NUR 2356 MDC 1 Exam 1
- Complications of urinary elimination
Answer
- UTIs
- UTI patient education
Answer
- wipe front to back
- pee before and after sex
- cleanse beneath foreskin
- provide catheter care regularly (nurses)
- A client who has an indwelling catheter reports a need to urinate. Which of the following
actions should the nurse take?
- Check to see whether the catheter is patent
- Reassure the client that it is not possible for them to urinate.
- Recatheterize the bladder with a larger-gauge catheter.
- Collect a urine specimen for analysis.
A
- A nurse is preparing to initiate a bladder-retraining program for a client who has
incontinence. Which of the following actions should the nurse take? (Select all that apply.)
- Restrict the client's intake of fluids during the daytime.
- Have the client record urination times.
- Gradually increase the urination intervals.
- Remind the client to hold urine until the next scheduled urination time.
- Provide a sterile container for urine
B,C,D 1 / 4
- A nurse is reviewing factors that increase the risk of urinary tract infections (UTIs) with a
client who has recurrent UTIs. Which of the following factors should the nurse include? (Select all that apply.)
- Frequent sexual intercourse
- Lowering of testosterone levels
- Wiping from front to back to clean the perineum
- Location of the urethra closer to the anus
- Frequent catheterization
A,D,E
- A nurse is teaching a client who reports stress urinary incontinence. Which of the
following instructions should the nurse include? (Select all that apply.)-
- Limit total daily fluid intake.
- Decrease or avoid caffeine.
- Take calcium supplements.
- Avoid drinking alcohol.
- Use the Credé maneuver
B,D
- When you see indications of skin breakdown, what is your next action?
Answer
- Elevate and use corrective devices (pillows, foot boots, trochanter rolls, splints, wedge
pillows)
- What does PQRST stand for?
Answer
Palliative/Provoking Quality
Region/Radiation Severity Timing 2 / 4
- What are some nonverbal signs of pain?
Answer
- grimacing
- moaning
- flinching
- guarding
- decreased attention span
- restlessness, pacing
- What do vital signs look like during acute pain?
Answer
- BP increased
- Pulse increased
- RR increased
- Before nurses give a pain medication, what should they assess?
Answer
- drug interactions
- allergies
- vital signs
- side effects
- What are common side effects to pain medications?
Answer
- low BP
- low HR
- sedation
- respiratory depression
- orthostatic hypotension
- urinary retention
- nausea/vomiting 3 / 4
- constipation
- After administering pain medication, what is the follow up?
Answer
- reevaluate pain level
- if given orally, follow up q 1 hour
- if given IV, follow up q 15 min
- check vital signs!
- What are the complications related to pain management?
Answer
- anxiety
- fear
- slower healing
- slower recovery
-depression
- superficial pain usually involving the skin or subcutaneous tissue
Answer
- cutaneous pain
- pain in internal organs (the stomach or intestines). It can cause referred pain in other body
locations separate from the stimulus
Answer
- visceral pain
- a type of neuropathic pain
Answer
sensation of pain without demonstrable physiologic or pathologic substance; commonly observed after the amputation of a limb
- / 4