NURS 6202 EXAM 1 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS
5 rights of delegation - ANSWER right task
right circumstance
right person
right direction/communication
right supervision/evaluation
TAPE (delegation) - ANSWER -Teaching, assessment, planning,
evaluating
-must be done by an RN
CNA delegation - ANSWER ambulating, turning, bathing, I&O,
oral care, toileting, basic ostomy care, linen change, feeding, VS
if stable, weights
LPN delegation - ANSWER -Gathers Data
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-Performs routine procedures: ostomy, catheter, insertion,
wound care, blood glucose, EKG
-Oral and IM meds
-Stable patients only
Urinary tract infection - ANSWER -second most common
bacterial disease
-E.coli most common pathogen
-Dx: urinalysis
UTI risk factors - ANSWER Pregnancy, menopause, habitual
delay of urination, instrumentation, sexual intercourse
UTI symptoms - ANSWER -Dysuria, frequency, urgency,
suprapubic discomfort or pressure
-elderly have more vague symptoms- confusion, falls
UTI treatment - ANSWER trimethoprim-sulfonamide (TMP-SMX)
or nitrofurantoin (Macrodantin)
*Antibiotics
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UTI health promotion - ANSWER Teaching preventive measures-
urinating frequently, water, wiping from front to back, urinating
after intercourse
Cystitis - ANSWER inflammation of the bladder
-Sx: urgency, frequency, pain in the bladder/pelvis
- Stress management techniques, tricyclic antidepressants and
OTCs help with burning pain and urinary frequency; avoid
clothing that creates suprapubic pressure
Urethritis - ANSWER -inflammation of the urethra
-most commonly from an STI
-Sx: discharge, dysuria, urgency, and frequency
-tx: underlying cause and symptomatic relief
Pyelonephritis - ANSWER -inflammation of renal parenchyma
and collecting system
- most common cause is bacterial infection that begins in the
lower urinary tract