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 Exercises to promote sphincter control
D Intermittent catheterizations
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 limit my intake of meat and fish.”
B Chocolate, spinach, and strawberries are not allowed.”
C I will eliminate milk and other dairy products from my diet.”
D I should avoid raw fruits and vegetables.”
Question #5
A At the belt line
B At the umbilicus
C Over a bony prominence
D Away from skin folds
Question #6
A Intermittent catheterizations
B Irrigating the urinary diversion
C Exercises to promote sphincter control
D Application of an ostomy pouch
Question #7
A Acute pyelonephritis
B Prostatatis
C Renal abscess
D Urethritis
Question #8
A Hypouricemia
B Hyperparathyroidism
C Hyperthyroidism
D Hypoparathyroidism
Question #9
A Avoid foods such as buttermilk or yogurt.
B Add a few drops of diluted white vinegar to the pouch.
C Avoid pouches with carbon filters.
D Eat plenty of cheese and egg
Question #10
A Peritonitis
B Stoma retraction
C Postoperative pneumonia
D Stoma ischemia
Question #11
A Strain the urine carefully for stone fragments.
B Administer allopurinol (Zyloprim).
C Monitor the continuous bladder irrigation.
D Notify the physician of hematuria.
Question #12
A Urinary incontinence is a normal part of aging.
B Urinary incontinence in the elderly population can’t be treated.
C Urinary incontinence isn’t a disease.
D Urinary incontinence is a disease.
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 Determine the stone type.
B Relieve any obstruction.
C Relieve the pain.
D Prevent nephron destruction.
Question #15
A Prompted voiding
B Interval voiding
C Voiding at given intervals
D Bladder retraining
Question #16
A Uric acid
B Struvite
C Cystine
D Calcium
Question #17
A Bactrim
B Levaquin
C Pyridium
D Septra
Question #18
A Maintain renal function.
B Encourage oral intake.
C Observe for leakage of urine or stool from the anastomosis.
D Assess for signs and symptoms of peritonitis.
Question #19
A Levofloxacin
B Phenazopyridine
C Ciprofloxacin
D Nitrofurantoin
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 Perform meticulous perineal care daily with soap and water
D Use a clean technique during insertion
Question #21
A Palpate for a thrill over the vascular access
B Monitor the patient’s intake and output
C Inspect the skin over the fistula or graft for signs of infection
D Note the nail beds and mobility of the fingers
Question #22
A Urge
B Stress
C Reflex
D Overflow
Question #23
A Increase fluids to 3 to 4 L/24 hours to dilute the urine.
B Decrease his sodium intake to prevent fluid retention.
C Limit his fluid intake to 1.5 L/day to minimize bladder fullness, which could cause backward pressure on the kidneys.
D Decrease his intake of calcium rich foods to prevent kidney stones.
Question #24
A Hyperuricemia
B Hyperparathyroidism
C Diabetes mellitus
D Pancreatitis
Question #25
A Perform hand hygiene prior to patient care.
B Assist the patients with frequent toileting.
C Encourage patients to wear briefs.
D Provide careful perineal care.
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 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 keeps the catheter and drainage bag together when moving the client.
Question #28
A Diagnostic studies reporting bladder stones
B New diagnosis of urosepsis
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 Neurogenic bladder
C Foreign bodies
D Gout
Question #30
A Catheterization should occur every 4 to 6 hours and before bedtime.
B The nurse uses nonsterile technique in the hospital setting.
C catheter is rinsed with sterile normal saline after being soaked in a cleaning solution.
D Peroxide is recommended for cleaning the urinary catheter.
Question #31
A Encouraging the client to increase the time between voidings
B Restricting fluid intake to reduce the need to void
C Assessing present voiding patterns
D Establishing a predetermined fluid intake pattern for the client
Question #32
A Hematuria
B Incontinence
C Dysuria
D Frequency
Question #33
A Coffee in the morning
B Milk at lunch
C Fruit juice midmorning
D Ginger ale at dinner time
Question #34
A Take diuretics after 4 PM
B Implement a low fiber diet
C Void regularly, 5 to 8 times a day
D Use caffeine in moderation
Question #35
A Constriction of bronchioles
B Constriction of pupils
C Decrease of heart rate
D Relaxation of bladder wall
Question #36
A Stress
B Overflow
C Functional
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 deficient knowledge: self-catherization
C Risk for fluid volume excess
D Risk for infection
Question #39
A Giving the client a glass of soda before bedtime
B Taking the client to the bathroom twice per day
C Encouraging intake of at least 2 L of fluid daily
D Consulting with a dietitian
Question #40
A Kidney
B Ureter
C Urethra
D Bladder
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 for 3 days as prescribed.
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 as well as an antifungal for the yeast infection she will probably have.
Question #43
A contact the physician.
B change the pouching system.
C remove the urinary stents.
D apply Karaya powder.
Question #44
A Reveals causative microorganisms
B risk for chronic pyelonephritis is likely
C Detects calculi, cysts, or tumors
D Shows damage to the kidneys
Question #45
A Painless gross hematuria
B Altered voiding
C Back pain
D Pelvic pain
Question #46
A Bladder irritation related to urinary tract infections
B Obstruction due to fecal impaction or enlarged prostate
C Increased urine production due to metabolic conditions
D Decreased pelvic muscle tone due to multiple pregnancies
Question #47
A Administer allopurinol (Zyloprim
B Notify the physician of hematuria.
C Strain the urine carefully for stone fragments.
D Monitor the continuous bladder irrigation.
Question #48
A Impaired urinary elimination
B Acute pain
C Impaired urinary elimination
D Risk for infection
Question #49
A Secure or patch it with tape.
B Change the wafer and pouch.
C Secure or patch it with barrier paste.
D Empty the pouch.
Question #50
A Drink liberal amount of fluids.
B Take tub baths as opposed to showers.
C Void every 4 to 6 hours.
D Drink coffee or tea to increase diuresis
Question #51
A Suggestion to take tub baths instead of showers
B Need to urinate after engaging in sexual intercourse
C to wear underwear made from synthetic material
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 Anticipatory grieving
D Situational low self esteem
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 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 help the client cope with the anxiety associated with changes in body image.
B assess suicidal risk postoperatively.
C evaluate the client’s need for mental health intervention.
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 Apply an antibacterial dressing to the incision daily.”
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 Levofloxacin
D Ciprofloxacin
Question #59
A Implement a 2- to 3-hour voiding schedule
B Avoid drinking fluids for 6 hours
C Perform straight catheterization every 4 hours
D Encourage voiding immediately after catheter removal
Question #60
A a procedure that increases support to the bladder by tightening the vaginal wall under the urethra.
B implantation of an artificial sphincter that can be inflated to prevent urine loss and deflated to allow urination.
C procedure that increases storage capacity of the bladder.
D placement of small amounts of collagen in urethral walls to aid the closing pressure
Question #61
A Deficient knowledge: management of urinary diversion
B Disturbed body image
C Urinary retention
D Risk for impaired skin integrity
E Chronic pain
Question #62
A Painless hematuria
B Fever
C Frequency
D Urinary retention
Question #63
A I will not need to worry about being incontinent of urine.”
B My urine will be eliminated through a stoma.”
C A catheter will drain urine directly from my kidney.”
D My urine will be eliminated with my feces.”
Question #64
A Drink liberal amount of fluids.
B Use tub baths as opposed to showers
C Drink coffee or tea to increase diuresis.
D Void every 4 to 6 hours.
Question #65
A Estrogen hormone
B Over-the-counter decongestant
C Tricyclic antidepressants
D Anticholinergic agent