NURS 411 - Foundations - Week 7 objectives Questions
With Complete Solutions
Act of urinating (voiding) Correct Answers micturition
Alternatives to urethral catherization Correct Answers
External catheters - condom (male) purewick (female)
Suprapubic catheter, cystostomy
Ask a CNA to feed a patient Correct Answers YES
Blood administration initiation to the LPN or CNA Correct
Answers NO - can monitor, but RN has to initiate it
Bowel diversions Correct Answers Ostomies
Temporary or permanent diversion of stool through a surgical
opening in the abdominal wall = ostomy
creation of a stoma = intestine end piece
Bristol stool chart Correct Answers 1-7 (hard lumps- liquid);
3-5 is normal
Cather associated UTI (CAUTI) Correct Answers AVOID
PLACEMENT (most effective measure)
strict aseptic technique at insertion
-use smallest size catheter possible
Maintain proper care
- closed and patent drainage system
- keep clean
- empty in clean receptable
- drainage bag below bladder
,- secure catheter to avoid pulling and trauma
Limit duration
- remove when not needed, review daily
Cather removal prompting
- Nurse driven protocol, automatic removal order
Challenges to delegation Correct Answers - Lack of
communication
- Delegating inappropriately
- Over-supervision vs under-supervision
Colostomy Correct Answers Terminal end = colon
Stool will be thick liquid to formed, pending on the location
COmmon urinary elimination problems Correct Answers
Narrow/blocked ureter
Causes? stones, infection, inflammation
Treatment? ureteral stent placement by physician
Common urinary elimination problems Correct Answers
Urinary tract infections (UTI's)
- Presence of bacteria in part of the urinary tract
**Bacteriuria alone without symptoms does NOT equal a UTI,
should have symptoms like burning with urination and bacteria
Complicated UTI involves kidneys, uncomplicated UTI does not
Constipation Correct Answers Infrequent stool and/or hard,
dry, small stools that are difficult to pass <3x week
Crohn's disease Correct Answers Chronic disease
, Causes inflammation of the small intestine
can also affect any part of the GI tract
Like UC Chron's disease worsens over time, but can have
periods of remission
Delegation Correct Answers Nurse can assign to an LPN
(licensed practical nurse) or an assistant personnel (CNA or
PCT) a specific task while maintaining accountability of the
outcome
Nurse should know if task is within the LPN or CNA scope
Maintain accountability and supervision of outcome
Diarrhea Correct Answers Increase in number of stools and
feces is liquid, unformed
Discharge teaching of newly diagnosed diabetic patient to LPN
Correct Answers NO - Cannot give education on NEW
diagnosis
Discharge teaching of patient with heart failure for years to LPN
Correct Answers YES - can reinforce education
Discuss appropriate vs inappropriate nursing delegation Correct
Answers Appropriate delegation includes tasks like measuring
vital signs or assisting with feeding by CNAs, as long as the
patient is stable and the task is within their scope
With Complete Solutions
Act of urinating (voiding) Correct Answers micturition
Alternatives to urethral catherization Correct Answers
External catheters - condom (male) purewick (female)
Suprapubic catheter, cystostomy
Ask a CNA to feed a patient Correct Answers YES
Blood administration initiation to the LPN or CNA Correct
Answers NO - can monitor, but RN has to initiate it
Bowel diversions Correct Answers Ostomies
Temporary or permanent diversion of stool through a surgical
opening in the abdominal wall = ostomy
creation of a stoma = intestine end piece
Bristol stool chart Correct Answers 1-7 (hard lumps- liquid);
3-5 is normal
Cather associated UTI (CAUTI) Correct Answers AVOID
PLACEMENT (most effective measure)
strict aseptic technique at insertion
-use smallest size catheter possible
Maintain proper care
- closed and patent drainage system
- keep clean
- empty in clean receptable
- drainage bag below bladder
,- secure catheter to avoid pulling and trauma
Limit duration
- remove when not needed, review daily
Cather removal prompting
- Nurse driven protocol, automatic removal order
Challenges to delegation Correct Answers - Lack of
communication
- Delegating inappropriately
- Over-supervision vs under-supervision
Colostomy Correct Answers Terminal end = colon
Stool will be thick liquid to formed, pending on the location
COmmon urinary elimination problems Correct Answers
Narrow/blocked ureter
Causes? stones, infection, inflammation
Treatment? ureteral stent placement by physician
Common urinary elimination problems Correct Answers
Urinary tract infections (UTI's)
- Presence of bacteria in part of the urinary tract
**Bacteriuria alone without symptoms does NOT equal a UTI,
should have symptoms like burning with urination and bacteria
Complicated UTI involves kidneys, uncomplicated UTI does not
Constipation Correct Answers Infrequent stool and/or hard,
dry, small stools that are difficult to pass <3x week
Crohn's disease Correct Answers Chronic disease
, Causes inflammation of the small intestine
can also affect any part of the GI tract
Like UC Chron's disease worsens over time, but can have
periods of remission
Delegation Correct Answers Nurse can assign to an LPN
(licensed practical nurse) or an assistant personnel (CNA or
PCT) a specific task while maintaining accountability of the
outcome
Nurse should know if task is within the LPN or CNA scope
Maintain accountability and supervision of outcome
Diarrhea Correct Answers Increase in number of stools and
feces is liquid, unformed
Discharge teaching of newly diagnosed diabetic patient to LPN
Correct Answers NO - Cannot give education on NEW
diagnosis
Discharge teaching of patient with heart failure for years to LPN
Correct Answers YES - can reinforce education
Discuss appropriate vs inappropriate nursing delegation Correct
Answers Appropriate delegation includes tasks like measuring
vital signs or assisting with feeding by CNAs, as long as the
patient is stable and the task is within their scope
