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? correct answers
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? correct answers 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? correct answers 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? correct answers Pain on urination
Nocturia
Urgency
What would be an expected outcome for a patient when the nurse is conducting a bowel training
program? correct answers 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? correct answers
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? correct answers Pulse Oximetry
, Which action is a standard safety procedure prior to administering a feeding through the feeding
tube? correct answers 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? correct answers Respiratory alkalosis
A patient has metabolic (nonrespiratory) acidosis. What type of respirations would be assessed?
correct answers 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? correct answers Chest
tightness
Wheezing
Cough
Which laboratory test is monitored frequently for a patient on TPN (total parenteral nutrition)?
correct answers Blood glucose
What independent nursing intervention can be implemented to stimulate appetite? correct
answers 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? correct answers Obese
In terms of fluid volume deficit, what percent of weight loss in adults would be considered a
pronounced deficit? correct answers 5%