A decrease in kidney function puts the patient at risk for what? - CORRECT ANSWER:
Toxicity from medication if excretion rates are longer
A noninvasive method of estimating bladder volume would be what? - CORRECT
ANSWER: Bladder scanner
A nurse is inserting a foley in a female and obtains clear urine, what happens next? -
CORRECT ANSWER: Advance catheter another 2 inches (5 cm)
After seeing the flow of urine through the tube, how much further should you insert the
foley catheter? - CORRECT ANSWER: 5cm (2in)
An x-ray of the abdomen visualizing the kidneys, ureters, and bladder is known as
what? - CORRECT ANSWER: KUB
Anoscopy - CORRECT ANSWER: Visual examination of the anus
Around how many times does the average person pass gas each day? - CORRECT
ANSWER: 13-21 times
Because infants and small children lack sphincter control, how should the nurse ensure
that the child retain an enema? - CORRECT ANSWER: The nurse should place the
child over a bedpan and firmly press the buttocks together
,Before administering an enema, what should the nurse look for/ask about in their
assessment? - CORRECT ANSWER: 1. When their last bowel movement was & how it
was
2. Presence of abdominal distention
3. If the client has sphincter control
4. Whether they use a toilet, commode, or bedpan
Before completing an accucheck, the nurse should assess what at the puncture site?
(2) - CORRECT ANSWER: 1. Skin is intact
2. Circulation is not compromised (hand is warm, & good capillary refill)
Colonoscopy - CORRECT ANSWER: Visual examination of the colon
Concentrated urine has a lower/higher specific gravity; Diluted urine has a lower/higher
specific gravity - CORRECT ANSWER: Higher, Lower
Constipation is characterized by how many bowel movements per week? - CORRECT
ANSWER: Fewer than 3
During high enemas, hold the solution _______ cm above the rectum. - CORRECT
ANSWER: 30-49 cm (12-18 inches)
During low enemas, hold the solution no higher than _____ cm above the rectum. -
CORRECT ANSWER: 30 cm (12 in); the higher the solution is held, the faster the flow &
greater the force
False negative results from a stool sample may be cause by what? (3) - CORRECT
ANSWER: 1. Foods (red meat, raw fruits/vegetables
2. Meds that irritate gastric mucosa (aspirin)
3. More than 250 mg/day of vitamin C before the test
, For the most accurate reading, should the accucheck be completed directly before or
directly after meals? - CORRECT ANSWER: Before meals
Healthy fecal elimination requires a daily fluid intake of______? - CORRECT ANSWER:
2,000-3,000 mL
How can we prevent/reduce the risk of CAUTI's in our patients? - CORRECT ANSWER:
1. Avoid unnecessary use of catheters
2. Remove urinary catheters using aseptic technique
3. Maintain the urinary catheter
4. Remove catheter promptly
How do medications affect urination? - CORRECT ANSWER: 1. Meds affecting ANS
cause retention
2. Diuretics increase urine formation by preventing reabsorption of water & electrolytes
How do you obtain a sterile urine specimen from a patient with an indwelling catheter? -
CORRECT ANSWER: Use a syringe to withdraw urine from the catheter tubing
How does ADH decrease water reabsorption into the blood? - CORRECT ANSWER: 1.
Blood osmolality decreases
2. ADH is
3. ADH causes distal tubule to become less permeable to water
4. Decrease of water reabsorption of H2O
5. Urine output increases
How does ADH increase water reabsorption into the blood? (5) - CORRECT ANSWER:
1. Blood osmolality increases
2. Osmoreceptors in hypothalamus stimulate posterior pituitary to secrete ADH
3. ADH increases distal tubule permeability
4. Increase of water reabsorption of H2O
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