PLANNING NURSING CARE QUESTIONS WITH DETAILED
VERIFIED AND 100% ACCURATE ANSWERS
Priority setting is helpful in solving collaborative problems. Which
answer is a high priority?
1
One related to nonemergent needs of the patients
Correct2
One related to life-threatening needs of the patients
3
One focused on the patient's long-term health care needs
4
One related only to the physiological diagnosis
Priority setting is helpful in sequencing nursing interventions to solve
collaborative problems. It is related to life-threatening needs of the
patients. If life-threatening needs are untreated, the patients may be
harmed. Priority setting is related to the emergent needs of the patients.
Focusing on the patient's long- term health care needs is a low priority.
High priorities are not only limited to physiological diagnosis but also
psychological diagnosis.
Test-Taking Tip: Even if you thought you were unfamiliar with priority
setting, you would know that a high priority would be anything life
threate Correct Answers
The nurse receives a prescription to obtain a post-void residual for a
patient via catheterization. What is the best way to obtain this
measurement?
,Correct1
Intermittent catheterization
2
Long-term indwelling catheterization
3
Short-term indwelling catheterization
4
Medium-term indwelling catheterization
Intermittent catheterization is used when evaluating the residual urine
following urination. The investigation requires measurement of urine
remaining in the bladder after voiding. Intermittent catheterization
prevents the risk of infection. Long-term catheterization is done in
patients with urinary retention. It may also be done for patients with
recurrent episodes of urinary infections, skin breakdown, and terminal
illness. Short-term catheterization is required for obstructive conditions,
surgical repair of bladder and urethra, prevention of urethral obstruction,
and bladder irrigation. There is no such thing as Correct Answers
Which expected outcome is written in measurable terms?
1
Patient will be pain free.
2
Patient will have less pain.
3
Patient will take pain medication every 4 hours.
, Correct4
Patient will report pain acuity less than 4 on a scale of 0 to 10.
Using a scale for the patient's report of pain acuity is measurable
because it is the only outcome statement that allows the nurse to obtain
an actual measure of the patient's pain. "Patient will be pain free" is a
goal, "Patient will have less pain" is vague, and "Patient will take pain
medication every 4 hours" is an intervention. Correct Answers
A nurse instructs an elderly patient to restrict fluid intake 2 hours before
bedtime. Which complication is the nurse trying to reduce?
Correct1
Nocturia
2
Urinary retention
3
Urinary tract infection
4
Stress urinary incontinence
To reduce nocturia, the patient should be advised to restrict fluid intake
2 hours before bedtime. Intermittent catheterization may be used to
manage mild urinary retention. The nurse should instruct the patient to
follow good perineal hygiene practices to prevent urinary tract
infections. To manage stress urinary incontinence, the nurse should
teach the patient pelvic muscle exercises. Correct Answers
VERIFIED AND 100% ACCURATE ANSWERS
Priority setting is helpful in solving collaborative problems. Which
answer is a high priority?
1
One related to nonemergent needs of the patients
Correct2
One related to life-threatening needs of the patients
3
One focused on the patient's long-term health care needs
4
One related only to the physiological diagnosis
Priority setting is helpful in sequencing nursing interventions to solve
collaborative problems. It is related to life-threatening needs of the
patients. If life-threatening needs are untreated, the patients may be
harmed. Priority setting is related to the emergent needs of the patients.
Focusing on the patient's long- term health care needs is a low priority.
High priorities are not only limited to physiological diagnosis but also
psychological diagnosis.
Test-Taking Tip: Even if you thought you were unfamiliar with priority
setting, you would know that a high priority would be anything life
threate Correct Answers
The nurse receives a prescription to obtain a post-void residual for a
patient via catheterization. What is the best way to obtain this
measurement?
,Correct1
Intermittent catheterization
2
Long-term indwelling catheterization
3
Short-term indwelling catheterization
4
Medium-term indwelling catheterization
Intermittent catheterization is used when evaluating the residual urine
following urination. The investigation requires measurement of urine
remaining in the bladder after voiding. Intermittent catheterization
prevents the risk of infection. Long-term catheterization is done in
patients with urinary retention. It may also be done for patients with
recurrent episodes of urinary infections, skin breakdown, and terminal
illness. Short-term catheterization is required for obstructive conditions,
surgical repair of bladder and urethra, prevention of urethral obstruction,
and bladder irrigation. There is no such thing as Correct Answers
Which expected outcome is written in measurable terms?
1
Patient will be pain free.
2
Patient will have less pain.
3
Patient will take pain medication every 4 hours.
, Correct4
Patient will report pain acuity less than 4 on a scale of 0 to 10.
Using a scale for the patient's report of pain acuity is measurable
because it is the only outcome statement that allows the nurse to obtain
an actual measure of the patient's pain. "Patient will be pain free" is a
goal, "Patient will have less pain" is vague, and "Patient will take pain
medication every 4 hours" is an intervention. Correct Answers
A nurse instructs an elderly patient to restrict fluid intake 2 hours before
bedtime. Which complication is the nurse trying to reduce?
Correct1
Nocturia
2
Urinary retention
3
Urinary tract infection
4
Stress urinary incontinence
To reduce nocturia, the patient should be advised to restrict fluid intake
2 hours before bedtime. Intermittent catheterization may be used to
manage mild urinary retention. The nurse should instruct the patient to
follow good perineal hygiene practices to prevent urinary tract
infections. To manage stress urinary incontinence, the nurse should
teach the patient pelvic muscle exercises. Correct Answers
