Deck 15: Elimination and Gastric Intubation

Question 1

After a Foley catheter has been removed,the nurse should assess the patient for:

A) hemorrhage.
B) constipation.
C) urinary retention.
D) bladder spasm.

Answer 1

urinary retention.

Question 2

A ________ is the diversion of urine away from a diseased or defective bladder through a surgically created opening or stoma in the skin.

Answer 2

urostomy

Question 3

A ________________ tube is a flexible,hollow tube that is passed into the stomach via the nasopharynx.

Answer 3

nasogastric

Question 4

____________________ is the inability to control urine or bowel elimination and can be a psychologically distressing and socially disruptive problem,especially among older adults.

Question 5

What would be the correct explanation of catheter care?

A) Cleansing the first 2 in of the catheter with soap and water every shift
B) Disinfecting the entire catheter with alcohol every shift
C) Lubricating the catheter with antiseptic lotion every 24 hours
D) Cleansing the meatal-catheter junction every 24 hours

Question 6

Before inserting a nasogastric tube,what measurement should the nurse take?

A) Tip of the nose to the earlobe to the xiphoid process
B) Bridge of the nose to the xiphoid process
C) Nose to the top of the ear to the stomach
D) Clavicular notch to the stomach

Question 7

When explaining the difference between a colostomy and an ileostomy,the nurse explains which of the following about an ileostomy?

A) It is always permanent.
B) It drains semiliquid stool.
C) It has a much larger stoma.
D) It does not need a pouch.

Question 8

During insertion of a Foley catheter,the patient grimaces as the balloon is inflated.What is the immediate reaction of the nurse?

A) Withdraw the catheter.
B) Ask the patient to bear down.
C) Continue to inflate the balloon.
D) Advance the catheter into the bladder.

Question 9

Bladder training is initiated on a patient preparing for discharge to home from an acute care setting.When should voiding times be scheduled? (Select all that apply. )

A) At least every hour
B) At patients request
C) Before each meal
D) At bedtime
E) Upon waking up in morning