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:
- Urodome
- Less fluid in the evening
- Regular toileting
- Antidiuretic medication
- Incontinence pad
The mechanism of action of the oral laxative docusate sodium (coloxyl) is:
increases the amount of water the stool absorbs in the gut. This makers 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
- Abdo pain
- Liquid stool – overflow
- Malaise
- Persistent urge
- Bleeding
- Absent bowel sounds
- Distended lower ab
- Tenderness on palpation
- Dull sounds 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:
Older adults are prone to developing constipation for a number of factors:
- Physiological: lack of fibre in diet, poor fluid intake, poor dentition
- Functional: decrease in mobility
- Psychological: depression, confusion, stress, avoidance
- Systemic: any condition that alters physiology
- Pharmacological: medications
ask what her usual elimination pattern is, and if there has been any recent changes within her stools, diet ect.
Ascites is defined as:
Abnormal accumulation of fluid with in the abdomen.
- distended/swollen abdomen caused by an accumulation of fluid in the anterior peritoneal cavity.
What is a normal finding on palpation of the abdomen?
Non tender, and no masses. bladder should be non-palpable without tenderness.
- abdo is nontender and soft, no guarding with light palpation
- normal tenderness of xiphoid, aorta, caecum sigmoid colon and ovaries with deep palpation
- no palpable masses and umbilicus free or swelling, bulges or masses on deep palpation
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:
Scaphoid
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
A client who presents in the medical centre with lower limb pain following a motor vehicle accident requires a musculoskeletal assessment. When completing the assessment, the nurse should apply all of the following principles except:
Asking patient to move the joint quickly whilst applying pressure
You are inspecting your client’s spinal symmetry and assessing their posture. You identify that the client has kyphosis. This is:
a curvature of the spine in the upper back measuring 50 degrees or greater.
“hunchback”
The nurse is examining the ROM of a client’s shoulder. Which of the following is a normal finding?
No tenderness, pain or crepitus. full ROM
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:
- LITE assessment
- how many assist
The older person’s tendency to take smaller steps with feet close together will mostly likely result in:
- falls risk
- tripping hazard
A person with a normal gait should demonstrate all of the below actions, except:
- dragging feet
- legs bend inwards
- toes scrape ground
- waddling
- limp
To ensure safe administration of medications the nurse must be aware of the seven rights of medication administration. These are the right:
- medication
- client
- dose
- time
- reason
- route
- documentation
What is the term given to an unexpected effect of a medication?
Adverse effect
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?
- Identification of patient
- Check correct medication
- check with doctor
- check medication history
