Fundamentals Of Nursing NCLEX Quiz 13

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Questions: 10 | Attempts: 2,328 | Updated: Mar 21, 2023

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Fundamentals Of Nursing NCLEX Quiz 13 - Quiz

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Questions and Answers

1.

The nurse recognizes that urinary elimination changes may occur even in healthy older adults because of which of the following?
- A.
  
  The bladder distends and its capacity increases
- B.
  
  Older adults ignore the need to void
- C.
  
  Urine becomes more concentrated
- D.
  
  The amount of urine retained after voiding increases
Correct Answer
D. The amount of urine retained after voiding increases

Explanation
The capacity of the bladder may decrease with age but the muscle is weaker and can cause urine to be retained (Option 4). Older adults don’t ignore the urge to void and may have difficulty getting to the toilet in time (Option 2). The kidney becomes less able to concentrate urine with age (Option3).

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2.

During assessment of the client with urinary incontinence. the nurse is most likely to assess for which of the following? Select all that apply.
- A.
  
  Perineal skin irritation
- B.
  
  Fluid intake of less than 1.500 mL/d
- C.
  
  History of antihistamine intake
- D.
  
  Hx of UTI
- E.
  
  A fecal impaction
Correct Answer(s)
A. Perineal skin irritation
B. Fluid intake of less than 1.500 mL/d
D. Hx of UTI
E. A fecal impaction

Explanation
The perineum may become irritated by the frequent contact with urine (Opt1). Normal fluid intake is at least 1.500 mL/d and clients often decrease their intake to try to minimize urine leakage (Opt2). UTIs can contribute to incontinence (Opt4). A fecal impaction can compress the urethra. which results in sm. amts of urine leakage (Opt5). Antihistamines can cause urinary retention rather than urinary incontinence (Opt3).

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3.

Which action represents the appropriate nursing management of a client wearing a condom catheter?
- A.
  
  Ensure that the tip of the penis fits snugly against the end of the condom
- B.
  
  Check the penis for adequate circulation 30 min after applying
- C.
  
  Change the condom every 8 hours
- D.
  
  Tape the collecting tube to the lower abdomen.
Correct Answer
B. Check the penis for adequate circulation 30 min after applying

Explanation
The penis and condom should be checked 1/2 hour after application to ensure that it’s not too tight. A 1 in. space should be left btw the penis and the end of the condom (opt1). The condom is changed every 24h (opt3) and the tubing is taped to the leg or attached to a leg bag. An indwelling catheter is taped to the lower abdomen or upper thigh (opt4).

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4.

The catheter slips into the vagina during a straight catheterization of a female client. The nurse does which action?
- A.
  
  Leaves the catheter in place and gets a new sterile catheter
- B.
  
  Leaves the catheter in place and asks another nurse to attempt the procedure
- C.
  
  Removes the catheter and redirects it to the urinary meatus
- D.
  
  Removes the catheter. wipes it with a sterile gauze. and redirects it to the urinary meatus
Correct Answer
A. Leaves the catheter in place and gets a new sterile catheter

Explanation
The catheter in the vagina is contaminated and can’t be reused.If left in place. it may help avoid mistaking the vaginal opening for the urinary meatus. A single failure to catheterize the meatus doesn’t indicate that another nurse is needed although sometimes a second nurse can assist in visualization of the meatus (opt2).

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1
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5.

Which statement indicates a need for further teaching of a home care client with a long term indwelling catheter?
- A.
  
  “I will keep the collecting bag below the level of the bladder at all times”
- B.
  
  “Intake of cranberry juice may help decrease the risk of infection”
- C.
  
  “Soaking in a warm tub bath may ease the irritation associated with the catheter”
- D.
  
  “I should use clean tech. when emptying the collecting bag”
Correct Answer
C. “Soaking in a warm tub bath may ease the irritation associated with the catheter”

Explanation
Soaking in a bathtub can increase the risk of exposure to bacteria. The bag should be below the level of the bladder to promote proper drainage (opt1). Intake of cranberry juice creates an environment nonconducive to infection (opt2). Clean technique is appropriate for touching the exterior portions of the system (opt4).

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6.

During shift report. the nurse learns that an older female client is unable to maintain continence after she senses the urge to void and becomes incontinent on the way to the bathroom. Which nursing diagnosis is most appropriate?
- A.
  
  Stress urinary incontinence
- B.
  
  Reflex urinary incontinence
- C.
  
