PACK WITH DETAILED ANSWER KEY
◉A condom catheter is to be used for an adult male client in the
extended care facility. Which of the following techniques is
appropriate for the nurse to use in applying the condom catheter?
Select one:
a. Using sterile gloves
b. Wrapping the adhesive tape securely around the base of the penis
c. Leaving a 2.5- to 5-cm space between the tip of the penis and the
end of the catheter
d. Taping the tubing tightly to the thigh and attaching the drainage
bag to the bed frame. Answer: c. Leaving a 2.5- to 5-cm space
between the tip of the penis and the end of the catheter
◉A client in the hospital has an indwelling urinary catheter, and the
nurse is instructing the nursing student in the appropriate care to
provide. Which one of the following does the nurse teach the student
to do?
Select one:
,a. Empty the drainage bag at least q8h.
b. Cleanse up the length of the catheter to the perineum.
c. Use sterile technique to obtain a specimen for culture and
sensitivity.
d. Place the drainage bag on the client's lap while transporting the
client to testing.. Answer: a. Empty the drainage bag at least q8h.
◉An order is written for the client's indwelling urinary
catheterization to be discontinued. While observing the new staff
nurse providing care to this client and implementing the
prescriber's order, the unit manager determines that further
instruction about catheter removal is required for the new nurse if
he or she does which one of the following?
Select one:
a. Drapes the female client between the thighs
b. Obtains a specimen before removal
c. Cuts the catheter to deflate the balloon
d. Checks the client's output for 24 hours after removal. Answer: c.
Cuts the catheter to deflate the balloon
◉Which one of the following measures should be included in a
bladder-retraining program for a client in an extended care facility?
,Select one:
a. Providing negative reinforcement when the client is incontinent
b. Having the client wear adult diapers as a preventive measure
c. Initiating a voiding schedule
d. Promoting the intake of caffeine to stimulate voiding. Answer: c.
Initiating a voiding schedule
◉The nurse is caring for clients on a postoperative unit in the
medical centre. The nurse is alert to the possibility that for 24 to 48
hours of the postoperative period, clients may experience which of
the following symptoms as a result of the anesthetic used during the
surgery?
Select one:
a. Colitis
b. Stomatitis
c. Paralytic ileus
d. Gastrocolic reflex. Answer: c. Paralytic ileus
◉A client is to have a stool test for occult blood. The nurse is
instructing the nursing assistant in the correct procedure for the
test. The nursing assistant is correctly informed when the nurse
explains which one of the following?
, Select one:
a. Sterile technique is used for collection.
b. Stool should be collected over a three-day period.
c. The specimen should be kept warm.
d. A 2.5-cm sample of formed stool is needed.. Answer: d. A 2.5-cm
sample of formed stool is needed.
◉The client is seen in the gastroenterology clinic after having
experienced changes in his bowel elimination. A colonoscopy is
ordered and the client has questions about the examination. What
information should the nurse give the client before the colonoscopy?
Select one:
a. No special preparation is required.
b. Light sedation is normally used.
c. No metallic objects are allowed.
d. Swallowing of an opaque liquid is required.. Answer: b. Light
sedation is normally used.
◉The nurse is concerned that the client's abdominal wound is at
risk for dehiscence. Which of the following interventions is the best
one to prevent this complication?
Select one: