GIGU NCLEX questions

GI/GU NCLEX questions Leave the first rating Students also studied Terms in this set (33) Science MedicineNursing Save Med Surg Gastrointestinal NCLEX Q...86 terms Jasmine_Lawson4 Preview Gastrointestinal Disorders NCLEX q...17 terms Shannon_Bolton9 Preview NCLEX Practice Questions Saunders...26 terms erikakelshPreview GI/GU 100 term lisa A patient undergoes surgery due to having massive trauma to the kidneys resulting from a fall from a scaffold.Which assessment data obtained postoperatively is most important to communicate to the surgeon.

• Blood pressure is 102/48
• Urine output is 20 ml/hr for 2 hours
• Crackles are heard at both lung bases
• Incisional pain level is 8/10

Answer is B Min Amt of urine per hour is 30 ml.If we are getting at least 30 we know we are getting sufficient amount of blood to the kidneys.A client admitted to the hospital with pneumonia has a history of functional urinary incontinence. Which nursing action will be included in the plan of care?

• Demonstrate the use of the creed maneuver
• Teach kegal exercise to strengthen pelvic floor
• Place a bedside commode close to the clients bed
• use an ultrasound scanner to check for post cord

residual's.

• Place a bedside commode close to the clients bed.

A 55 year old woman admitted for shoulder surgery asks the nurse for a perineal pad, stating that laughing or couching causes leakage of urine. Which intervention is most appropriate to include in the care plan?

• Assist the client to the bathroom every 3 hours
• Place a commode at the clients bedside
• Demonstrate how to perform the creed maneuver
• Teach the client how to perform Kegal exercise.

D

A patent, who is having spasms and during while urinating due to a UTI, is prescribed "pyridum" (phenazopyridine). Which option below is a normal side effect of drug?

• Hematuria
• Crystalluria
• Urethra mucous
• Orange Colored urine

D The nurse is providing discharge teaching to a female patient on how to prevent urinary tract infections. Which statement is incorrect?

• "Void immediately after sexual intercourse"
• "Avoid wearing tight fitting underwear"
• "Try to void every 2-3 hours"
• "Use scented sanitary napkins or tampons during

menstruation" D colored clothing can cause irritation and chemicals can disrupt PH On your nursing care plan for a patient with a urinary tract infection, Which of the following would be appropriate nursing interventions? (SELECT ALL THAT

APPLY)

• Encourage voiding every 2-3 hours while awake
• Restrict fluid intake to 1-2 liters per day
• Monitor intake and output daily.
• Administer antibiotics before urinalysis collection.

A,C, Encourage voiding every 2-3 hours while awake (yes) Restrict fluid intake to 1-2 liters per day (Encourage not restrict) Monitor intake and output daily. (yes) Administer antibiotics before urinalysis collection. (Not before, after.) Following rectal surgery, a client voids about 50 ml of urine every 30 -60 minutes for the first 4 hours. Which nursing action is most appropriate?

• Monitor the clients intake and output over night
• Have the client drink small amounts of fluid frequently
• Use an ultrasound scanner to check the postpaid

residual volume

• Reassurance the client that is normal after rectal

surgery because of anesthesia C Best answer because this is an assessment and as a nurse we always assist first, but also we need to check if the patient retaining any urine in the bladder.

A male client in the client provides a urine sample that is red orange in color. What action should the nurse take first?

• Notify the clients healthcare provider
• Teach correct midstream urine collection
• Asl the client about current medications
• Question the client about urinary tract infection risk

factors C A patient with an indwelling catheter report a need to void, what priority intervention should the nurse perform?

• Check to see if the catheter is patent
• Reassurance that patient that it is not possible for her

to void

• Re-catheterize the patient with a larger gauge

catheter

• Notify the physician

A check to make sure the caterer isn't kinked moved, or obstructed in a way that would not allow the flow of urine.The patient from a long-term care facility is admitted to the medical unit with fever, hot flushed skin, and clumps of white sediment in the indwelling catheter. Which intervention should the nurse implement first?

• Start IV with a 20- gauge catheter
• Initiate antibiotic thereby IVPB
• Collect urine sample for culture
• Change the indwelling catheter

D Patient possibly have a UTI. We need to collect a sample but the question says there is white sediment in the catheter. so what we need to do first is, to change the indwelling catheter. NEVER FLUSH A CATHETER IF YOU THINK THEY HAVE

AN INFECTION.

Second: collect specium

Third: Iv catheter

Fourth: Antibiotic therapy

When obtaining a sterile urine specimenD from an

indwelling urinary catheter the nurse should:

• Disconnect the catheter from the drainage tubing
• Withdraw urine from a urinometer
• Open the drainage bag and removing urine
• Use a needle/needless syringe to withdraw urine from

the catheter port.D Urinometer is used for critically ill patients when we want to make sure we are looking at their urine every hour.

The client has been admitted to an acute care unit with a diagnosis of an upper GI bleed. The nurse suspects that the feces will appear?

• Bright red
• Pus filled
• Black and tarry
• White or clay colored.

C Black and tarry stools- upper GI bleed Bright red- lower GI bleed A client is diagnosed with an intestinal infection after traveling abroad. The nurse should encourage the intake of which food to promote healing?

• Yogurt
• Pasta
• Oatmeal
• Broccoli
• yogurt

Is a probiotic]c. we are trying to replace that good bacteria back to the body.The nurse identifies a need for additional teaching when the patient with acute infections diarrhea states?

• " I can use A & B ointment or Vaseline jelly around the

anal area to protect my skin"

• "Gatorade is a good liquid to drink because is replaces

fluid and electrolytes i have lost"

• " I must wash my hands after every bowel movement to

prevent spreading the diarrhea to my family"

• "I may use over the counter loperamide (imodium) as

needed to control the diarrhea" D loperamide is an antidiural. which we don't want to give out patent if they have an infectious condition cause it can expose this bacterium to the pt longer.The healthcare team suspects that a client has an intestinal infection. Which action should the nurse take to help conform diagnosis?

• prepare the client for abdominal plate

B.Collect stool specimen that contains about 20-30 ml of liquid stool

• Administer laxative to prepare client for colonscopy
• Test clients stool using fecal occult test

B Prepare the client for abdominal plate( confirm diarrhea) Collect stool specimen that contains about 20-30 ml of liquid stool- yes we need to collect in order to confirm) Administer laxative to prepare client for colonscopy- no Test clients stool using fecal occult test ( this is to test if there is any blood in the stool.)