  Functional urinary incontinence
- D.
  
  Urge urinary incontinence
Correct Answer
D. Urge urinary incontinence

Explanation
The key phrase is “the urge to void” option one occurs when the client coughs. sneezes. or jars the body. resulting in accidental loss of urine. Option two occurs with involuntary loss of urine at somewhat predictable intervals when a specific bladder volume is reached. Option three is involuntary loss of urine related to impaired function.

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7.

A female client has a urinary tract infection. Which teaching points by the nurse should be helpful to the client? Select all that apply.
- A.
  
  Limit fluids to avoid the burning sensation on urination
- B.
  
  Review symptoms of UTI with the client
- C.
  
  Wipe the perineal area from back to front
- D.
  
  Wear cotton underclothes
- E.
  
  Take baths rather than showers
Correct Answer(s)
B. Review symptoms of UTI with the client
D. Wear cotton underclothes

Explanation
Option two validates the diagnosis. Cotton underwear promotes appropriate exposure to air. resulting in decreased bacterial growth (opt4). Increased fluids decrease concentration and irritation (opt1). The client should wipe the perineal area from front to back to prevent spread of bacteria from the rectal area to the urethra (opt3). Showers reduce exposure of area to bacteria (opt5).

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8.

The nurse will need to assess the client’s performance of clean intermittent self catheterization (CISC) for a client with which urinary diversion?
- A.
  
  Ileal conduit
- B.
  
  Kock pouch
- C.
  
  Neobladder
- D.
  
  Vesicostomy
Correct Answer
B. Kock pouch

Explanation
The ileal conduit and vesicostomy (opt1.4) are in continent urinary diversions. and clients are required to use an external ostomy appliance to contain the urine. Clients with a neobladder can control their voiding (opt3).

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9.

Which focus is the nurse most likely to teach for a client with a flaccid bladder?
- A.
  
  Habit training: attempt voiding at specific time periods
- B.
  
  Bladder training: delay voiding according to a pre-schedule timetable
- C.
  
  Crede’s maneuver: apply gentle manual pressure to the lower abdomen
- D.
  
  Kegel exercises: contract the pelvic muscles
Correct Answer
C. Crede’s maneuver: apply gentle manual pressure to the lower abdomen

Explanation
Because the bladder muscles will not contract to increase the intra-bladder pressure to promote urination. the process is initiated manually. Options one. two. and four: to promote continence bladder contractions are required for habit training. bladder training. and increasing the tone of the pelvic muscles.

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10.

Which of the following behaviors indicates that the client on a bladder training program has met the expected outcomes? Select all that apply.
- A.
  
  Voids each time there is an urge
- B.
  
  Practices slow. deep breathing until the urge decreases
- C.
  
  Uses adult diapers. for “just in case”
- D.
  
  Drinks citrus juices and carbonated beverages
- E.
  
  Performs pelvic muscle exercises
Correct Answer(s)
B. Practices slow. deep breathing until the urge decreases
E. Performs pelvic muscle exercises

Explanation
It is important for the client to inhibit the urge to void sensation when a premature urge is experienced. Some clients may need diapers; this is not the best indicator of a successful program (opt3). Citrus juices may irritate the bladder (opt4). Carbonated beverages increase diuresis and the risk of incontinence (opt4).

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Current Version
Mar 21, 2023

Quiz Edited by
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Aug 25, 2017

Quiz Created by
Santepro

Fundamentals Of Nursing NCLEX Quiz 13

The nurse recognizes that urinary elimination changes may occur even in healthy older adults because of which of the following?

During assessment of the client with urinary incontinence. the nurse is most likely to assess for which of the following? Select all that apply.

Which action represents the appropriate nursing management of a client wearing a condom catheter?

The catheter slips into the vagina during a straight catheterization of a female client. The nurse does which action?

Which statement indicates a need for further teaching of a home care client with a long term indwelling catheter?

During shift report. the nurse learns that an older female client is unable to maintain continence after she senses the urge to void and becomes incontinent on the way to the bathroom. Which nursing diagnosis is most appropriate?

A female client has a urinary tract infection. Which teaching points by the nurse should be helpful to the client? Select all that apply.

The nurse will need to assess the client’s performance of clean intermittent self catheterization (CISC) for a client with which urinary diversion?

Which focus is the nurse most likely to teach for a client with a flaccid bladder?

Which of the following behaviors indicates that the client on a bladder training program has met the expected outcomes? Select all that apply.