NUR 3610 Exam 2 Review QUESTIONS |\ |\ |\ |\ |\ |\
WITH 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 - CORRECT ANSWERS ✔✔d.
|\ |\ |\ |\ |\ |\ |\ |\ |\
fluoxetine (Prozac), an antidepressant |\ |\ |\
Describe 3 techniques or interventions that would help prevent infection in a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient with an indwelling urinary catheter. - CORRECT 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? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT 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 - CORRECT 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 - CORRECT 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. - CORRECT 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." - CORRECT 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)
|\ |\
WITH 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 - CORRECT ANSWERS ✔✔d.
|\ |\ |\ |\ |\ |\ |\ |\ |\
fluoxetine (Prozac), an antidepressant |\ |\ |\
Describe 3 techniques or interventions that would help prevent infection in a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient with an indwelling urinary catheter. - CORRECT 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? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT 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 - CORRECT 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 - CORRECT 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. - CORRECT 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." - CORRECT 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)
|\ |\
