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