Med Surg 2 NSG 233/ Med Surg 2 NSG233 Exam 4 Actual Exam 540 Question And Answers 2024/2025 A GRADE.
An older male patient states that he is having
... [Show More] problems starting and stopping his stream
of urine and he feels the urgency to void. The best way to assist this patient is to:
A) Help him stand to void.
B) Place a condom catheter.
C) Have him practice Credé's method.
D) Initiate Kegel exercises. - ANSWER-Initiate Kegel exercises.
Since removal of the patient's Foley catheter, the patient has voided 50 to 100 mL every
2 to 3 hours. Which action should the nurse take first?
A) Check for bladder distention
B) Encourage fluid intake
C) Obtain an order to recatheterize the patient
D) Document the amount of each voiding for 24 hours - ANSWER-Check for bladder
distention
To minimize the patient experiencing nocturia, the nurse would teach him or her to:
A) Perform perineal hygiene after urinating.
B) Set up a toileting schedule.
C) Double void.
D) Limit fluids before bedtime. - ANSWER-Limit fluids before bedtime
A patient with a Foley catheter carries the collection bag at waist level when ambulating.
The nurse tells the patient that he or she is at risk for: (Select all that apply.)
A) Infection.
B) Retention.
C) Stagnant urine.
D) Reflux of urine. - ANSWER-Infection.
Reflux of urine.
The patient is incontinent, and a condom catheter is placed. The nurse should take
which action?
A) Secure the condom with adhesive tape
B) Change the condom every 48 hours
C) Assess the patient for skin irritation
D) Use sterile technique for placement - ANSWER-Assess the patient for skin irritation
After a transurethral prostatectomy a patient returns to his room with a triple-lumen
indwelling catheter and continuous bladder irrigation. The irrigation is normal saline at
150 mL/hr. The nurse empties the drainage bag for a total of 2520 mL after an 8-hour
period. How much of the total is urine output? - ANSWER-1320
The RN directs the LPN/LVN to remove a Foley catheter at 1300. The nurse would
check if the patient has voided by:
A) 1400.
B) 1600
C) 1700.
D) 2300. - ANSWER-1700.
The postoperative patient has difficulty voiding after surgery and is feeling
"uncomfortable" in the lower abdomen. Which action should the nurse implement first?
A) Encourage fluid intake
B) Administer pain medication
C) Catheterize the patient
D) Turn on the bathroom faucet as he tries to void - ANSWER-Turn on the bathroom
faucet as he tries to void
The patient is to have an intravenous pyelogram (IVP). Which of the following apply to
this procedure? (Select all that apply.)
A) Note any allergies.
B) Monitor intake and output.
C) Provide for perineal hygiene.
D) Assess vital signs.
E) Encourage fluids after the procedure. - ANSWER-Note any allergies.
Encourage fluids after the procedure.
The nurse assesses that the patient has a full bladder, and the patient states that he or
she is having difficulty voiding. The nurse would teach the patient to:
A) Use the double-voiding technique.
B) Perform Kegel exercises.
C) Use Credé's method.
D) Keep a voiding diary. - ANSWER-Use Credé's method.
The patient states that she "loses urine" every time she laughs or coughs. The nurse
teaches the patient measures to regain urinary control. The nurse recognizes the need
for further teaching when the patient states:
A) "I will perform my Kegel exercises every day."
B) "I joined weight watchers."
C) "I drink two glasses of wine with dinner."
D) "I have tried urinating every 3 hours." - ANSWER-"I drink two glasses of wine with
dinner."
The nurse notes that the patient's Foley catheter bag has been empty for 4 hours. The
priority action would be to:
A) Irrigate the Foley.
B) Check for kinks in the tubing.
C) Notify the health care provider.
D) Assess the patient's intake. - ANSWER-Check for kinks in the tubing. [Show Less]