NSG 3100 Exam 3 Questions with 100% Correct Solutions Graded A+

Obtaining a capillary blood specimen to measure blood glucose, you should - ensure there is good blood flow at the puncture site True or False When testing for fecal occult blood, a green color indicates a guaiac positive result. - False A RN instructing a female patient on obtaining a clean catch urine specimen should stress to: - Void a small amount of urine before collecting the specimen The client has an indwelling catheter. The nurse should obtain a sterile urine specimen by - using a syringe to withdraw urine from the catheter tubing port An x-ray of the abdomen visualizing the kidneys, ureters and bladder is known as: - KUB What is an echocardiogram? - Visualization of the structures of the heart by using ultrasound What does MRI stand for? - Magnetic Resonance Imaging Thoracentesis is removal of fluid from: - pleural space While assisting with a thoracentesis the nurse should do all of the following EXCEPT: - Have the patient cough periodically during the procedure A noninvasive method of estimating bladder volume would be: - Bladder Scanner Your urine should smell - aromatic What is a normal urine output per hour? - 30 mL Urge incontinence is due to - an overactive bladder Stress incontinence is when - urine leaks when you laugh, cough or sneeze The presence of ketones in the urine indicates - rapid breakdown of fat The nurse who teaches a client about preventing UTIs would include which statement? - Void immediately after sexual intercourse How much space should you leave from the tip of the penis and the drainage tube when applying a condom cath? - 1 Inch The nurse understands that a straight catheterization: - empties the bladder and the catheter is immediately removed The purpose of a three way Foley after a TURP is to - Irrigation A nurse is inserting a Foley catheter in a female and obtains clear urine. What next? - Advance the catheter another 2 inches (5 cm) Where should Foley indwelling catheter drainage bag be positioned after insertion of catheter? - Lower than the level of the bladder What are the causes of constipation? - poor bowel habits diet low in fiber chronic use of laxatives What indicates a correct understanding of the use of laxatives for constipation? - Laxatives should only be taken for a few days. Which position is the patient placed in for the administration of an enema? - Sims When giving an enema, you should insert the tube 7-10 cm (3-4 inches). True or False? - True When changing the colostomy appliance, cut the opening in the skin barrier no more than ____ larger than the stoma. - 1/8 inch The best time to change a pouching system is in the morning or 2 to 4 hours after meals. True or False - True An unlicensed assistive personnel (UAP) reports to the nurse that a client being fed experienced coughing and choking when swallowing. The client states, "It feels like the food is stuck in my throat." What does the nurse suspect is happening with this client? - The client is having dysphagia. While undergoing a soapsuds enema, the client complains of mild abdominal cramping. The nurse should: - lower the bag The client has an indwelling catheter. The nurse should obtain a sterile urine specimen by: - syringe to withdraw from cath port limiting fluids has what effect on urine? - raises specific gravity The nurse is alert to the possibility that for 24 to 48 hours after the postoperative procedure, clients may experience the following as a result of the anesthetic used during the surgery: - paralytic ilyus before fecal occult test eat - bread diagnosis of Alteration in urinary elimination, retention. On assessment, the nurse anticipates that this client will exhibit: - a feeling of pressure and voiding of small amounts. diarrhea patients should consume - lean meats A colonoscopy is ordered and the patient has questions about the examination. Before the colonoscopy, the nurse teaches the patient that: - light sedation is normally used In an assessment of a client with overflow incontinence, the nurse expects to find that the client has: - constant dribbling of urine A nurse is monitoring a client's fluid intake. For breakfast, the client consumed 8 oz of milk, 10 oz of water, 4 oz of flavored gelatin, 1 scrambled egg, 1 crisp piece of bacon, and 2 biscuits with jelly. The nurse should record the fluid intake as: - 660 mLs