100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NUR 231 Exam 2 Questions and Answers 100% Solved $13.99   Add to cart

Exam (elaborations)

NUR 231 Exam 2 Questions and Answers 100% Solved

 5 views  0 purchase
  • Course
  • NUR 231
  • Institution
  • NUR 231

NUR 231 Exam 2 Questions and Answers 100% Solved A patient is experiencing oliguria. Which action should the nurse perform first? a. Increase the patient's intravenous fluid rate. b. Encourage the patient to drink caffeinated beverages. c. Assess for bladder distention. d. Request an order f...

[Show more]

Preview 3 out of 23  pages

  • November 1, 2024
  • 23
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 231
  • NUR 231
avatar-seller
NinjaNerd
©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
NUR 231 Exam 2 Questions and

Answers 100% Solved


A patient is experiencing oliguria. Which action should the nurse perform

first?

a. Increase the patient's intravenous fluid rate.

b. Encourage the patient to drink caffeinated beverages.

c. Assess for bladder distention.

d. Request an order for diuretics. - ✔✔C - Oliguria is urine output that is

decreased despite normal fluid intake. As a nurse we would assess for

bladder distention first because by gently palpating a patients bladder may

cause a patient the urge to urinate which may help us determine the urine

output.

A patient requests the nurse's assistance to the bedside commode and

becomes frustrated when unable to void in front of the nurse. The nurse

understands the patient's inability to void because:

a. Anxiety can make it difficult for abdominal and perineal muscles to relax

enough to void.

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
b. The patient does not recognize the physiological signals that indicate a

need to void.

c. The patient is lonely, and calling the nurse in under false pretenses is a

way to get attention.

d. The patient is not drinking enough fluids to produce adequate urine

output. - ✔✔A - A nurse should understand the patients inability to void

because anxiety can cause urinary retention. When a patient normally

voids it involves contraction of the bladder and coordinated relaxation of the

urethral sphincter and pelvic floor; therefore, if a patient has anxiety toward

urinating in front of the nurse or others he/she may be tense and unable to

relax their muscles to urinate. Many patients may need privacy to help

prevent interruptions to allow them to relax.

An 86 year old patient tells the nurse that she is experiencing

uncontrollable leakage of urine. Which nursing diagnosis should the nurse

include in the patient's plan of care?

a. Urinary retention

b. Hesitancy

c. Urgency

d. Urinary Incontinence - ✔✔Urinary incontinence, which is the involuntary

leakage of urine that is sufficient to be a problem. Incontinence is more

, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
common in older adults because the intra-abdominal pressure exceeds

urethral resistance, then the muscles around the urethra become weak.

Thus, allowing small amounts of urine to leak spontaneously.

The patient expresses difficulty voiding and the constant urge to urinate.

The nurse should follow up by:

a. Using a bladder scanner to determine if there is post-void residual.

b. Telling the patient to run water when voiding.

c. Instructing the patient to perform Kegel exercises.

d. Checking the patient's vital signs. - ✔✔A - The bladder scanner helps

assess for post-void residual (PVR). Residual urine or post-void residual

occurs if a patient has urinary retention or cannot empty the bladder

completely. This measurement would help the nurse see if the patient has

urine left in the bladder after voiding and/or if there is another issue with

voiding. A normal void the bladder should empty completely

A patient asks about treatment for urge incontinence. The nurse's best

response is to advise the patient to:

(Choose all that apply.)

a. perform pelvic floor exercises.

b. Bladder retraining

c. avoid voiding frequently.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller NinjaNerd. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

72042 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.99
  • (0)
  Add to cart