fundies. exam review 11/29

Question 1

The nurse is instructing a pt on kegels. What is she instructing the pt to do?

Answer 1

to tighten the pelvic floor muscles

Question 2

pt should should void 8 hours later. What time will it be ?

Answer 2

5 p.m.

Question 3

pt with prostate enlargement has a catheter and asks why it is attached to their abdomen.

Answer 3

this prevents pulling on meatus

Question 4

when female pt needs to void in a cup. When should you catch it?

Answer 4

mid stream or after they have voided alittle

Question 5

when you dipstick urine what indicates infection?

Answer 5

the presence of leukocytes

Question 6

what is the rationale for developing a prevention program?

Answer 6

Medicaid will no longer reimburse

Question 7

name example of a normal uranalysis

Answer 7

straw colored urine, ph of 6, and 1.015

Question 8

What is occult blood

Answer 8

blood in the stool

Question 9

the nurse needs to plan interventions to combat constipation in pt who has completed a?

Answer 9

barium studies of the bowel

Question 10

when a pt is on Metamucil. What do they need?

Answer 10

large amounts of fluid

Question 11

your pt was in Mexico recently and is c/o of diarrhea. What should you give them?

Answer 11

anti-diarrhea Imodium

Question 12

What drink should you give a dehydrated pt?

Answer 12

Gatorade

Question 13

why should you administer yogurt?

Answer 13

yogurt has acidropalis

Question 14

id your pt is anxious about colostomy placement. What should you do?

Answer 14

an open ended question

Question 15

pt asks nurse what is the difference between a colostomy and a ileostomy?

Answer 15

colostomy is from the colon and ileostomy is attached to the ileum

Question 16

is cheese a constipating agent?

Answer 16

yes

Question 17

name the age related changes in the intestinal tract

Answer 17

decreased motility of the large intestine, decreased absorption of vitamin b, and atrophy of the villi in the small intestine.

Question 18

your client is 82 years old and exercises/ socializes. What theory is this?

Answer 18

activity theory

Question 19

85 year old widow is forgetting this indicates further assessment is needed to evaluate?

Answer 19

a need for increased level of care

Question 20

the nurse knows that the immune system failure theory states that older adults will lose their ability to respond to infections and ?

Answer 20

may even die from them

Question 21

when you have an older client and they reminisce about heir life during their interview which indicates?

Answer 21

ego integrity-affirms positives of their life

Question 22

a home health aid notices a client has bruises on their face and arms. What should you do?

Answer 22

report to their nursing supervisor who should then report it the authorities

Question 23

a 76 year old who has to get out of bed to void has some incontinence. What is the best explanation for this?

Answer 23

as a pt’s get older they start losing bladder muscle tone so they hold less urine as a result

Question 24

a client tells the home health nurse they are afraid to get out of bed because they are afraid of falling. What does the nurse do?

Answer 24

get a PT consult

Question 25

Your pt hass fallen twice in the last couple of days because they have altered depth perception due to their cataracts . What should the nurse know based on this information?

Answer 25

the cause o the pt’s falls is due to altered depth perception

Question 26

Why are the elderly more likely to fracture bones when they fall?

Answer 26

loss of calcium

Question 27

older adults ae more likely to develop lower respiratory infections when exposed to illness as a result of?

Answer 27

weakened respiratory muscles and fewer cilia

Question 28

the nurse should encourage

Answer 28

exercise 30 mins a day 5 days a week

Question 29

a pt tells the nurse they had a good rewarding life. The nurse is aware the pt attained eriksons stage of?

Answer 29

integrity

Question 30

when the elderly experiences suicidal thoughts they are more likely to do what?

Answer 30

act on them successfully

Question 31

elderly physical changes such as being cold all of the time is because of?

Answer 31

low thyroid hormone levels and decrease of subcutaneous fat

Question 32

primary instance of elder abuse is?

Answer 32

neglect

Question 33

the nurse is caring for a dehydrated pt who has a Foley . What should you asses for?

Answer 33

adequate urine output-30 mL

Question 34

how do you prevent recurrent cystitis in a pt?

Answer 34

advise them to wear cotton under and avoid nylon underwear and tight clothing

Question 35

for an elderly pt with a UTI

Answer 35

observe for confusion

Question 36

to prevent chemical characteristic changes after obtaining a urine sample. Send urine..?

Answer 36

within 10- 15 mins

Question 37

24 hour urine collection have pt void at

Answer 37

the beginning of the collection throw it away

Question 38

use a sieve for…?

Answer 38

urolithiasis

Question 39

if your pt feels too weak to walk to the bathroom place a?

Answer 39

commode at the bedside

Question 40

when offering a bedpan make sure the…

Answer 40

HOB is elevated

Question 41

the nurse will help the pt to void by

Answer 41

running water in a nearby sink

Question 42

urinary catheter should be

Answer 42

18’

Question 43

leaving 1-2 inches between the tip of the penis and the drainage part is?

Answer 43

inappropriate technique

Question 44

what prostate surgery catheter provides continuous irrigation?

Answer 44

koch

Question 45

nurse is cleaning the perineal area

Answer 45

cleanse downward towards the urinary meatus

Question 46

when attempting to Cath a male pt.

Answer 46

the first thing is for the pt to take a deep breath