NUR 325 Exam 2 Review Questions and Detailed
Answers| Graded A+ ,Well Reviewed and Revised |
Guarantee Pass |Comprehensive Questions and
Answers |Latest Exam and Brand new Version!!!
Which nursing intervention minimizes the risk for trauma and
infection when applying an external/condom catheter?
a. Leave a gap of 3-5 inches between the tip of the penis and
drainage tube
b. Shave the pubic area so that hair does not adhere
c. Wash with soap and water prior to applying the condom type
catheter.
d. Apply tape to the condom sheath to keep it securely in place.
RATIONALE:
C (Hygiene minimizes skin irritation. There needs to be 2.5 to 5 cm (1
to 2 inches) of space between tip of the glans penis and the end of
the catheter. Excess space may cause pooling of urine causing
excessive exposure to urine. Shaving the pubic area increases the
risk for skin irritation. The condom should be secure but not tight.
Application of tape is contraindicated because it could interfere with
circulation increasing risk for necrosis of the penis.)
What is a critical step when inserting an indwelling catheter into a
male patient?
a. Slowly inflate the catheter balloon with sterile saline.
b. Secure the catheter drainage tubing to the bed sheets
c. Advance the catheter to the bifurcation of the drainage and
,balloon ports.
d. Advance the catheter until urine flows, then insert ¼ inch more.
RATIONALE:
C (Advancing the catheter to the bifurcation avoids inflating the
catheter balloon in the prostatic urethra causing trauma and pain.
Catheter balloons are never inflated with saline. Securing the
catheter drainage tubing to the bed sheets increases the risk for
accidental pulling or tension on the catheter. The advancement of
the catheter until flows and then inserting ¼ inch more is not unique
to the male patient.)
Which of the following health conditions would be LEAST likely to
cause fluid and electrolyte imbalances?
a. Vomiting and diarrhea
b. Breaking a leg
c. Renal failure
d. Congestive heart failure (CHF)
B
When assessing a patient's first voided urine of the day, which
finding should be reported to the health care provider?
a. Pale yellow urine
b. Slightly cloudy urine
c. Light pink urine
d. Dark amber urine
RATIONALE:
C (Light pink urine indicates the presence of blood in the urine,
which is never a normal finding. First voided urine can normally be
slightly cloudy and darker in color. Pale yellow urine indicates
normal finding.)
,Which of the following group of symptoms would trigger you to think
there may be some fluid and electrolyte imbalances in your patient?
a. Tinnitus, erythema, shortness of breath
b. Petechiae, fever, low blood pressure
c. Unexplained nausea, dizziness, edema
d. Tachycardia, drowsiness, nausea
C
The patient talks with the nurse about bladder health. What is one of
the most important recommendations the nurse can make for this
patient?
a. Eat foods high in fiber.
b. Drink 6 to 8 glasses of noncaffeinated fluids daily.
c. Exercise in the morning and evening.
d. Visit the urologist once yearly.
RATIONALE:
B (Drinking 6 to 8 glasses of noncaffeinated fluids daily helps with
bladder health because urine is not stagnating in the bladder.
Exercising and eating foods high in fiber help with bowel elimination
but do not have an effect on urination. Visiting the urologist is good if
there is a problem, but this is not the most important
recommendation from the nurse.)
The nurse is caring for a confused patient who is wearing a vest
restraint in bed. The nurse speaks with an unlicensed assistant
about toileting the patient. The nurse knows the unlicensed assistant
understands the toileting procedure when making which statement?
a. The patient must remain in the restraints all day.
b. The patient needs to be toileted to maintain a regular toileting
schedule.
c. The patient needs to be provided with adult briefs for
, incontinence.
d. The patient will use the call bell when he or she feels the urge to
void.
RATIONALE:
B (The correct answer is toileting the patient so he or she can
maintain a normal toileting schedule. Leaving the patient in
restraints all day is against the standard of care. Providing the
patient with briefs when he or she is not incontinent does not meet
the patient's toileting needs. If the patient is confused, he or she will
not be able to use the call bell.)
If a patient has a colostomy in the area known as the "ascending
colon," what would the nurse expect of the stool in the colostomy
device?
a. Stool would be dark.
b. Stool would be formed.
c. Stool would be loose.
d. Stool would have flecks of blood.
RATIONALE:
C (The correct answer is C because stool in the ascending colon is
loose or watery. Stool should not be dark or have flecks of blood.
This would be an abnormal finding. Stool would not be loose,
because the colon has not reabsorbed the water yet.)
The nurse is talking with a patient who was just diagnosed with a
urinary tract infection. The patient asks the nurse how to prevent
such infections in the future. The nurse should make which
appropriate recommendations for the patient? (Select all that apply.)
a. Drink 6 to 8 glasses of noncaffeinated fluids daily.
b. Exercise daily.
c. Increase fiber in the diet.
