FoN Exam 2 Review

Front

A nurse is reviewing the urinalysis report of a client who is suspected to have a urinary tract infection (UTI). Which of the following findings should the nurse expect? A. Protein 0, specific gravity 1.005, B. Presence of leukocytes and nitrites, C. Specific gravity 1.000, D. pH of 4.0 with no bacteria present

Back

Presence of leukocytes and nitrites

Front

A client is recovering from abdominal surgery and states, I havent had a bowel movement in three days. Which of the following is the best response by the nurse? A. “You should probably take a laxative.” B. “That’s normal after surgery, don’t worry.” C. “What is your usual bowel pattern?” D. “I’ll get you some prune juice to help.”

Back

“What is your usual bowel pattern?”

Front

A nurse is caring for an older adult male client with benign prostatic hyperplasia (BPH) who has not voided for 8 hours and reports abdominal discomfort. Which of the following is the priority action? A. Encourage the client to drink fluids, B. Use a bladder scanner to assess for retention, C. Instruct the client to attempt voiding in a warm shower, D. Apply a condom (Texas) catheter

Back

Use a bladder scanner to assess for retention

Front

A nurse is reinforcing education for a client at risk for constipation. Which statement indicates the need for further teaching? A. “I should drink 6–8 glasses of water daily.” B. “I will eat high-fiber foods like fruits and vegetables.” D. “Regular exercise can help me stay regular.”

Back

“I should hold my urge to defecate until I have privacy.”

Front

The nurse is caring for a client with a new colostomy. The client states, “I’ll never be able to touch this thing.” What is the nurse’s best response?

Back

“It sounds like you’re really upset.”

Front

A client has just returned from surgery and is unable to void. The nurse performs a bladder scan and finds 800 mL of retained urine. Which action is appropriate?

Back

Perform intermittent catheterization

Front

A nurse is delegating tasks to a UAP. Which task is appropriate to delegate? A. Performing a sterile straight catheterization B. Teaching a client how to care for a new urostomy C. Assessing the perineal area for skin breakdown D. Measuring output from an indwelling catheter bag

Back

Measuring output from an indwelling catheter bag

Front

A nurse is preparing to administer enteric-coated aspirin. Which instruction should the nurse give the patient?

Back

Swallow it whole with a full glass of water.

Front

A client with chronic pain is prescribed morphine. What is the most important assessment before administration? Options: A. Heart rate, B. Pain scale rating, C. Respiratory rate, D. Blood pressure

Back

Respiratory rate

Front

A nurse is reviewing a provider’s order: “Furosemide 40 mg IVP stat.” What does this mean?

Back

Administer immediately once