Pnr 221 Exam I with Complete Solutions/
Correct-Verified Answers
Mrs. J has recently become incontinent and confused. The physician is treating her for delirium
and anticipated that the incontinence will stop when the delirium resolves. - ANSWER
Transient Incontinence
After a severe accident, involving crushing injuries to legs and pelvis, john has become a
paraplegic and lost control over his bladder. He reports that the urine trickles out in small
volumes continuously. - ANSWER total incontinence
Ever since the birth of her 3rd child, Janice reports that she suffers from small amounts
of urinary leakage every time she sneezes or coughs - ANSWER stress incontinence
Mrs. Jones suffers from Alzheimer's. As her dementia progressed, she was routinely incontinent
and now she wears depends all the time. The depends are usually dry until she voids, then they
are full and need to be changed. The bladder scanner demonstrated that her bladder is empty
after the void. - ANSWER Function incontinence
the best position to Catharine a male client? - ANSWER Supine
Prompted voiding is most appropriate for: - ANSWER clients with cognitive disorders
For a patient with COPD, the primary stimulus for respiration is a [x] (high or low) [y](oxygen
or carbon dioxide) level. - ANSWER Low o2
Select strategies that can help minimize nocturia: - ANSWER a) Pts. With swollen legs,
elevate legs 2 hours before bedtime
b) Reduce intake of caffeine and alcohol, in the evening
, c) Restrict fluids 2 hours prior to bedtime
A female client is having difficulty voiding after a vaginal delivery. The nurse implements which
of the following interventions to promote voiding? (Select ALL that apply.) - ANSWER a) Turning
the water tap on
b) Ambulating the client to the bathroom
c) Trickling warm water on the genitals
A nurse directs a patient how to provide a sputum specimen. Which statement below will be
part of the instructions to the patient? - ANSWER a) Take a few deep breaths before
coughing up specimen
The most accurate indicator of fluid loss or gain in a acutely ill pt is? - ANSWER weight
A post op client has self-administered the maximum morphine on their PCA (patient-controlled
analgesia) pump. The nurse has assisted the client on and off the bedpan two or three times an
hour for the past two hours. Urine output was about 50 mL with each void. The nurse now
begins to suspect which of the following? - ANSWER retention overflow
Nursing assessment for pt with chest pain includes: - ANSWER a) Looking for factors that
precipitate the pain
b) Determine whether there is a relationship between the pain and the patient's posture
c) Evaluating how the phases of respiration affects the pain
A client with multiple sclerosis is being taught how to perform self-catheterization. As part of this
teaching, the nurse instructs the client to do which of the following? (Select ALL that apply.)
- ANSWER a) Use clean
technique b) Increase fluid intake
Select ALL the answers that are correct relating to hypoxia: - ANSWER a) Hypoxia is defined as
low cellular o2 levels
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