Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
What is the most common cause of urinary tract infections in hospitalized clients?
✔✔ Indwelling urinary catheter use
What position should the client be in for a cleansing enema?
✔✔ Left side-lying Sims' position
What is the expected color of normal urine?
✔✔ Pale yellow to amber
What should the nurse do if a client has not voided 6 hours after catheter removal?
✔✔ Assess for bladder distention and notify the provider
What type of diet helps prevent constipation?
✔✔ High-fiber diet with adequate fluids
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,What is the purpose of bladder training?
✔✔ To help the client regain voluntary control over urination
What is the best method to confirm placement of a urinary catheter in the bladder?
✔✔ Observe urine flow into the tubing
What is an early sign of fecal impaction?
✔✔ Oozing liquid stool with no formed bowel movement
How often should a urinary drainage bag be emptied?
✔✔ When it is two-thirds full or every 8 hours
What should be done first when a client reports urinary urgency and frequency?
✔✔ Assess the client for signs of a urinary tract infection
How can the nurse reduce the risk of skin breakdown in a client with fecal incontinence?
✔✔ Clean the skin promptly and apply barrier cream
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, What should the nurse do if a client becomes dizzy while receiving an enema?
✔✔ Stop the enema and assess the client’s vital signs
What is the normal frequency of bowel movements for most healthy adults?
✔✔ Between three times per week to once per day
What does a positive fecal occult blood test indicate?
✔✔ The presence of hidden blood in the stool
What should the nurse teach a client with a new colostomy?
✔✔ Empty the pouch when it is one-third to one-half full
What should the nurse include in care for a client with a condom catheter?
✔✔ Ensure proper fit and remove daily for skin inspection
What is the best action if a client experiences abdominal cramping during an enema?
✔✔ Slow the enema flow rate or clamp the tubing temporarily
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