Answers
the nurse is emptying a urinary drainage bag for a client with an indwelling urinary
catheter. what action will the nurse take to prevent a catheter-associated urinary tract
infection?
- use the same measuring receptacle for all clients
- do not let the drainage spigot touch the measuring receptacle
- empty the drainage bag after it is completely full
- loop the catheter tubing to ensure the drainage bag does not touch the floor - answer
do not let the drainage spigot touch the measuring receptacle
a client reports difficulty in initiating and maintaining a urine stream. how would the
nurse best document this finding?
- dribbling
- hesitancy
- urgency
- dysuria - answer hesitancy
the client is suffering with stress incontinence. the nurse would expect the client to
report which symptom?
- nocturia
- hesitancy
- oliguria
- dribbling - answer dribbling
the nurse has placed a condom catheter on a male client. which finding of the penis will
the nurse assess for after application that indicates poor circulation to the penis?
- erection
- skin lesion
- urge to void
- discoloration - answer discoloration
the nurse is assessing urinary output for a client. which client's output should the nurse
report to the health care provider?
- the client who has dark, yellow colored urine
- the client with transparent straw colored urine
- the client with 45 ml of urine output over the last 3 hrs
, - client who has not voided in 2 hours - answer the client with 45 ml of urine output
over the last 3 hrs
Which teaching approach will the nurse use to provide the client with the opportunity to
manage self-care? - answer Entrusting
When providing preparatory instruction to a client the nurse will describe the commonly
experienced physical sensations and the cause of the sensations for a procedure. (True
or False) - answer true
The nurse taught a client how to use crutches. How will the nurse evaluate the client's
learning of this new skill? - answer The client will demonstrate proper use of the
crutches.
The nurse utilizes group discussion to enhance the analysis of information provided
about congestive heart failure. The nurse is utilizing which domain of learning? - answer
cognitive
PSA stands for prostate-specific antigen, a small protein made only by the prostate
gland when it is metabolically active. (True or False) - answer true
The nurse is education a young male client about how to perform a testicular self exam.
Which teaching point is correct? Testicular self- exams should be performed: - answer
once a month
The nurse is acting as a advocate for the client's right to accurate, complete, and
relevant information by teaching the client: - answer to ask questions until they
understand.
The nurse is providing a female client education on how to perform a breast self-exam.
Which statements should be included in the nurses teaching? (Select all that apply) -
answer "Regular breast self-exams are important for early detection of breast
changes that should be reported."
"You should inspect your underarm with three fingers in a circular motion while your arm
slightly raised."
"Push your hands on your hips to look for retractions or puckering."
The nurse is administering medications to a client was just diagnosed with cancer and is
complaining and blaming others for their illness. Which example of patient education is
the most appropriate for this patient? - answer Educate this client about the
medications the nurse is administering.