Answers 2024/2025
the nurse is emptying a urinary drainage bag for a client with an indwelling urinary catheter. what action
will the nurse take to prevent a catheter-associated urinary tract infection?
- use the same measuring receptacle for all clients
- do not let the drainage spigot touch the measuring receptacle
- empty the drainage bag after it is completely full
- loop the catheter tubing to ensure the drainage bag does not touch the floor - ANSWERSdo not let the
drainage spigot touch the measuring receptacle
a client reports difficulty in initiating and maintaining a urine stream. how would the nurse best
document this finding?
- dribbling
- hesitancy
- urgency
- dysuria - ANSWERShesitancy
the client is suffering with stress incontinence. the nurse would expect the client to report which
symptom?
- nocturia
- hesitancy
- oliguria
- dribbling - ANSWERSdribbling
, the nurse has placed a condom catheter on a male client. which finding of the penis will the nurse assess
for after application that indicates poor circulation to the penis?
- erection
- skin lesion
- urge to void
- discoloration - ANSWERSdiscoloration
the nurse is assessing urinary output for a client. which client's output should the nurse report to the
health care provider?
- the client who has dark, yellow colored urine
- the client with transparent straw colored urine
- the client with 45 ml of urine output over the last 3 hrs
- client who has not voided in 2 hours - ANSWERSthe client with 45 ml of urine output over the last 3 hrs
Which teaching approach will the nurse use to provide the client with the opportunity to manage self-
care? - ANSWERSEntrusting
When providing preparatory instruction to a client the nurse will describe the commonly experienced
physical sensations and the cause of the sensations for a procedure. (True or False) - ANSWERStrue
The nurse taught a client how to use crutches. How will the nurse evaluate the client's learning of this
new skill? - ANSWERSThe client will demonstrate proper use of the crutches.
The nurse utilizes group discussion to enhance the analysis of information provided about congestive
heart failure. The nurse is utilizing which domain of learning? - ANSWERScognitive
PSA stands for prostate-specific antigen, a small protein made only by the prostate gland when it is
metabolically active. (True or False) - ANSWERStrue