NSG 262 Exam Urinary and Bowel Elimination Questions and answers Newest RATED A+

NSG 262 Exam Urinary and Bowel
Elimination Questions and answers Newest
RATED A+
What is the primary reason the nurse ensures that a patient's indwelling urinary catheter drainage tubing
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




is free of kinks?
II! II! II! II!




A. Kinks in the tubing cause the patient unnecessary discomfort.
II! II! II! II! II! II! II! II! II!




B. Kinks allow the drainage bag to become overly full.
II! II! II! II! II! II! II! II! II!




C. Kinks are associated with the development of urinary tract infection (UTI).
II! II! II! II! II! II! II! II! II! II! II!




D. Kinks result in scant, dark amber-colored urine. - Correct Answers C. Kinks are associated with the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




development of urinary tract infection (UTI).
II! II! II! II! II! II!




II! The nurse has delegated measurement of a patient's vital signs and catheter care to nursing assistive
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




II! personnel (NAP). Which observation should the NAP report to the nurse immediately?
II! II! II! II! II! II! II! II! II! II! II!




A. Rectal temperature of 99.6° F
II! II! II! II! II!




B. Pulse rate of 88 beats per minute
II! II! II! II! II! II! II!




C. Redness noted on the external urethral meatus
II! II! II! II! II! II! II!




D. 200 mL of pale yellow urine in the drainage bag - Correct Answers C. Redness noted on the external
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




urethral meatus
II! II!




II! All of the following factors are known to increase the risk of urinary tract infection (UTI) except which
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




II! one?



A. History of fecal incontinence
II! II! II! II!




B. Use of an indwelling urinary catheter
II! II! II! II! II! II!




C. Drainage tubing is kinked
II! II! II! II!

,D. Use of plain soap instead of an antiseptic cleanser for perineal hygiene - Correct Answers D. Use of
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




plain soap instead of an antiseptic cleanser for perineal hygiene
II! II! II! II! II! II! II! II! II! II!




II! While performing catheter care, the nurse moves her hand, allowing the patient's labia to close around
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




II! the catheter. Why would the nurse repeat this part of the care?
II! II! II! II! II! II! II! II! II! II! II!




A. The catheter may have traumatized the labia.
II! II! II! II! II! II! II!




B. The labia have contaminated the area.
II! II! II! II! II! II!




C. The patient's perineal area must be reassessed for infection.
II! II! II! II! II! II! II! II! II!




D. The nurse must ensure that the catheter is not pulling on the bladder. - Correct Answers B. The labia
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




have contaminated the area.
II! II! II! II!




II! What is the most effective way to prevent infection when providing catheter care for a patient?
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




A. Properly dispose of soiled linen.
II! II! II! II! II!




B. Perform hand hygiene before positioning the patient.
II! II! II! II! II! II! II!




C. Secure the catheter to the patient's leg or abdomen.
II! II! II! II! II! II! II! II! II!




D. Cleanse from the meatus outward. - Correct Answers D. Cleanse from the meatus outward.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




II! When preparing to apply a condom catheter/external catheter, the nurse would do what first?
II! II! II! II! II! II! II! II! II! II! II! II! II!




A. Close the door and draw the bedside curtain
II! II! II! II! II! II! II! II!




B. Obtain the patient's written informed consent
II! II! II! II! II! II!




C. Clamp the drainage tubing
II! II! II! II!




D. Offer the patient a urinal - Correct Answers A. Close the door and draw the bedside curtain
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




II! Which instruction might the nurse give to nursing assistive personnel (NAP) about applying a condom
II! II! II! II! II! II! II! II! II! II! II! II! II! II!




II! catheter on a patient? II! II! II!




A. "Check for breaks in the skin before applying the catheter."
II! II! II! II! II! II! II! II! II! II!

,B. "Determine whether the patient is still having problems with incontinence before you put the catheter
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




on him."
II! II!




C. "Read the manufacturer's instructions for applying the adhesive to secure the condom."
II! II! II! II! II! II! II! II! II! II! II! II!




