Answers.
Define urinary retention - Answer Urinary retention is a condition in which you are unable to
empty all the urine from your bladder. Urinary retention is not a disease, but a condition that
may be related to other health problems, such as prostate problems in men or a cystocele in
women.
While taking a health history from your client, a 53-year-old female, she discloses to you that
she sometimes experiences urinary incontinence when she sneezes and laughs. What would be
the most appropriate response to this information?? (3) - Answer Let them know they're not
alone and that urinary incontinence is not something they have to live with.
Provide education about pelvic floor muscle training exercises, timed voiding, lifestyle
modification, and incontinence products.
Encourage them to learn more about their condition so they can optimally manage it and
improve their quality of life.
The nurse notes that a patient has had a black, tarry stool and recalls that a possible cause
would be: (2) - Answer Melena - bleeding somewhere inside the upper gastrointestinal
tractConsumption of iron supplements
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 is - Answer "The number of
bowel movements per week varies greatly between people. What is your usual bowel pattern?"
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 is - Answer "The number of
bowel movements per week varies greatly between people. What is your usual bowel pattern?"
MEDS? DIET? EXERCISE?
Which of the following statements regarding ageing adults and abdominal assessments is true?
- Answer It decreases with the GI tract, not functioning as well anymore.
What is a normal finding on palpation of the abdomen? - Answer Abdomen soft to touch
with no masses, swelling, pain, and rigidity
, During report the student nurse hears that a patient has 'hepatomegaly' and recognises that the
term refers to: - Answer Hepatomegaly is enlargement of the liver beyond its normal size.
When inspecting a client's abdominal contour, the nurse observes the abdomen to be swollen
and distended. The nurse describes and documents this as: - Answer Visual inspection finds
the abdomen to be swollen and distended.
Ascites?
A patient tells the nurse that she is having a hard time bringing her hand to her mouth when
she eats or tries to brush her teeth. The nurse knows that for her to move her hand to her
mouth, she must perform the following movement: - Answer Flexion of elbow
Define Scoliosis - Answer lateral curvature of the thorcic spine
Normal finding of Shoulder ROM - Answer Full active ROM of the shoulder with smooth
movement
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 objective
has been achieved? - Answer Evaluation
When using a mobile hoist with a dependent patient, which of the following statements is
correct? - Answer Always use a hoist with the brakes of the hoist 'off' to ensure stability.
The older person's tendency to take smaller steps with feet close together will mostly likely
result in: - Answer A fall.
The most significant hazard of restricted mobility is - Answer Deep vein thrombosis
What is the prime purpose for maintaining a fluid balance chart for a hospitalised client? -
Answer The aim of a fluid balance chart is to keep an accurate record of a patient's fluid
input and output and to identify any deficits or an excess of fluid.
List the seven rights of medication administration - Answer Right patient
Right drug
Right dose
Right time
Right route