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NUR 104 Test 2 Urinary Elimination - Chapter 45 Questions With Complete Solutions
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NUR 104 Test 2 Urinary Elimination - Chapter 45 Questions With Complete Solutions
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NUR 104 Test 2 Urinary Elimination - Chapter 45Questions With Complete Solutions
____________ can indicate CHF, uncontrolled diabetes
mellitus, a urinary tract infection (UTI), or an enlarged prostate.
Correct Answers Nocturia
__________________ is the reflux of urine back to the kidneys,
which can result in atrophy and failure of these organs.
Facilitating the voiding of urine is very important to avoid this
outcome. Correct Answers Hydronephrosis
A _____________ is designed to fit more easily under the hips
so that the patient does not have to be rolled on his or her side.
Correct Answers fracture pan
A client is admitted to the hospital for hypocalcemia. Nursing
interventions relating to which system would have the highest
priority?
1. Renal
2. Cardiac
3. Gastrointestinal
4. Neuromuscular Correct Answers 1. Incorrect.
2. Incorrect.
3. Incorrect.
4. Correct. The major clinical signs and symptoms of
hypocalcemia are due to increased neuromuscular activity.
A man brings his elderly wife to the emergency department. He
states that she has been vomiting and has had diarrhea for the
,past 2 days. She appears lethargic and is complaining of leg
cramps. What should the nurse do first?
1. Start an IV.
2. Review the results of serum electrolytes.
3. Offer the woman foods that are high in sodium and potassium
content.
3. Administer an antiemetic. Correct Answers 1. While the
nurse may perform this intervention, assessment is needed
initially.
2. Correct.: Further assessment is needed to determine
appropriate action.
3. While the nurse may perform this intervention, assessment is
needed initially.
4. While the nurse may perform this intervention, assessment is
needed initially.
Abnormal contents found in urine are Correct Answers Fat
globules, Red or white blood cells (hematuria)
Bacteria
Crystals
acid base balance Correct Answers Death usually results if
blood pH is less than 6.8 or greater than 7.8.
Alopecia Correct Answers Hair loss
An elderly man is admitted to the medical unit with a diagnosis
of dehydration. Which of the following signs or symptoms are
most representative of a sodium imbalance?
,1. Hyper-reflexia
2. Mental confusion
3. Irregular pulse
4. Muscle weakness Correct Answers 1. Because calcium
contributes to the function of voluntary muscle contraction, this
option is more appropriate for calcium imbalances.
2. Correct. Sodium contributes to the function of neural tissue.
3. Because potassium and calcium contribute to cardiac
function, irregular pulse is more likely to be associated with
those alterations.
4. Because calcium contributes to the function of voluntary
muscle contraction, this option is more appropriate for calcium
imbalances.
An elderly nursing home resident has refused to eat or drink for
several days and is admitted to the hospital. The nurse should
assess for which of the following?
1. Increased blood pressure
2. Weak, rapid pulse
3. Moist mucous membranes
4. Jugular vein distention Correct Answers 1.This option is
indicative of fluid volume excess.
2. Correct. A client that has not eaten or drank anything for
several days would be experiencing fluid volume deficit.
3. This option is indicative of fluid volume excess.
4. This option is indicative of fluid volume excess.
An obstruction such as a kidney stone, an enlarged prostate
gland, a tumor, a pregnant uterus, an infection, or scar tissue
may cause Correct Answers urinary retention.
, anatomy of the skin Correct Answers epidermis 0.005mm-
1.5mm
dermis 0.3mm-3mm
subcutaneous fat
anuria Correct Answers no urine is produced
areas at risk for breakdown Correct Answers heels, sacrum,
elbows, scapulae,occipital, maleoli, medial and lateral condyles,
trochanter, ribs, acromion processes, ears, toes,
knees,genitals(men), breast (women), acromion processes,
cheeks and ears
assessment and documentation Correct Answers 1. information
collection-head to toe skin assessment and pt history
2. type/classification of wound
3. wound etiology
4. location, measurement, appearance, shape, pain
5. overall physical health-risk assessment and identify causative
factors and comorbidities
6. nutritional and hydration status
7. psychosocial health
8. vascular status
9. environmental and caregiver issues
bacteriuria Correct Answers presence of bacteria in the urine
Brachytherapy Correct Answers - Insertion of radioactive
implants directly into the tissue
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