True or False-
Patients with an indwelling catheter do not require peri care - ANS False (we want to limit risk of
infection)
Which of the following statements about toilet training is incorrect?
1)Nighttime incontinence occurs after daytime
2)Girls develop bladder control faster than boys
3)Children must be able to voice the desire to void prior to starting toilet training
4)Bladder control is present at 1 year of age - ANS 4)Bladder control is present at 1 year of age
(We usually potty train around 2 years of age.
True or False
You can collect a sterile urine specimen from a foley catheter by draining urine from the
collection bag - ANS False (We don't want old urine sitting in the bag. Need to collect urine from
the tube- clamp the tube if there's no urine in the tube, clean the collection port, collect 10mL for
UA and 3mL for urine culture, label sterile cup with patient identifiers, time/date, and unclamp)
True or False
When performing a rectal exam the patient should be positioned in a semi-fowlers position -
ANS False (Semi-Fowlers is semi-reclined/sitting up position) Standing is best or lying on the
left side
Patient may feel the urge to poop or pee during exam
You are performing a focused assessment on a patient's urinary output. Which of the following
findings does not require follow-up? Select all that apply.
1)Pain to lower back with urination
2)Urine with mucus in it
3)Discharge from the urinary meatus
4)Urine sample with a pH of 4.8 - ANS 4)Urine sample with a pH of 4.8
(The pH of urine usually ranges between 4.6 and 8.2- normally 5-6)
(Normal urine specific gravity ranges from 1.005 to 1.030 (concentrated urine, ≥1.025; dilute
urine, ≤1.001 to 1.010)
The nurse is assessing a patient with the following: peaked T waves, irregular rhythm on the
telemetry monitor and patient is complaining of fluttering in the chest. The nurse suspects which
of the following electrolyte disorders?
1)Sodium
2)Calcium
, 3)Magnesium
4)Potassium - ANS 4)Potassium (High potassium, high T waves) (Low potassium: diuretics,
N/V, laxative)
True or False-
Patients on a renal diet should eat foods high in potassium and sodium - ANS False (On renal
diet due to renal failure/dialysis)
(Patients that suffer from constipation should be on high fiber diet- beans, vegetables)
If this electrolyte imbalance isn't treated timely, prolonged effects of an elevated level could
cause: kidney stones, kidney failure, osteoporosis, confusion - ANS Calcium
(Hypocalcemia includes: numbness and tingling of fingers, mouth, or feet; tetany; muscle
cramps; and seizures.
Hypercalcemia includes: nausea, vomiting, constipation, bone pain, excessive urination, thirst,
confusion, lethargy, and slurred speech.)
Which of the following body systems influence the acid-base balance to produce compensatory
changes for a patient experiencing metabolic acidosis?
1)Vascular/veins
2)Hepatic/liver
3)Renal/kidneys
4)Respiratory/lungs - ANS 4)Respiratory/Lungs
(Metabolic acidosis is an acidotic state in the kidneys, Lungs help compensate and vise versa)
(Respiratory acidosis is an acidotic state in the lungs, Kidneys help compensate)
True or False-
Hypervolemia is caused by prolonged nausea, vomiting and diarrhea - ANS False
(Hypervolemia is extra fluid build up such as excess sodium/water retention)
(Hypovolemia is low fluid caused by ex. N/V)
True or False-
If a patient complains of tenderness to a quadrant of the abdomen, the nurse should not assess
that quadrant for fear of injury to the patient. - ANS False (Save the most tender area for last of
the 4 quadrants)
(Order of evaluating- 1. inspect in supine 2. auscultate (listen for up to 5 mins in every quadrant
starting in LRQ and working clockwise) 3. percuss 4. palpate
The nurse is teaching an older adult patient about changes to the GI system that occur with
aging. Which of the following should the nurse not include?
1)Stool moves more slowly through the intestine as we age.
2)Medication absorption decreases as the kidneys and liver function slows down.
3)Drooling develops as swallowing becomes impaired.
4)Dentition does not affect the digestive process. - ANS 4)Dentition does not affect the digestive
process. (IT DOES such as how much we chew)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller phylliswambui. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
