NUR3119c Final Topics to Review
Elimination: Urinary catheter – Important nursing considerations after removal
FON Chapter 46 (Urinary Elimination) Questions:
Which instructions should the nurse give the CNA concerning a patient who has had an
indwelling catheter removed that day?
A. Limit oral fluid intake to avoid possible urinary incontinence
B. Expect patient complaints of suprapubic fullness and discomfort
C. Report the time and amount of first voiding
D. Instruct patient to stay in bed and use a urinal or bedpan
Which nursing interventions should a nurse implement when removing an indwelling catheter in
an adult patient? (SATA)
A. Attach a 3mL syringe to the inflation port
B. Allow the balloon to drain into the syringe by gravity
C. Initiate a voiding record/ bladder diary
D. Pull the catheter quickly
E. Clamp the catheter before removal
ATI Urinary Catheter Module:
Which of the following actions should the nurse take when removing a patient's indwelling
urinary catheter?
Deflate the balloon completely before removal.
Oxygenation: Dyspnea nursing interventions
FON Chapter 41 (Oxygenation) Questions:
An 86-year-old woman is admitted to the unit with chills and a fever of 104 degrees. What
physiological process explains why she is at risk for dyspnea?
A. Fever increases metabolic demands, requiring increased oxygen need
B. Blood glucose stores are depleted and the cells do not have energy to use oxygen
C. Carbon dioxide production increases due to hyperventilation
D. Carbon dioxide production decreases due to hypoventilation
ATI Oxygenation Therapy Module:
A nurse is caring for a patient who is dyspneic and slightly cyanotic, with a respiratory rate of
28/min. The nurse determines that the patient has impaired gas exchange during which of the
following phases of the nursing process?
Diagnosis
Mobility: Proper use of a cane
FON Chapter 39 (Activity and Exercise) Questions:
A nurse is instructing a patient who has decreased leg strength on his left side how to use a
cane. Which action indicates proper cane use by the patient?
, A. The patient keeps the cane on the left side of his body
B. The patient slightly leans to one side while walking
C. The patient keeps two points of support on the floor at all times.
D. After the patient places the cane forward, he or she then moves the right leg forward to
the cane.
Fundamentals ATI Chapter 40:
A nurse is instructing a client, who has an injury of the left lower extremity, about the use
of the cane. Which of the following instructions should the nurse include? (Select all that
apply.)
A. Hold the cane on the right side.
B. Keep two points of support on the floor.
C. Please the cane 38 cm (15 in) in front of the feet before advancing.
D. After advancing the cane, move the weaker leg forward.
3119C open lab:
- Advance cane fwd first
- Keep cane on weak side
HIPAA: Nurses role in understanding
ATI HIPAA Module:
Which of the following actions is appropriate for a nurse who has witnessed a breach of a
patient’s privacy in a primary care provider’s office?
Complete a health information privacy complaint form and submit it to the appropriate
agency.
A nurse is orienting to his new place of employment. Information is being provided regarding
HIPAA’s Privacy Rule. Which of the following comments by the nurse indicates an accurate
understanding of these standards?
“I can give information about a patient over the phone if the patient gives his
permission.”
A nurse is discussing the use of a computer to document in the client’s health record with a
newly licensed nurse. Which of the following comments by the new nurse indicates an
understanding of the teaching?
"I should remain aware of my surroundings when documenting on the computer."
3119C open lab:
Which shows the nurse needs more teaching?
“Family can ask for medical information at any time.”
On the midterm the question was a “select the answer that needs further teaching” � answer
was “I can give information over the phone to family”
Elimination: Urinary catheter – Important nursing considerations after removal
FON Chapter 46 (Urinary Elimination) Questions:
Which instructions should the nurse give the CNA concerning a patient who has had an
indwelling catheter removed that day?
A. Limit oral fluid intake to avoid possible urinary incontinence
B. Expect patient complaints of suprapubic fullness and discomfort
C. Report the time and amount of first voiding
D. Instruct patient to stay in bed and use a urinal or bedpan
Which nursing interventions should a nurse implement when removing an indwelling catheter in
an adult patient? (SATA)
A. Attach a 3mL syringe to the inflation port
B. Allow the balloon to drain into the syringe by gravity
C. Initiate a voiding record/ bladder diary
D. Pull the catheter quickly
E. Clamp the catheter before removal
ATI Urinary Catheter Module:
Which of the following actions should the nurse take when removing a patient's indwelling
urinary catheter?
Deflate the balloon completely before removal.
Oxygenation: Dyspnea nursing interventions
FON Chapter 41 (Oxygenation) Questions:
An 86-year-old woman is admitted to the unit with chills and a fever of 104 degrees. What
physiological process explains why she is at risk for dyspnea?
A. Fever increases metabolic demands, requiring increased oxygen need
B. Blood glucose stores are depleted and the cells do not have energy to use oxygen
C. Carbon dioxide production increases due to hyperventilation
D. Carbon dioxide production decreases due to hypoventilation
ATI Oxygenation Therapy Module:
A nurse is caring for a patient who is dyspneic and slightly cyanotic, with a respiratory rate of
28/min. The nurse determines that the patient has impaired gas exchange during which of the
following phases of the nursing process?
Diagnosis
Mobility: Proper use of a cane
FON Chapter 39 (Activity and Exercise) Questions:
A nurse is instructing a patient who has decreased leg strength on his left side how to use a
cane. Which action indicates proper cane use by the patient?
, A. The patient keeps the cane on the left side of his body
B. The patient slightly leans to one side while walking
C. The patient keeps two points of support on the floor at all times.
D. After the patient places the cane forward, he or she then moves the right leg forward to
the cane.
Fundamentals ATI Chapter 40:
A nurse is instructing a client, who has an injury of the left lower extremity, about the use
of the cane. Which of the following instructions should the nurse include? (Select all that
apply.)
A. Hold the cane on the right side.
B. Keep two points of support on the floor.
C. Please the cane 38 cm (15 in) in front of the feet before advancing.
D. After advancing the cane, move the weaker leg forward.
3119C open lab:
- Advance cane fwd first
- Keep cane on weak side
HIPAA: Nurses role in understanding
ATI HIPAA Module:
Which of the following actions is appropriate for a nurse who has witnessed a breach of a
patient’s privacy in a primary care provider’s office?
Complete a health information privacy complaint form and submit it to the appropriate
agency.
A nurse is orienting to his new place of employment. Information is being provided regarding
HIPAA’s Privacy Rule. Which of the following comments by the nurse indicates an accurate
understanding of these standards?
“I can give information about a patient over the phone if the patient gives his
permission.”
A nurse is discussing the use of a computer to document in the client’s health record with a
newly licensed nurse. Which of the following comments by the new nurse indicates an
understanding of the teaching?
"I should remain aware of my surroundings when documenting on the computer."
3119C open lab:
Which shows the nurse needs more teaching?
“Family can ask for medical information at any time.”
On the midterm the question was a “select the answer that needs further teaching” � answer
was “I can give information over the phone to family”
