NUR310 Exam 1 Questions And 100% Correct
Answers A+ Graded
What is stress incontinence? - ANS Stress incontinence is the loss of less than 50 mL of
urine during coughing, laughing, or sneezing. In women this is often seen post
childbearing. Kegel exercises increase the perineal muscle tone helping to control
involuntary voiding.
Incontinence caused by over-distention of the bladder? - ANS Overflow incontinence
Incontinence that is unpredictable and often associated with neurological issues? - ANS
Total incontinence
incontinence related to environmental or cognitive factors, where a client cannot make
it to the toilet? - ANSWER Functional incontinence
A nurse is caring for a client who has urinary incontinence related to a cerebrovascular
accident (also referred to as "brain attack"). What action should the nurse include in the
plan of care to reduce the frequency of urinary incontinence? ANSWER Initiate
interventions to prevent constipation. A distended rectum can exert pressure on the
urine bladder, which can precipitate the development of urinary incontinence.
A nurse is providing care for an older adult male client who is bedridden and incontinent
of urine. What is the most satisfactory initial nursing intervention for the management of
urinary incontinence? - ANSWER Offering the urinal frequently
A client with a diagnosis of dementia, Alzheimer type, is admitted to a nursing home. The
client is confused, forgetful, wanders, and experiences intermittent episodes of urinary
incontinence. How does the nurse plan to meet this client's elimination needs? ANSWER
The nurse takes the client to the bathroom on a routine schedule removes responsibility
from the client who is having difficulty identifying and remembering to follow through on
basic needs routinely emptying the bladder may decrease episodes of incontinence.
,A health care provider orders tolterodine (Detrol) for a client with an overactive bladder.
What should the nurse instruct the client to do most importantly? ANSWER Avoid
activities requiring alertness until response to the medication is known Tolterodine is a
urinary tract antispasmotic and can cause dizziness and blurred vision which puts the
client at risk for injury.
A pediatric clinic nurse is creating a plan of care for a 7-year-old boy who has enuresis.
What is an appropriate short-term goal for this child? - ANSWER The time between
voidings will be lengthened by 1 hour.
Extension of time between voidings is a short-term goal that can be measured in terms
of a specific increase between each voiding, which provides a measurable indication
of improvement.
A kindergarten boy has been having accidents at school for the first several weeks of
the year. What can the school nurse do? - ANSWER Have him keep extra clothes in the
health office
A toddler has a repaired myelomeningocele and now has urinary incontinence and some
flaccidity of the lower extremities. What should be included in what the nurse teaches
the parents? ANSWER The child will probably need a program of intermittent straight
catheterization.
A nurse employed in a hospital witnesses a client's spouse violently shaking the client
due to the client experiencing an episode of incontinence. Based on suspicion of
physical abuse, legally the nurse should report such concern to: - ANSWER Adult
protective services.
The nurse has a legal obligation to report suspicions of abuse to the proper agency, in
this circumstance being Adult Protective Services.
The nurse recognizes that which genitourinary factor predisposes older adults to
urinary incontinence? - ANSWER Urinary tract infections involve the genitourinary tract
and impair voluntary control of micturition. Sensory deprivation is a neurological, not
genitourinary, factor. In frequent use of diuretics is an iatrogenic, not genitourinary,
, factor. Inaccessibility of a bathroom is an environmental, not genitourinary, factor.
relating to illness caused by medical examination or treatment.? - ANS iatrogenic
Relating to the genital and urinary organs? - ANS genitourinary
A nurse is eliciting a health history from a client with ulcerative colitis. What factor does
the nurse consider to be most likely associated with the client's colitis? - ANS genetic
predisposition
(not autoimmune)
The client has inflammatory bowel disease and is receiving total parenteral nutrition
through an infusion pump. The most important action by the nurse in the administration
of TPN is to: - ANSWER change the TPN solution bag every 24 hours
A dehydrated infant with a several-day history of vomiting is admitted to the pediatric
unit with the diagnosis of gastroenteritis. The nurse plans to monitor the infant's
response to parenteral therapy. The best indicator of rehydration is: - ANSWER
Increased weight
(not # of wet diapers)
A mother brings her 6-month-old infant to the emergency department with a 3-day
history of gastroenteritis. What priority intervention does the nurse anticipate? - ANWER
Insertion of intravenous catheter
A client with an acute episode of ulcerative colitis is admitted to the hospital. Blood
studies disclose that the chloride level is low. The nurse expects that the electrolyte
deficiency will be treated by: - ANWER Intravenous therapy
Answers A+ Graded
What is stress incontinence? - ANS Stress incontinence is the loss of less than 50 mL of
urine during coughing, laughing, or sneezing. In women this is often seen post
childbearing. Kegel exercises increase the perineal muscle tone helping to control
involuntary voiding.
