A nurse is caring for a critically ill patient with a urinary retention catheter. Which
hourly urine output should first alert the nurse that the primary health-care provider
should be notified ?
1. 20 ml
2. 30 ml
3. 60 ml
4. 120 ml
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, 30 ml
A nurse is caring for a debilitated female patient with nocturia. Which nursing
intervention is the priority when planning to meet this patient's needs?
1.Encouraging the use of bladder training exercises
2. Providing assistance with toileting every 4 hrs.
3.Positioning a bedside commode near the bed
4.Teaching the avoidance of fluids after 5pm
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Positioning a bedside commode near the bed
A nurse reviews the results of a patient's urinalysis. Which constituent found in urine
indicates the presence of an abnormality?
1.Electrolytes
2. Protein
3.Water
4.Urea
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Protein
A nurse is assessing a patient to determine if it is appropriate to administer a
prescribed medication via the oral route. Which information indicates that the nurse
should ask the primary health care provider for a change in route? Select all that
,apply.
1. Nausea
2. Unconsciousness
3. Gastric suctioning
4. Emergency situation
5. Difficulty swallowing
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2,4
A patient is admitted to the emergency department because of hypertension and
oliguria. For which additional clinical manifestation associated with this cluster of
information should the nurse assess the patient?
A) Thirst
B) Retention
C) Weight gain
D) Urinary hesitancy
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Weight gain
A primary health-care provider orders a patient's IV fluids to be discontinued. Which is
an essential nursing intervention when discontinuing the patient's intravenous
infusion?
1. Withdraw the intravenous catheter along the same angle of its insertion
2. Use an alcohol swab to scrub the insertion site
3. Flush the line with normal saline
4. Don sterile gloves
, Give this one a try later!
Withdraw the intravenous catheter along the same angle of its insertion
A nurse is caring for a patient with a condom catheter. Which nursing actions are
important? Select all that apply
1. Providing perineal care every shift
2. Avoiding kinks in the collection tubing
3. Ensuring that the adhesive band is snug, not tight
4. Retracting the foreskin before the catheter is applied
5. Leaving one inch between the glans penis and drainage tubing
Give this one a try later!
2. Avoiding kinks in the collection tubing
3. Ensuring that the adhesive band is snug, not tight
5. Leaving one inch between the glans penis and drainage tubing
A nurse is assesing a patient's fluid status. Which assessments indicate that the patient
has a deifcient fluid volume ? Select all that apply
1. Redness
2. Swelling
3. Firmness
4. Coolness
5. Inflammation
Give this one a try later!
hourly urine output should first alert the nurse that the primary health-care provider
should be notified ?
1. 20 ml
2. 30 ml
3. 60 ml
4. 120 ml
Give this one a try later!
, 30 ml
A nurse is caring for a debilitated female patient with nocturia. Which nursing
intervention is the priority when planning to meet this patient's needs?
1.Encouraging the use of bladder training exercises
2. Providing assistance with toileting every 4 hrs.
3.Positioning a bedside commode near the bed
4.Teaching the avoidance of fluids after 5pm
Give this one a try later!
Positioning a bedside commode near the bed
A nurse reviews the results of a patient's urinalysis. Which constituent found in urine
indicates the presence of an abnormality?
1.Electrolytes
2. Protein
3.Water
4.Urea
Give this one a try later!
Protein
A nurse is assessing a patient to determine if it is appropriate to administer a
prescribed medication via the oral route. Which information indicates that the nurse
should ask the primary health care provider for a change in route? Select all that
,apply.
1. Nausea
2. Unconsciousness
3. Gastric suctioning
4. Emergency situation
5. Difficulty swallowing
Give this one a try later!
2,4
A patient is admitted to the emergency department because of hypertension and
oliguria. For which additional clinical manifestation associated with this cluster of
information should the nurse assess the patient?
A) Thirst
B) Retention
C) Weight gain
D) Urinary hesitancy
Give this one a try later!
Weight gain
A primary health-care provider orders a patient's IV fluids to be discontinued. Which is
an essential nursing intervention when discontinuing the patient's intravenous
infusion?
1. Withdraw the intravenous catheter along the same angle of its insertion
2. Use an alcohol swab to scrub the insertion site
3. Flush the line with normal saline
4. Don sterile gloves
, Give this one a try later!
Withdraw the intravenous catheter along the same angle of its insertion
A nurse is caring for a patient with a condom catheter. Which nursing actions are
important? Select all that apply
1. Providing perineal care every shift
2. Avoiding kinks in the collection tubing
3. Ensuring that the adhesive band is snug, not tight
4. Retracting the foreskin before the catheter is applied
5. Leaving one inch between the glans penis and drainage tubing
Give this one a try later!
2. Avoiding kinks in the collection tubing
3. Ensuring that the adhesive band is snug, not tight
5. Leaving one inch between the glans penis and drainage tubing
A nurse is assesing a patient's fluid status. Which assessments indicate that the patient
has a deifcient fluid volume ? Select all that apply
1. Redness
2. Swelling
3. Firmness
4. Coolness
5. Inflammation
Give this one a try later!
