NUR2356 MDC 1 Exam 1 2022 With
complete solution
Complications of urinary elimination Ans- - UTIs
UTI patient education Ans- - wipe front to back
- pee before and after 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
actions should the nurse take? Ans- 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 initiate a bladder-retraining program for a client who has
incontinence. Which of the following actions should the nurse take? (Select all that
apply.) Ans- A. Restrict the client's intake of fluids during the daytime.
B. Have the client record urination times.
C. Gradually increase the urination intervals.
D. Remind the client to hold urine until the next scheduled urination time.
E. Provide a sterile container for urine
A nurse is reviewing factors that increase the risk of urinary tract infections (UTIs) with a
client who has recurrent UTIs. Which of the following factors should the nurse include?
(Select all that apply.) Ans- A. Frequent sexual intercourse
B. Lowering of testosterone levels
C. Wiping from front to back to clean the perineum D. Location of the urethra closer to
the anus
E. Frequent catheterization
A nurse is teaching a client who reports stress urinary incontinence. Which of the
following instructions should the nurse include? (Select all that apply.) Ans- 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 indications of skin breakdown, what is your next action? Ans- - Elevate
and use corrective devices (pillows, foot boots, trochanter rolls, splints, wedge pillows)
What does PQRST stand for? Ans- Palliative/Provoking
Quality
Region/Radiation
Severity
Timing
What are some nonverbal signs of pain? Ans- - grimacing
- moaning
- flinching
- guarding
- decreased attention span
- restlessness, pacing
What do vital signs look like during acute pain? Ans- - BP increased
- Pulse increased
- RR increased
Before nurses give a pain medication, what should they assess? Ans- - drug
interactions
- allergies
- vital signs
- side effects
What are common side effects to pain medications? Ans- - low BP
- low HR
- sedation
- respiratory depression
- orthostatic hypotension
- urinary retention
- nausea/vomiting
- constipation
After administering pain medication, what is the follow up? Ans- - 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 complications related to pain management? Ans- - anxiety
- fear
-depression
- slower healing
- slower recovery
, superficial pain usually involving the skin or subcutaneous tissue Ans- - cutaneous pain
pain in internal organs (the stomach or intestines). It can cause referred pain in other
body locations separate from the stimulus Ans- - visceral pain
a type of neuropathic pain: sensation of pain without demonstrable physiologic or
pathologic substance; commonly observed after the amputation of a limb Ans- -
phantom pain
Arises from abnormal or damaged pain nerves. It includes phantom limb pain, pain
below the level of a spinal cord injury, and diabetic neuropathy: "pins and needles" Ans-
- neuropathic pain
Difference between acute and chronic pain? Ans- - -acute pain: lasts less than 6 mnths,
caused by something specific e.g. broken bone -
-chronic pain: lasts more than 6 mnths, caused by an underlying issue, affects ADLs
Chronic pain without identifiable physical or psychological cause Ans- - idiopathic pain
Non-Pharmacological Pain Management strategies Ans- - cognitive behavioral
measures: changing the way a client perceives pain, and physical approaches to
improve comfort
- cutaneous stimulation: cold, heat, therapeutic touch, massage, TENS
- distraction: ambulation, deep breathing, visitors, television, games, prayer, music
- relaxation: yoga, meditation, progressive muscle relaxation
- imagery: pleasant thought, ability to concentrate
- acupuncture/acupressure
- elevation of edematous extremities
Stages of Therapeutic Communication Ans- Pre-interaction
Orientation
Working
Termination
Pre-interaction phase Ans- - phase is established even before you meet the client
- begin establishing communication by gathering information about the client, but the
nurse and client do not have direct communication.
Orientation phase Ans- - begins when you meet the client and introduce yourself and
your role in the relationship.
- goal is to establish rapport and trust through the use of verbal and nonverbal
communication.
