A nurse is caring for a client who has a colostomy and does not wear a colostomy pouch. Which of the
following actions should the nurse anticipate performing on this client to maintain expected bowel
function? - Answers Perform colostomy irrigation
A nurse is caring for a client with suspected dehydration. For which of the following findings should the
nurse monitor this client? - Answers Dry mucous membranes
A nurse is educating a client about a new temporary ileostomy. Which of the following statements by
the client indicates an understanding of the teaching? - Answers "My ileostomy is allowing my colon
time to heal from the surgery."
A nurse is caring for a client who has a stone in the right ureter that is obstructing the flow of urine.
Which of the following urinary diversions should the nurse anticipate the client will need? - Answers
Ureteral stent
A nurse is caring for a client who is receiving antibiotic treatment for a urinary tract infection and is
experiencing diarrhea. Which of the following should the nurse identify as a potential cause of the
diarrhea? - Answers The antibiotic eliminates the healthy gastrointestinal bacteria, allowing harmful
bacteria to grow.
A nurse is caring for a client who has constipation and requires an enema. Which of the following actions
should the nurse take when administering the enema solution? - Answers Instruct the client to lie on
their left side with their right leg pulled up to their chest.
A nurse is caring for an older adult client who is experiencing urinary leakage. Which of the following is
an expected age-related change that can contribute to this occurrence? - Answers Loss of bladder tone
A nurse is reviewing the primary function of the urinary tract with a group of newly licensed nurses.
Which of the following information should the nurse include? - Answers The urinary tract eliminates
waste and excess fluid from the body.
A nurse is caring for a client who has constipation. Which of the following diets should the nurse
encourage the client to follow? - Answers High fiber
A nurse is preparing to insert a nasogastric tube into a client for decompression. Which of the following
actions should the nurse perform first? - Answers Ensure the client is in a sitting position
A nurse is caring for a client who reports occasionally having a dark, tea-colored urine at home. The
nurse identifies that which of the following activities can contribute to this finding? - Answers
Consuming alcohol
A nurse is planning care for a client who has an order for urinalysis. Which of the following tests should
the nurse anticipate being ordered if the presence of white blood cells is detected on urinalysis? -
Answers Urine culture