NUR2356 MDC 1 Exam 1

NUR2356 MDC 1 Exam 1 1 .Complications of urinary elimination - UTIs 2 .UTI patient educa- tion - wipe front to back

• pee before and after sex - cleanse beneath foreskin - provide catheter care regularly (nurses)

3 .A client who has an indwelling catheter reports a need to urinate. Which of the following ac-tions should the nurse take?

• Check to see whether the catheter is patent
• Reassure the client that it is not possible for them to urinate. C. Recatheterize the bladder with a larger-gauge catheter. D. Collect a urine specimen for analysis.

4 .A nurse is prepar- ing to initiate a bladder-retrain-ing program for a client who has in-continence. Which of the following ac-tions should the nurse take? (Select all that apply.)

• Restrict the client's intake of fluids during the day-

time. B. Have the client record urination times. C. Gradually increase the urination intervals. D. Remind the client to hold urine until the next sched-uled urination time.E. Provide a sterile container for urine 5 .A nurse is review- ing 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 C. Wiping from front to back to clean the perineum D. Location of the urethra closer to the anus E. Frequent catheterization

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NUR2356 MDC 1 Exam 1 6 .A nurse is teach- ing a client who reports stress uri-nary incontinence. Which of the fol-lowing instructions should the nurse include? (Select all that apply.)

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

7 .When you see in- dications of skin breakdown, what is your next action?- Elevate and use corrective devices (pillows, foot boots, trochanter rolls, splints, wedge pillows) 8 .What does PQRST stand for?Palliative/Provoking Quality Region/Radiation Severity Timing 9 .What are some nonverbal signs of pain?- grimacing

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

10 .What do vital signs look like during acute pain?- BP increased

• Pulse increased - RR increased

11 .Before nurses give a pain medication, what should they assess?- drug interactions

• allergies - vital signs - side effects

12 .What are common side effects to pain medications?- low BP

• low HR - sedation

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NUR2356 MDC 1 Exam 1

• respiratory depression
• orthostatic hypotension - urinary retention - nausea/vomiting - constipation

13 .After administer- ing pain medica-tion, what is the fol-low up?- reevaluate pain level

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

14 .What are the com- plications related to pain manage-ment?- anxiety

• fear -depression- slower healing - slower recovery

15 .superficial pain usually involving the skin or subcu-taneous tissue - cutaneous pain 16 .pain in internal or- gans (the stomach or intestines). It can cause referred pain in other body locations separate from the stimulus - visceral pain 17 .a type of neuro- pathic pain: sen-sation of pain without demon-strable physiologic or pathologic sub-stance; commonly observed after the amputation of a limb - phantom pain

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