NUR 233 Exam #4 Questions And 100%
Correct Answers
The nurse is evaluating a complaint of pain, frequency and urgency from an 18-year old.
Which question by the nurse would be the first one to ask?
A. Have you noticed any change in color?
B. When was your last menstrual cycle?
C. Are you sexually active?
D. What have you taken for the pain? - ANSWER C
Which information indicates to the nurse the client teaching about treatment of urinary
incontinence has been effective?
A. client prepares a scheduled voiding plan
B. client verbalizes the need to increase fluid intake
C. client explains how to perform pelvic floor exercises
D. client attempts to retain vaginal cone in entire day - ANSWER A
The nurse is caring for an elderly client who has an indwelling catheter. Which data
warrants further investigation?
A. Clients temp 98
B. client becomes confused and irritable
C. clients urine clear/light yellow
D. client feels need to urinate - ANSWER B
, Which nursing intervention should be included in the care plan for the 84 y/o diagnosed
with gastroenteritis. Select All
A. Assess skin turgor on back of hand
B. monitor for ortho hypo
C. record frequency and characteristics of sputum
D. Use standard precautions when caring for client
E. establish safety precautions when ambulating client - ANSWER B D E
Which nursing problem is priority for the 76-year-old client diagnosed with
gastroenteritis from staphylococcal food poisoning?
1. Fluid volume deficit.
2. Nausea.
3. Risk for aspiration.
4. Impaired urinary elimination. - ANSWER A
Which problem is most appropriate for the nurse to identify for the client with diarrhea
A. Alteration for skin integrity
B. Chronic pain perception
C. fluid volume excess
D. ineffective coping - ANSWER A
The client with AIDS has diarrhea. What is the nurse's appropriate intervention? Choose
all
Correct Answers
The nurse is evaluating a complaint of pain, frequency and urgency from an 18-year old.
Which question by the nurse would be the first one to ask?
A. Have you noticed any change in color?
B. When was your last menstrual cycle?
C. Are you sexually active?
D. What have you taken for the pain? - ANSWER C
Which information indicates to the nurse the client teaching about treatment of urinary
incontinence has been effective?
A. client prepares a scheduled voiding plan
B. client verbalizes the need to increase fluid intake
C. client explains how to perform pelvic floor exercises
D. client attempts to retain vaginal cone in entire day - ANSWER A
The nurse is caring for an elderly client who has an indwelling catheter. Which data
warrants further investigation?
A. Clients temp 98
B. client becomes confused and irritable
C. clients urine clear/light yellow
D. client feels need to urinate - ANSWER B
, Which nursing intervention should be included in the care plan for the 84 y/o diagnosed
with gastroenteritis. Select All
A. Assess skin turgor on back of hand
B. monitor for ortho hypo
C. record frequency and characteristics of sputum
D. Use standard precautions when caring for client
E. establish safety precautions when ambulating client - ANSWER B D E
Which nursing problem is priority for the 76-year-old client diagnosed with
gastroenteritis from staphylococcal food poisoning?
1. Fluid volume deficit.
2. Nausea.
3. Risk for aspiration.
4. Impaired urinary elimination. - ANSWER A
Which problem is most appropriate for the nurse to identify for the client with diarrhea
A. Alteration for skin integrity
B. Chronic pain perception
C. fluid volume excess
D. ineffective coping - ANSWER A
The client with AIDS has diarrhea. What is the nurse's appropriate intervention? Choose
all