HESI: NUR104/ NUR 104 (New 2024/ 2025
Update) Foundations of Nursing Review |
Questions and Verified Answers| 100%
Correct| A Grade – Fortis
QUESTION
what is a urinary diversion system?
PR
Answer:
-procedure that creates a new way for urine to exit your body when urine flow is blocked (ileal
conduit)
-may need with a patient with cystectomy (removal of bladder)
O
QUESTION
how to do a timed urinary specimen?
FD
Answer:
-discard the first voided specimen and then start collecting
-pt voids into a clean receptacle and then urine is transferred into the special collection container
O
-urine needs to be kept cool or on a bed of ice
-specimen must be free of feces & toilet tissues
-missed specimens make the whole test innacurate
C
QUESTION
what to do if a specimen becomes contaminated?
give an example of a contaminated urinary specimen
Answer:
start over (obtain new specimen)
ex: if urine specimen contains multiple colonies it is likely contaminated, you need a new
specimen
,QUESTION
how to collect a clean-void or midstream (culture and sensitivity)
Answer:
-urine may be collected by the patient after detailed instructions are given
-always use a sterile specimen cup
QUESTION
how to obtain a sterile specimen for culture and sensitivity if a patient has a urinary diversion?
PR
Answer:
-pt needs to have the stoma catheterized to obtain an accurate specimen
O
QUESTION
what are the common causes of residual urine?
FD
Answer:
-chronic retention, there may be a bladder outlet obstruction (prostatic enlargement, urethral
obstruction)
-absent or weak bladder contractility
O
-side effect of certain medications (anesthesia, anticholinergics, antispasmodics, antidepressants)
C
QUESTION
what are signs and symptoms of a UTI?
Answer:
-dysuria (burning/pain with urination)
-cystitis (irritation of the bladder)
-urgency, frequency, incontinence, suprabupic tenderness, foul-smelling cloudy urine
QUESTION
, what nursing interventions promote normal elimination?
Answer:
-fluid
-fiber
-exercise
QUESTION
if a patient has an impaction, does this required provider orders?
PR
Answer:
-yes, impaction removal requires orders
QUESTION
O
does there have to be visible blood on feces to be sampled for occult blood testing?
FD
Answer:
-no visible blood is needed for occult blood testing
O
QUESTION
how to do a fecal occult blood test
C
Answer:
-need to repeat test 3 times with 3 different bowl movements
-avoid eating red meat for 3 days before testing
-stop takin NSAIDS for 7 days before this can give a false positive
-avoid vitamin C and citrus fruits for 3 days before test
QUESTION
what is bowel training and what patients need this?
Answer:
Update) Foundations of Nursing Review |
Questions and Verified Answers| 100%
Correct| A Grade – Fortis
QUESTION
what is a urinary diversion system?
PR
Answer:
-procedure that creates a new way for urine to exit your body when urine flow is blocked (ileal
conduit)
-may need with a patient with cystectomy (removal of bladder)
O
QUESTION
how to do a timed urinary specimen?
FD
Answer:
-discard the first voided specimen and then start collecting
-pt voids into a clean receptacle and then urine is transferred into the special collection container
O
-urine needs to be kept cool or on a bed of ice
-specimen must be free of feces & toilet tissues
-missed specimens make the whole test innacurate
C
QUESTION
what to do if a specimen becomes contaminated?
give an example of a contaminated urinary specimen
Answer:
start over (obtain new specimen)
ex: if urine specimen contains multiple colonies it is likely contaminated, you need a new
specimen
,QUESTION
how to collect a clean-void or midstream (culture and sensitivity)
Answer:
-urine may be collected by the patient after detailed instructions are given
-always use a sterile specimen cup
QUESTION
how to obtain a sterile specimen for culture and sensitivity if a patient has a urinary diversion?
PR
Answer:
-pt needs to have the stoma catheterized to obtain an accurate specimen
O
QUESTION
what are the common causes of residual urine?
FD
Answer:
-chronic retention, there may be a bladder outlet obstruction (prostatic enlargement, urethral
obstruction)
-absent or weak bladder contractility
O
-side effect of certain medications (anesthesia, anticholinergics, antispasmodics, antidepressants)
C
QUESTION
what are signs and symptoms of a UTI?
Answer:
-dysuria (burning/pain with urination)
-cystitis (irritation of the bladder)
-urgency, frequency, incontinence, suprabupic tenderness, foul-smelling cloudy urine
QUESTION
, what nursing interventions promote normal elimination?
Answer:
-fluid
-fiber
-exercise
QUESTION
if a patient has an impaction, does this required provider orders?
PR
Answer:
-yes, impaction removal requires orders
QUESTION
O
does there have to be visible blood on feces to be sampled for occult blood testing?
FD
Answer:
-no visible blood is needed for occult blood testing
O
QUESTION
how to do a fecal occult blood test
C
Answer:
-need to repeat test 3 times with 3 different bowl movements
-avoid eating red meat for 3 days before testing
-stop takin NSAIDS for 7 days before this can give a false positive
-avoid vitamin C and citrus fruits for 3 days before test
QUESTION
what is bowel training and what patients need this?
Answer:
