Osmotic laxative
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Drug draws water into intestine, resulting in a softer stool and inducing
more frequent bowel movements
Postvoid residual (PVR)
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The amount of urine remaining in the bladder immediately after voiding
,A nurse caring for patients in a long-term care facility is often required to collect
urine specimens from patients for lab testing. Which techniques for urine collection
are performed correctly? Select all that apply.
A. The nurse catheterizes a patient to collect a sterile urine sample for routine
urinalysis.
B. The nurse collects a clean-catch urine specimen in the morning from a patient and
stores it at room temperature until an afternoon pick-up.
C. The nurse collects a sterile urine specimen front he collection receptacle of a
patient's indwelling catheter.
D. The nurse collects about 3 mL of urine from a patient's indwelling catheter to send
for a urine culture.
E. The nurse collects a urine specimen from a patient with a urinary diversion by
catheterizing the stoma.
F. The nurse discards the first urine of the day when performing a 24-hour urine
specimen collection on a patient.
Give this one a try later!
D, E, F
A urine culture requires about 3 mL of urine, whereas routine urinalysis
requires at least 10 mL of urine. The preferred method of collecting a urine
specimen from a urinary diversion is to catheterize the stoma. For a 24-hour
urine specimen, the nurse should discard the first voiding, then collect all
the urine voided for the next 24 hours. A sterile urine specimen is not
required for a routine urinalysis. Urine chemistry is altered after urine stands
at room temperature for a long period of time. A specimen from the
collecting receptacle may not be fresh urine and may result in an
inaccurate analysis.
A nurse is caring for an alert, ambulatory, older resident in a long-term care facility
who voids frequently and has difficulty making it to the bathroom in time. Which
nursing intervention would be most helpful for this patient?
,A. Teach the patient that incontinence is a normal occurrence with aging.
B. Ask the patient's family to purchase incontinence pads for the patient.
C. Teach the patient to perform Kegel exercises at regular intervals daily.
D. Insert an indwelling catheter to prevent skin breakdown.
Give this one a try later!
C
Kegel exercises may help a patient regain control of the micturition
process. Incontinence is not a normal consequence of aging. Using
absorbent products may remove motivation from the patient and caregiver
to seek evaluation and treatment of the incontinence; they should be used
only after careful evaluation by a healthcare provider. An indwelling
catheter is the last choice for treatment.
A nurse is discharging a patient from the hospital following a heart stent procedure.
The patient asks to see and copy his medical record. What is the nurse's response?
A. "I'm sorry, but patients are not allowed to copy their medical records."
B. "I can make a copy of your record for you right now."
C. " You can read your record while you are still a patient, but copying records is not
permitted according to HIPAA rules."
D. "I will need to check with our records department to get you a copy."
Give this one a try later!
, D
According to HIPAA, patients have a right to see and copy their health
record, update their health record, get a list of the disclosures a health care
institution has made independent of disclosures made for purposes of
treatment, payment, and health care operations; request a restriction on
certain uses or disclosures; and choose how to receive health info. The
nurse should be aware of agency policies regarding the patient's right to
access and copy records.
A nurse is performing intermittent closed-catheter irrigation for a patient with an
indwelling catheter. After attaching the syringe to the access port on the catheter, the
nurse finds that the irrigant will not enter the catheter. What intervention would the
nurse appropriately perform next?
A. Apply pressure to the catheter to force the solution into the catheter
B. Disconnect and connect the drainage system quickly
C. Notify the PCP
D. Change the catheter
Give this one a try later!
C
If the irrigation solution will not enter the catheter, the nurse would not
force the solution into the catheter; instead, the nurse should notify the
PCP and prepare to change the catheter.
Sigmoidoscopy
Give this one a try later!
Give this one a try later!
Drug draws water into intestine, resulting in a softer stool and inducing
more frequent bowel movements
Postvoid residual (PVR)
Give this one a try later!
The amount of urine remaining in the bladder immediately after voiding
,A nurse caring for patients in a long-term care facility is often required to collect
urine specimens from patients for lab testing. Which techniques for urine collection
are performed correctly? Select all that apply.
A. The nurse catheterizes a patient to collect a sterile urine sample for routine
urinalysis.
B. The nurse collects a clean-catch urine specimen in the morning from a patient and
stores it at room temperature until an afternoon pick-up.
C. The nurse collects a sterile urine specimen front he collection receptacle of a
patient's indwelling catheter.
D. The nurse collects about 3 mL of urine from a patient's indwelling catheter to send
for a urine culture.
E. The nurse collects a urine specimen from a patient with a urinary diversion by
catheterizing the stoma.
F. The nurse discards the first urine of the day when performing a 24-hour urine
specimen collection on a patient.
Give this one a try later!
D, E, F
A urine culture requires about 3 mL of urine, whereas routine urinalysis
requires at least 10 mL of urine. The preferred method of collecting a urine
specimen from a urinary diversion is to catheterize the stoma. For a 24-hour
urine specimen, the nurse should discard the first voiding, then collect all
the urine voided for the next 24 hours. A sterile urine specimen is not
required for a routine urinalysis. Urine chemistry is altered after urine stands
at room temperature for a long period of time. A specimen from the
collecting receptacle may not be fresh urine and may result in an
inaccurate analysis.
A nurse is caring for an alert, ambulatory, older resident in a long-term care facility
who voids frequently and has difficulty making it to the bathroom in time. Which
nursing intervention would be most helpful for this patient?
,A. Teach the patient that incontinence is a normal occurrence with aging.
B. Ask the patient's family to purchase incontinence pads for the patient.
C. Teach the patient to perform Kegel exercises at regular intervals daily.
D. Insert an indwelling catheter to prevent skin breakdown.
Give this one a try later!
C
Kegel exercises may help a patient regain control of the micturition
process. Incontinence is not a normal consequence of aging. Using
absorbent products may remove motivation from the patient and caregiver
to seek evaluation and treatment of the incontinence; they should be used
only after careful evaluation by a healthcare provider. An indwelling
catheter is the last choice for treatment.
A nurse is discharging a patient from the hospital following a heart stent procedure.
The patient asks to see and copy his medical record. What is the nurse's response?
A. "I'm sorry, but patients are not allowed to copy their medical records."
B. "I can make a copy of your record for you right now."
C. " You can read your record while you are still a patient, but copying records is not
permitted according to HIPAA rules."
D. "I will need to check with our records department to get you a copy."
Give this one a try later!
, D
According to HIPAA, patients have a right to see and copy their health
record, update their health record, get a list of the disclosures a health care
institution has made independent of disclosures made for purposes of
treatment, payment, and health care operations; request a restriction on
certain uses or disclosures; and choose how to receive health info. The
nurse should be aware of agency policies regarding the patient's right to
access and copy records.
A nurse is performing intermittent closed-catheter irrigation for a patient with an
indwelling catheter. After attaching the syringe to the access port on the catheter, the
nurse finds that the irrigant will not enter the catheter. What intervention would the
nurse appropriately perform next?
A. Apply pressure to the catheter to force the solution into the catheter
B. Disconnect and connect the drainage system quickly
C. Notify the PCP
D. Change the catheter
Give this one a try later!
C
If the irrigation solution will not enter the catheter, the nurse would not
force the solution into the catheter; instead, the nurse should notify the
PCP and prepare to change the catheter.
Sigmoidoscopy
Give this one a try later!
