Urinary Bowel Elimination Davis Edge Quiz

Urinary/Bowel Elimination Davis Edge Quiz Question1.The nurse is collecting data about a patient’s bowel functioning. Which action should the nurse take? 1. Palpate the abdomen and then auscultate. 2. Listen to at least one of the four abdominal quadrants. 3. Inspect the abdomen last for distention. 4. Auscultate for at least 3 to 5 minutes if no bowel sounds are heard. Question2.The nurse is caring for several patients who have colostomies. Which patient does the nurse expect to have the most liquid efÒuent? 1. One who has a transverse colostomy 2. One who has a sigmoid colostomy 3. One who has an ascending colostomy 4. One who has a descending colostomy Question3.The nurse works in an acute care facility and is assigned to care for multiple patients. Which patient will the nurse place on strict intake and output (I&0) monitoring? 1. The patient with 1000-mL intake and a 550-mL output in an 8-hour shift 2. The patient with an intake of 1800 mL and an output of 1050 mL in 24 hours 3. The patient with a daily intake of 3000 mL and an output of 2750 mL 4. The patient who is restricted to a 24-hour fluid intake of 1000 mL with an output of 550 mL Question4.The nurse has a patient who is on a 24-hour urinary collection. The unlicensed assistive personnel (UAP) reports to the nurse that the final needed urine specimen was accidentally flushed. Which action will the nurse take? 1. Call the health-care provider to ask if a new specimen collection needs to be started. 2. Ask the UAP to add the next collected specimen to the collection jug. 3. Document the specific reasons that caused the collection to be started again. 4. Dispose of the collection jug and start the collection process over. Question5.A patient is obtaining a stool specimen for occult blood from home. The nurse is reinforcing dietary restrictions for this test. Which items should the nurse tell the patient to avoid? Select all that apply. 1. Cherry limeade 2. Broiled steak 3. Vitamin D supplements 4. Steamed broccoli 5. Cooked carrots Question6._____________________ is defined as a urinary output greater than 3000 mL/day. 1. Polyuria 2. Dysuria 3. Hematuria 4. Oliguria Question7.The nurse is caring for a patient who had an indwelling urinary catheter removed during the previous shift. The nurse is concerned because the patient has not voided in the last 9 hours. Which action should the nurse take first? 1. Call the health-care provider to obtain an order for a straight catheterization. 2. Review the fluid intake the patient had during the previous shift. 3. Ask the patient if they have attempted to void without the catheter. 4. Perform a bladder scan to identify retained urine. Question8.The nurse gathers the following equipment (shown in the image). Which skill is the nurse preparing to perform? 1. Removing a fecal impaction 2. Administering a cleansing enema 3. Irrigating an ostomy 4. Changing a colostomy appliance Question9.The nurse would monitor which patients for diarrhea? Select all that apply. 1. One who eats ice cream and has lactose intolerance 2. One who hasClostridium difÏcile 3. One who has inflamed diverticula 4. One who is stressed about an upcoming surgery 5. One who is allergic to strawberries and does not eat strawberries Question10.The nurse is caring for a patient with continuous bladder irrigation after prostate surgery. At the end of the shift, the nurse notes that 875 mL of irrigation fluid has been used. The catheter collection bag has been emptied of a total of 1350 mL of fluid. Which will the nurse document as the patient’s urinary output for the shift? 1. 875 mL 2. 1825 mL 3. 475 mL 4. 1350 mL Question11.The nurse works in an acute care setting and is assigned multiple patients who are ordered on processes involving urinary system evaluation. Which patient will require the most involvement by the nurse? 1. The patient ordered on daily weights 2. The patient ordered to provide a clean-catch specimen 3. The patient ordered on a timed urinary collection 4. The patient ordered for a reagent strip testing Question12.A patient is having hard, infrequent stools. Which action should the nurse take? 1. Restrict fluid 2. Place on bedrest 3. Suggest eating yogurt 4. Decrease fiber intake Question13.The nurse in a health-care provider’s ofÏce is instructing a patient on the benefit of Kegel exercises to decrease stress incontinence. Which instructions will the nurse present to the patient? Select all that apply. 1. Have the patient place the hands on the lower abdomen and monitor for muscle tension. 2. Instruct the patient to tighten the muscles used to stop the flow of urine. 3. Explain that tightening thigh muscles at the same time will enhance tightening of the pelvic floor. 4. Tell the patient to attempt to stop voiding to check for correct exercise techniques. 5. Encourage the patient to hold muscle tension for a minimum of 15 seconds. Question14.The unlicensed assistive personnel (UAP) is providing care to an elderly, confused patient with constipation. Which action by the UAP would the nurse praise? 1. Offers the patient fluid every hour 2. Provides privacy by leaving the patient alone on the bedside commode 3. Assists the patient with meals while sitting in the chair 4. Keeps head of bed flat when using the bedpan Question15.A patient presents to the clinic with unexplained diarrhea. Which question should the nurse ask to help determine the cause of the diarrhea? 1. “How much fluid do you drink?” 2. “Have you taken an antibiotic recently?” 3. “How often do your bowels normally move?” 4. “Does your mother have diverticulosis?” Question16.Which type of nurses are caring for patients that are most prone to dehydration from diarrhea? 1. Long-term care facility 2. Pediatric unit 3. Adolescent unit 4. Assisted-living facility Question17.The nurse works in a health-care provider’s ofÏce where reagent testing on a urine sample is performed on every new patient. The nurse is aware that which result isunavailablewith this testing? 1. The presence of dehydration based on specific gravity 2. The presence of glucose and ketones 3. The presence and level of protein 4. The presence of a sexually transmitted infection Question18.The nurse receives an order from the health-care provider to discontinue the indwelling urinary catheter for a patient. Which steps will the nurse perform to remove the catheter? Select all that apply.  1. Attach a 10-mL syringe to the port used for balloon inflation. 2. Ask the patient to bear down and check for passage of urine. 3. Instruct the patient to use the bathroom when the urge to void occurs. 4. Empty and measure the urine in the collection bag. 5. Place a waterproof pad beneath the patient’s perineum and between the legs Question19.The nurse is providing care for a patient with continuous bladder irrigation after prostate surgery. Which evaluations will the nurse make during the irrigation process? Select all that apply.  1. Check the bladder drainage for the presence of clots. 2. Look at the color of the drainage from the bladder. 3. Check for bladder distention if the patient reports fullness. 4. Decide when to change the catheter for the presence of clots. 5. Determine the patient’s response to the irrigation process. Question20.The health-care provider orders a urinalysis for a patient with an indwelling urinary catheter. Which steps will the nurse perform to obtain the specimen? Select all that apply. 1. Draw a urine sample from the urine already present in the tubing. 2. Clean the port located in the tubing with an alcohol swab. 3. Using a blunt needle, withdraw 5 to 8 mL of urine from the port. 4. Unclamp the catheter tubing to allow the urine to flow freely into the collection bag. 5. Clamp the tubing below the level of the port to collect fresh urine. Question21.The nurse is delegating the process of monitoring a patient’s output to an unlicensed assistive personnel (UAP). Which factor related to urinary output will the nurse instruct the UAP to report immediately? 1. If the patient voids every 2 to 4 hours 2. If the a single urinary output is more than 150 mL at a time 3. If the patient voids 200 mL more than the intake 4. If the urinary output is <30 mL an hour for 2 consecutive hours Question22.The nurse is monitoring a patient who had surgery for an enlarged prostate. Treatment involves the maintenance of a continuous bladder irrigation system. Which finding would support an increase in the rate of irrigation fluid? 1. Red-colored drainage and clots in the tubing 2. A decrease in the amount of draining fluid 3. Bladder drainage that is pink in color 4. A report about painful bladder spasms Question23.The nurse is administering an enema to a patient. Which action should the nurse take? 1. Lubricate tube with petroleum-based lubricant. 2. Gradually raise the container 12 to 18 inches (30.5 to 45.7 cm) above the patient’s hip level. 3. If resistance is felt, open the tubing to allow a large amount of fluid to flow. 4. Elevate the container if the patient reports cramping Question24.Which older adult patient should the nurse monitor closely for a fecal impaction? 1. One who eats fruits and vegetables every day 2. One who overuses laxatives 3. One who drinks 2500 mL of fluid a day 4. One who exercises at least three times a week Question25.The nurse is preparing to administer an enema. Which patient findings would cause the nurse to notify the health-care provider or charge nurse? Select all that apply. 1. Has a history of unstable angina 2. Is admitted with Crohn’s disease 3. Observes a rectal fissure 4. Has infrequent hard stools 5. Observes severely bleeding hemorrhoids