NUR 2032 FINAL EXAM STUDY SET Care Management
- What are the indications for urinary catheterization?
Answer
· An open perineal wound · Measurement of residual after urination · Relief of urinary retention
- What is another word for planter flexion contractures?
Answer
· Foot drop
- What are appropriate interventions in aiding a client with low oxygen satu- ration?
Answer
· Raising the head of the bed
· Administering oxygen
- Which actions should the nurse take when caring for a client who has urinary incontinence?
Answer
· Apply moisture ointment
· Cleaning up client often 1 / 3
· Apply a condom catheter on a male client · Take the client to the bathroom every 2 hours
- What are the appropriate nursing interventions for treating pressure in- juries?
Answer
· Repositioning
· Raise heels off the bed · Keep head at or below 30 degrees
- Which actions should the nurse take when administering a cleansing ene- ma?
Answer
· Hold the container 30-45 cm above the anus
- Which action should a nurse take when a client is shivering during the application of cold
compress?
Answer
· Stop the treatment
- A nurse receives an order to collect urine from a client who has an in- dwelling catheter.
How should the nurse collect the sample?
Answer
· Through the catheter port
- How should the nurse measure for adequate oxygen perfusion?
Answer 2 / 3
· Use a pulse oximeter
· Assess skin for discoloration · Assess mucous membrane/conjunctiva
- What should a nurse do after the removal of a urinary catheter and the client has not
voided?
Answer
· Palpate bladder for distention
· Use bladder scan
- Describe nursing responsibilities of ostomies
Answer
· Keep patient free of odors
· Inspect patient's stoma size · Empty bag when 2/3 full · Keep skin around the stoma site clean
- Describe a healthy looking stoma
Answer
· Pink, moist and shiny
- Which device should be used when ambulating a patient?
Answer
· A gait belt
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