MCQ Flashcards
Urinary retention is:
Inability to completely empty the bladder
The patient is an 86-year-old male who is incontinent at night. An appropriate alternative to catheterisation for this patient would be:
Place a uridome
The mechanism of action of the oral laxative docusate sodium (coloxyl) is:
Stimulates an increase of water the stool absorbs in the gut, making the stool softer and easier to pass
The nurse begins to suspect faecal impaction in a patient who has not passed a stool in 10 days when the patient
abdomen pain liquid stool - overflow malaise persistant erge bleeding absent bowel sounds in LLQ distended lower abdomen tenderness on palpation dull sound on percussion
An elderly patient states that she is worried because she has not had a bowel movement each day. The nurse’s best response concerning defecation patterns for elderly people would be:
Elderly patients are more prone to developing constipation due to interaction with a number of factors:
physiological - lack of fibre, poor fluid intake, poor detention.
functional - decrease in mobility, ignoring urge to defecate etc.
mechanical - any condition the slows peristalsis or causes obstruction.
psychological - depression, confusion, stress, avoidance.
pharmacological - numerus medications.
Ascites is defined as:
Abnormal accumulation of of serous fluid in the peritoneal cavity, causing swelling.
What is a normal finding on palpation of the abdomen?
No tenderness or pain
When inspecting a client’s abdominal contour, the nurse observes the abdomen to be sunken with the lower edges of the ribs visible. The nurse describes and documents this as:
Protuberant
A nurse asks a patient to turn their palm down with the elbows straight. The specific joint movement the nurse is testing for is:
Pronation of the elbow
You are inspecting your client’s spinal symmetry and assessing their posture. You identify that the client has kyphosis. This is:
Abnormally excessive convex curvature of the spine as it occurs in the thoracic and sacral regions.
The nurse is examining the ROM of a client’s shoulder. Which of the following is a normal finding?
Bilateral full active and painless ROM with no crepitus.
You are caring for Mr Smith who has been admitted following a mechanical fall. You are reviewing his nursing care plan. Which component of the care plan indicates that the patient’s problems have been appropriately described?
Nursing diagnosis.
When using a mobile hoist with a dependent patient, identify the correct rule:
The nurse must be accompanied by another nurse/HCA.\
LITE assessment
The older person’s tendency to take smaller steps with feet close together will mostly likely result in:
Increased risk of falls and injury.
A person with a normal gait should demonstrate all of the below actions, except:
natural gait: Coordinate movements, able to maintain balanced posture and body alignment during movement.
unnatural gait: unbalanced (shuffles weight to either side) uncoordinated movements and poor body alignment.
To ensure safe administration of medications the nurse must be aware of the seven rights of medication administration. These are the right:
Medications, dose, patient, time route, reason and documentation.
What is the term given to an unexpected effect of a medication?
Adverse drug reaction
A nurse administers medication to a patient. Who has the ultimate responsibility for the medication to be administered correctly?
The nurse
While the nurse is administering medication, the patient states, “This pill looks different to what I usually take.” What is the correct practice in this situation?
Review 7 rights/ double check
