NSG 262 Exam 3 Questions With Passed
Urostomy c- cCORRECT cANS✔✔creation cof can copening cin cthe curinary ctract,
cnormally cto cdivert curine cflow caway cfrom ca cdiseased cbladder
clean ccatch c- cCORRECT cANS✔✔a cmethod cof cobtaining ca curine cspecimen cusing ca
cspecial ccleansing ctechnique; calso ccalled cmidstream curine
Occult cblood c- cCORRECT cANS✔✔blood cthat ccannot cbe cseen cin cthe cstool cbut cis
cpositive con ca cfecal coccult cblood ctest
Guiac c- cCORRECT cANS✔✔testing cfor coccult cblood
Specific cgravity c- cCORRECT cANS✔✔shows cconcentration cof curine c1.005-1.030
Residual curine c- cCORRECT cANS✔✔urine cthat cremains cin cthe cbladder cafter
curination
Enuresis c- cCORRECT cANS✔✔involuntary curination
Encopresis c- cCORRECT cANS✔✔involuntary cdefecation cnot cattributable cto cphysical
cdefects cor cillness
Impaction c- cCORRECT cANS✔✔Results cfrom cunrelieved cconstipation; ca ccollection
cof chardened cfeces cwedged cin cthe crectum cthat ca cperson ccannot cexpel
Hypertonic cEnema c- cCORRECT cANS✔✔Exert cosmotic cpressure cthat cpulls cfluid cout
cof cinterstitial cspaces. cThe ccolon cfills cwith cfluid, cand cthe cresultant cdistention
cpromotes cdefecation. cUsed cfor cpatients cwho ccannot ctolerate clarge cvolumes cof cfluid
Ileostomy c- cCORRECT cANS✔✔the csurgical ccreation cof can cartificial cexcretory
copening cbetween cthe cileum, cat cthe cend cof cthe csmall cintestine, cand cthe coutside cof
cthe cabdominal cwall
Incontinence c- cCORRECT cANS✔✔inability cto ccontrol cbladder cand/or cbowels
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,Flatulence c- cCORRECT cANS✔✔Accumulation cof cgas cin cthe cintestines ccausing cthe
cwalls cto cstretch
-before cfeeding cpatient cmake csure cthey chave cperistalsis cactivity
Neurogenic cBladder c- cCORRECT cANS✔✔a curinary cproblem ccaused cby cinterference
cwith cthe cnormal cnerve cpathways cassociated cwith curination
Burp-Bag c- cCORRECT cANS✔✔is can cosmotomy cpouch cthat clets cgas cout.
Nocturia c- cCORRECT cANS✔✔excessive curination cat cnight
Polyuria c- cCORRECT cANS✔✔excessive curination
Dysuria c- cCORRECT cANS✔✔painful curination
24 cdegree curine c- cCORRECT cANS✔✔800 cto c2,000 cmilliliters cper cday
Alterations cin cUrinary cElimination c- cCORRECT cANS✔✔Altered cMicturition
•Disease/Obstructions
•Upper cand cLower cUrinary cTract cInfections c(Hematuria, cDysuria)
•Medications cand cmedical cprocedures
•Physical cMobility
•Psychological cfactors c(anxiety, cstress, cprivacy)
•Fluid cbalance
•Nocturia(voiding c@ cnight), cpolyuria(lots cof curine), coliguria(little curine), canuria(no
curine, cabsence cof curine)
• cDiuresis(warm cso curine cmade)
• cFever
• cDehydration
• cRenal cFailure-if ckidney cgets cdamaged ctoo cmuch
• cDiversions-things cwe ccan cdo cto cget curine cout
what cdo cwe cnot cgive ca cpatient cwho cis cdehydrated cand cnot cpeeing? c- cCORRECT
cANS✔✔Diuretic cbecause cit cwill cfurther cdehydrate cthem cby cmaking cthem cpee cmore
cso cwe cgive cthem cfluids cinstead
Assessment cof cUrine c- cCORRECT cANS✔✔-Intake cand coutput
-Characteristics cof curine
-Color, cclarity, codor
Laboratory cand cdiagnostic ctesting cwith curination celimination c- cCORRECT cANS✔✔-
Bladder cScan
-UA
-Urine cculture c& csensitivity
-X-ray/ cCT cscan/Ultrasound
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, -Cystoscopy
Diagnostic cexaminations- cnursing cresponsibilities cwith curination celimination c-
cCORRECT cANS✔✔-Label call cspecimens
