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