Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 55 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A Intermittent catheterizations
B Application of an ostomy pouch
C Irrigating the urinary diversion
D Exercises to promote sphincter control
Question #2
A Try drinking coffee throughout the day.”
B Limit the number of times you urinate during the day.”
C Use scented powders to disguise any odor.”
D Make sure to eat enough fiber to prevent constipation.”
Question #3
A This medication will prevent re-infection.”
B This will kill the organism causing the infection.”
C This medication will relieve your pain.”
D This medication should be taken at bedtime.”
Question #4
A I should limit my intake of meat and fish.”
B I will eliminate milk and other dairy products from my diet.”
C I should avoid raw fruits and vegetables.”
D Chocolate, spinach, and strawberries are not allowed.”
Question #5
A At the belt line
B At the umbilicus
C Over a bony prominence
D Away from skin folds
Question #6
A Exercises to promote sphincter control
B Irrigating the urinary diversion
C Application of an ostomy pouch
D Intermittent catheterizations
Question #7
A Renal abscess
B Prostatatis
C Urethritis
D Acute pyelonephritis
Question #8
A Hyperthyroidism
B Hyperparathyroidism
C Hypoparathyroidism
D Hypouricemia
Question #9
A Eat plenty of cheese and egg
B Avoid foods such as buttermilk or yogurt.
C Avoid pouches with carbon filters.
D Add a few drops of diluted white vinegar to the pouch.
Question #10
A Stoma ischemia
B Peritonitis
C Postoperative pneumonia
D Stoma retraction
Question #11
A Monitor the continuous bladder irrigation.
B Administer allopurinol (Zyloprim).
C Strain the urine carefully for stone fragments.
D Notify the physician of hematuria.
Question #12
A Urinary incontinence in the elderly population can’t be treated.
B Urinary incontinence isn’t a disease.
C Urinary incontinence is a disease.
D Urinary incontinence is a normal part of aging.
Question #13
A The skin wasn’t lubricated before the pouch was applied.
B Stoma dilation wasn’t performed.
C The pouch faceplate doesn’t fit the stoma.
D skin barrier was applied properly.
Question #14
A Prevent nephron destruction.
B Determine the stone type.
C Relieve the pain.
D Relieve any obstruction.
Question #15
A Bladder retraining
B Interval voiding
C Prompted voiding
D Voiding at given intervals
Question #16
A Calcium
B Cystine
C Uric acid
D Struvite
Question #17
A Bactrim
B Levaquin
C Pyridium
D Septra
Question #18
A Maintain renal function.
B Observe for leakage of urine or stool from the anastomosis.
C Encourage oral intake.
D Assess for signs and symptoms of peritonitis.
Question #19
A Ciprofloxacin
B Levofloxacin
C Nitrofurantoin
D Phenazopyridine
Question #20
A Perform meticulous perineal care daily with soap and water
B Use a sterile technique to disconnect the catheter from the tubing to obtain urine specimens
C Place the catheter bag on the client’s abdomen when moving the client
D Use a clean technique during insertion
Question #21
A Monitor the patient’s intake and output
B Inspect the skin over the fistula or graft for signs of infection
C Note the nail beds and mobility of the fingers
D Palpate for a thrill over the vascular access
Question #22
A Reflex
B Urge
C Stress
D Overflow
Question #23
A Increase fluids to 3 to 4 L/24 hours to dilute the urine.
B Limit his fluid intake to 1.5 L/day to minimize bladder fullness, which could cause backward pressure on the kidneys.
C Decrease his intake of calcium rich foods to prevent kidney stones.
D Decrease his sodium intake to prevent fluid retention.
Question #24
A Hyperparathyroidism
B Diabetes mellitus
C Pancreatitis
D Hyperuricemia
Question #25
A Provide careful perineal care.
B For those patients who are incontinent, insert indwelling catheters
C Assist the patients with frequent toileting.
D Perform hand hygiene prior to patient care.
E Encourage patients to wear briefs.
Question #26
A Macrodantin
B Bactrim
C Septra
D Cipro
Question #27
A The nursing assistant keeps the catheter and drainage bag together when moving the client.
B The nursing assistant places the drainage bag on the client’s abdomen for transport.
C The nursing assistant places the drainage bag on the lower area of the wheelchair for transport.
D The nursing assistant holds the drainage bag while the client moves to the wheelchair
Question #28
A Crusted drainage around the cystoscopy tube
B A white blood count of 12,000 cells/mm3
C Diagnostic studies reporting bladder stones
D New diagnosis of urosepsis
Question #29
A Excessive intake of vitamin D
B Foreign bodies
C Gout
D Neurogenic bladder
Question #30
A Peroxide is recommended for cleaning the urinary catheter.
B The nurse uses nonsterile technique in the hospital setting.
C Catheterization should occur every 4 to 6 hours and before bedtime.
D catheter is rinsed with sterile normal saline after being soaked in a cleaning solution.
Question #31
A Restricting fluid intake to reduce the need to void
B Establishing a predetermined fluid intake pattern for the client
C Encouraging the client to increase the time between voidings
D Assessing present voiding patterns
Question #32
A Dysuria
B Incontinence
C Hematuria
D Frequency
Question #33
A Milk at lunch
B Fruit juice midmorning
C Coffee in the morning
D Ginger ale at dinner time
Question #34
A Implement a low fiber diet
B Void regularly, 5 to 8 times a day
C Use caffeine in moderation
D Take diuretics after 4 PM
Question #35
A Decrease of heart rate
B Relaxation of bladder wall
C Constriction of pupils
D Constriction of bronchioles
Question #36
A Overflow
B Functional
C Stress
D Urge
Question #37
A Encourage frequent ambulation.
B Encourage the client to void every 2 to 3 hours
C Encourage deep-breathing exercises.
D Restrict the client’s sodium intake.
Question #38
A Risk for deficient knowledge: self-catherization
B Risk for infection
C Risk for altered urinary elimination
D Risk for fluid volume excess
Question #39
A Taking the client to the bathroom twice per day
B Consulting with a dietitian
C Encouraging intake of at least 2 L of fluid daily
D Giving the client a glass of soda before bedtime
Question #40
A Ureter
B Urethra
C Bladder
D Kidney
Question #41
A Clean the stoma with soap and water after the patient voids.
B Monitor urine output hourly and report output less than 30 mL/hr
C Administer pain medication every 2 hours.
D the patient every 2 hours around the clock
Question #42
A Take the antibiotic as well as an antifungal for the yeast infection she will probably have.
B Be sure to take the medication with grapefruit juice.
C Take the antibiotic for 3 days as prescribed.
D Understand that if the infection reoccurs, the dose will be higher next time.
Question #43
A apply Karaya powder.
B change the pouching system.
C contact the physician.
D remove the urinary stents.
Question #44
A Reveals causative microorganisms
B risk for chronic pyelonephritis is likely
C Shows damage to the kidneys
D Detects calculi, cysts, or tumors
Question #45
A Pelvic pain
B Painless gross hematuria
C Altered voiding
D Back pain
Question #46
A Obstruction due to fecal impaction or enlarged prostate
B Increased urine production due to metabolic conditions
C Decreased pelvic muscle tone due to multiple pregnancies
D Bladder irritation related to urinary tract infections
Question #47
A Notify the physician of hematuria.
B Administer allopurinol (Zyloprim
C Monitor the continuous bladder irrigation.
D Strain the urine carefully for stone fragments.
Question #48
A Risk for infection
B Acute pain
C Impaired urinary elimination
D Impaired urinary elimination
Question #49
A Secure or patch it with tape.
B Empty the pouch.
C Secure or patch it with barrier paste.
D Change the wafer and pouch.
Question #50
A Drink coffee or tea to increase diuresis
B Drink liberal amount of fluids.
C Take tub baths as opposed to showers.
D Void every 4 to 6 hours.
Question #51
A to wear underwear made from synthetic material
B Suggestion to take tub baths instead of showers
C Need to urinate after engaging in sexual intercourse
D Importance of urinating every 4 to 6 hours while awake
Question #52
A Teach client to increase fluid intake up to 3 liters per day.
B Restrict fluid intake to 1 liter per day.
C Straight catheterize the client every 4 to 6 hours
D Administer acetaminophen (Tylenol).
Question #53
A Deficient knowledge: stoma care
B Disturbed body image
C Situational low self esteem
D Anticipatory grieving
Question #54
A How much fluid are you drinking?”
B When did you last urinate?”
C Have you had a fever and chills?”
D Do you get up at night to urinate?”
Question #55
A advising the client to avoid urinating for at least 6 hours.
B encouraging the client to void immediately.
C performing straight catheterization after 4 hours.
D instructing the client to follow a 2- to 3-hour timed voiding schedule.
Question #56
A evaluate the client’s need for mental health intervention.
B help the client cope with the anxiety associated with changes in body image.
C assess suicidal risk postoperatively.
D assess whether the client is a good candidate for surgery.
Question #57
A Be aware that your urine will be cherry-red for 5 to 7 days
B Increase your fluid intake to 2 to 3 L per day.”
C Apply an antibacterial dressing to the incision daily.”
D Take your temperature every 4 hours.”
Question #58
A Nitrofurantoin
B Phenazopyridine
C Levofloxacin
D Ciprofloxacin
Question #59
A Avoid drinking fluids for 6 hours
B Encourage voiding immediately after catheter removal
C Implement a 2- to 3-hour voiding schedule
D Perform straight catheterization every 4 hours
Question #60
A placement of small amounts of collagen in urethral walls to aid the closing pressure
B procedure that increases storage capacity of the bladder.
C a procedure that increases support to the bladder by tightening the vaginal wall under the urethra.
D implantation of an artificial sphincter that can be inflated to prevent urine loss and deflated to allow urination.
Question #61
A Chronic pain
B Deficient knowledge: management of urinary diversion
C Risk for impaired skin integrity
D Disturbed body image
E Urinary retention
Question #62
A Urinary retention
B Frequency
C Painless hematuria
D Fever
Question #63
A I will not need to worry about being incontinent of urine.”
B A catheter will drain urine directly from my kidney.”
C My urine will be eliminated with my feces.”
D My urine will be eliminated through a stoma.”
Question #64
A Void every 4 to 6 hours.
B Drink liberal amount of fluids.
C Use tub baths as opposed to showers
D Drink coffee or tea to increase diuresis.
Question #65
A Estrogen hormone
B Anticholinergic agent
C Over-the-counter decongestant
D Tricyclic antidepressants