Nur 155 exam 2 | Foundations of Nursing Correctly Answered and Graded A+ | Galen
Nur 155 exam 2 | Foundations of Nursing Correctly Answered and Graded A+ | Galen
Nur 155 exam 2 | Foundations of Nursing Correctly Answered and Graded A+ | Galen
Nur 155 exam 2 | Foundations of
Nursing Correctly Answered and
Graded A+ | Galen
The nurse is caring for a patient with the nursing diagnosis of urge
incontinence of urine related to urinary tract infection. Which statement is
appropriate for the "as evidenced by" portion of the patient's diagnosis?
A Sudden leakage of urine when patient is unable to get to the toilet in
time
B Continuous urine flow from the bladder regardless of attempts to use
the toilet
C Leakage of urine from the bladder when the patient coughs, sneezes,
or laughs
D Leakage of urine because the patient is unable to indicate need to use
the toilet
- Correct Answer - A Sudden leakage of urine when patient is unable to
get to the toilet in time
The nurse is caring for a patient with an indwelling urinary catheter
caused by severe prostate enlargement. Which is the priority nursing
diagnosis for this patient?
A Risk for infection r/t indwelling urinary catheter
B Disturbed body image r/t presence of catheter
C Risk for contamination r/t potential leakage of urine on clothing
,D Impaired urination r/t blockage of bladder outlet
- Correct Answer - A Risk for infection r/t indwelling urinary catheter
The preceptor is watching a nursing student care for a male patient who
requires a condom catheter. Which action by the nursing student
indicates that the procedure is performed correctly?
A Sterile gloves are donned before touching the catheter.
B Adhesive tape is applied securely around the base of the penis.
C Water-soluble lubricant is applied to the end of the catheter.
D The foreskin is returned to its natural position before the catheter is
applied.
- Correct Answer - D The foreskin is returned to its natural position
before the catheter is applied.
The nurse is caring for a patient with a history of type 1 diabetes. Which
assessment finding indicates to the nurse that the patient may not be
compliant with the diabetic treatment regimen?
A The patient is always thirsty and frequently voids very large amounts
of urine.
B The patient's urine is very concentrated with a dark amber color.
C The patient complains of throbbing flank pain and burning with
urination.
D The patient has urinary hesitancy and difficulty initiating a stream of
urine
,- Correct Answer - A The patient is always thirsty and frequently voids
very large amounts of urine.
The nurse is caring for a patient who is to undergo computed
tomography (CT) of the kidneys and ureters. Which assessment finding
by the nurse must be reported to the provider and radiologist before the
patient has the procedure?
A The patient is allergic to bananas and latex.
B The patient thinks that she might be pregnant.
C The patient has a family history of bladder cancer.
D The patient currently has a urinary tract infection
- Correct Answer - B The patient thinks that she might be pregnant.
The nurse is caring for an elderly patient with a history of arthritis, urinary
incontinence and poor perineal hygiene practices. The patient has had
four urinary tract infections in the past year. Which is the priority goal for
the nursing diagnosis Impaired health maintenance for this patient?
A The patient will be provided with educational materials about risks of
urosepsis.
B The patient will allow family members to assist with daily bathing and
perineal care.
C The patient will discuss the possible consequences of frequent UTIs.
D Regular home care nursing visits and follow-up telephone contact will
be arranged.
, - Correct Answer - B The patient will allow family members to assist with
daily bathing and perineal care.
The nurse is teaching a patient about ways to decrease risk of bone
fractures. Which statements by the patient indicate a good
understanding of decreasing this risk? (Select all that apply.)
A "I should do weight bearing exercises."
B "I should get adequate intake of calcium and vitamin D."
C "I should exercise regularly."
D "I must do yoga exercises."
E "I wish I could reduce my risk but I can't do anything."
- Correct Answer - A "I should do weight bearing exercises."
B "I should get adequate intake of calcium and vitamin
D." C "I should exercise regularly."
The nurse is educating the patient about the effects of immobility on the
body. Which statements by the patient indicate a need for further
education? (Select all that apply.)
A "I can become very weak."
B "I will gain weight."
C "I will lose muscle tone."
D "I can get bed sores."
E "I won't have any lung problems."
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