NUR 3610 EXAM 2 REVIEW QUESTIONS & ANSWERS
A nurse is completing an admission history for a client who reports he has recently
experienced erectile dysfunction. After reviewing the client's medication list, which
medication would the nurse suspect may be a cause for erectile dysfunction?
a. levothyroxine (Synthroid), for hypothyroidism
b. Senior multivitamin, a supplement
c. azithromycin (Zithromax), an antibiotic
d. fluoxetine (Prozac), an antidepressant - Answers - d. fluoxetine (Prozac), an
antidepressant
Describe 3 techniques or interventions that would help prevent infection in a patient with
an indwelling urinary catheter. - Answers - Utilizing sterile technique without
contamination during insertion, empty the drainage bag at least every 8 hours, avoid
contamination of the drainage spout and drainage bag by using hand hygiene and PPE
before handling and not allowing them to touch the floor or other surfaces, provide peri
care from front to back and down the catheter from insertion at the urinary meatus
towards the drainage bag (avoid a "to and fro" motion while wiping the catheter tubing),
ensure the catheter is not kinked and draining properly with the bag always below the
level of the patients bladder to prevent urine from "back flowing" from the bag to the
bladder, never leave a catheter in longer than necessary, avoid disconnecting the tubing
and unnecessary handling or manipulation of the catheter.
A patient has continuous bladder irrigation via a three-way urinary catheter. At 0700, the
urine drainage bag was emptied and a 1000 mL bag of irrigation fluid started to infuse.
At 1100, 350 mL of irrigation fluid had been administered through the catheter. The
urinary drainage bag contains 600 mL. How many mL of urine has the patient produced
from 0700-1100? - Answers - 250 mL
Which type of surgery is most commonly used to treat benign prostatic hyperplasia
(BPH)?
a. Contact laser prostatectomy
b. Transurethral resection of the prostate (TURP)
c. Open prostatectomy
d. Radical prostatectomy - Answers - b. Transurethral resection of the prostate (TURP)
A nurse is providing education on a female patient admitted with recurrent urinary tract
infections. Which of the following should the nurse include? Select all that apply.
a. Drink plenty of fluids to maintain adequate hydration, preferably water
b. Void within 30 minutes following penile-vaginal intercourse
c. Try to hold your urine for 4 hours between voids before emptying the bladder
completely
, d. After toileting, especially following a bowel movement, clean the area by wiping front
to back.
e. It is preferable to bathe by soaking in a bathtub as opposed to using a standing
shower - Answers - a, b, d
a. Drink plenty of fluids to maintain adequate hydration, preferably water
b. Void within 30 minutes following penile-vaginal intercourse
d. After toileting, especially following a bowel movement, clean the area by wiping front
to back.
T/F: It is not necessary to teach safe-sex practices to adults over the age of 60 because
they are less likely to be sexually active or spread sexually transmitted diseases. -
Answers - False
Which of the following statements would be appropriate information for the nurse to give
a client with a new ileal conduit and urostomy?
a. "Both urine and stool will drain into the bag."
b. "Empty the urostomy bag when it is 1/3 full."
c. "Allow the bag to fill completely with urine before removing and replacing the
appliance."
d. "Ensure the appliance size allows for at least 1 centimeter of space around the stoma
to prevent constriction." - Answers - b. "Empty the urostomy bag when it is 1/3 full."
(Emptying the drainage bag when 1/3 full prevents the weight of the bag from causing
separation of the appliance from the skin)
The involuntary loss of urine associated with overdistention of the bladder when the
bladder's capacity has reached its maximum is known as which type of incontinence?
a. Overflow incontinence
b. Urge incontinence
c. Stress incontinence
d. Reflex incontinence - Answers - a. Overflow incontinence
How does the pursed-lip breathing technique help the client with COPD manage
symptoms of dyspnea? - Answers - Pursed-lip breathing helps manage dyspnea by
reducing the amounts of stale air trapped in the lungs. Breathing through pursed-lips
creates mild resistance, which prolongs exhalation and increases airway pressure. **
Pursed-lip breathing does not fix COPD, but helps with managing dyspnea
The kidneys perform which functions? Select all that apply.
