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