NURS 309 Exam Module 3 Questions
With Complete Solutions
A client has been prescribed a small-volume enema for
constipation following surgery and asks the nurse how such a
small amount of fluid can lead to a bowel movement. What is
the nurse's best response? Correct Answers "This enema pulls
fluid from the intestine to stimulate defecation."
A client is receiving a continuous tube feeding. Which
accurately describes an aspect of this procedure? Correct
Answers A feeding pump is used for a continuous feeding.
A client reports a burning sensation when urinating for the first
time following the removal of an indwelling urinary catheter. In
this situation, what would be the nurse's intervention? Correct
Answers Inform the client that this is normal for the first few
voids.
A client with dysphagia prepares to eat dinner. How does the
nurse best help this client? Correct Answers Ensure the head of
the bed is high-Fowler.
A nurse delivers a tray of food to an older client and sets it on
the overbed table. The client shows no interest in the food,
however. Which actions should the nurse take? Select all that
apply. Correct Answers Ask why the client does not want to eat
anything on the tray.
Assess the client for signs of depression.
Consult a dietitian if the problem persists.
,A nurse enters a client's room to perform a tube feeding. Which
nursing action should be performed first? Correct Answers
Aspirate stomach contents and check pH.
A nurse has just removed an indwelling catheter from a client.
Which common complications of urinary function should the
nurse monitor for in the client, after removal of an indwelling
catheter? Select all that apply. Correct Answers Urinary
retention, Difficulty voiding, Burning or irritation while voiding
A nurse has received a prescription to obtain a specimen for an
occult blood test in a client who is being assessed for colon
cancer. Which type of sample should the nurse obtain from the
client? Correct Answers Stool
A nurse is administering a small-volume enema to a client to
relieve fecal impaction. After initiating this action, the client
reports nausea and lightheadedness. The nurse also notes a
decrease in the client's heart rate. What should the nurse do
first? Correct Answers Stop the procedure and monitor client's
heart rate.
A nurse is assisting a client with the use of a bedpan. The nurse
understands that which statement about bedpans is true? Correct
Answers The largest part of a regular bedpan should be placed
under the client's buttocks
A nurse is assisting a client with the use of a urinal. The nurse
recognizes that which statement about the use of a urinal is true?
, Correct Answers Unless contraindicated, nurses should
encourage clients to stand to use a urinal.
A nurse is caring for a client who has been prescribed a clear
liquid diet. Which liquid can be included in the client's diet?
Correct Answers Cranberry juice
A nurse is caring for a client with a gastrostomy tube and
observes that a large amount of drainage is leaking from the
tube. On inspection the nurse finds a great deal of slack in the
tube. Which action should the nurse take next? Correct Answers
Apply gentle pressure to the tube while pressing the external
bumper closer to the skin.
A nurse is giving instructions to a client on the proper method
for providing a stool sample. Which should the nurse tell the
client? Correct Answers "Void first in the toilet and then catch
the stool in a plastic receptacle."
A nurse is preparing to administer an enema to a client.
Reviewing the health history, however, the nurse realizes that
the client often has a problem with sodium retention. The nurse
should know that it would be a contraindication to administer
which type of enema to this client? Correct Answers
Hypertonic
A nurse is testing stool for occult blood. The client wants to
know how long it will take to know the results. The nurse tells
the client that after applying the developer to the sample, the
result will be read in how many minutes? Correct Answers 5
minutes
With Complete Solutions
A client has been prescribed a small-volume enema for
constipation following surgery and asks the nurse how such a
small amount of fluid can lead to a bowel movement. What is
the nurse's best response? Correct Answers "This enema pulls
fluid from the intestine to stimulate defecation."
A client is receiving a continuous tube feeding. Which
accurately describes an aspect of this procedure? Correct
Answers A feeding pump is used for a continuous feeding.
A client reports a burning sensation when urinating for the first
time following the removal of an indwelling urinary catheter. In
this situation, what would be the nurse's intervention? Correct
Answers Inform the client that this is normal for the first few
voids.
A client with dysphagia prepares to eat dinner. How does the
nurse best help this client? Correct Answers Ensure the head of
the bed is high-Fowler.
A nurse delivers a tray of food to an older client and sets it on
the overbed table. The client shows no interest in the food,
however. Which actions should the nurse take? Select all that
apply. Correct Answers Ask why the client does not want to eat
anything on the tray.
Assess the client for signs of depression.
Consult a dietitian if the problem persists.
,A nurse enters a client's room to perform a tube feeding. Which
nursing action should be performed first? Correct Answers
Aspirate stomach contents and check pH.
A nurse has just removed an indwelling catheter from a client.
Which common complications of urinary function should the
nurse monitor for in the client, after removal of an indwelling
catheter? Select all that apply. Correct Answers Urinary
retention, Difficulty voiding, Burning or irritation while voiding
A nurse has received a prescription to obtain a specimen for an
occult blood test in a client who is being assessed for colon
cancer. Which type of sample should the nurse obtain from the
client? Correct Answers Stool
A nurse is administering a small-volume enema to a client to
relieve fecal impaction. After initiating this action, the client
reports nausea and lightheadedness. The nurse also notes a
decrease in the client's heart rate. What should the nurse do
first? Correct Answers Stop the procedure and monitor client's
heart rate.
A nurse is assisting a client with the use of a bedpan. The nurse
understands that which statement about bedpans is true? Correct
Answers The largest part of a regular bedpan should be placed
under the client's buttocks
A nurse is assisting a client with the use of a urinal. The nurse
recognizes that which statement about the use of a urinal is true?
, Correct Answers Unless contraindicated, nurses should
encourage clients to stand to use a urinal.
A nurse is caring for a client who has been prescribed a clear
liquid diet. Which liquid can be included in the client's diet?
Correct Answers Cranberry juice
A nurse is caring for a client with a gastrostomy tube and
observes that a large amount of drainage is leaking from the
tube. On inspection the nurse finds a great deal of slack in the
tube. Which action should the nurse take next? Correct Answers
Apply gentle pressure to the tube while pressing the external
bumper closer to the skin.
A nurse is giving instructions to a client on the proper method
for providing a stool sample. Which should the nurse tell the
client? Correct Answers "Void first in the toilet and then catch
the stool in a plastic receptacle."
A nurse is preparing to administer an enema to a client.
Reviewing the health history, however, the nurse realizes that
the client often has a problem with sodium retention. The nurse
should know that it would be a contraindication to administer
which type of enema to this client? Correct Answers
Hypertonic
A nurse is testing stool for occult blood. The client wants to
know how long it will take to know the results. The nurse tells
the client that after applying the developer to the sample, the
result will be read in how many minutes? Correct Answers 5
minutes