Incontinence caused by over-distention of the bladder? - ANS Overflow incontinence
Incontinence that is unpredictable and often associated with neurological issues? - ANS
Total incontinence
incontinence related to environmental or cognitive factors, where a client cannot make
it to the toilet? - ANSWER Functional incontinence
A nurse is caring for a client who has urinary incontinence related to a cerebrovascular
accident (also referred to as "brain attack"). What action should the nurse include in the
plan of care to reduce the frequency of urinary incontinence? ANSWER Initiate
interventions to prevent constipation. A distended rectum can exert pressure on the
urine bladder, which can precipitate the development of urinary incontinence.
A nurse is providing care for an older adult male client who is bedridden and incontinent
of urine. What is the most satisfactory initial nursing intervention for the management of
urinary incontinence? - ANSWER Offering the urinal frequently
A client with a diagnosis of dementia, Alzheimer type, is admitted to a nursing home. The
client is confused, forgetful, wanders, and experiences intermittent episodes of urinary
incontinence. How does the nurse plan to meet this client's elimination needs? ANSWER
The nurse takes the client to the bathroom on a routine schedule removes responsibility
from the client who is having difficulty identifying and remembering to follow through on
basic needs routinely emptying the bladder may decrease episodes of incontinence.
,A health care provider orders tolterodine (Detrol) for a client with an overactive bladder.
What should the nurse instruct the client to do most importantly? ANSWER Avoid
activities requiring alertness until response to the medication is known Tolterodine is a
urinary tract antispasmotic and can cause dizziness and blurred vision which puts the
client at risk for injury.
A pediatric clinic nurse is creating a plan of care for a 7-year-old boy who has enuresis.
What is an appropriate short-term goal for this child? - ANSWER The time between
voidings will be lengthened by 1 hour.
Extension of time between voidings is a short-term goal that can be measured in terms
of a specific increase between each voiding, which provides a measurable indication
of improvement.
A kindergarten boy has been having accidents at school for the first several weeks of
the year. What can the school nurse do? - ANSWER Have him keep extra clothes in the
health office
A toddler has a repaired myelomeningocele and now has urinary incontinence and some
flaccidity of the lower extremities. What should be included in what the nurse teaches
the parents? ANSWER The child will probably need a program of intermittent straight
catheterization.
A nurse employed in a hospital witnesses a client's spouse violently shaking the client
due to the client experiencing an episode of incontinence. Based on suspicion of
physical abuse, legally the nurse should report such concern to: - ANSWER Adult
protective services.
The nurse has a legal obligation to report suspicions of abuse to the proper agency, in
this circumstance being Adult Protective Services.
The nurse recognizes that which genitourinary factor predisposes older adults to
urinary incontinence? - ANSWER Urinary tract infections involve the genitourinary tract
and impair voluntary control of micturition. Sensory deprivation is a neurological, not
genitourinary, factor. In frequent use of diuretics is an iatrogenic, not genitourinary,
, factor. Inaccessibility of a bathroom is an environmental, not genitourinary, factor.
relating to illness caused by medical examination or treatment.? - ANS iatrogenic
Relating to the genital and urinary organs? - ANS genitourinary
A nurse is eliciting a health history from a client with ulcerative colitis. What factor does
the nurse consider to be most likely associated with the client's colitis? - ANS genetic
predisposition
(not autoimmune)
The client has inflammatory bowel disease and is receiving total parenteral nutrition
through an infusion pump. The most important action by the nurse in the administration
of TPN is to: - ANSWER change the TPN solution bag every 24 hours
A dehydrated infant with a several-day history of vomiting is admitted to the pediatric
unit with the diagnosis of gastroenteritis. The nurse plans to monitor the infant's
response to parenteral therapy. The best indicator of rehydration is: - ANSWER
Increased weight
(not # of wet diapers)
A mother brings her 6-month-old infant to the emergency department with a 3-day
history of gastroenteritis. What priority intervention does the nurse anticipate? - ANWER
Insertion of intravenous catheter
A client with an acute episode of ulcerative colitis is admitted to the hospital. Blood
studies disclose that the chloride level is low. The nurse expects that the electrolyte
deficiency will be treated by: - ANWER Intravenous therapy
