2000 NCLEX Practice Questions & Terms
Water accounts for ________ to ___________% of an adult's total weight? - answer-50 to 60%
Name the four basic food groups - answer-Milk & Cheese, Meat & Legumes, Veggies & Fruits,
Bread & Cereal
Water acounts for __________ to _________% of an infant's total weight? - answer-70 to 75%
An individual is obese if they weigh ________% above the ideal weight. - answer-20
Should you retract the foreskin of a 5 week old male, uncircumcised infant to cleanse the
area? - answer-No, not until foreskin retracts naturally and without resistance- then it should be
retracted, cleansed and replaced.
How long does it take for the umbilical stump to fall off? - answer-7 to 14 days
What cranial nerve is affected in Bell's Palsy? - answer-#7, facial nerve
What is the #1 symptom of Bell's Palsy? - answer-One sided (unilateral) facial paralysis
Complete recovery from the paralysis of Bell's Palsy should occur in _______ to ______
months. - answer-4 to 6
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,In addition to the facial paralysis, the sense of ______ is also affected in Bell's Palsy. - answer-
taste
Will the patient be able to close their eye on the affected side? (Bell's Palsy) - answer-no
Give three eye interventions for the client with Bell's Palsy. - answer-Dark glasses, artificial
tears, cover eye at night
As the prostate enlarges it compresses the ___________ and causes urinary ________. -
answer-Urethra, rentention
At what age does BPH occur? - answer-men over 50 years of age
What does BPH stand for? - answer-Benign Prostatic Hypertrophy
IN BPH the man has (increased/decreased) frequency of urination - answer-increased
The man with BPH has a _________-stream of urine - answer-forked
Will the man with BPH have enuresis, nocturia or hematuria? - answer-Enuresis-No, Nocturia-
Yes, and Hematuria-Maybe
Enuresis - answer-inability to control the flow of urine and involuntary urination
What is the best way to screen men for BPH? - answer-Digital rectal exam
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,What type of diet is used in BPH? - answer-Acid Ash
Acid Ash diet - answer-Decrease pH (makes urine acid)
Chz, eggs, Meat, fish, oysters, poultry, Bread, Cereal, Whole Grains, Pastries, Cranberries,
Prunes, Plums, Tomatoes, Peas, Corn, Legumes.
What is the primary purpose of a 3 way continuous bladder irrigation (CBI) after TURP? -
answer-To keep the catheter clear of clots and to drain urine
What solution is used for continuous bladder irrigation? - answer-Normal saline (0.9 NaCl)
How fast do you run the continuous bladder irrigation? - answer-At whatever rate it takes to
keep the urine flowing and free of clots
What drug is use to treat bladder spasm? - answer-B&O suppositories (Belladonna & Opiates)
You should call the MD after TURP when you see _________ thick ________, _____________
clots, and ____________ urine drainage on the dressing. - answer-Bright thick blood, persistent
clots, persistent urine on dressing (don't call MD for transitory clots and urine on dressing.)
If you see an increase in blood content of urine coming out of the catheter, you would first
___________. - answer-Pull carefully on the catheter to apply local pressure on the prostate
with the Foley balloon.
If you see clots in the tubing you would first ____________. - answer-Increase the flow-rate.
How often should the drainage bag be emptied? - answer-Every 8 hours
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, What is the most common route for organisms to enter the blader when a catheterization is
used? - answer-Up through the inside of the catheter in the days following catheterization
Name foods that make acid urine - answer-Cranberry juice, apple juice (avoid citrus juices- they
make alkaline urine)
How is the catheter taped in a male client? - answer-To the lateral thigh or abdomen
How is the catheter taped in a female client? - answer-To the upper thigh
What urinary pH prevents UTI? - answer-Acidity, low pH
Should the drainage bag ever touch the floor? - answer-No
Is it ok to routinely irrigate indwelling catheters? - answer-No
What agents are best for catheter care? - answer-Soap and water
What is the most effective way to decrease UTI with catheters? - answer-Keep the drainage
system closed, do not disconnect junction of tubing
Give some signs of infection in a Foley catheter - answer-Cloudy urine, foul smelling urine,
hematuria
Is urinary incontinence an indication for catheterization? - answer-No
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