Working phase Ans- - The bulk of therapeutic communication occurs in this phase
- the nurse communicates caring, the patient expresses thoughts and feelings, mutual
respect is maintained, and honest verbal and nonverbal expression occurs.
complete solution
Complications of urinary elimination Ans- - UTIs
UTI patient education Ans- - wipe front to back
- pee before and after 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
actions should the nurse take? Ans- 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 initiate a bladder-retraining program for a client who has
incontinence. Which of the following actions should the nurse take? (Select all that
apply.) Ans- A. Restrict the client's intake of fluids during the daytime.
B. Have the client record urination times.
C. Gradually increase the urination intervals.
D. Remind the client to hold urine until the next scheduled urination time.
E. Provide a sterile container for urine
A nurse is reviewing factors that increase the risk of urinary tract infections (UTIs) with a
client who has recurrent UTIs. Which of the following factors should the nurse include?
(Select all that apply.) Ans- A. Frequent sexual intercourse
B. Lowering of testosterone levels
C. Wiping from front to back to clean the perineum D. Location of the urethra closer to
the anus
E. Frequent catheterization
A nurse is teaching a client who reports stress urinary incontinence. Which of the
following instructions should the nurse include? (Select all that apply.) Ans- 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 indications of skin breakdown, what is your next action? Ans- - Elevate
and use corrective devices (pillows, foot boots, trochanter rolls, splints, wedge pillows)
What does PQRST stand for? Ans- Palliative/Provoking
Quality
Region/Radiation
Severity
Timing
What are some nonverbal signs of pain? Ans- - grimacing
- moaning
- flinching
- guarding
- decreased attention span
- restlessness, pacing
What do vital signs look like during acute pain? Ans- - BP increased
- Pulse increased
- RR increased
Before nurses give a pain medication, what should they assess? Ans- - drug
interactions
- allergies
- vital signs
- side effects
What are common side effects to pain medications? Ans- - low BP
- low HR
- sedation
- respiratory depression
- orthostatic hypotension
- urinary retention
- nausea/vomiting
- constipation
After administering pain medication, what is the follow up? Ans- - 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 complications related to pain management? Ans- - anxiety
- fear
-depression
- slower healing
- slower recovery
, superficial pain usually involving the skin or subcutaneous tissue Ans- - cutaneous pain
pain in internal organs (the stomach or intestines). It can cause referred pain in other
body locations separate from the stimulus Ans- - visceral pain
a type of neuropathic pain: sensation of pain without demonstrable physiologic or
pathologic substance; commonly observed after the amputation of a limb Ans- -
phantom pain
Arises from abnormal or damaged pain nerves. It includes phantom limb pain, pain
below the level of a spinal cord injury, and diabetic neuropathy: "pins and needles" Ans-
- neuropathic pain
Difference between acute and chronic pain? Ans- - -acute pain: lasts less than 6 mnths,
caused by something specific e.g. broken bone -
-chronic pain: lasts more than 6 mnths, caused by an underlying issue, affects ADLs
Chronic pain without identifiable physical or psychological cause Ans- - idiopathic pain
Non-Pharmacological Pain Management strategies Ans- - cognitive behavioral
measures: changing the way a client perceives pain, and physical approaches to
improve comfort
- cutaneous stimulation: cold, heat, therapeutic touch, massage, TENS
- distraction: ambulation, deep breathing, visitors, television, games, prayer, music
- relaxation: yoga, meditation, progressive muscle relaxation
- imagery: pleasant thought, ability to concentrate
- acupuncture/acupressure
- elevation of edematous extremities
Stages of Therapeutic Communication Ans- Pre-interaction
Orientation
Working
Termination
Pre-interaction phase Ans- - phase is established even before you meet the client
- begin establishing communication by gathering information about the client, but the
nurse and client do not have direct communication.
Orientation phase Ans- - begins when you meet the client and introduce yourself and
your role in the relationship.
- goal is to establish rapport and trust through the use of verbal and nonverbal
communication.
Working phase Ans- - The bulk of therapeutic communication occurs in this phase
- the nurse communicates caring, the patient expresses thoughts and feelings, mutual
respect is maintained, and honest verbal and nonverbal expression occurs.
