chapter 23 - Chapter 23: Incontinence MULTIPLE CHOICE 1....

Info iconThis preview shows pages 1–3. Sign up to view the full content.

View Full Document Right Arrow Icon
Chapter 23: Incontinence MULTIPLE CHOICE 1. The patient who is scheduled for a postvoid residual (PVR) test should be instructed by the nurse to: 1. call the nurse immediately after voiding. 2. after voiding, wait 10 minutes and void again. 3. void into a flowmeter. 4. avoid fluid intake for 8 hours before the test. ANS: 1 The nurse must catheterize the patient immediately after voiding and measure the amount of urine. PTS: 1 DIF: Cognitive Level: Application REF: 332 OBJ: 3 TOP: Postvoid Residual Test KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment 2. Bladder training instructions are being given to a patient who has a history of urinary incon- tinence. The initial instructions the nurse should give the patient are to: 1. “Wait until you feel the urge to void.” 2. “Don’t void any more often than every 4 to 6 hours.” 3. “Void every 2 to 3 hours while awake.” 4. “Void any time you feel the urge.” ANS: 3 Bladder training uses scheduled voiding; the patient is encouraged to delay voiding and voids only every 2 to 3 hours while awake. PTS: 1 DIF: Cognitive Level: Application REF: 333 OBJ: 3 TOP: Bladder Training KEY: Nursing Process Step: Planning MSC: NCLEX: Safe, Effective Care Environment 3. The patient with a spinal cord injury has recently begun using reflex training to empty his bladder. The nurse is doing a catheterization to check for residual volume. The nurse under- stands that the reflex training is effective if the residual volume is less than: 1. 100 mL. 2. 200 mL. 3. 400 mL. 4. 500 mL. ANS: 1 Ideally, the residual volume will be less than 100 mL. PTS: 1 DIF: Cognitive Level: Analysis REF: 334 OBJ: 3 TOP: Reflex Training
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity 4. A male patient with urinary incontinence has been using an external (condom) catheter. The nurse is assessing the patient’s technique of applying the device. The nurse should give the patient further instructions if he: 1. washes the penis with warm soapy water and dries the area well before applying the device. 2. encircles the penis with tape to secure the device. 3. uses elastic tape and wraps in a spiral pattern to secure the device. 4. assesses the penis carefully for any signs of irritation before applying the device. ANS: 2 Encircling the penis with tape can restrict circulation and cause damage to the tissue. PTS: 1 DIF: Cognitive Level: Application REF: 333 OBJ: 3 TOP: External Urine Collection Device KEY: Nursing Process Step: Evaluation MSC: NCLEX: Safe, Effective Care Environment 5. A patient being assessed by the physician states, “I wet my pants every time I cough.” The nurse recognizes this as: 1. reflex incontinence. 2.
Background image of page 2
Image of page 3
This is the end of the preview. Sign up to access the rest of the document.

Page1 / 10

chapter 23 - Chapter 23: Incontinence MULTIPLE CHOICE 1....

This preview shows document pages 1 - 3. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online