NURS 3100 EXAM 3 QUESTIONS AND ANSWERS| GRADED A
Exam 3: Nursing 3100 objectives
Unit #6-Urinary, Fecal & Diagnostic Testing, 2021
1. Know that the normal urinary output for an adult is
o 30mL/hour unless kidney disease is present
2. Identify how to position a patient for a thoracentesis.
o DR K.: On side table, have patient lean forward in semi fowler sitting, trying to get fluid out of
peril cavity of lungs, sitting up so fluid can drain down which is part of the pretest, intratest is
emotional support by keeping them still
o Ours: Position a patient sitting forward, leaning over the table to draw fluid out from the bottom
of the cavity. During the test you help keep the patient still, relaxed and promote deep breathing
3. Identify the x-ray that would be used to visualize the kidney/ureters/bladder. (752)
o KUB, frontal supine x-ray of the abdomen
4. Know the process for obtaining a capillary blood specimen to measure blood glucose. (Pg. 759) (Pg.
767 process)
o Use a glucose monitoring device.
o A drop of capillary blood is obtained by puncturing the side of the middle finger or ring finger
with a sterile lancet. A test strip with a specific reagent is placed in the monitoring device
and the drop of blood is placed in the test strip.
o The devices use a light beam or an electric charge to interpret the changes on the test strip.
o Wipe away first blood, test the second
o Also can be done in Fingers and toes
5. Know the contraindications for an MRI.
o Because the magnet can move metal objects implanted in the body, it is contraindicated for
patients with:
o pacemakers, implanted medication pumps, inner ear implants, fragments from gunshot
wounds, or other metal objects in the body.
o All implants
o piercings (free of all jewelry) is not a contraindication because it can be removed
o Tattoos are not a contraindication, but they are a caution
6. Understand what can increase the BUN lab value. (pg.744-745)
o What is it? Blood urea nitrogen (BUN) which is testing the kidneys
o Elevated BUN levels may indicate decreased renal glomerular function.
o BUN levels also may be elevated as a result of a high protein diet or with dehydration.
o Urine output will be decreased due to dehydration
7. Know how to care for a patient with an indwelling urinary catheter. (1049)
o Clean them to avoid infection since its going from inside the body to outside it’s a higher
risk
8. Know which clients are at the greatest risk for developing a urinary tract infection.
1
, (1039)
o Females are more vulnerable than males.
o Those with any abnormality of the urinary tract that obstructs the flow of urine, those with
catheters in place, those who have difficulty voiding, and elderly people with bladder control
loss or people who are doing catheters at home. Also, those with diabetes or other diseases
that suppress the immune system increase the risk for UTI
o Test question: Who is at the most risk? Look at all the factors and who has the most
problems. Older females
9. Know how to insert a urinary catheter. Pg. 1056 & 1057
10. Know the process and reasoning for irrigation on a 3-way indwelling urethral catheter.
o Pieces of a catheter: tube, bag, balloon, 2 ports to inject (one port for a balloon) and the
third is used to irrigate
11. Know how to use a bladder scan to assess urinary retention in a patient.(1040)
12. Know which client would be at greatest risk for urinary retention. (1035 and 1037)
o Urinary retention: people with neurological problems, MALES because of prostate and they
experience urgency and post op patients, If someone gets a traumatic foley. Bladder cannot
empty all the way which increases frequency. If a patient has urinary retention, you will
perform a bladder scan. Relive with a catheter
o Also ( may be important) Conditions that contribute to urinary retention include vaginal
childbirth, infections of the brain or spinal cord, diabetes, stroke, neurologic disorders, heavy
metal poisoning, pelvic injury or trauma, prostate enlargement, infection, surgery, bladder
stones, bladder tumors, rectocele, cystocele, Constipation, urethral stricture, and
medications such as antihistamines, anticholinergics, antispasmodics, and tricyclic
antidepressants
13. Understand the various concepts of maintaining normal voiding habits. (1038, 1045)
o Slide 49-50
14. Know the dietary factors that affect defecation. (1010)
o Ingestion of a high fiber diet improves the likelihood of a normal elimination pattern
o Soluble fiber: melts in, to soften hard stool
o Insoluble: corn, body cannot use it or break it down. However, it can bulk up stool, use for
