ANSWERS GRADED A+
A nurse is caring for elderly patients in an assisted-living facility. Which of the
following effects of aging should the nurse consider when performing a
urinary assessment?
Decreased bladder contractility may lead to urine retention and stasis, which
increase the likelihood of urinary tract infection.
The nurse is caring for a patient who is not allowed oral intake of fluid or food.
When evaluating this patient's urinalysis, what would the nurse anticipate?
An increased urine specific gravity
An elderly woman living alone at home is incontinent of urine. Which of the
following nursing diagnoses would be appropriate for a plan of care?
Risk for Impaired Skin Integrity
,A 30-year-old woman has presented for care, stating, "I'm pretty sure that I've got a
UTI, so I think I'll need some antibiotics." In the presence of a UTI, the nurse
would expect the woman to have which of the following signs and symptoms?
Pain on urination
Nocturia
Urgency
What would be an expected outcome for a patient when the nurse is conducting a
bowel training program?
Have a soft, formed stool at regular intervals without a laxative.
A nurse is assessing urine output of a patient with Parkinson's disease who is on
Levodopa. Which of the following is a common finding for a patient on this
medication?
The urine may be brown or black.
The nurse is caring for a patient admitted with chronic obstructive pulmonary
disease.During assessment, the nurse finds that the patient is experiencing a change
in his respiratory and mental status. The nurse is aware that the most accurate
measurement of the concentration of oxygen in the patient's blood, that is a nursing
intervention, is what?
Pulse Oximetry
,Which action is a standard safety procedure prior to administering a feeding
through the feeding tube?
Check for residual content using a piston syringe
A patient with anxiety presents to the emergency room. The triage nurse notes
upon assessment that the patient is hyperventilating. The triage nurse is aware that
hyperventilation is the most common cause of which acid-base imbalance?
Respiratory alkalosis
A patient has metabolic (nonrespiratory) acidosis. What type of respirations would
be assessed?
Increased depth and rate
Asthma is a chronic inflammatory disease of the airways. Ultimately it leads to
recurrent episodes of asthma symptoms. What are the symptoms of asthma?
Chest tightness
Wheezing
Cough
, Which laboratory test is monitored frequently for a patient on TPN (total parenteral
nutrition)?
Blood glucose
What independent nursing intervention can be implemented to stimulate appetite?
Encourage or provide oral care.
You are the clinic nurse assessing a new patient that has come in to see a
physician. The assessment data that you collect reveals that the patient is a 23-
year-old female weighing 175 pounds with a height of 5 feet 3 inches. Her
body mass index is 31. What would she be
considered?
Obese
In terms of fluid volume deficit, what percent of weight loss in adults would be
considered a pronounced deficit?
5%