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 Exercises to promote sphincter control
D Irrigating the urinary diversion
Question #2
A Use scented powders to disguise any odor.”
B Try drinking coffee throughout the day.”
C Make sure to eat enough fiber to prevent constipation.”
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 will prevent re-infection.”
C This medication should be taken at bedtime.”
D This medication will relieve your pain.”
Question #4
A I will eliminate milk and other dairy products from my diet.”
B I should limit my intake of meat and fish.”
C Chocolate, spinach, and strawberries are not allowed.”
D I should avoid raw fruits and vegetables.”
Question #5
A At the umbilicus
B Away from skin folds
C At the belt line
D Over a bony prominence
Question #6
A Application of an ostomy pouch
B Exercises to promote sphincter control
C Irrigating the urinary diversion
D Intermittent catheterizations
Question #7
A Renal abscess
B Prostatatis
C Urethritis
D Acute pyelonephritis
Question #8
A Hypoparathyroidism
B Hypouricemia
C Hyperparathyroidism
D Hyperthyroidism
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 retraction
B Stoma ischemia
C Postoperative pneumonia
D Peritonitis
Question #11
A Strain the urine carefully for stone fragments.
B Monitor the continuous bladder irrigation.
C Notify the physician of hematuria.
D Administer allopurinol (Zyloprim).
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 skin barrier was applied properly.
B The pouch faceplate doesn’t fit the stoma.
C The skin wasn’t lubricated before the pouch was applied.
D Stoma dilation wasn’t performed.
Question #14
A Relieve the pain.
B Prevent nephron destruction.
C Determine the stone type.
D Relieve any obstruction.
Question #15
A Interval voiding
B Bladder retraining
C Voiding at given intervals
D Prompted voiding
Question #16
A Cystine
B Struvite
C Calcium
D Uric acid
Question #17
A Pyridium
B Bactrim
C Septra
D Levaquin
Question #18
A Encourage oral intake.
B Maintain renal function.
C Assess for signs and symptoms of peritonitis.
D Observe for leakage of urine or stool from the anastomosis.
Question #19
A Levofloxacin
B Phenazopyridine
C Ciprofloxacin
D Nitrofurantoin
Question #20
A Use a sterile technique to disconnect the catheter from the tubing to obtain urine specimens
B Perform meticulous perineal care daily with soap and water
C Use a clean technique during insertion
D Place the catheter bag on the client’s abdomen when moving the client
Question #21
A Monitor the patient’s intake and output
B Palpate for a thrill over the vascular access
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 Stress
B Overflow
C Reflex
D Urge
Question #23
A Decrease his sodium intake to prevent fluid retention.
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 Limit his fluid intake to 1.5 L/day to minimize bladder fullness, which could cause backward pressure on the kidneys.
Question #24
A Diabetes mellitus
B Hyperparathyroidism
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 Bactrim
B Macrodantin
C Cipro
D Septra
Question #27
A The nursing assistant places the drainage bag on the client’s abdomen for transport.
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 holds the drainage bag while the client moves to the wheelchair
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 Foreign bodies
B Neurogenic bladder
C Gout
D Excessive intake of vitamin D
Question #30
A The nurse uses nonsterile technique in the hospital setting.
B catheter is rinsed with sterile normal saline after being soaked in a cleaning solution.
C Peroxide is recommended for cleaning the urinary catheter.
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 Hematuria
B Incontinence
C Frequency
D Dysuria
Question #33
A Fruit juice midmorning
B Ginger ale at dinner time
C Coffee in the morning
D Milk at lunch
Question #34
A Implement a low fiber diet
B Take diuretics after 4 PM
C Void regularly, 5 to 8 times a day
D Use caffeine in moderation
Question #35
A Constriction of bronchioles
B Decrease of heart rate
C Relaxation of bladder wall
D Constriction of pupils
Question #36
A Functional
B Overflow
C Urge
D Stress
Question #37
A Restrict the client’s sodium intake.
B Encourage deep-breathing exercises.
C Encourage frequent ambulation.
D Encourage the client to void every 2 to 3 hours
Question #38
A Risk for fluid volume excess
B Risk for infection
C Risk for deficient knowledge: self-catherization
D Risk for altered urinary elimination
Question #39
A Giving the client a glass of soda before bedtime
B Encouraging intake of at least 2 L of fluid daily
C Consulting with a dietitian
D Taking the client to the bathroom twice per day
Question #40
A Urethra
B Kidney
C Ureter
D Bladder
Question #41
A Administer pain medication every 2 hours.
B Monitor urine output hourly and report output less than 30 mL/hr
C Clean the stoma with soap and water after the patient voids.
D the patient every 2 hours around the clock
Question #42
A Understand that if the infection reoccurs, the dose will be higher next time.
B Take the antibiotic as well as an antifungal for the yeast infection she will probably have.
C Take the antibiotic for 3 days as prescribed.
D Be sure to take the medication with grapefruit juice.
Question #43
A change the pouching system.
B remove the urinary stents.
C apply Karaya powder.
D contact the physician.
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 Altered voiding
B Pelvic pain
C Painless gross hematuria
D Back pain
Question #46
A Bladder irritation related to urinary tract infections
B Increased urine production due to metabolic conditions
C Obstruction due to fecal impaction or enlarged prostate
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 Risk for infection
C Acute pain
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 Drink liberal amount of fluids.
B Void every 4 to 6 hours.
C Take tub baths as opposed to showers.
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 Need to urinate after engaging in sexual intercourse
D to wear underwear made from synthetic material
Question #52
A Straight catheterize the client every 4 to 6 hours
B Restrict fluid intake to 1 liter per day.
C Administer acetaminophen (Tylenol).
D Teach client to increase fluid intake up to 3 liters per day.
Question #53
A Situational low self esteem
B Deficient knowledge: stoma care
C Anticipatory grieving
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 encouraging the client to void immediately.
B advising the client to avoid urinating for at least 6 hours.
C instructing the client to follow a 2- to 3-hour timed voiding schedule.
D performing straight catheterization after 4 hours.
Question #56
A evaluate the client’s need for mental health intervention.
B assess whether the client is a good candidate for surgery.
C help the client cope with the anxiety associated with changes in body image.
D assess suicidal risk postoperatively.
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 Phenazopyridine
B Nitrofurantoin
C Levofloxacin
D Ciprofloxacin
Question #59
A Implement a 2- to 3-hour voiding schedule
B Encourage voiding immediately after catheter removal
C Avoid drinking fluids for 6 hours
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 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 a procedure that increases support to the bladder by tightening the vaginal wall under the urethra.
Question #61
A Deficient knowledge: management of urinary diversion
B Urinary retention
C Disturbed body image
D Risk for impaired skin integrity
E Chronic pain
Question #62
A Urinary retention
B Painless hematuria
C Fever
D Frequency
Question #63
A A catheter will drain urine directly from my kidney.”
B I will not need to worry about being incontinent of urine.”
C My urine will be eliminated through a stoma.”
D My urine will be eliminated with my feces.”
Question #64
A Void every 4 to 6 hours.
B Use tub baths as opposed to showers
C Drink liberal amount of fluids.
D Drink coffee or tea to increase diuresis.
Question #65
A Over-the-counter decongestant
B Tricyclic antidepressants
C Anticholinergic agent
D Estrogen hormone