diarrhea
o Pp. slide 66
o Fiber, fluid and moving most important
2
Exam 3: Nursing 3100 objectives
Unit #6-Urinary, Fecal & Diagnostic Testing, 2021
1. Know that the normal urinary output for an adult is
o 30mL/hour unless kidney disease is present
2. Identify how to position a patient for a thoracentesis.
o DR K.: On side table, have patient lean forward in semi fowler sitting, trying to get fluid out of
peril cavity of lungs, sitting up so fluid can drain down which is part of the pretest, intratest is
emotional support by keeping them still
o Ours: Position a patient sitting forward, leaning over the table to draw fluid out from the bottom
of the cavity. During the test you help keep the patient still, relaxed and promote deep breathing
3. Identify the x-ray that would be used to visualize the kidney/ureters/bladder. (752)
o KUB, frontal supine x-ray of the abdomen
4. Know the process for obtaining a capillary blood specimen to measure blood glucose. (Pg. 759) (Pg.
767 process)
o Use a glucose monitoring device.
o A drop of capillary blood is obtained by puncturing the side of the middle finger or ring finger
with a sterile lancet. A test strip with a specific reagent is placed in the monitoring device
and the drop of blood is placed in the test strip.
o The devices use a light beam or an electric charge to interpret the changes on the test strip.
o Wipe away first blood, test the second
o Also can be done in Fingers and toes
5. Know the contraindications for an MRI.
o Because the magnet can move metal objects implanted in the body, it is contraindicated for
patients with:
o pacemakers, implanted medication pumps, inner ear implants, fragments from gunshot
wounds, or other metal objects in the body.
o All implants
o piercings (free of all jewelry) is not a contraindication because it can be removed
o Tattoos are not a contraindication, but they are a caution
6. Understand what can increase the BUN lab value. (pg.744-745)
o What is it? Blood urea nitrogen (BUN) which is testing the kidneys
o Elevated BUN levels may indicate decreased renal glomerular function.
o BUN levels also may be elevated as a result of a high protein diet or with dehydration.
o Urine output will be decreased due to dehydration
7. Know how to care for a patient with an indwelling urinary catheter. (1049)
o Clean them to avoid infection since its going from inside the body to outside it’s a higher
risk
8. Know which clients are at the greatest risk for developing a urinary tract infection.
1
, (1039)
o Females are more vulnerable than males.
o Those with any abnormality of the urinary tract that obstructs the flow of urine, those with
catheters in place, those who have difficulty voiding, and elderly people with bladder control
loss or people who are doing catheters at home. Also, those with diabetes or other diseases
that suppress the immune system increase the risk for UTI
o Test question: Who is at the most risk? Look at all the factors and who has the most
problems. Older females
9. Know how to insert a urinary catheter. Pg. 1056 & 1057
10. Know the process and reasoning for irrigation on a 3-way indwelling urethral catheter.
o Pieces of a catheter: tube, bag, balloon, 2 ports to inject (one port for a balloon) and the
third is used to irrigate
11. Know how to use a bladder scan to assess urinary retention in a patient.(1040)
12. Know which client would be at greatest risk for urinary retention. (1035 and 1037)
o Urinary retention: people with neurological problems, MALES because of prostate and they
experience urgency and post op patients, If someone gets a traumatic foley. Bladder cannot
empty all the way which increases frequency. If a patient has urinary retention, you will
perform a bladder scan. Relive with a catheter
o Also ( may be important) Conditions that contribute to urinary retention include vaginal
childbirth, infections of the brain or spinal cord, diabetes, stroke, neurologic disorders, heavy
metal poisoning, pelvic injury or trauma, prostate enlargement, infection, surgery, bladder
stones, bladder tumors, rectocele, cystocele, Constipation, urethral stricture, and
medications such as antihistamines, anticholinergics, antispasmodics, and tricyclic
antidepressants
13. Understand the various concepts of maintaining normal voiding habits. (1038, 1045)
o Slide 49-50
14. Know the dietary factors that affect defecation. (1010)
o Ingestion of a high fiber diet improves the likelihood of a normal elimination pattern
o Soluble fiber: melts in, to soften hard stool
o Insoluble: corn, body cannot use it or break it down. However, it can bulk up stool, use for
diarrhea
o Pp. slide 66
o Fiber, fluid and moving most important
2
