Week 4: Input and Output Flashcards
Which of the following instructions by the nurse given to the client would help promote urinary elimination:
A) Urine colour changes are not important
B) Wash with soap and water every other day
C) Dink 8 to 10 glasses of water daily
D) Don’t interrupt your day by going to the bathroom; wait until you’re at a good stopping place
C. Drink 8 to 10 glasses of water daily.
Which of the following nursing diagnoses would be appropriate for a client who has a retention catheter if the drainage bag is found lying on the floor:
A) Risk for incontinence related to an obstruction
B) Risk for infection related to improper handling
C) Self Care Deficit related to presence of a retention catheter
D) Risk for impaired skin integrity related to catheter placement
B. Risk for Infection related to improper handling.
A nurse is undertaking urinalysis and notices that the pH is 5.5. The nurse would:
A) report it immediately to the doctor
B) record and document the findings as normal
C) collect a midstream urine to send to pathology
D) none of the above
B. record and document the findings as normal
The desire to void is reached when there are ….. mL in the bladder
The correct answer is: 250-450 mL
The client who has undergone a gastrointestinal surgery is permitted to have a clear liquid diet on the second postoperative day. Which fluid should the nurse order for this client?
A) Cranberry juice
B) Tomato juice because it’s the client’s favourite
C) Apricot nectar
D) Chicken broth
D. Chicken broth
At 7:15am, two assistants in nursing are assigned the task of feeding breakfast to four incapacitated clients. What instruction should the nurse include in this delegation?
A) Give fluids before and after each bite of solid food
B) Stand to the left of right handed clients during feeding
C) Engage the client in conversation during the meal
D) Breakfast should be completed by 8am so that baths may begin
C. Engage the client in conversation during the meal.
When attending to perineal care the nurse should:
A) Clean the labia minora before cleaning the labia majora
B) retract the foreskin to expose the glans penis in uncircumcised males
C) Ensure that the perineum remains most to minimise the risk of skin breakdown
D) all of the available options
E) use a clean washer for females who have a catheter or are menstruating
F) None of the available options
b. retract the foreskin to expose the glans penis in uncircumcised males
When undertaking a stool assessment the nurse should note all of the following except:
A) the colour and consistency of the stool
B) alterations in the patient’s pattern of defecation
C) the pH and specific gravity of the stool
D) frequency and consistency of the stool
c. the pH and specific gravity of the stool
You are required to apply a urodome to a patient for enuresis. On inspection of the penis you identify some discharge from the uretheral meatus. In response you:
Select one:
a. Clean the meatus, swab the area, apply the urodome, document in the notes and report findings to your supervising RN. Correct
b. Apply the urodome, document in the notes and notify the doctor
c. Swab the area, clean the meatus, apply the urodome and notify the doctor
d. All of the available options
e. Swab the area, remove the urodome and tell the nurse in charge
a. Clean the meatus, swab the area, apply the urodome, document in the notes and report findings to your supervising RN.
Which of the following represents the appropriate nursing management of a client wearing a uridome catheter?
Select one:
a. Tape the collecting tubing to the lower abdomen. IncorrectThe tubing is taped to the leg or attached to a leg bag. An indwelling catheter is taped to the lower abdomen or upper thigh.
b. Check the penis for adequate circulation 30 minutes after applying.
c. Change the condom every 8 hours
d. Ensure that the tip of the penis fits snugly against the end of the condom
b. Check the penis for adequate circulation 30 minutes after applying.
