client who had a stroke. The client has hemiplegia and occasional urinary incontinence. Which of the following actions should the nurse include in the client's plan of care?
Offer the client a bedpan every 2 hr
A nurse is planning to collect a stool specimen for ova and parasites from a client who has diarrhea. Which of the following actions should the nurse take when collecting the specimen?
Place the stool specimen collection container in biohazard bag.
A nurse is caring for a client who is receiving intermittent enteral feedings through an NG tube. The specific gravity of the client's urine is 1.035. Which of the following actions should the nurse take?
Provide more water with feedings
A nurse delegated the task of emptying an indwelling urinary catheter drainage bag to an assistive personnel (AP). The nurse later observes the AP emptying the bag without wearing gloves. Which of the following actions should the nurse take?
Talk with the AP about the technique used
An assistive personnel (AP) is helping a nurse care for a female client who has an indwelling urinary catheter. Which of the following actions by the AP indicates a need for further teaching?
The AP hangs the collection bag at the level of the bladder.
A nurse is teaching a group of healthy older adult clients about health screening after age 50 years. Which of the following health screenings should the nurse recommend for annual completion?
Visual acuity
A nurse is performing a straight urinary catheterization for a female client who has urinary retention. Which of the following actions indicates the nurse is maintaining sterile technique?
Wiping the labia minora in an anteroposterior direction