Question 1

The nurse is providing care to a client who has an ileal conduit. What action by the nurse demonstrates the need for further education?

Accepted Answer

A)  Uses mild soap and water to clean around the stoma site 
B)  Takes the appliance off by pushing down on the skin 
C)  Uses rolled up gauze in the stoma to catch any leaking 
D)  Ensures the gap between stoma and appliance is no more than 0.3-cm (1/8-inch) 
A)  Uses mild soap and water to clean around the stoma site 
B)  Takes the appliance off by pushing down on the skin 
C)  Uses rolled up gauze in the stoma to catch any leaking 
D)  Ensures the gap between stoma and appliance is no more than 0.3-cm (1/8-inch)

Question 2

Which action by the nurse demonstrates good understanding of indwelling bladder catheter care?

Accepted Answer

A)  Hangs the drainage bag on the side rail closest to the client's dominant hand 
B)  Places the catheter bag in the bed or on the stretcher during transport 
C)  Uses specific urinary catheter care antiseptics to clean around the meatus 
D)  Assesses the skin under the commercial catheter holder per facility policy 
A)  Hangs the drainage bag on the side rail closest to the client's dominant hand 
B)  Places the catheter bag in the bed or on the stretcher during transport 
C)  Uses specific urinary catheter care antiseptics to clean around the meatus 
D)  Assesses the skin under the commercial catheter holder per facility policy

Question 3

A client reports nocturia. What question by the nurse would be best?

Accepted Answer

A)  "Do you have a history of kidney stones?" 
B)  "Do you drink coffee before bedtime?" 
C)  "How has your blood glucose been?" 
D)  "Have you recently had an infection?" 
A)  "Do you have a history of kidney stones?" 
B)  "Do you drink coffee before bedtime?" 
C)  "How has your blood glucose been?" 
D)  "Have you recently had an infection?"

Question 4

The nurse is calculating intake and output for a client who has continuous closed bladder irrigation. There is 400 mL left in the liter bag of bladder irrigant which was hung at the start of the shift. There is 840 mL in the drainage bag. How much urine output did this client have during the shift?

Accepted Answer

A)  100 mL 
B)  160 mL 
C)  600 mL 
D)  840 mL 
A)  100 mL 
B)  160 mL 
C)  600 mL 
D)  840 mL

The nurse is providing care to a client who has an ileal conduit. What action by the nurse demonstrates the need for further education?

Which action by the nurse demonstrates good understanding of indwelling bladder catheter care?

A client reports nocturia. What question by the nurse would be best?

The nurse is calculating intake and output for a client who has continuous closed bladder irrigation. There is 400 mL left in the liter bag of bladder irrigant which was hung at the start of the shift. There is 840 mL in the drainage bag. How much urine output did this client have during the shift?

Foundations of Safe Client Care

Personal Care and Hygiene

Vital Signs and Vital Measurements

Performing an Assessment

Nutrition and Gastrointestinal Tube Therapy

Supporting Mobility and Immobilization

Comfort Care

End-Of-Life Care

Airway and Breathing

Sterile Technique

Medication Administration

Venous Access

Central Venous Access

Bowel Management

Wound Care

Perioperative Care

Advanced Respiratory Management

Advanced Cardiovascular Care

Advanced Neurologic Care

Filters

Exam 15: Urinary Elimination

The nurse is providing care to a client who has an ileal conduit. What action by the nurse demonstrates the need for further education?

Which action by the nurse demonstrates good understanding of indwelling bladder catheter care?

A client reports nocturia. What question by the nurse would be best?

The nurse is calculating intake and output for a client who has continuous closed bladder irrigation. There is 400 mL left in the liter bag of bladder irrigant which was hung at the start of the shift. There is 840 mL in the drainage bag. How much urine output did this client have during the shift?

Foundations of Safe Client Care

Personal Care and Hygiene

Vital Signs and Vital Measurements

Performing an Assessment

Nutrition and Gastrointestinal Tube Therapy

Supporting Mobility and Immobilization

Comfort Care

End-Of-Life Care

Airway and Breathing

Sterile Technique

Medication Administration

Venous Access

Central Venous Access

Bowel Management

Wound Care

Perioperative Care

Advanced Respiratory Management

Advanced Cardiovascular Care

Advanced Neurologic Care

Filters