NUR2356 MDC 1 Exam 1
Complica ons of urinary elimina on
- UTIs
UTI pa ent educa on
- wipe front to back
- pee before and a er sex
- cleanse beneath foreskin
- provide catheter care regularly (nurses)
A client who has an indwelling catheter reports a need to urinate. Which of the following
ac ons should the nurse take?
A. Check to see whether the catheter is patent
B. Reassure the client that it is not possible for them to urinate.
C. Recatheterize the bladder with a larger-gauge catheter.
D. Collect a urine specimen for analysis.
A nurse is preparing to ini ate a bladder-retraining program for a client who has incon nence.
Which of the following ac ons should the nurse take? (Select all that apply.)
A. Restrict the client's intake of fluids during the day me.
B. Have the client record urina on mes.
C. Gradually increase the urina on intervals.
D. Remind the client to hold urine un l the next scheduled urina on me.
E. Provide a sterile container for urine
A nurse is reviewing factors that increase the risk of urinary tract infec ons (UTIs) with a client
who has recurrent UTIs. Which of the following factors should the nurse include? (Select all that
apply.)
A. Frequent sexual intercourse
B. Lowering of testosterone levels
C. Wiping from front to back to clean the perineum D. Loca on of the urethra closer to the
anus
,E. Frequent catheteriza on
A nurse is teaching a client who reports stress urinary incon nence. Which of the following
instruc ons should the nurse include? (Select all that apply.)
A. Limit total daily fluid intake.
B. Decrease or avoid caffeine.
C. Take calcium supplements.
D. Avoid drinking alcohol.
E. Use the Credé maneuver
When you see indica ons of skin breakdown, what is your next ac on?
- Elevate and use correc ve devices (pillows, foot boots, trochanter rolls, splints, wedge pillows)
What does PQRST stand for?
Pallia ve/Provoking
Quality
Region/Radia on
Severity
Timing
What are some nonverbal signs of pain?
- grimacing
- moaning
- flinching
- guarding
- decreased a9en on span
- restlessness, pacing
What do vital signs look like during acute pain?
- BP increased
- Pulse increased
- RR increased
Before nurses give a pain medica on, what should they assess?
- drug interac ons
- allergies
, - vital signs
- side effects
What are common side effects to pain medica ons?
- low BP
- low HR
- seda on
- respiratory depression
- orthosta c hypotension
- urinary reten on
- nausea/vomi ng
- cons pa on
A er administering pain medica on, what is the follow up?
- reevaluate pain level
- if given orally, follow up q 1 hour
- if given IV, follow up q 15 min
- check vital signs!
What are the complica ons related to pain management?
- anxiety
- fear
-depression
- slower healing
- slower recovery
superficial pain usually involving the skin or subcutaneous ssue
- cutaneous pain
pain in internal organs (the stomach or intes nes). It can cause referred pain in other body
loca ons separate from the s mulus
- visceral pain
a type of neuropathic pain: sensa on of pain without demonstrable physiologic or pathologic
substance; commonly observed a er the amputa on of a limb
- phantom pain
Arises from abnormal or damaged pain nerves. It includes phantom limb pain, pain below the
level of a spinal cord injury, and diabe c neuropathy: "pins and needles"
Complica ons of urinary elimina on
- UTIs
UTI pa ent educa on
- wipe front to back
- pee before and a er sex
- cleanse beneath foreskin
- provide catheter care regularly (nurses)
A client who has an indwelling catheter reports a need to urinate. Which of the following
ac ons should the nurse take?
A. Check to see whether the catheter is patent
B. Reassure the client that it is not possible for them to urinate.
C. Recatheterize the bladder with a larger-gauge catheter.
D. Collect a urine specimen for analysis.
A nurse is preparing to ini ate a bladder-retraining program for a client who has incon nence.
Which of the following ac ons should the nurse take? (Select all that apply.)
A. Restrict the client's intake of fluids during the day me.
B. Have the client record urina on mes.
C. Gradually increase the urina on intervals.
D. Remind the client to hold urine un l the next scheduled urina on me.
E. Provide a sterile container for urine
A nurse is reviewing factors that increase the risk of urinary tract infec ons (UTIs) with a client
who has recurrent UTIs. Which of the following factors should the nurse include? (Select all that
apply.)
A. Frequent sexual intercourse
B. Lowering of testosterone levels
C. Wiping from front to back to clean the perineum D. Loca on of the urethra closer to the
anus
,E. Frequent catheteriza on
A nurse is teaching a client who reports stress urinary incon nence. Which of the following
instruc ons should the nurse include? (Select all that apply.)
A. Limit total daily fluid intake.
B. Decrease or avoid caffeine.
C. Take calcium supplements.
D. Avoid drinking alcohol.
E. Use the Credé maneuver
When you see indica ons of skin breakdown, what is your next ac on?
- Elevate and use correc ve devices (pillows, foot boots, trochanter rolls, splints, wedge pillows)
What does PQRST stand for?
Pallia ve/Provoking
Quality
Region/Radia on
Severity
Timing
What are some nonverbal signs of pain?
- grimacing
- moaning
- flinching
- guarding
- decreased a9en on span
- restlessness, pacing
What do vital signs look like during acute pain?
- BP increased
- Pulse increased
- RR increased
Before nurses give a pain medica on, what should they assess?
- drug interac ons
- allergies
, - vital signs
- side effects
What are common side effects to pain medica ons?
- low BP
- low HR
- seda on
- respiratory depression
- orthosta c hypotension
- urinary reten on
- nausea/vomi ng
- cons pa on
A er administering pain medica on, what is the follow up?
- reevaluate pain level
- if given orally, follow up q 1 hour
- if given IV, follow up q 15 min
- check vital signs!
What are the complica ons related to pain management?
- anxiety
- fear
-depression
- slower healing
- slower recovery
superficial pain usually involving the skin or subcutaneous ssue
- cutaneous pain
pain in internal organs (the stomach or intes nes). It can cause referred pain in other body
loca ons separate from the s mulus
- visceral pain
a type of neuropathic pain: sensa on of pain without demonstrable physiologic or pathologic
substance; commonly observed a er the amputa on of a limb
- phantom pain
Arises from abnormal or damaged pain nerves. It includes phantom limb pain, pain below the
level of a spinal cord injury, and diabe c neuropathy: "pins and needles"
