front 1 A Coudé catheter is often used when a client has | back 1 an enlarged prostate |
front 2 A nurse caring for a client with chronic diarrhea expects to find increased: | back 2 pulse rate |
front 3 Which step is correct when collecting a urine specimen for culture and sensitivity from a client with an indwelling catheter? | back 3 collect urine from cathare’s special part |
front 4 A nurse is assessing a client with a new ileostomy. Which finding would indicate a healthy stoma? | back 4 Pinkish to cherry red color of the stoma. |
front 5 ___ intestinal obstructions result from pressure on the intestinal walls. It is caused by various conditions, including tumors, adhesions, stenosis, and diverticulum. | back 5 mechanical |
front 6 You are teaching an older adult client who reports constipation. Increased ___ diet is advised such as fresh fruits, raw vegatables, and whole-grain carbohydrates. | back 6 fiber |
front 7 A nurse is monitoring the urinary output of a client. A 3000 milliliters of 24-hour urinary output total indicates _. | back 7 polyuria |
front 8 What is the term used to describe black or tarry stools with a foul smell that are a sign of bleeding in the upper digestive tract? | back 8 méléna |
front 9 A nursing student asked a nurse about indications for urinary catheterization. Which of following indications should the nurse include? | back 9 open perineal wound |
front 10 A client who underwent surgery is experiencing decreased urine output postoperatively. Which nursing interventions should the nurse consider? | back 10 Use bladder scanner to assess for urine retention. |
front 11 The nurse assessing a client with a permanent ileostomy expects to find a half-full ileostomy bag with _____ feces. | back 11 liquid |
front 12 The purpose of FOBT or "Fecal Blood ____ Test" is to detect the presence of hidden blood in the stool, which may be an indication of gastrointestinal bleeding or colorectal cancer. | back 12 occult |
front 13 To effectively eliminate urine, a client must produce an average of at least _ milliliters of urine each hour. | back 13 30 |
front 14 The large intestine is in chargeof the _____of fluids. | back 14 Réabsorption |
front 15 The term ____ means emptying the bladder | back 15 micturition |
front 16 Which statement describes diuresis? | back 16 Excretion of a high volume of urine. |
front 17 You are taking care of an older adult client who is unable to move independently due to a stroke infection l month ago. What complications of immobility should the nurse watch out for? | back 17 Discoloration or reddening part of the sacrum. |
front 18 Which option should the nurse include in teaching a client with colostomy about foods that may help to control diarrhea? | back 18 pasta |
front 19 During ________ a machine is used to filter harmful wastes, electrolytes, and fluid from the blood which would typically be eliminated in the client's urine by healthy kidneys. | back 19 hemodialysis |
front 20 The nurse is assessing a 37-year old client who is on a 4-day-postoperative following exploratory laparotomy. The nurse noted a moderate pinkish exudate on the dressing. This drainage is known as | back 20 Serosanguineous |
front 21 A client with diabetes mellitus type 1 reports painful foot. The nurse assessing this client understands that an increase in neutrophils and localized swelling are indications of___ | back 21 infection |
front 22 Among the following laboratory values, which one would affect the healing of wounds caused by pressure ulcers? | back 22 Serum albumin of 3.0 grams per deciliter. |
front 23 Which nursing intervention is essential to further prevent skin breakdown for a client with Stage 1 pressure injury affecting both heels? | back 23 Use bilateral heel protectors. |
front 24 A nurse is educating a client about the factors that contribute to the development of constipation. The nurse should include which of the following? | back 24 Use of anesthesia, pregnancy, and immobility |
front 25 What kind of dressing should the nurse apply when caring for a client who has a central venous access site in place? | back 25 transparent films |
front 26 What is the best indicator that a student nurse can differentiate between excoriation and pressure ulcers? | back 26 Pressure ulcers are deeper and worse than excoriation. |
front 27 What nutrient that is essential for repairing and growing tissues should the nurse include when educating a client about foods that promote wound healing? | back 27 protein |
front 28 A thick and milky discharge from a wound that often indicates an infection is called _ drainage. | back 28 purulent |
front 29 A nurse is assessing a client who has a pressure ulcer. The manifestation of stage ___ pressure ulcer includes full-thickness skin loss with necrotic subcutaneous tissue. | back 29 three |
front 30 Which nursing intervention is most appropriate for preventing pressure injuries in a client who is at risk? | back 30 assess the skin of the client on a daily basis |
front 31 Which position is commonly used for procedures such as enemas, rectal exams, and colonoscopies? | back 31 sim’s position |
front 32 Which nursing action would be appropriate to slow down the rate of an enema during administration? | back 32 Lower the height of the enema container. |
front 33 Prior to changing the wound dressing for a client with a painful wound, the nurse anticipates providing the client with ____ medication to promote comfort during the procedure. | back 33 pain |
front 34 A nurse informs a client who has a pyloric obstruction that the insertion of a nasogastric (N.G.) tube can aid in relieving the pressure in the stomach. Which definition best describes pyloric obstruction? | back 34 A narrowing of the opening between the stomach and the small intestine. |
front 35 A client is being assessed by a nurse following a colon surgery. The nurse should focus on reassessing for _sounds based on the effects of anesthesia and manipulation of the bowel during surgery. | back 35 bowel |
front 36 A __________ means collecting all the urine in a special container over the course of an entire day. | back 36 24 hr urine collection |
front 37 Peristalsis is controlled by the | back 37 nervous system |
front 38 Order of auscultation | back 38 RLQ,RUP.LUQ,LLQ |
front 39 increases peristalsis and exacerbates chronic condition | back 39 Emotional distress |
front 40 decreases peristalsis | back 40 epression |
front 41 IAPP | back 41 inspection, auscultation, percussion, palpation |
front 42 collect 3 times, 3 different samples Blue result- positive Make sure all collection are correctly labeled | back 42 Guiac test |
front 43 varices, tears | back 43 Esophagus |
front 44 ulcers, acute gastritis | back 44 Stomach |
front 45 ulcers | back 45 Duodenum |
front 46 Retention oil enema | back 46 lubricate stool |
front 47 Carminative retention eneme | back 47 expel flats |
front 48 Anthelmintic retention enema | back 48 for parasites |
front 49 Medicated retention enema | back 49 provide medications absorbed through rectum |
front 50 Colostomies | back 50 end in colon |
front 51 end in ileum (liquid stool) | back 51 Ileostomies |
front 52 due to cancer & other bowel diseases | back 52 End stomas |
front 53 to resolve medical emergencies (temporary) | back 53 Loop colostomies |
front 54 Assessment for urinary elimination | back 54 frequency, urgency, duration, color, order, discharge |
front 55 Condom cath | back 55 secure to shaft, never to tip |
front 56 Coude cath | back 56 for clients with enlarged prostate |
front 57 Transient | back 57 appears suddenly and last 6 months |
front 58 two or more types of incontinence | back 58 Mixed |
front 59 never getting the urge to go & overflowing | back 59 Overflow |
front 60 trouble getting to the bathroom | back 60 Functional |
front 61 nerve damage, ex: spinal cord injury | back 61 Reflex |
front 62 hardest to treat, we don't know why it happens | back 62 total |
front 63 happens to women that have had multiple births | back 63 stress |
front 64 bladder doesn't allow them time to get to the bathroom | back 64 Urge |
front 65 can change odor, monitor for loose stools & rash | back 65 Antibiotics |
front 66 treat urinary incontinence | back 66 TAC |
front 67 bladder analgesic | back 67 Phenazopyridine |
front 68 many SE, increases blood supply to bladder | back 68 Hormone replacement therapy |