Exam 4: Elimination

A nurse attempts to obtain a urine sample from a client's ileal conduit.After correct sterile catheterization,no urine output is noted.How should the nurse respond?

When auscultating a client's AV fistula,the nurse notes a whooshing sound.What term is used to describe this finding?

The nurse cares for a client who requires hemodialysis and has an arteriovenous fistula.Which statements will the nurse include when teaching the client safety precautions for the AV fistula? Select all that apply.

The registered nurse acts as preceptor to a novice nurse who is placing an indwelling urinary catheter for a client.Which action by the novice nurse requires intervention by the preceptor?

The nurse cares for a client with an AV fistula for hemodialysis.Which assessments will the nurse perform when assessing the AV fistula? Select all that apply.

A nurse performs a sterile urine specimen collection from an ileal conduit.Which action by the nurse is incorrect and may lead to inaccurate results?

An uncircumcised male client needs to provide a clean-catch urine sample.Which client teaching will the nurse provide the client regarding the procedure? Select all that apply.

The home care nurse cares for a client who requires continuous ambulatory peritoneal dialysis (CAPD)at home.Place the steps in correct order for infusing the dialysate. A)Warm the dialysate. B)Add medications to the dialysate as ordered. C)Connect tubing to dialysate bag. D)Perform hand hygiene and don gloves. E)Hang the dialysate bag above the client's shoulder and open the clamp.

The nurse prepares to perform an indwelling urinary catheterization for a client who will undergo surgery.Place the steps of client positioning and sterile glove donning in the correct order. A)Open the drainage package,maintaining sterility. B)Position the client. C)Remove and discard gloves;perform hand hygiene. D)Open the catheterization kit;apply sterile gloves.

The nurse prepares to remove a client's indwelling urinary catheter.Which technique will the nurse use when performing this procedure? Select all that apply.

The home care nurse prepares to drain the fluid of a client with continuous ambulatory peritoneal dialysis (CAPD).Place the steps in correct order of the procedure to drain the fluid. A)Attach the sterile bag and transfer set to the catheter. B)Place the bag on a low stool or table below the client's abdomen. C)Unclamp the tubing and allow fluid to drain. D)Reclamp the tubing. E)Don gloves and uncap the catheter.

When placing the client on a bedpan,which position will the nurse place the client?

The nurse plans to assist in the transfer of the client to a bedside commode.Place the procedure steps in the correct order. A)Place slippers on the client. B)Place commode at the foot of the bed. C)Raise the client's head of the bed and move client to the edge of the bed. D)Safely transfer the client to the commode. E)Cover client with bath blanket as needed for warmth.

The nurse prepares to obtain a urine specimen from a client's indwelling catheter.What is the nurse's understanding of the purpose of clamping the indwelling catheter prior to collection of urine?

The nurse prepares to change a client's fecal ostomy pouch.Which assessments regarding the stoma are priority? Select all that apply.

The nurse is planning care for a client who receives peritoneal dialysis.Which nursing diagnosis will the nurse determine is priority?

The nurse teaches a client with a peritoneal dialysis catheter about the signs and symptoms of peritonitis.Which teaching statements will the nurse include? Select all that apply.

When assessing the client's AV fistula,the nurse notes vibration at the fistula site.How should the nurse respond to this finding?