Nursing Assessment and Fluid Regulation, Exams of Nursing

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NUR 300 Final Exam

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NUR 300 Final Exam

Which of the following are types of urinary incontinence? Select all that apply. A. Urge incontinence B. Purposeful incontinence C. Age-related inconvenience D. Stress incontinence E. Overflow incontinence F. Functional incontinence G. Nocturnal enuresis A. Urge incontinence

D. Sacral nerve stimulation E. Surgical treatments F. Timed voiding G. Kegel exercises Mandy is collecting a urinary history for an older adult client admitted to the hospital with renal insufficiency and a urinary tract infection. What should be included in the questioning? Select all that apply. A. Dietary intake B. Changes in urinary habits C. History of urinary infection D. Frequency of urination E. Fluid intake B. Changes in urinary habits C. History of urinary infection D. Frequency of urination E. Fluid intake

The nurse is tallying the intake and output record for the shift. What should be included on the intake record? Select all that apply. A. Intravenous fluids B. Hot tea C. Ice chips D. Ice cream E. Oatmeal A. Intravenous fluids B. Hot tea C. Ice chips D. Ice cream What is considered a risk factor for a urinary tract infection? A. Diabetes B. Heart disease C. Liver failure

An instructor asks the student nurse about common reasons for urinary incontinence. How should the student respond? Select all that apply. A. Sneezing and laughing B. Overfilled bladder C. Physical disabilities D. Bladder infection E. Kidney stones A. Sneezing and laughing B. Overfilled bladder C. Physical disabilities The nurse is teaching bowel health to a group of senior citizens. What are some common reasons for bowel changes in the older adult? Select all that apply. A. Increased peristalsis B. Loss of smooth muscle tone

C. Weakened abdominal muscles D. Loss of dental structure E. Immobility B. Loss of smooth muscle tone C. Weakened abdominal muscles E. Immobility The nurse is asked for a list of bulk-forming foods to be included in a patient’s diet. What should be included? Select all that apply. A. Whole grains B. Fruit juice C. Rare meats D. Milk products E. Dried beans A. Whole grains

B. Wash hands often. C. Increase caffeinated soda use. D. Increase hydration with popsicles. E. Eat bananas, rice, applesauce, and toast. B. Wash hands often. D. Increase hydration with popsicles. E. Eat bananas, rice, applesauce, and toast. Which findings in the immobile client are complications related to immobility? Select all that apply. A. Lung fluid B. Decreasing appetite C. Muscle growth D. Constipation

E. Bladder infection A. Lung fluid B. Decreasing appetite D. Constipation E. Bladder infection Which intervention in the immobile client's plan of care best helps develop muscle strength? A. Consume a diet high in protein. B. Perform AROM each hour. C. Use overbed trapeze to pull self up in bed. D. Log-roll client every 2 hours. B. Perform AROM each hour. Two nurses are planning to transfer a comatose client from the bed to a stretcher. Which device should be used? A. Transfer board B. Transfer belt C. Footboard D. Scoot sheet

D. Vitamin supplements are recommended for everyone. E. Micronutrients are foods that are consumed in small amounts. B. Vegetables can be eaten with other vegetables to make a complete protein. C. Carbohydrates raise blood glucose levels. E. Micronutrients are foods that are consumed in small amounts. The basal metabolic rate is impacted by which factors? Select all that apply. A. Muscle mass B. Body temperature C. Environmental temperature D. Sleep patterns E. Disease process A. Muscle mass B. Body temperature C. Environmental temperature E. Disease process

A client reports that he follows a strict vegetarian diet. What recommendations should the nurse give? Select all that apply. A. Increase intake of food fortified with vitamin B12 and B12 supplements. B. The client should add meat to the diet; a vegetarian diet is not advised. C. The client should use nonstick cookware to prepare food. D. Sun exposure can help compensate for lack of dietary vitamin D. E. Eat foods containing vitamin C to improve iron absorption. A. Increase intake of food fortified with vitamin B12 and B12 supplements. D. Sun exposure can help compensate for lack of dietary vitamin D. E. Eat foods containing vitamin C to improve iron absorption. To promote wound healing, the nurse is teaching a patient about choosing foods containing protein. Which foods are incomplete proteins that should be consumed with a complementary protein? Select all that apply. A. Whole grain bread

E. Olive oil C. Cottonseed oil D. Peanut oil E. Olive oil Which is the correct formula for calculating body mass index? A. Weight in pounds ÷ (height in inches) squared B. Weight in pounds ÷ (height in meters) squared C. Weight in kg ÷ (height in meters) squared D. Weight in kg ÷ (height in inches) squared C. Weight in kg ÷ (height in meters) squared What are the parts of a comprehensive nutritional assessment? Select all that apply. A. Body composition B. Physical assessment C. Laboratory findings

D. Body surface area E. Dietary history A. Body composition B. Physical assessment C. Laboratory findings E. Dietary history Which objective measures can a nurse use to assess a person’s dietary history? Select all that apply. A. Measure body composition B. Ask about diet C. 3-day food record diary D. Food questionnaire E. 24-hour memory recall C. 3-day food record diary D. Food questionnaire

D. Stress incontinence The nurse is seeing a teenage client with a urinary tract infection (UTI) at the clinic. The client remarks, "It seems to me more women get urinary infections than men. Why is this?" What is the nurse's best response? A. "Because women are more sexually active than men, they are at higher risk for infections." B. "Men have a prostate gland that protects them against urinary tract infections." C. "The female urethra is shorter than that of the male, making women more prone to infections." D. "Pressure of the uterus on the bladder during pregnancy can make women more prone to UTIs." C. "The female urethra is shorter than that of the male, making women more prone to infections." Which are anticipated changes in the urinary system that occur with normal aging in the older adult? Select all that apply. A. The number of functioning nephrons decreases with age. B. Bladder size decreases with age. C. Pelvic muscle tone increases with age.

D. Bladder elasticity increases with age. E. Prostate size increases with age. A. The number of functioning nephrons decreases with age. E. Prostate size increases with age. The nurse would anticipate which symptoms for a client with a suspected urinary tract infection (UTI)? Select all that apply. A. Urinary frequency B. Urinary urgency C. Anuria D. Abdominal pain E. Polyuria A. Urinary frequency B. Urinary urgency