-Preserve caccording cto claboratory cprotocol
-Infection ccontrol cpolicies
Nursing cDiagnosis
Incontinence cof cUrine: c- cCORRECT cANS✔✔Functional; cOverflow; cReflex; cStress;
cUrge
• cUrinary cTract cInfection
• cImpaired cSelf cToileting
• cImpaired cSkin cIntegrity
• cUrinary cRetention
Implementation cfor curinary celimination: cHealth cPromotion c- cCORRECT cANS✔✔-
Health cPromotion
-Promoting ccomplete cbladder cemptying
-Preventing cinfection
Implementation cfor curinary celimination: cAcute ccare c- cCORRECT cANS✔✔Acute
ccare: cCatheterization
-Removal cof cindwelling ccatheter
-Alternative curethral ccatheterization
Implementation cfor curinary celimination: cContinuing cand crestorative ccare c-
cCORRECT cANS✔✔Continuing cand crestorative ccare
-Lifestyle cchanges
-Pelvic cfloor cmuscle ctraining
Bladder cretraining
-Toileting cschedules
-Intermittent ccatheterization
-Skin ccare
-Drink clots cof cliquids
-go cto cbathroom cevery c3-4 chours
Reasons cfor cCatheterization c- cCORRECT cANS✔✔• cSterile curine cspecimen
• cEmpty cbladder cbefore, cduring cand/or cafter csurgery
• cMonitor ccritically cill cpatients c(Strict cI&O)
• cObstruction cor cparalysis
• cUrinary cretention
• cInstill cmedication
• cBladder cIrrigation c(antibiotic csolution cwe cput cright cinto cthe cbladder)
• cComfort cof cthe cterminally cill cwhen cbed clinen cchanges care cpainful cfor cpt.
• cPresence cof cstage cIII cand cIV cpressure culcers cthat ccannot cheal cbecause cof
cincontinence
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Urostomy c- cCORRECT cANS✔✔creation cof can copening cin cthe curinary ctract,
cnormally cto cdivert curine cflow caway cfrom ca cdiseased cbladder
clean ccatch c- cCORRECT cANS✔✔a cmethod cof cobtaining ca curine cspecimen cusing ca
cspecial ccleansing ctechnique; calso ccalled cmidstream curine
Occult cblood c- cCORRECT cANS✔✔blood cthat ccannot cbe cseen cin cthe cstool cbut cis
cpositive con ca cfecal coccult cblood ctest
Guiac c- cCORRECT cANS✔✔testing cfor coccult cblood
Specific cgravity c- cCORRECT cANS✔✔shows cconcentration cof curine c1.005-1.030
Residual curine c- cCORRECT cANS✔✔urine cthat cremains cin cthe cbladder cafter
curination
Enuresis c- cCORRECT cANS✔✔involuntary curination
Encopresis c- cCORRECT cANS✔✔involuntary cdefecation cnot cattributable cto cphysical
cdefects cor cillness
Impaction c- cCORRECT cANS✔✔Results cfrom cunrelieved cconstipation; ca ccollection
cof chardened cfeces cwedged cin cthe crectum cthat ca cperson ccannot cexpel
Hypertonic cEnema c- cCORRECT cANS✔✔Exert cosmotic cpressure cthat cpulls cfluid cout
cof cinterstitial cspaces. cThe ccolon cfills cwith cfluid, cand cthe cresultant cdistention
cpromotes cdefecation. cUsed cfor cpatients cwho ccannot ctolerate clarge cvolumes cof cfluid
Ileostomy c- cCORRECT cANS✔✔the csurgical ccreation cof can cartificial cexcretory
copening cbetween cthe cileum, cat cthe cend cof cthe csmall cintestine, cand cthe coutside cof
cthe cabdominal cwall
Incontinence c- cCORRECT cANS✔✔inability cto ccontrol cbladder cand/or cbowels
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,Flatulence c- cCORRECT cANS✔✔Accumulation cof cgas cin cthe cintestines ccausing cthe
cwalls cto cstretch
-before cfeeding cpatient cmake csure cthey chave cperistalsis cactivity
Neurogenic cBladder c- cCORRECT cANS✔✔a curinary cproblem ccaused cby cinterference
cwith cthe cnormal cnerve cpathways cassociated cwith curination
Burp-Bag c- cCORRECT cANS✔✔is can cosmotomy cpouch cthat clets cgas cout.
