URINARY - Answers
Your patient has not voided in 8 hours. What is the nurse's first action? - Answers Assess
bladder for distention
This type of incontinence occurs with increased abdominal pressue - Answers Stress
incontinence
Having a urinary catheter and holding it above the level of the patient's bladder puts them at
greatest risk for what? - Answers Urinary Tract Infection
A patient on Lasix should experience what pattern of urination? - Answers diuresis
What are some ways to prevent a UTI? (name at least three) - Answers Maintain adequate fluid
intake, urinate when you feel the urge, promote complete emptying, proper perineal care, shower
instead of bath, avoid feminine hygiene products, acidify urine
BOWEL - Answers
Because of anesthesia, you would worry about this intestinal problem in patients that just had
surgery? - Answers Paralytic ileus
This test finds blood in the stool that is not obviously seen - Answers Guaiac / occult blood
What is the most accurate way to verify NG tube placement? - Answers X-ray
Name at least 2 causes of constipation - Answers Low fiber intake, decreased activity,
dehydration, stroke, opiods, pain, dairy intake, preganacy, changes in routine, ignoring urge,
laxative abuse
The nurse notices runny stool coming from the patient's newly placed ileostomy. What should
the nurse's next action be? - Answers Nothing. Runny stool is normal coming from an ileostomy.
Continue to monitor patient
NUTRITION - Answers
What occurs when kcal intake exceeds the body's energy demand? - Answers Weight gain
Nutritional deficiencies occur when fat intake falls less than ___% of daily nutrition. - Answers 10
A patient with a BMI of 32 is considered _________. - Answers obese
People must have a positive protein & _________ balance in order for healing to occur. - Answers
nitrogen
What happens to the GI tract with prolonged TPN use? - Answers Atrophy and cell shrinkage