Answers| Graded A+ ,Well Reviewed and Revised |
Guarantee Pass |Comprehensive Questions and
Answers |Latest Exam and Brand new Version!!!
Which nursing intervention minimizes the risk for trauma and
infection when applying an external/condom catheter?
a. Leave a gap of 3-5 inches between the tip of the penis and
drainage tube
b. Shave the pubic area so that hair does not adhere
c. Wash with soap and water prior to applying the condom type
catheter.
d. Apply tape to the condom sheath to keep it securely in place.
RATIONALE:
C (Hygiene minimizes skin irritation. There needs to be 2.5 to 5 cm (1
to 2 inches) of space between tip of the glans penis and the end of
the catheter. Excess space may cause pooling of urine causing
excessive exposure to urine. Shaving the pubic area increases the
risk for skin irritation. The condom should be secure but not tight.
Application of tape is contraindicated because it could interfere with
circulation increasing risk for necrosis of the penis.)
What is a critical step when inserting an indwelling catheter into a
male patient?
a. Slowly inflate the catheter balloon with sterile saline.
b. Secure the catheter drainage tubing to the bed sheets
c. Advance the catheter to the bifurcation of the drainage and
,balloon ports.
d. Advance the catheter until urine flows, then insert ¼ inch more.
RATIONALE:
C (Advancing the catheter to the bifurcation avoids inflating the
catheter balloon in the prostatic urethra causing trauma and pain.
Catheter balloons are never inflated with saline. Securing the
catheter drainage tubing to the bed sheets increases the risk for
accidental pulling or tension on the catheter. The advancement of
the catheter until flows and then inserting ¼ inch more is not unique
to the male patient.)
Which of the following health conditions would be LEAST likely to
cause fluid and electrolyte imbalances?
a. Vomiting and diarrhea
b. Breaking a leg
c. Renal failure
d. Congestive heart failure (CHF)
B
When assessing a patient's first voided urine of the day, which
finding should be reported to the health care provider?
a. Pale yellow urine
b. Slightly cloudy urine
c. Light pink urine
d. Dark amber urine
RATIONALE:
C (Light pink urine indicates the presence of blood in the urine,
which is never a normal finding. First voided urine can normally be
slightly cloudy and darker in color. Pale yellow urine indicates
normal finding.)
,Which of the following group of symptoms would trigger you to think
there may be some fluid and electrolyte imbalances in your patient?
a. Tinnitus, erythema, shortness of breath
b. Petechiae, fever, low blood pressure
c. Unexplained nausea, dizziness, edema
d. Tachycardia, drowsiness, nausea
C
The patient talks with the nurse about bladder health. What is one of
the most important recommendations the nurse can make for this
patient?
a. Eat foods high in fiber.
b. Drink 6 to 8 glasses of noncaffeinated fluids daily.
c. Exercise in the morning and evening.
d. Visit the urologist once yearly.
RATIONALE:
B (Drinking 6 to 8 glasses of noncaffeinated fluids daily helps with
bladder health because urine is not stagnating in the bladder.
Exercising and eating foods high in fiber help with bowel elimination
but do not have an effect on urination. Visiting the urologist is good if
there is a problem, but this is not the most important
recommendation from the nurse.)
The nurse is caring for a confused patient who is wearing a vest
restraint in bed. The nurse speaks with an unlicensed assistant
about toileting the patient. The nurse knows the unlicensed assistant
understands the toileting procedure when making which statement?
a. The patient must remain in the restraints all day.
b. The patient needs to be toileted to maintain a regular toileting
schedule.
c. The patient needs to be provided with adult briefs for
, incontinence.
d. The patient will use the call bell when he or she feels the urge to
void.
RATIONALE:
B (The correct answer is toileting the patient so he or she can
maintain a normal toileting schedule. Leaving the patient in
restraints all day is against the standard of care. Providing the
patient with briefs when he or she is not incontinent does not meet
the patient's toileting needs. If the patient is confused, he or she will
not be able to use the call bell.)
If a patient has a colostomy in the area known as the "ascending
colon," what would the nurse expect of the stool in the colostomy
device?
a. Stool would be dark.
b. Stool would be formed.
c. Stool would be loose.
d. Stool would have flecks of blood.
RATIONALE:
C (The correct answer is C because stool in the ascending colon is
loose or watery. Stool should not be dark or have flecks of blood.
This would be an abnormal finding. Stool would not be loose,
because the colon has not reabsorbed the water yet.)
The nurse is talking with a patient who was just diagnosed with a
urinary tract infection. The patient asks the nurse how to prevent
such infections in the future. The nurse should make which
appropriate recommendations for the patient? (Select all that apply.)
a. Drink 6 to 8 glasses of noncaffeinated fluids daily.
b. Exercise daily.
c. Increase fiber in the diet.