a. Break down fatty acids
b. Produce hormones
c. Regulation of pH
d. Regulate osmolarity
e. Secrete enzymes for digestion - Answers - b, c, d
A nurse is completing an admission history for a client who reports he has recently
experienced erectile dysfunction. After reviewing the client's medication list, which
medication would the nurse suspect may be a cause for erectile dysfunction?
a. levothyroxine (Synthroid), for hypothyroidism
b. Senior multivitamin, a supplement
c. azithromycin (Zithromax), an antibiotic
d. fluoxetine (Prozac), an antidepressant - Answers - d. fluoxetine (Prozac), an
antidepressant
Describe 3 techniques or interventions that would help prevent infection in a patient with
an indwelling urinary catheter. - Answers - Utilizing sterile technique without
contamination during insertion, empty the drainage bag at least every 8 hours, avoid
contamination of the drainage spout and drainage bag by using hand hygiene and PPE
before handling and not allowing them to touch the floor or other surfaces, provide peri
care from front to back and down the catheter from insertion at the urinary meatus
towards the drainage bag (avoid a "to and fro" motion while wiping the catheter tubing),
ensure the catheter is not kinked and draining properly with the bag always below the
level of the patients bladder to prevent urine from "back flowing" from the bag to the
bladder, never leave a catheter in longer than necessary, avoid disconnecting the tubing
and unnecessary handling or manipulation of the catheter.
A patient has continuous bladder irrigation via a three-way urinary catheter. At 0700, the
urine drainage bag was emptied and a 1000 mL bag of irrigation fluid started to infuse.
At 1100, 350 mL of irrigation fluid had been administered through the catheter. The
urinary drainage bag contains 600 mL. How many mL of urine has the patient produced
from 0700-1100? - Answers - 250 mL
Which type of surgery is most commonly used to treat benign prostatic hyperplasia
(BPH)?
a. Contact laser prostatectomy
b. Transurethral resection of the prostate (TURP)
c. Open prostatectomy
d. Radical prostatectomy - Answers - b. Transurethral resection of the prostate (TURP)
A nurse is providing education on a female patient admitted with recurrent urinary tract
infections. Which of the following should the nurse include? Select all that apply.
a. Drink plenty of fluids to maintain adequate hydration, preferably water
b. Void within 30 minutes following penile-vaginal intercourse
c. Try to hold your urine for 4 hours between voids before emptying the bladder
completely
, d. After toileting, especially following a bowel movement, clean the area by wiping front
to back.
e. It is preferable to bathe by soaking in a bathtub as opposed to using a standing
shower - Answers - a, b, d
a. Drink plenty of fluids to maintain adequate hydration, preferably water
b. Void within 30 minutes following penile-vaginal intercourse
d. After toileting, especially following a bowel movement, clean the area by wiping front
to back.
T/F: It is not necessary to teach safe-sex practices to adults over the age of 60 because
they are less likely to be sexually active or spread sexually transmitted diseases. -
Answers - False
Which of the following statements would be appropriate information for the nurse to give
a client with a new ileal conduit and urostomy?
a. "Both urine and stool will drain into the bag."
b. "Empty the urostomy bag when it is 1/3 full."
c. "Allow the bag to fill completely with urine before removing and replacing the
appliance."
d. "Ensure the appliance size allows for at least 1 centimeter of space around the stoma
to prevent constriction." - Answers - b. "Empty the urostomy bag when it is 1/3 full."
(Emptying the drainage bag when 1/3 full prevents the weight of the bag from causing
separation of the appliance from the skin)
The involuntary loss of urine associated with overdistention of the bladder when the
bladder's capacity has reached its maximum is known as which type of incontinence?
a. Overflow incontinence
b. Urge incontinence
c. Stress incontinence
d. Reflex incontinence - Answers - a. Overflow incontinence
How does the pursed-lip breathing technique help the client with COPD manage
symptoms of dyspnea? - Answers - Pursed-lip breathing helps manage dyspnea by
reducing the amounts of stale air trapped in the lungs. Breathing through pursed-lips
creates mild resistance, which prolongs exhalation and increases airway pressure. **
Pursed-lip breathing does not fix COPD, but helps with managing dyspnea
The kidneys perform which functions? Select all that apply.
a. Break down fatty acids
b. Produce hormones
c. Regulation of pH
d. Regulate osmolarity
e. Secrete enzymes for digestion - Answers - b, c, d