D. "Be sure to get a snug fit between the tip of the penis and the end of the condom catheter." - Correct
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




Answers C. "Read the manufacturer's instructions for applying the adhesive to secure the condom."
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




II! Which instruction would the nurse give to nursing assistive personnel (NAP) to ensure the patient's
II! II! II! II! II! II! II! II! II! II! II! II! II! II!




II! comfort when a condom catheter is applied? II! II! II! II! II! II!




A. Wash the penis before applying the catheter.
II! II! II! II! II! II! II!




B. Clip the drainage bag to the bed.
II! II! II! II! II! II! II!




C. Wear gloves when applying the condom catheter.
II! II! II! II! II! II! II!




D. Use a hair guard before applying the condom catheter. - Correct Answers D. Use a hair guard before
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




applying the condom catheter.
II! II! II! II!




II! Why would the nurse ensure that a patient's condom catheter is not twisted?
II! II! II! II! II! II! II! II! II! II! II! II!




A. To prevent the catheter from coming off
II! II! II! II! II! II! II!




B. To make sure the catheter is the correct size
II! II! II! II! II! II! II! II! II!




C. To ensure an adequate hourly urine output from the kidneys
II! II! II! II! II! II! II! II! II! II!




D. To prevent an allergic response - Correct Answers A. To prevent the catheter from coming off
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




II! What would the nurse do for a patient who is complaining of penile pain 15 minutes after having a
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




II! condom catheter/external catheter applied? II! II! II!




A. Offer an anti-inflammatory medication.
II! II! II! II!




B. Drop the level of the urine drainage bag.
II! II! II! II! II! II! II! II!




C. Remove the catheter.
II! II! II!




D. Ensure that the catheter is not twisted. - Correct Answers C. Remove the catheter.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!

, II! The nurse is delegating to nursing assistive personnel (NAP) the perineal care of a female patient who is
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




II! totally dependent and confined to bed. Which statement by the NAP requires the nurse's follow-up?
II! II! II! II! II! II! II! II! II! II! II! II! II! II!




A. "I'll ask for assistance if I need help positioning her."
II! II! II! II! II! II! II! II! II! II!




B. "I'll see if she's up to the care right now."
II! II! II! II! II! II! II! II! II! II!




C. "I'll let you know if I notice any signs of redness or discharge."
II! II! II! II! II! II! II! II! II! II! II! II! II!




D. "I'll be sure to use hot, soapy water, since she has been incontinent." - Correct Answers D. "I'll be sure
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




to use hot, soapy water, since she has been incontinent."
II! II! II! II! II! II! II! II! II! II!




II! The nurse is preparing to provide perineal care for a female patient who is on bed rest. Which patient
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




II! position should the nurse use for this care? II! II! II! II! II! II! II!




A. Supine
II!




B. Prone
II!




C. Side-lying
II!




D. Dorsal recumbent - Correct Answers D. Dorsal recumbent
II! II! II! II! II! II! II! II! II! II! II! II!




II! As the nurse is preparing to provide perineal care to a female patient with limited mobility, the patient
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




II! says, "I can do that myself." Which action would be the priority?
II! II! II! II! II! II! II! II! II! II! II!




A. Provide all the necessary supplies and linen for this task.
II! II! II! II! II! II! II! II! II! II!




B. Assess the patient's ability to perform proper perineal care.
II! II! II! II! II! II! II! II! II!




C. Ensure that the patient has privacy while performing perineal care.
II! II! II! II! II! II! II! II! II! II!




D. Document any complaints of irritation or pain in the perineal area. - Correct Answers B. Assess the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




patient's ability to perform proper perineal care.
II! II! II! II! II! II! II!




II! How can the nurse promote infection control while providing perineal care for a female patient who has a
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!




II! catheter?



A. By avoiding the application of tension on the catheter.
II! II! II! II! II! II! II! II! II!




B. By patting, not rubbing, the skin dry after thoroughly rinsing it.
II! II! II! II! II! II! II! II! II! II! II!