Exam (elaborations)
Med-Surg 2 Exam 4
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Exam of 200 pages for the course Med-Surg 2 at Med-Surg 2 (Med-Surg 2 Exam 4)
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MED-SURG 2 EXAM 4 QUESTIONS WITH100% CORRECT ANSWERS / VERIFIED /
LATEST UPDATE 2024
question
cA female patient reports that she is experiencing burning on urination, frequency, and urgency. The
nurse notes that a clean-voided urine specimen is markedly cloudy. The probable cause of these
symptoms and findings is:
A) Cystitis.
B) Hematuria.
C) Pyelonephritis.
D) Dysuria. - Correct answer.A) Cystitis.
A male patient returned from the operating room 6 hours ago with a cast on his right arm. He has not yet
voided. Which action would be the most beneficial in assisting the patient to void?
A) Suggest he stand at the bedside
B) Stay with the patient
C) Give him the urinal to use in bed
D) Tell him that, if he doesn't urinate, he will be catheterized - Correct answer.A) Suggest he stand at the
bedside
Elimination changes that result from inability of the bladder to empty properly may cause which of the
following? (Select all that apply.)
A) Incontinence
B) Frequency
C) Urgency
D) Urinary retention
E) Urinary tract infection - Correct answer.A) Incontinence
B) Frequency
C) Urgency
,D) Urinary retention
E) Urinary tract infection
An older male patient states that he is having problems starting and stopping his stream of urine and he
feels the urgency to void. The best way to assist this patient is to:
A) Help him stand to void.
B) Place a condom catheter.
C) Have him practice Credé's method.
D) Initiate Kegel exercises. - Correct answer.Initiate Kegel exercises.
Since removal of the patient's Foley catheter, the patient has voided 50 to 100 mL every 2 to 3 hours.
Which action should the nurse take first?
A) Check for bladder distention
B) Encourage fluid intake
C) Obtain an order to recatheterize the patient
D) Document the amount of each voiding for 24 hours - Correct answer.Check for bladder distention
To minimize the patient experiencing nocturia, the nurse would teach him or her to:
A) Perform perineal hygiene after urinating.
B) Set up a toileting schedule.
C) Double void.
D) Limit fluids before bedtime. - Correct answer.Limit fluids before bedtime
A patient with a Foley catheter carries the collection bag at waist level when ambulating. The nurse tells
the patient that he or she is at risk for: (Select all that apply.)
A) Infection.
B) Retention.
C) Stagnant urine.
D) Reflux of urine. - Correct answer.Infection.
Reflux of urine.
,The patient is incontinent, and a condom catheter is placed. The nurse should take which action?
A) Secure the condom with adhesive tape
B) Change the condom every 48 hours
C) Assess the patient for skin irritation
D) Use sterile technique for placement - Correct answer.Assess the patient for skin irritation
After a transurethral prostatectomy a patient returns to his room with a triple-lumen indwelling catheter
and continuous bladder irrigation. The irrigation is normal saline at 150 mL/hr. The nurse empties the
drainage bag for a total of 2520 mL after an 8-hour period. How much of the total is urine output? -
Correct answer.1320
The RN directs the LPN/LVN to remove a Foley catheter at 1300. The nurse would check if the patient has
voided by:
A) 1400.
B) 1600
C) 1700.
D) 2300. - Correct answer.1700.
The postoperative patient has difficulty voiding after surgery and is feeling "uncomfortable" in the lower
abdomen. Which action should the nurse implement first?
A) Encourage fluid intake
B) Administer pain medication
C) Catheterize the patient
D) Turn on the bathroom faucet as he tries to void - Correct answer.Turn on the bathroom faucet as he
tries to void
The patient is to have an intravenous pyelogram (IVP). Which of the following apply to this procedure?
(Select all that apply.)
A) Note any allergies.
B) Monitor intake and output.
, C) Provide for perineal hygiene.
D) Assess vital signs.
E) Encourage fluids after the procedure. - Correct answer.Note any allergies.
Encourage fluids after the procedure.
The nurse assesses that the patient has a full bladder, and the patient states that he or she is having
difficulty voiding. The nurse would teach the patient to:
A) Use the double-voiding technique.
B) Perform Kegel exercises.
C) Use Credé's method.
D) Keep a voiding diary. - Correct answer.Use Credé's method.
The patient states that she "loses urine" every time she laughs or coughs. The nurse teaches the patient
measures to regain urinary control. The nurse recognizes the need for further teaching when the patient
states:
A) "I will perform my Kegel exercises every day."
B) "I joined weight watchers."
C) "I drink two glasses of wine with dinner."
D) "I have tried urinating every 3 hours." - Correct answer."I drink two glasses of wine with dinner."
The nurse notes that the patient's Foley catheter bag has been empty for 4 hours. The priority action
would be to:
A) Irrigate the Foley.
B) Check for kinks in the tubing.
C) Notify the health care provider.
D) Assess the patient's intake. - Correct answer.Check for kinks in the tubing.
Confirmed by palpation and x-ray study, the client's right kidney is lower than the left
kidney. What is the nurse's interpretation of this finding?
A. The client has a problem involving the right kidney.
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