Nocturia c- cCORRECT cANS✔✔excessive curination cat cnight
Polyuria c- cCORRECT cANS✔✔excessive curination
Dysuria c- cCORRECT cANS✔✔painful curination
24 cdegree curine c- cCORRECT cANS✔✔800 cto c2,000 cmilliliters cper cday
Alterations cin cUrinary cElimination c- cCORRECT cANS✔✔Altered cMicturition
•Disease/Obstructions
•Upper cand cLower cUrinary cTract cInfections c(Hematuria, cDysuria)
•Medications cand cmedical cprocedures
•Physical cMobility
•Psychological cfactors c(anxiety, cstress, cprivacy)
•Fluid cbalance
•Nocturia(voiding c@ cnight), cpolyuria(lots cof curine), coliguria(little curine), canuria(no
curine, cabsence cof curine)
• cDiuresis(warm cso curine cmade)
• cFever
• cDehydration
• cRenal cFailure-if ckidney cgets cdamaged ctoo cmuch
• cDiversions-things cwe ccan cdo cto cget curine cout
what cdo cwe cnot cgive ca cpatient cwho cis cdehydrated cand cnot cpeeing? c- cCORRECT
cANS✔✔Diuretic cbecause cit cwill cfurther cdehydrate cthem cby cmaking cthem cpee cmore
cso cwe cgive cthem cfluids cinstead
Assessment cof cUrine c- cCORRECT cANS✔✔-Intake cand coutput
-Characteristics cof curine
-Color, cclarity, codor
Laboratory cand cdiagnostic ctesting cwith curination celimination c- cCORRECT cANS✔✔-
Bladder cScan
-UA
-Urine cculture c& csensitivity
-X-ray/ cCT cscan/Ultrasound
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, -Cystoscopy
Diagnostic cexaminations- cnursing cresponsibilities cwith curination celimination c-
cCORRECT cANS✔✔-Label call cspecimens
-Preserve caccording cto claboratory cprotocol
-Infection ccontrol cpolicies
Nursing cDiagnosis
Incontinence cof cUrine: c- cCORRECT cANS✔✔Functional; cOverflow; cReflex; cStress;
cUrge
• cUrinary cTract cInfection
• cImpaired cSelf cToileting
• cImpaired cSkin cIntegrity
• cUrinary cRetention
Implementation cfor curinary celimination: cHealth cPromotion c- cCORRECT cANS✔✔-
Health cPromotion
-Promoting ccomplete cbladder cemptying
-Preventing cinfection
Implementation cfor curinary celimination: cAcute ccare c- cCORRECT cANS✔✔Acute
ccare: cCatheterization
-Removal cof cindwelling ccatheter
-Alternative curethral ccatheterization
Implementation cfor curinary celimination: cContinuing cand crestorative ccare c-
cCORRECT cANS✔✔Continuing cand crestorative ccare
-Lifestyle cchanges
-Pelvic cfloor cmuscle ctraining
Bladder cretraining
-Toileting cschedules
-Intermittent ccatheterization
-Skin ccare
-Drink clots cof cliquids
-go cto cbathroom cevery c3-4 chours
Reasons cfor cCatheterization c- cCORRECT cANS✔✔• cSterile curine cspecimen
• cEmpty cbladder cbefore, cduring cand/or cafter csurgery
• cMonitor ccritically cill cpatients c(Strict cI&O)
• cObstruction cor cparalysis
• cUrinary cretention
• cInstill cmedication
• cBladder cIrrigation c(antibiotic csolution cwe cput cright cinto cthe cbladder)
• cComfort cof cthe cterminally cill cwhen cbed clinen cchanges care cpainful cfor cpt.
• cPresence cof cstage cIII cand cIV cpressure culcers cthat ccannot cheal cbecause cof
cincontinence
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