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NR 224 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS
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NR 224 EXAM 2 QUESTIONS WITH COMPLETE SOLUTIONS
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NR 224 EXAM 2 QUESTIONS WITH COMPLETESOLUTIONS
___ measures vary by patient needs and health care setting
Correct Answer hygiene
____ is dry and ___ is moist
a. slough, eschar
b. eschar, slough Correct Answer b. eschar, slough
_____ have a stronger and more rapid effect on the intestines
than laxatives Correct Answer cathartics
A client has a ureteral catheter in place after renal surgery. What
is the priority nursing action when caring for this client's ureteral
catheter?
Ensure that the catheter is draining freely.
Ensure that the catheter drains at least 30 mL an hour.
Irrigate the catheter with 30 mL of normal saline every 8 hours.
Clamp the catheter every 2 hours for 30 minutes. Correct
Answer Ensure that the catheter is draining freely.
A client is admitted for pain control post knee replacement. The
nurse observes that the client always washes the upper body
before praying. How should the nurse interpret this behavior?
a. Anxiety
b. Personal preference
c. Controlling behavior
d. Religious practice Correct Answer d. Religious practice
,A client is complaining that their bladder still feels full even
after voiding 60 mL. What should the nurse's next action be?
Have the client try to void in one hour.
Perform a bladder scan.
Give the client medication for the discomfort.
Get a urine specimen. Correct Answer Perform a bladder scan.
A client who has an indwelling catheter reports a need to
urinate. Which intervention should the nurse perform?
Collect a urine specimen for analysis.
Check to see whether the catheter is patent.
Re-catheterize the bladder with a larger gauge catheter.
Reassure the client that it is not possible for them to urinate.
Correct Answer Check to see whether the catheter is patent.
A client who was admitted to the hospital for seizures,
developed delirium on the fourth day. What type of incontinence
would this client likely experience?
Functional incontinence
Stress incontinence
Urge incontinence
Reflex incontinence Correct Answer Functional incontinence
a newly admitted patient states that he has recently had a change
in meds and reports that stools are not dry and hard to pass. this
type of bowel patterns if consistent with:
a. abnormal defecation
b. constipation
c. fecal impaction
d. fecal incontinence Correct Answer b. constipation
, A nurse is caring for a client who needs a nasogastric tube
inserted. Which assessment finding would prohibit insertion of
the tube?
a. Platelets 200,000
b. Hypoactive bowel sounds
c. Basilar skull fracture
d. Abdominal distention Correct Answer c. Basilar skull
fracture
A nurse is caring for a client with a wound on the right arm.
Which assessment finding requires immediate follow-up by the
nurse?
a. The odor from the wound noted after irrigation of the wound
b. The client correctly demonstrating how to perform a dressing
change
c. A moderate amount of serous drainage visible on the dressing
d. The odor from the wound noted when standing at bedside
Correct Answer a. The odor from the wound noted after
irrigation of the wound
A nurse is caring for an older adult client who is losing weight.
What may be contributing to this problem? Select all that apply.
a. Chronic illness
b. Alterations in taste and smell
c. Food insecurity
d. Decreased metabolism
e. Fad dieting Correct Answer a. Chronic illness
b. Alterations in taste and smell
c. Food insecurity
e. Fad dieting
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