NCLEX style questions: Elimination

NCLEX style questions: Elimination

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Chapter 28: Urinary Elimination NCL...

11 terms mia_wrightson Preview Skin Integrity & Wound Care - NCLE...21 terms P4542Preview Nutritio 121 terms Ale During a home​ visit, an older adult male client mentions that he has experienced an increase in the frequency of urination at night. Which condition should the nurse discuss as a possible factor related to increased urinary elimination at​ night? (Select all that​ apply.)

• Oliguria
• Nocturia
• Infection
• Residual urine
• Recognition of bladder fullness
• Nocturia
• Infection
• Residual urine

A breastfeeding mother of a​ 2-month-old infant is concerned that her son defecates too frequently. Which response by the nurse should address this​ mother's concern?

• ​"Feces containing less water may be difficult for infants

to​ expel."

• ​"Frequent bowel movements can occur with​

breastfeeding."

• ​"The increased frequency in defecation means your

baby is at risk of weight​ loss."

• ​"Your baby should be able to control defecation by​

now."

• ​"Frequent bowel movements can occur with​ breastfeeding."

The father of a​ 3-year-old boy is concerned that his child still wets the bed at night. Which explanation by the nurse is most appropriate regarding​ bedwetting?

• ​"Children often achieve daytime bladder control prior

to nighttime​ control."

• ​"Sometimes children experience​ nocturia."
• ​"By 24​ months, children are capable of holding urine

beyond the urge to​ void."

• ​"Oliguria is not uncommon in​ children."
• ​"Children often achieve daytime bladder control prior to nighttime​ control."

The daughter of a​ wheelchair-bound older adult client is concerned because her mother has been experiencing urinary incontinence. Which statement should the nurse use to explain the condition to the​ daughter?

• ​"The kidneys reach maximum size at ages 35 to​ 40."
• ​"Mobility issues may cause urinary​ incontinence."
• ​"Renal blood flow and ability to concentrate urine

decrease in older​ adults."

• ​"The frequency of voiding varies in older adults and

may cause urinary​ incontinence."

• ​"Mobility issues may cause urinary​ incontinence."

The nurse educator is planning a presentation on involuntary urinary elimination for a group of new nurse graduates. The nurse educator should include which condition related to the types of involuntary urinary​ elimination? (Select all that​ apply.)

• Anuria
• Oliguria
• Enuresis
• Impaction
• Incontinence
• Enuresis
• Incontinence

The nurse should anticipate conducting which assessment when preparing to provide care for a client experiencing alterations in bowel​ function? (Select all that​ apply.)

• Client interview
• Skin assessment
• Renal assessment
• Abdominal assessment
• Inguinal area assessment
• Client interview
• Skin assessment
• Abdominal assessment
• Inguinal area assessment

The nurse is caring for a client who has a positive fecal test for occult blood. The nurse should anticipate which collaborative activity to further identify the cause of the​ client's problem?

• Colonoscopy
• Cystoscopy
• Direct rectal examination​ (DRE)
• Ultrasonic bladder scan
• Colonoscopy

The nurse is assessing a client who is experiencing lower abdominal pain. Which abnormal finding requires the nurse to evaluate​ further?

• Palpable bladder after urination
• Absence of tenderness on kidney palpation
• Absence of bruits over the renal arteries
• Midline urinary meatus
• Palpable bladder after urination

​Rationale: Normally, the bladder​ isn't palpable over the pubic​ bone, especially if the client has just urinated.A nurse is caring for a young woman with a suspected urinary tract infection​ (UTI). Which finding should confirm the​ nurse's suspicion?

• pH of 9.2
• Specific gravity of 1.012
• Three white blood cells​ (WBCs) per​ low-powered field
• Clear urine
• pH of 9.2

A nurse is assessing a client who is complaining of black stools. About which medication that the client might be taking should the nurse​ inquire?

• Antacids
• Iron supplements

C.Antibiotics

• Stool softener
• Iron supplements

During an office​ visit, a client reports infrequent and difficult bowel movements. Which teaching topic should the nurse include when developing the​ client's plan of​ care? (Select all that​ apply.)

• The importance of staying active
• The use of laxatives or stool softeners
• The importance of cooking and storing food correctly
• The importance of consuming adequate amounts of

fluid and fiber

• The avoidance of raw​ fruit, vegetables, and meat when

traveling abroad

• The importance of staying active
• The use of laxatives or stool softeners
• The importance of consuming adequate amounts of fluid and fiber

The nurse should encourage the client to consume how much fluid each day to promote healthy bowel​ movements?

• 1000-2000 mL
• 3000-4000 mL
• 2000-3000 mL
• 4000-5000 mL
• 2000-3000 mL

A nurse is preparing a client for colonoscopy. Which statement by the client indicates an understanding of the​ instructions?

• ​"I will have to refrain from eating the night before and

morning of the​ procedure."

• ​"I will have to take a series of laxatives for one week

before the​ procedure."

• ​"I will have a large glass of water on the morning of the​

procedure."

• ​"I may need an enema after the procedure has been​

completed."

• ​"I will have to refrain from eating the night before and morning of the​

procedure." When caring for a client with severe​ dehydration, the nurse should ensure which results are​ documented?

• Oxygen saturation
• Respiratory rate
• ​Intake/output
• Catheter care
• ​Intake/output

A nurse is mentoring a new graduate nurse about caring for a Foley catheter. Which action by the new graduate nurse requires immediate intervention​ ?

• The nurse puts on a pair of​ non-sterile gloves before

inserting the Foley catheter.

• The nurse provides regular perineal care.
• The nurse checks the collection system to ensure that

it has remained closed.

• The nurse washes hands before donning gloves.
• The nurse puts on a pair of​ non-sterile gloves before inserting the Foley

catheter.The nurse is preparing to provide a newly prescribed laxative medication to a client with chronic constipation.Which should the nurse assess prior to administering the​ medication? (Select all that​ apply)

• The​ client's fluid and electrolyte balance
• Whether the client has recently had abdominal surgery
• The​ client's blood urea nitrogen​ (BUN) and creatinine

values

• Whether the client has been experiencing​ nausea,

vomiting, or cramps

• Preventive measures for constipation to avoid

overdependence on laxatives

• Whether the client has recently had abdominal surgery
• Whether the client has been experiencing​ nausea, vomiting, or cramps
• Preventive measures for constipation to avoid overdependence on laxatives

The home health nurse is caring for a client with recent and ongoing urinary incontinence. The nurse should arrange for which type of​ referral?

• Medical supply company
• Social worker
• Psychologist
• Physical therapist
• Medical supply company