NUR 2356 MDC 1 Exam 1 Review

NUR 2356 MDC 1 Exam 1 Review Complications of urinary elimination (ANS-

• UTIs

UTI patient education (ANS-

• 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?(ANS-

• 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 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.) (ANS-

• Restrict the client's intake of fluids during the daytime.
• Have the client record urination times. 1 / 4

• Gradually increase the urination intervals.
• Remind the client to hold urine until the next scheduled urination time.
• Provide a sterile container for urine

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.) (ANS-

• Frequent sexual intercourse
• Lowering of testosterone levels
• Wiping from front to back to clean the perineum D. Location of the urethra

closer to the anus

• Frequent catheterization

A nurse is teaching a client who reports stress urinary incontinence. Which of the following instructions should the nurse include? (Select all that apply.) (ANS-

• Limit total daily fluid intake.
• Decrease or avoid caffeine.
• Take calcium supplements.
• Avoid drinking alcohol.
• Use the Credé maneuver

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When you see indications of skin breakdown, what is your next action?(ANS-

• Elevate and use corrective devices (pillows, foot boots, trochanter rolls, splints,

wedge pillows)

What does PQRST stand for?(ANS- Palliative/Provoking Quality Region/Radiation Severity Timing

What are some nonverbal signs of pain?(ANS-

• grimacing
• moaning
• flinching
• guarding
• decreased attention span
• restlessness, pacing

What do vital signs look like during acute pain?(ANS-

• BP increased
• Pulse increased
• RR increased 3 / 4

Before nurses give a pain medication, what should they assess?(ANS-

• drug interactions
• allergies
• vital signs
• side effects

What are common side effects to pain medications?(ANS-

• low BP
• low HR
• sedation
• respiratory depression
• orthostatic hypotension
• urinary retention
• nausea/vomiting
• constipation

After administering pain medication, what is the follow up?(ANS-

• reevaluate pain level
• if given orally, follow up q 1 hour
• if given IV, follow up q 15 min
• check vital signs!

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