The nurse recognizes that urinary illumination changes make her even in healthy older adults because of which of the following? The amount of urine retain after voiding increases
During assessment of the client with urinary incontinence, the nurse is most likely to assess which of the following? p...
NUR 155 Study Questions and Correct
Answers
The nurse recognizes that urinary illumination changes make her even in healthy older
adults because of which of the following? ✅The amount of urine retain after voiding
increases
During assessment of the client with urinary incontinence, the nurse is most likely to
assess which of the following? ✅perennial skin irritation
fluid intake of less than 1500 mL/day
history of frequent urinary track infections
A fecal impaction
Which action represents the appropriate nursing management of a client wearing a
condom catheter? ✅Check the penis for adequate circulation 30 minutes after applying
The catheter slips into the vagina during a straight catheterization of a female client.
The nurse does which action? ✅Leaves a catheter in place and gets a new sterile
catheter.
Which statement indicates a need for farther teaching of the home care client with a
long-term indwelling catheter? ✅Soaking in a warm tub bath may ease the irritation
associated with the catheter
During shift report the nurse learns that an older female client is unable to maintain
continents after she is senses the urge to void and becomes incontinence on the way to
the bathroom. Which nursing diagnosis is most appropriate? ✅Urge urinary
incontinence
A female client has a urinary track infection. Which teaching points by the nurse will be
most helpful for the client? Select all that apply. ✅Review symptoms of UTI with client
where cotton underclothes
The nurse will need to assess the clients performance of clean intermittent sterile
catheterization for a client with which urinary diversion? ✅Koch pouch
Which focus is the nurse most likely to teach for a client with a flaccid bladder?
✅Credes maneuver: apply gentle manual pressure to the lower abdomen
Which of the following behaviors indicate that the client on a bladder training program
has met expected outcomes? Select all that apply ✅Practice is slow, deep breathing
until the urge decreases
performs pelvic muscle exercise
, Which of the following behaviors is most representative of the nursing diagnosis phase
of the nursing process? ✅Identify major problems or needs
Which of the following behaviors would indicate that the nurse was utilizing the
assessment phase of the nursing process to provide nursing care? ✅Reviews results
of laboratory test
Which of the following elements is best categorized as secondary subjective data?
✅Spouse states the client has lost all appetite
The nurse wishes to determine the clients feelings about a recent diagnosis. Which
interview question is most likely to elicit this information? ✅Tell me about your reaction
to the diagnosis
The use of a conceptual or theoretical framework for collecting and organizing
assessment data ensures which of the following ✅Collection of all necessary
information for a thorough appraisal
Which of the following is a purpose of assessing ✅Establish a database for client
responses to his or her health
In the validating activity of the assessing phase of the nursing process, the nurse
performs which of the following ✅Confirms data are collected and accurate
A major characteristic of the nursing process is which of the following ✅A focus on
client needs
Which of the following would be true regarding use of Observing a method of data
collection? ✅Observe data should be interpreted in relation to other sources of
collective data
Which of the following represents effective planning of the interview setting? ✅Ensure
that no one can overhear the interview conversation
keep approximately 3 feet from the client during the interview
use a standard form to be sure all relevant data are covered in the interview
The nurse is conducting the diagnosis face (nursing diagnosis) of the nursing process
for a client with a seizure disorder. Which step exist between data analysis and
formulating the diagnostic statement ✅Delineate The client problem and strengths
In the diagnostic statement " excess fluid volume related to decrease Venous return as
manifested by lower extremity edema (swelling)" the etiology of the problem is which of
the following ✅Decrease venous return
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 twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
